—K-T^CXo-iy ft x-a - 1 % % Practice. M E D I Spafmt. wss covered with a thick inflammatory cruft. In one L" ~v of thefe patients the urine yielded an ounce and a half, and in the other an ounce, of (accharine matter from each pound. It had, however, an urinous fmell, and a faline tafte mixed with the fweet one ; and the urine of one fermented with yeaft, we are told, into “ tolerable fmall-beer.” Both thefe patients bad a voracious appetite, and perpetual gnawing fenle of hunger ; as had alfo Dr Dobfon s patient. I he in- flpid urine of thofe affefled with diabetes has not been examined by phyficians with fuflicient accuracy to en¬ able us to fpeak with confidence of its contents. Ccwfes. Thefe are exceedingly obfeure and uncer¬ tain •, fpafms of the nervous fyftem, debility, and every thing inducing it, but efpecially ftrong diuretics and immoderate venery, have been acculed as bringing on the diabetes. It has, however, occurred in perfons where none of thefe caufes could be fufpedled j nor have the beft phyfioians been able to determine it.— Difledlions have only fhown that the kidneys were in an enlarged and lax flate. In one of Dr Home s patients who died, they fmelled four ■, which fhowed that the urine peculiar to diabetes came from the kid- nevs, and was not fent diredlly from the inteftines by a retrograde motion of the lymphatics, as fome ima- gine. Prognojis. The diabetes is rarely cured, unlefs when taken at the very beginning, which is feldom done 5 and in a confirmed diabetes the prognefis mult therefore be unfavourable. _ . Cure. As there is reafon to believe that in this af- fe&ion the morbid fecretion of urine, which is both preternatural in point of quantity and of quality, antes from a morbid diminution of tone in the kidney, the great objedl in the cure mull be the reftoration of due tone to the fecreting veflels of the kidney. But as even this diminifhed tone would not give riie to the pe¬ culiar vitiated fecretion without a morbid fenlibility of that organ, it is neceffarily a fecond @bje£l to remove this morbid fenfibility. But befides this, the morbid fe¬ cretion of urine may alfo be counterafted both by a di¬ minution of the determination of fluids to the kidney, and by preventing the occurrence of luperfluous uater in the general mafs of blood. On thefe grounds the principal hopes of a cure, in this diftemper are from allvingent and ftrengthening medicines. Dr Dobfon’s patient was relieved by the following remedies •, which, however, w7ere frequently varied, as none of them produced their, good effefts for any length of time: Cinchona in fuDllance, fmall dofes of rhubarb ; decoftion of the bark, with the acid elixir of vitriol; the cold infufion of the bark, of which he drank from a quart to two quarts daily •, Dover’s powder ; alum-whey j lime-water ; antimomals combined with tinElura thebcnca. I he warm bath Wi-tS ufed occalionally when the lldn was remarkably hot and dry, and the patient complained of reftleilnefs and anxi¬ ety. The tindfure of cantharides was likewife tried ; but he could never take more than 25 drops for a dofe, without exciting great uneafinefs in his bowels. 1 he body was kept conftantly open, either with rhubarb or the infuflon of fena joined with rhubarb. His common drinks were rice water, barley-water, lime-wa¬ ter, and milk-, lime-water alone; fage, bTm, or mint tea ; fmall-beer, Ample water, and water acidulated with VoL.XlII. Part II. CINE. 40t the fulphuric acid. In feven months, thefe remedies, Bkbetcs. in whatever manner varied, made no further progrefs in removing the difeaie. In Dr Home’s patients, ail thefe medicines, and many others, were tried without the leaf! good eflfea ; infomuch that he tiles this remarkable expreflion : Ihus, thele two patients have exhauded all that experience had ever recommended, and almolt all that theory could fuggeft ; yet in both cafes, tne dif- eafe has refilled all the means of cure ufed.” It is re¬ markable, that though feptics were given to both, in fucb quantity as evidently to produce a putrefcency in_ the primae vice, the urine remained unaltered both in quantity and quality. Bnt although this difeafe be frequently in its nature fo obflinate as to refill every mode of cure, yet there can be no doubt that particular remedies have fucceeded in different cafes. Dr Brilbane relates feveral cafes cured by the ufe of timffure of cantharides: and Dr McCor¬ mick has related fome in the 9^ volume of the Edin¬ burgh Medical Commentaries, which yielded to Do¬ ver’s powder after a variety ol other remedies had been tried in vain. But of all the modes of cure lately propofed, that which has been moll celebrated, is the treatment re¬ commended by Dr Rollo of the Royal Artillery. In a valuable work lately publiflied, entitled Cafes of the Diabetes Mellitus, he has recorded two remarkable ex¬ amples of the good effe&s of a peculiar regimen in this difeafe. He confiders diabetes as being a difeafe not of the kidney but of the alimentary canal, and as arifing from the formation of an uncommon quantity of fugar? He therefore ftri£Uy forbids the ufe of every article of diet which can furnifh fugar, even of bread ; and by a diet confifting entirely of animal and alkalel- cent food his patients were much benefited. The ex¬ perience of fome other practitioners has to a certain de¬ gree confirmed the obfervations of Dr Rollo. But we are forry to add, that we have met with many other inftances of diabetes mellitus, in which a diet confifting folely of animal food, had a fair trial, without produ¬ cing any material benefit. And v.e may conclude with observing, that the cure of diabetes ftill remains to be difeovered. As allaying the exceflive thirfl, and pro- ducin°- a temporary reftoration of urinous fmell, or the urea which it ought naturally to contain, we. have found nothing equal m efficacy to a large proportion of fat meat, fuch as pork fteaks or butter. Genus LXIII. HYSTERIA. ' Hysterics. Hyfteria, Sauv. gen. 135. Lin. 126. Vog. 219. Sag. • gen. 242. Malum hyftericum, Hoffm. III. 50. fund. 36. AffeCtio hyfterica, Willis de Morb. Convulfiv. cap. 5. 10. xi. Sydenham Diff. Epift. ad G. Cole, IVhtjtt on Nervous Diforders. Dcfcription. The hyfteria is a convulfive difeafe, which comes on at uncertain intervals, fometimes longer and fometimes fhorter, but at no fluted time. The paroxyfms commonly begin with a languor and debi- lity of the whole body ; yawning, ftretching, and reft- leffnefs. A fenfe of coldnefs alfo in the extremities, almoft always precedes, and for the moft part remains during the whole time of, the paroxyfm. To this fbme- 3 E times 402 M E VD I Spafai. times fucceeds a fenfe of* heat 5 and the two fen Cations a]ternai;e ^-^Jj eac'h other in different parts of the body. The face is fometimes da died and fome times pale: and Sometimes the palenefs and Hudiing come alternately. Ther e is a violent pain in the head $ tire eyes become dim, and pour out tears : there is a rumbling and infla¬ tion of the inteftines 5 a fenfation is felt like that of a globe afeending from the lower part of the abdomen or hypogaftrium, which fometimes feems to roll along the whole alimentary canal. It afeends to the ftomach, fometimes fuddeniy, fometimes flowly ; and there pro¬ duces a fenf^ of inflation and weight, together with anxiety, naufea, and vomiting. At lall it comes up to the throat, where it produces a fenfe of fuffocation, and difficulty of breathing or fwallowing. During this time there are the mod: violent pains both in the external and internal parts of the abdomen ; the muf- cles are convuifed ; the umbilicus is drawn inwards ; and there are frequently fuch fpafms of the inteflines, that neither clyfters can be injedled, nor even flatus pa's downwards. Sometimes the paroxyfm remits af¬ ter thefe Tymptoms have continued for a certain time, but more frequently the patients fall into fainting fits 5 fometimes they lie without motion, as if they were in a deep fleep ; fometimes they beat tbeir breads violent¬ ly and continually with their hands, and fometimes they are feized with general convulfions, and the dif- eafe puts on the appearance of an epilepfy. In fome patients the extremities become cold and biff, and the body has the appearance of one in a catalepfy. Some¬ times a mod violent beating pain takes place in fome part of the head, as if a nail was driven into it, and all vifible objefts feem to turn round y grievous pains attack the loins, back, and bladder, and the patients efifeharge a furprifing quantity of urine as limpid as water; which lad is one of the furefl figns of the djf- eafe. The mind is very much affedled as well as the body. Sometimes the patients are tormented with vain fears: fometimes they will laugh, at other times cry im¬ moderately ; and fometimes their temper becomes fo peeviih and fretful, that they cannot enjoy a moment’s quiet. The appearances which take place in this af¬ fection are indeed fo much varied, that they can-hard¬ ly be enumerated : they may, however, with propriety, be divided into hyderic fits, which very much refemble thofe of epilepfy, excepting that they are not attended with an abolition of the internal fenfes; and hyderic fymptoms, fuch as the globus hystericus, c lav us hysteri¬ cus, and the like, which are chiefly known to conditute a part of this difeafe from being obferved to alternate with fits. Caufes, &c. The general caufe of hyderia is thought by the bed phyficians to confid in a too great mobi¬ lity and irritability of the nervous fydem, and of con- fequence the difeafe may b? brought on by whatever debilitates and renders the body irritable. Hence it mod frequently attacks females of a weak and lax ha¬ bit of body, though there are fome indances of men al- fp attacked by it. It generally comes on between the time of puberty and the age of 35, and makes its at¬ tacks during the time of mendruation more frequently than at any other. It alfo more frequently feizes bar- pen women and young widows, than fuch as are bear¬ ing children. Prognojis. Though the appearance of this difeafe be C I N E. Fra&ice. fo very terrible, it feldom proves mortal ualefs by wrong treatment : but notwithfianding this, it is extremely dif¬ ficult of cure, and rarely admits of any thing elle than being palliated ; for though It ihould feem to be con¬ quered by medicine lor a time, it very quickly returns, and that from the flighted caufes. Cure. The ends principally to be aimed at in the cure of tnis difeafe a^e, in the fird place, the removal of particular convulfive or fpafmodic affeilions imme¬ diately producing various appearances in the difeafe, whether under the form of proper hyderic fits, or merely of what may be called hyderic fymptoms ; and in the lecond place, the prevention of the return of fymp¬ toms after they have been removed, by the employment of proper remedies during thofe intervals from com¬ plaints which patients often have when labouring under this affe'flion. H\ fieri a. The mod powerful remedy hitherto difeovered in hyderic cafes is opium, or the tinbture of it. By this commonly the mod violent paroxyfms are dopped, though it be inlufficient to accomplilh a radical cure. In Dr Home’s Clinical Experiments we find an in¬ dance of a cure performed by venefeflion, though this remedy has been generally condemned in hydcrical cafes. Afafcetida feems to dand next in virtue to opium ; though with fome it difagrees, and occafions pains in the itomach and vomiting. Sulphuric tether will alfo frequently remove an hyderic fit: but its ef¬ fects are of drort duration ; and if it do not effeft a Cure foon after its exhibition, no fervice is to be ex¬ pelled either by perfeverance in the ufe of it or by increafing the dofe ; and with fome conditutions it dif¬ agrees to fuch a degree as to occafion convulfions. If the patient be feized with a violent fit, fo that die can fwallow nothing, which is frequently the cafe, it will be proper to apply fome drong volatile alkali to her nofe ; or if that be not at hand, the vapour of burning feathers is fometimes very efficacious. In fome in- dances benefit is derived from the hidden application of cold water to the face or hands ; but dill more fre¬ quently the application of water in a tepid date, particularly the warm pediluvium, is found to be of very great fervice in bringing about a favourable ter¬ mination of different violent hyderic fymptoms. A pladqr of galbanum and afafcetida will alfo prove fer- viceable : but it mud be remembered, that none of thefe thin gs will prevent the return of the difeafe ; and there¬ fore a radical cure is to be attempted by exercife, cin- chona, ebalybeates, mineral waters, and other tonics ; but particularly, where the date of the patient is fuch as to be able to bear it, by the ufe of the cold bath, which, where it does not difagree with the conditution, is often of the greated fervice in preventing returns of this affedlion. In hyderia as well as in chorea Dr Hamilton has found, that in fome indances very great benefit has been obtained from copious evacuations of the alimentary ca¬ nal, by cathartics frequently repeated. Genus LXIV. HYDROPHOBIA. 3** The Dread of Water. Hydrophobia, gen. 231. Lin. 86. Vog. 30. Sag- gen. 343. Boerh. wifi. Junck. 124. Mead on poifons. Default fur la rage. Cauv. diii. fur la.. Practice. ^ M E "D I Spafmi. la rage. "James on canine madnefs. Dolby, Vir- 1"' tues of cinnabar and mu(k againfl the bite of a mad dog. Nugent on the hydrophobia. Choifel, Nouvelle methode pour le traitement de la rage. Journal de Medicine, paffim. Medical Obf. and In¬ quiries, vol. ill. art. 34* ^ol. v. art. 20. 26. and App. Med. TranfaB. vol. ii. art. 5. 12. and 15. Heyjham, DHT. inaug. de rab. canin. Edinb. I777* Parry, Diff. inaug. de rab. contagiof. five canvn. Edinb. 1778. An dry, Recherches fur la rage, 1778. Vaughan, Cafes of hydrophobia, fecond edit. 1778. Arnold, Cafe of hydrophobia, 1795. 323 Sp. I. HrnxoPHonrA Rabicfa, or Hydrophoby con- fequent on the Bite of a Mad Animal. Hydrophobia vulgaris, Sairj. fp. 1. It is the opinion of fome, that Dr Cullen has done wronff in employing the t^rm hydrophobia as a geneiic name, unde** which canine madnels is included . and it mud be allowed, that the dread of water, while it js not univerfal, is alfo a fymptom occurring only late in the difeafe, at lead in the greater part of cafes. Per¬ haps his arrangement would have been lefs exception¬ able, if. following Linnaeus, he had adopted rabies as a generic term, and had didmguidied this particular fpecies by the epithet of canina, contagiofa, or the like. Difputes, however, about names, are in general not very important ; and it is fufficient to obferve, that the affedlion now to be treated of is canine madnefs, or that difeafe which arifes from the bite of a mad animal. Defcription. This difeafe commonly does not make its attack till a confiderable time after the bite. . In fome few indances it has commenced in feven or eight days from the accident; but generally the patient con¬ tinues in health for 20, 30, or 40 days, or even much longer. The bite, if not prevented, will in gene.al be healed long before that time, frequently with the grear¬ ed eafe •, though fometimes it refids all kinds of heal¬ ing applications, and forms a running ulcer which dif- charges a quantity of matter for many days. It has been faid, that the nearer the wounded place is to the falivary glands, the fooner the fymptoms of hydro¬ phobia appear. The approach of the. difeafe is known by the cicatrix of the wound becoming high, hard, and elevated, and by a peculiar lenfe of prickling at the part ; pains (hoot from it towards the throat : fometlmes it is furrounded with livid or red dreaks, and feems to be in a date of inflammation 5 though frequently there is nothing remarkable to be obferved about it. The patient becomes melancholy, loves fo- litude, and has ficknefs at ftomach. Sometimes the peculiar fymptom of the difeale, the aread of water, comes on all at once. We have an indance of one who, having taken a vomit of ipecacuanha for the fick- nefs’he felt at his domach, was Seized with the hy¬ drophobia in the time he was drinking the warm water. Sometimes the difeafe begins like a common (ore throat 5 and *.he forenefs daily increafing, the hydrophobic fymp¬ toms (how themfelves like a convultive loaan of the mufcles of the fauces. In others, the mind feems to be primarily afidaed, and they are fubjeft to deiponden- cy and melancholy for fome tune prior to any dreau CINE. ... 403 of water. And when that dread commences, it is with Hydropho- an evident mental afteftion. Dr James, in his Treatife , ‘a j on Canine Madnefs, mentions a boy lent out to fill two bottles with water, who was fo terrified by the ncife of the liquid running into them, that he fled into the houfe crying out that he was bewitched. He men¬ tions alfo the cafe of a farmer, who, going to draw fome ale from a calk, was terrified to fuch a degree at its running into the vefiTel, that he ran out in a great hafte with the fpigot in his hand. Eut in whatever manner this fymptom comes on, it is certain that the mod; painful fenfations accompany every attempt to fwallow liquids. Nay, the bare fight ol water, of a looking-glafs, of any thing clear or pellucid, will giver the utmold uneafinefs, or even throws the patient into convulfions. With regard to the affe&ion of the mind itfelf in this difeafe, it does not appear that the patients are deprived of reafon. Some have, merely by the dint of refolution, conquered the dread of water, though they never could conquer the convulfive motions which the contaft of liquids occafioned : while this refolu¬ tion has been of no avail } for the convulfions and other fymptoms increafing, have almofl always defiroyed the unhappy patients. In this dijiafe there feems to be an extreme fenfibi- lity and irritability of the nervous fyftem. The eyes cannot bear the light, or the fight of any thing white the leaft touch or motion offends them, and they want to be kept as quiet and in as dark a place as poflible. Some complain of the coldnefs of the air, frequently when it is really warm. Others complain of violent heat 5 and have a great defire for cold air, which yet never fails to rncreafe the fymptoms. In all there is a great flow of vifcid faliva into the mouth •, which is exceedingly troublefome to the patients, as it has the fame effect upon their fauces that other liquids have. This therefore they perpetually blow off with violence, which in a patient of Dr Fothergill’s occafioned a noife not unlike the hollow barking of a dog, and which he conjectures might have given rife to the common no¬ tion that hydrophobous patients bark like dogs. They have an infatiable third; j but are unable to get down any drink, except with the u’.moft diihculty •, though fometimes they can fwallow bread loaked in liquids, flices of oranges, or other fruits. There is a pain un¬ der the fcrobiculus cordis, as in the tetanus; and the patients mournfully point to that place as the feat of the difeafe. Dr Vaughan is of opinion that it is this pain, rather than any difficulty in fvvallowing, which diftreffes the patient on every attempt to drink. The voice is commonly plaintive and mournful ; but Dr Vaughan tells us there is a mixture of fiercenefs and timidity in the countenance which he' cannot defcribe, but by which he could know a hydrophobous peifon without afking any queftions. In this diftemper, indeed, the fymptoms are fo va¬ rious, that they cannot be enumerated ; for we will feldam read two cafes of hydrophobia which do not differ very remarkably in this refpeCL Some feem to have at times a furious delirium, and an inclination to fpit at or bite the by danders; while others (how no fuch inclination, but will even fiuTer people to wipe the infide of their mouths with the corner of a hand¬ kerchief in order to clear away the vifcid faliva which 3 E 2 is 4°4 M E D I , Spafmi. Is ready to iuflocate them. In Tome male patients there v " is an involuntary erection of the penis, and emiffion of the femen; and the urine is forced away by the fre¬ quent return of the fpafms. In a letter from Dr Wolf of Warfaw to Henry Baker, F. R. S. dated Warfaw Sept. 26th, 1767, we have the following melancholy account of the cafes of five perfons who died of the hydrophobia : “ None of them quite loft their right fenfes ; but they were all talking without intermiftion, praying, lamenting, defpairing, curfing, fighing, fpit- ting a frothy faliva, fcreeching, fometimes belching, retching, but rarely vomiting. Every member is con- vulfed by fits, but moft violently from the navel up to the breaft and cefophagus. The fit comes on every quarter of an hour j the fauces are not red, nor the tongue dry. The pulfe is not at all feverilh; and when the fit is over nearly like a found pulfe. The face grows pale, then brown, and during the fit almoft black ; the lips livid ; the head is drowfy, and the ears tingling ; the urine limpid. At laft they grow weary; the fits are lefs violent, and ceafe to ..aids the end ; the pulfe becomes weak, intermittent, and not very quick ; they fweat, and at laft the whole body becomes cold. They compofe themfelves quietly as if. to get lleep, and fo they expire. The blood drawn a few hours before death appears good in every re- fpedf. A general obfervation was, that the lint and dreffings of the wounds, even when dry, were always black, and that when the pus was very good in co¬ lour and appearance.” In one of Dr Wolf’s patients who recovered, the blood itunk intolerably as it was drawn from a vein ; and one of Mr Vaughan’s patients complained of an intolerable fetid fmell proceeding from the wounded part, though nobody but himfelf could perceive it. In general, the violent convuliions eeafe a fhort time before death ; and even the hydro¬ phobia goes off, fo that the patients can drink freely. But this does not always happen ; for Mr Vaughan mentions the cafe of a patient, in whom, “ when he had in appearance ceafed to breathe, the fpafmus cyni- cus was obfervablc, with an odd convullive motion in the mufcles of the face ; and the firange contrariety which took place in the adfion of thefe produced the moft horrid affembiage of features that can well be conceived. Of this patient alfo it tvas remarkable, that in the laft hours of his life be ceafed to call for drink, which had been his conftant rtqueft ; but was perpetually afking for fomething to eat.” The hydrophobia feems to Be a fymptom peculiar to the humarj race ; for the mad animals which com¬ municate the infediion, do not feem to have any dread of water. Dr Wolf, in the letter above quoted, fays in general, that cattle bit at the fame time and by the lame animal (a mad wolf) which bit the perfons whofe cafes he related, died nearly with the fame frightful raging as the men ; but fays nothing of their having any hydrophobia : nay, Dr James and fome others affert, that the hydrophobia is not always an attendant on rabies canina in the human race ; ai d indeed it is certain that the difeafe has proved mortal after this terrible fymptom has been removed. With regard to the fymptoms of madndfs in dogs, they are very equivocal ; and thofe particularly enumerated by feme authors, are only fi.ich as might be expeifted in dogs much heated or agitated by being violently pur- C I N E. Practice. fued and ftruck. One fymptom indeed, if it could be Hydropho- depended upon, would determine the matter; namely, ^a- that all other dogs avoid and run away from one that v" is mad ; and even large dogs will not attack one of the fmalleft fize who is infe&ed with this difeafe. Upon this fuppofition they point out a method of dif- covering whether a dog who has been killed was really mad or not ; namely, by rubbing a piece of .meat along the infide of his mouth, and then offering it to a found dog. If the latter eats it, it is a fign the dog was not mad ; but if the other rejedts it with a kind of howling noife, it is certain that he wTas. Dr James tells us, that among dogs the difeafe is infedlious by flaying in the fame place ; and that after a kennel has been once in- fedled, the dogs put into it will be for a confiderable time afterwards in danger of going mad alfo. A re¬ medy for this, he fays, is, to keep geele for fome time in the kennel. He rejedfs as falfe the opinion that dogs when going mad will not bark ; though he owns that there is a very confiderable change in their bark, which becomes hoarfe and hollow. Of all the accounts that have been publiftied on the charadferiftics of rabies in dogs, the belt is to be found in Dr Arnold’s late treatife : the charadferiftics there mentioned are given on the authority of Mr Meynell, a gentleman who has paid particular atten¬ tion to this fubjedt. From Mr Meynell’s obfervations it appears, that moft of the charadleriftics which have been commonly mentioned, are mere vulgar errors ; and, according to him, the beft marks are from their peculiar dull look, and the peculiar found which they utter. “ Mad dogs (fays Mr Meynell) never bark, but occafionally utter a moft diimal and plaintive howl, expreflive of extreme diftrefs, and which, they who have once heard it, can never forget ; fo that dogs may be known to be going mad without being feen, when ordy this difmal howd is heard. Caufes, &c. In no difeafe whatever are we more at a lois to difeover the caufes than in the hydro¬ phobia. In dogs, foxes, and wolves, it feems to come on Ipontaneouily ; though this is contefted by fume authors. It is laid, that the caufes^ commonly aflign- ed, viz. heat, feeding upon putrid flelh, want of wa¬ ter, &c. are not iufficient for producing the diftem- per. It does not appear that madnefs is more frequent among dogs in the w arm than in the cold climates ; nay, in the ifland of Antigua, where the climate is very hot, and the water very fcarce, tl is diftemper has never, it is faid, been obferved. As to putrid ali¬ ment, it feems natural for dogs to prefer this to any other, and they have been known to fublift upon it for a long time without any detriment. For thefe reaions, they think the ddealt ariles from a fpecific contagion, like the imallpox and mealies among the human race, which, being once produced by caufes unknown, continues to be propagated by the inter¬ course which dogs have with each other, as the dif- eaies juft mentioned continue to be propagated among the human race. With regard to the immediate caufe among man¬ kind, there is not the leaft doubt that the hydrenho- bia is occafioned by the fVliva of the mad awirmfi be¬ ing mixed with the blood. It does not appear that this can operate th/orgh be cuiicula ; but, when that is rubbed off, the imalleft quantity is fuffaffent to com¬ municate Practice, . M E D I Spafmi. municate the difeafe, and a flight fcratch with the '/ teeth of a mad animal has been found as pernicious as a large wound. It is certain alfo, that the infe&ion has been communicated by the bites of dogs, cats, wolves, foxes, wealels, fwine, and even cocks and hens, when in a ftate of madnefs. But it does not appear that the diftemper is communicable from one hydro- phobous perfon to another, by means of the bite, or any other way. Dr Vaughan maculated a dog with the laliva of a hydrophobous child, but the animal con¬ tinued free from difeafe for two months : and though the do£for promifed to inform the public if it ftiould happen to occur afterwards, nothing has hitherto ap¬ peared on that fubjeed. A nurfe alio frequently killed the child during this time of his diforder, but no bad confequence enfued. When we attempt to inveftigate the nature of the caufe of the hydrophobia by diffeftions, our inquiries are commonly difappointed. In two bodies opened by Dr Vaughan, there was not the leafl: morbid appear¬ ance ; in the very fauces, where we might have ex- pedled that the difeafe would have fliown itfelf moll evidently, there was not the leaft appearance even of inflammation. The itomach, inteflines, diaphragm, cefophagus, &c. were all in a natural ftate : neither do we find in authors of credit any certain accounts of morbid appearances in the bodies of hydrophobous perfons after death. Dr Vaughan therefore concludes, that the poifon adfs upon the nervous fyftem 5 and is fo wholly confined to it, that it may be doubted whether the qualities of the blood are altered by it or not; and that it a61s upon the nerves by impairing and difturbing their funftions to fuch a degree as fpeedily to end in a total extimftion of the vital principle. As to the difficulty in fwallowing generally believed to ac¬ company dread of the water, he treats it as a milre- prefentation, as well as that the cefophaeus with the mufcles fubfervient to deglutition are efpecially con¬ cerned in this difeafe. The principal foundation of the evil, he thinks, refts on a morbid fenfibility both of the external and internal fauces. For the light of a liquid, or the application of any fubftance to. the in¬ ternal fauces, but more efpeciaily of a fluid, inftantly excites the molt painful feelings. Nay, the fame fymptoms are produced by touching the external fau¬ ces with a fluid, or by the contact of cold air with thefe parts ; and nearly in as great a degree. But a folid or fluid fubftance being conveyed, into the cefo¬ phagus, the tranfit into the ftomach is accompli ned with little or no impediment } lo that in faft the diffi¬ culty is furmounted before the patient is engaged in the aftion of fwallowing. Nor is the. excruciating pain, which never fails to be the companion of every attempt to drink, felt in the faucet and throat : it is, he lays, at the fcrobtculut cordis y to which the fuiTirer applies his hand. From this baft circumftance, therefore, from the prefence of the rifus fardomeus, from the mu'des of the abdomen being forcibly contrafted, and fiom the feme of uff cation which feems to threaten the patient w’ith immediate death. Dr V.mghan nas been ied 10 think that in the hydrophobia a new7 fympatny was efta- bliffied between the fauces, the diaphragm, and the ab¬ dominal mufcles. Pro^nods. When a perfon is bit, the prognofis with regard to the enfumg hydrophobia is very uncertain. CINE. 405 All thofe who are bit do not fall into the difeafe } Hydropho- nay, Dr Vaughan relates, that out of' 30 bit by a mad bia‘ dog, only one was feized with the hydrophobia. Du- ^ ring the interval betwdxt the bite and the time the dif- eaie comes on, there are no fymptoms by which wre can judge whether it will appear or not. When once it has made its appearance, the prognofis is exceedingly fatal, though there are certainly fome well authenticated cafes of complete recovery, particularly one recorded by Dp Arnold. Prevention and Cure. It has been generally allowed by pradfitioners, that though the hydrophobia may be prevented, yet it can feldom il ever be cured after it has made its appearance. The moft eflbntial part of the treatment therefore depends on the proper ufe of means of prevention. The great objects to be aimed at in prevention, are, in the firft place, the complete removal of the contagious matter as foon as poffible ; or, fecondly, means of deftroying it at the part, where there is even the flighteft reafon to believe that it has not been completely removed. Of all the means of removal, the complete cutting out the part to which the tooth has been applied, is unqueftionably the moft: to be depended upon. This practice, therefore, ihould be had recourfe to as foon as poffi jle. The fooner it can be accompliihed, the better. But it has been ob- ferved, that as a peculiar fenfation at the part affected always precedes the acceffion of the difealie, even when it takes place at a late period after the bite there is good ground for believing that the removal of the part may be of advantage even after a confiderable inter¬ val. But befides removal of the contagious matter, by cutting away the part to which it is attached, this ftiould alfo be attempted by careful and long-continued - waihing. This may be done, in moft inftanees, be¬ fore a proper opportunity can be had of having re¬ courfe to the knife. Cold water ihould particularly be poured upon the wound from a confiderable height, that the matter may be waftied away wdth fome force. Even after removal by the knife, careful waffiiing is Hill a neceffary and proper precaution. And after both thefe, to prevent as far as can be the poflibility of any contagious matter lurking about the wounded part, it thould not be allowed to heal, but a diicharge of matter ftiould be fupported for the fpace of feveral weeks, by ointment with cantharides, or fimilar ap¬ plications. By thefe means there is at leaft the beft chance of removing the matter at a lufficiently early period And this mode of prevention feems to be of more confequence than all others put together which have hitherto been difeovered. But befides removal, prevention may alfo be obtained by the deftrueftion of the contagious matter at the part •, and where tiiere is the leaft reafon to think that a complete removal has not been obtained, this ihould always be had recourfe to. With this intention the actual cautery and burn¬ ing with gun-powder have been employed. And rhe action of fire is probably one of the moft powerful agents that can be ufed tor this purpofe. But recourfe has alfo been had to waffling both with acids, and with alkalies. Of the former kind, vinegar has been chiefly ufed, but more may probably be expected from the latter •, and particularly from the cauftic alkali, o far diluted that it can be applied with fafety : for from Its influence as a folvent of animal mucus, it gives th« : 4=6 . M EDI Sp'fnii. the beR chance of a complete remaval of the matter, ~v"~L independent of any influence in changing its nature. It has been thought alfo, that oil applied to the part may be of fervice. But if recourfe be had to it, more active meafures lliould at leaf! be previoufly employed ; and even then, fame are of opinion that it is of ad¬ vantage to increafe the aflivity of th.e uncluous matter by combining it with mercury. On thele grounds, and by thefe means, we are in¬ clined to think that the aflion of this contagion on the fytlem, after it has been applied by the bite of a rabid animal, may be moil effeflually prevented. But alter this action has once taken place, no remedy has yet been difcovered on which much dependence can be put. A very great variety of articles indeed have at different periods been held forth as infallible, both in the prevention and cure of this affe&ion •, but their reputation has, perhaps, univerfally been found¬ ed on their being given to people, who, though really bit by a mad dog, were yet not infected with the con¬ tagion. And this happily, either from the tooth be¬ ing cleaned in making the bite, or not being covered with contagious matter, is by no means an unfrequent occurrence. Mankind, however, even from the earli- eff ages, have never been without fome boafted fpeci- flc, which has been held forth as an infallible remedy for this affeftion till fatal experience demonffrated the contrary. Dr Boerhaave has given a pretty full cata¬ logue of thofe fpecifics from the days of Galen to his own time •, and concludes, thijt no dependence is to be put in any of them. It is now, therefore, altoge¬ ther unneceffary to take notice of burnt crabs, the hyaena’s Ikin, mithridate with tin, liver of the ra¬ bid animal, or a variety of other pretended remedies lor this diieare, proved by experience to be totally in¬ efficacious. But although no greater confidence is per¬ haps to be put in fpecifics of modern date, it will be proper that thefe lliould be mentioned. Bathing in cold water, efpecially in the fea, and drinking fea-water for a certain time, have been pre- fcribed, and by fcmd accounted a certain preventive. When this was known to fail, a long courfe of anti- phlogillic regimen, violent fubmerfion in water, even to danger of drowning, and keeping the wounded place open with cauteries, were recommended.—To this ex¬ treme feverity Dr Mead objefled ; and in his treatife cn this fubjeft endeavours to Ihow, that in all ages the greateft fuccefs has been reaped from diuretics, for which reafon he propofes the following powder : “ Take afn-coloured ground-liverwort, half an ounce •, black-pepper, two drams : reduce them feparately to powder, then mix them together.” This powder was firft publiibed in the Pbilofophiral TrahfafHons, by Mr Dampier, in whofe family it had been kept as a fecret for many years. But this medicine, which was in- ferted in former editions of the London and Edinburgh pharmacopoeias, under the name of Puhis AntihjJfus. has long loft its credit. There is a famous Eaft India medicine, compofed of 24 grains ol native and as much faClitious cinnabar, made into a powder with 16 grains of mufle. This is called the Tonqiiin medicine, and mult be taken in a tea cupful of arrac or brandy j and is faid to fe- eure the patient for 30 days, at the expiration of C I N E. PraGice. which it is to be repeated ; but if lie has any fymp- Hydropho- toms of the difeafe, it muft be repeated in three hoursj ^a- which is faid to be a fufticierit for a cure. The firft dofe is to be taken as foon after the bite as poflible. Another celebrated remedy is Palmarius’s powder, compofed of the leaves of rue, vervain, fage, polypody, wormwood, mint, mugwort, balm, betony, St JohnV wort, and leffer centaury. Thefe herbs muft be ga¬ thered in theft prime, dried feparately in the fhade, and then powdered, ffhe dole is a dram, or a dram and an half, taken every day. _ A remedy which might promife to be more effica¬ cious than any of thofe hitherto mentioned is mercu¬ ry. This has been recommended in friclions, and to be taken inwardly in the form of calomel and tur- bitli mineral, in order if poffible to raife a flight fali- vation, on which the efficacy was thought to depend. Belides tb's, venefe£Hon, opium, cinchona, and cam¬ phor, have been tried in very large quantities •, the warm bath ; and, in fhort, every thing which human invention could fuggeft j but with how little fuccefs, can be judged from many well authenticated cafes. Dr Wolf, after detailing a number of interefting cafes, makes the following obfervations.—“ Thus we fee, that the mercury, the acids, the mulk, the feeding on the moft famous herbs, the fweating, the cura anti- phlngijlica, &c. are no fpecifics.” The following cafe by Dr Raymond of Marfeilles (hows the inefficacy of mercury even as a preventive. —On the 19th of July 1765, Mr Boyer, aged 25, of a bloated cachetic habit, was bit by a mad dog in the inferior part of the leg : the wound extended half way round, bled freely, and was like a great fcratch. The patient’s legs had been fwelled for a confiderable time before the accident; and there wTere alfo two ulcers in the other leg. Some hours after the accident, the ac¬ tual cautery was applied to the wound. The doflor was not prefent at this operation ; but the part around the bite was rubbed with mercurial ointment immediately after, and the efehar was dreffed with the fame oint¬ ment. The efehar was feparated on the firft day, but the dreffimg was continued till the wound was c’icatri- fed. i’he fecoad day a'bolus of four grains of turbith and eight grains of camphor was exhibited. This procured a confiderable evacuation both by vomit and ftool, and a fpitting alfo came cn. The third day the bitten leg was rubbed with mercurial ointment : in the fpace of a month the frictions were repeated five times on both legs, three drams of mercurial oint¬ ment being ufed in each fri&ion. During the fame time the bolus was five times repeated 5 and this treat¬ ment kept up a flight falivation to the 40th day. The evening of the third day he took the Tonquin medicine, called alfo Sir George Cobb's powder, in a bolus 5 which vomited him brifkly. This powder was repeated feven or eight times in the month, generally with the fame effect. During the firft feven or eight days he got four times, in the morning, a dram of the anagaHis flore puniceo, frelh gathered and powdered. The 41ft day, the turbith bolus was preferibed for the feventh time : he was bathed in the fea, and continued the bathing for two days more. On the 74th he was feized with the diftemper; and died on the 76th, feemingly fuffo- cated or ftrangled, his mouth covered with flaver, and his 3 Praftice. M E D I Spasm:, his face bloated. He loft his fenfes not a£>ove half a ’v~ quarter of an hour before his death. The pulfe was quiet the whole time. Another inftance is mentioned by the fame author, of a pregnant woman bit by the fame dog and on the fame day with Mr Boyer, who was never feszed with the diftemper. She was treated in much the fame manner with him, and falivated a little more. But Ote was bit through a fnamoy leather flioe, which muft neceffarily have cleaned the animal’s teeth of the poisonous faliva before they reached her {kin, and to this we are naturally led to aferibe her fafety, One of Dr Wolf’s patients alto was a pregnant woman, and was not felzed with the diftemper. Perhaps women in a ftate of pregnancy may be lefs liable to this di¬ ftemper than others ; but it is mere probable that the contagion was not communicated. I he lame author tells us, “ there are many examples of the inefficacy of mercurial fridtions. A furgeon of Marfeilles treated a girl about 12 years of age bit by a mad dog, with mercurial frictions ; applying them as in the lues venerea : yet fire died of the hydro¬ phobia on the 55 th day. Her wound was not cau¬ terized.” In the following cafe all the moft powerful remedies Were tried.—In the afternoon of the 29th of Aug. 1777, Dr V aughan w’as called to a boy of eight years of age labouring under a hydrophobia. Pie had been bit on the wrift by a cat about a month before ; of which the marks remained, but without any ulcer, or even the fmalleft appearance of inflammation. About the middle of the day before Dr Vaughan faw him, he began to complain of a pain in the part bitten, which afcemled up the arm, and affected the temple on that fide ; foon af¬ ter which he fwallowed liquids with reludlance and dif¬ ficulty. He was put into the warm bath for three quarters of an hour, during which time he was eafier : he had a clyfter of five ounces of freffi broth, and 30 drops of laudanum, injected immediately after his co¬ ming out of it; a liniment confifting of three drams of ftrong mercurial ointment, with the fame quantity of oil of amber, was rubbed upon the ffiouulers and back ; two pills of a grain of dowers of zinc, and half a grain of cuprum amnicniacum, were taken every three or four hours: and a medicated atmofphere was prepared for him, by burning gum ammoniac in bis room. As thefe remedies were not attended with any good effect, each dofe of pills was ordered to contain two grains of cu¬ prum ammoniacum, the fame quantity of opium, three grains of dowers of zinc, and ten grains of afafeetida 5 whilft a folution of that fetid gum, with a dram of laudanum, wTas adminiftered as a clyfter. Thefe pills, though repeated every four hours, afforded not the fmalleft relief, nor did they (how the leaft a&ion on the frame. At laft the doftor refolved to put in practice the defperate remedy mentioned by Van Helmont, of throwing the patient into cold w ater, and keeping him there till he is almoft drowned. With this view a large tub of cold water, well faturated with common fait, was prepared, into which the poor boy was plunged over head and ears, and there held until he ceaftd to ftruggle. He was then taken out again, and the fame operation repeated until he became fo quiet that the doiftor was under apprehenfions that a total extinction of life would take place. He was then wrapped up in a CINE. blanket and put to bed, and he remained more quiet M> than he had formerly been ; but all his former reftiefs- nefs foon returned, his pulfe funk, and he died about two o’clock in the morning. Another celebrated antidote againft the poifon of a mad dog has been known for fome years by the name of the Ormjhrk medicine. The true compofition of this is kept a fecret by the proprietors : however, it has been analyfed, and the following compofition publilhed by Dr Ileyftiam as perfe&ly fimilar to it in ail refpects. “ lake half an ounce of chalk, three drams of Armenian bole, io grains of alum, one dram of elecampane in powder; mix them all together, and add fix drops of oil of anife.” They rauft certainly be very credulous who can put confidence in fuch an iniignificant medicine as a prefer- vative againft the hydrophobia : how’ever, there is a pofiibiiity that there may be fome unknown ingredient in the genuine powder ; for it is difficult to analyfe powders after the ingredients are thoroughly mixed together. The efficacy of the medicine therefore muft; depend on the virtues of that unknown ingredient, if any luch there be. Tne following, cafes, however, too well determine that it is not infallible, as was at firft pretended. In all probability, as well as many others, . its reputation alfo is folely refted on its being exhibi¬ ted in many cafes where no contagion was communi¬ cated to the perfon bit, and while of courfe no difi- eafe could take place. On the 14th of February 1774, Mr Bellamy of FIolborn, aged 40, was bit by a cat affe&ed with rabies, which was killed the fame morning. The following day he took the celebrated Ormlkirk medicine, fold by Hill and Berry in Hill-Street, Berkeley-Square, and conformed in every refpedl to the directions given by the vender. A fervant maid, who was bitten in the leg before her mafter was bitten, likewife took the fame remedy. About the middle of April Mr Bellamy complained of a pain in his right knee, which he fup- pofed to be rheumatic, and which continued and increafed till the 7th of June, when he got fome pills of calomel, ipecacuanha, and pH. Japan, from an apothe¬ cary, with Huxham’s tincture of the bark in fmall dofes. . In fix days more he had a titiliation in the urethra, a contraction of the Scrotum and penis to a degree of pain, and an emiffion of femen after making water, to which he had frequent calls. The medicines were difeontinu- ed ; and on the 16th of that month the hydrophobia came on, and Dr Fothergill was called. Six ounces of blood were taken from his arm, and a bolus of a fcruple of native cinnabar and half a fcruple of mulk was given every four hours. The diftemper manifeltly increafed •. through the day. In the evening a clyfter was injedted, and feveral times repeated during the night; he had been put into the warm bath, and two drams of ftrong mercurial ointment rubbed into his legs and thighs by hircfelf. He was greatly relieved by the warm bath while he continued in it, but the fymptoms returned with increafed violence in the night. The next day being greatly vvorfe, he was blooded to as great a quantity as he could bear, had the warm bath and clyfters repeated, and half an ounce of mercurial oint¬ ment rubbed into his thighs and legs. Pills of opium were preferibed, but be did not take then*.. He died the e Spafrr.i M E D I the fame night, at half an hour after 12. This patient ~ was a man of great refolution, and could in part con¬ quer his averfion at water. He feemed to have total¬ ly forgot the accident of the bite : and carnally laid, that he thought this diforder refembled the hydropho- bia, without fuppofing that he was afflifted with that diflemper at the time.—The bite on the girl’s leg re¬ futed to heal, baffled the art of a young furgeon who attempted to cure it, and continued a running ulcer for a long time. She did not fall into the hydropho¬ bia. Hence Dr Fothergill thinks it probable, that keeping the wounds made by the teeth of mad animals open for a long time, would probably be of fervice as a preventive j but in fome of Dr Wolf’s patients, thefe artificial drains appear not to have been attended ■ with fuccefs. On the 16th of November 1773, Thomas Nourfe, a ftrong healthy boy of 14, was admitted into the Lei- celler infirmary ; having been that day month bitten by a mad fox-hound. The w'ound was a large lacerated one on the cheek, and bled very freely on being inflifted. The day after he w'as bit he went to the fea, rvhere he was dipped with all the feverity ufually praflifed un¬ der fo difagreeable an operation. The Ortnjkirh me¬ dicine w'as alfo adminillered with all due care. It was ’•bought of the perfon in Leicelter who is deputed by the proprietor to fell it for him. A common adhelive plafter was applied to the part after fea'bathing 5 and in the courfe of a month, without any further trouble, the wound was healed } excepting a fmall portion, fomewhat more than an inch in length, and in breadth about one-tenth. This yielded no difcharge, and was quite in a cicatrizing Hate. Five days before his ad- miffion into the infirmary, he began to complain of a tightnefs over his temples, and a pain in his head : in two days the hydrophobia began to appear 5 and at its commencement he complained of a boiling heat in his ftomach, w hich was continually afcending to the fauces. The difeafe was pretty ftrong when he came to the in¬ firmary. He got a bolus of a fcruple of mulk with two grains of opium j then a compofition of 15 grains of mulk, one of turbith mineral, and five grains of opium, was direfted to be taken every third hour •, an ounce of the ftronger mercurial ointment w'as to be rubbed on the cervical vertebrae and Ihoulders, and an embrocation of tw7o ounces of laudanum, and half an ounce of acetum /aluminum, w'as directed to be applied to the throat. But by this laft he was thrown into convullions, and the fame effea followed though his eyes were firft covered with a napkin. The embroca¬ tion was therefore changed for a plafter of three drams of powdered camphor, half an ounce of opium, and fix drams confellio Damocntis. By thefe medi¬ cines the dileafe feemed to be fomewfflat fufpended, but the lymptoms returned with violence in the evening. His medicine wras repeated at feven; and at eight five grains of opium w7ere exhibited without mulk or turbith. At nine, another ounce of mercurial oint¬ ment was rubbed upon the ftioulders, and half an ounce of laudanum with fix ounces of mutton- broth was inje&ed into the inteftines, but to no pur- pole. A larger dofe of opium was then given, but with as little effeft as the former, and he died the . lame night. In this month of September 1774? a £*rmer-? sged C I fN E. rrad ice. 25, W'as bit by a mad dog, whofe teeth made a flight Hydropho- wound in the fore linger of the left hand. lie was dip- . ped, as ufual, in the lea ; and drank the fea-water lor fome time on the fpot, which operated brifldy as a purge. He continued well till the 6th of June follow¬ ing, when he firft felt a pain m that hand and arm j for which he bathed in a river that evening, fuppofing that it had been a rheumatic complaint. The next day he was fick j and in the evening was feized with a violent vomiting, which continued all that night and til! the middle of the next day, when it was fucceeded by the hydrophobia. He was treated with the warm bath j had a purgative clyfter injefled 5 and as foon as it had operated, a fecond was given, confiding of four ounces of oil, and half an ounce of laudanum : half an ounce of ftrong mercurial ointment was rubbed on the fauces, and the part wTas afterwards covered with the cataplaj- ma e cymino, to which w'as added an ounce of opium. An embrocation w’as applied to the region of the fto¬ mach with continued friflion, confifting of half an ounce of fpirit of fal ammoniac, ten drams of olive oil, fix drams of oil of amber, and ten drams of lauda¬ num. Two ounces of ftrong mercurial ointment were rubbed upon the fhoulders and back $ and as a further means of inducing a ptyalifm fpeedily, he received the fmoke of cinnabar into the mouth by throwing a dram of that fubftance now and then upon a hot iron : he was alfo direfled to take every four hours a bolus of 15 grains of mulk, three grains of turbith mineral, and tour grains of opium. He w'as eafier while in the warm bath, and during the application of the ointment} but died the fame night about two o’clock. Many other inftances might be adduced of the in¬ efficacy of this pretended Ipecific : which will, it is hoped, create a due degree of caution in thofe to whom they who are fo unfortunate as to be bit by a mad ani¬ mal may commit themfelves. Another remeay may alfo be mentioned as having had the reputation of being fometimes fuccefslul in this difeafe } which is chiefly employed in different parts of India, particularly in the territory of Tanjore. The medicine to which we now allude contains indeed feveral articles which are altoge¬ ther unknown in our materia medica : but it contains at leaft one very powerful fubftance well known to us, viz. arlenic. I his medicine, known by the name of the Snake Pills, as being principally employed againft the bite of the moft venomous fnakes, is diredded to be prepared in the following manner : Take white arfenic, of the roots of nelli navi, of nevi vilham, of the kernels of the ner valum, of pep¬ per, of quickfilver, each an equal quantity. I he quickfilver is to be rubbed with the juice of the wild cotton till the globules are perfe&ly extinguiffled. The arfenic being firft levigated, the other ingre- " dients, reduced to a pov/der, are then to be added, and the whole beat together with the juice of the wild cotton to a confidence fit to be divided into pills. Though thefe pills are principally ufed againft the bite of the cobra de capello, yet they are faid alfo to be fuccefsful in the cure of other venomous bites-, and, for the prevention of rabies canlna, one is taken every morning for fome length of time. 01 this re¬ medy European pra&itioners have, we believe, as yet no experience j and if, in the accounts tranimitted 1 by Practice. M E D I Spafmi. by Eaft India pradlitioners, it cannot be faid that we v~ have authentic evidence of its want of fuccefs, it can as little be pretended that there is indubitable evidence of its efficacy in any inftance ; and it is by no means improbable, that it will be found equally inefficacious with others at one time confidered as infallible. Of the great variety of remedies which have had their day of reputation, there is not one which has not pofieffed the credit, fotne time or other, of pre¬ venting the noxious effedls arifing from the bite of a mad dog. A more adequate experience has with all of them difeovered the deception. It was above obferv- ed, that rabies is by no means the infallible confequence of being bit by a mad animal ; and that of between 20 and 30 perfonS who were bit by the dog which gave the fatal wound to one of Dr Vaughan’s patients, not one felt the leaf! ill effedl but himfelf. “ In the above number ('fays the doff or) were fome who took the Qrmfkirk medicine •, others went to the fait water ; and a part of them ufed no remedy, who yet fared equally well with the moll attentive to their injury. FIhe fame thing has often happened before } and much merit, I doubt not, has been attributed to the medicine taken, from that celebrated one of Sir George Cobb down to the infallible one which my good Lady Bounti¬ ful's receipt-book furniffies.” From all that has been faid, the reader will judge how far the hydrophobia is capable of being fubdued by any of the medicinal powers which have yet been tried. Some eminent phyficians affert that it is totally incurable 3 and allege that the inlfances recorded by different authors of its cure have not been the genuine kind, but that which comes on fpontaneoufly, and which is by no means fo dangerous. Indeed two of Dr Wolf’s patients recovered, where the difeafe feems to have been perfeflly genuine : but in thefe the poi- fon feemed to vent itfelf partly on fome other place befdes the nervous .fyflem. In one the blood was evidently infefled, as it had an abominable foetor ; and the other had a violent pain and fuelling in the belly. In all the others, it feemed to have attacked only the nervous fyflem 3 which perhaps has not the fame ability to throw off any offending matter as the vafcular fyftem. There is, however, a poffibility that the prodigious affedlions of the nerves may arife only from a vitiated Hate of the gaftric juices 3 for it is well known, that the rcoft terrible convulfions, nay the hydrophobia itfelf, will arife from an affedlion of the flomach, with¬ out any bite of a mad animal. This feems to be fome what confirmed from one of Dr Wolf’s patients, who, though he vomited more than 50 times, yet ftill threw up a frothy matter, which w’as therefore evi¬ dently fecreted into the flomach, jufl as a continual vomiting of bilious matter {hows a continual and ex¬ traordinary fecretion of bile. Dr Wolf himfelf adopts this hypothefis fo far as to fay, that perhaps the ferum may become frothy 3 but in blood drawn from a vein not the leaf! fault appears either in the ferum or craffa- mentum. He affirms, however, that the duodenum appears to be one of the parts firft and principally af- fedied ; and as it is not inflamed, it would feem that the affedlion it fuftains muft arife from the vitiated ftate of its juices. Ee this as it will, however, in the hydrophobia, the Vox. XIII. Part II. CINE. flomach feems totally, or in a great meafure, to lofe Hydr the power which at other times it poffeffes. Two grains of cuprum ammoniacum were repeatedly given to a child of eight years of age without effeft ; but this dofe wTould occafion violent vomiting in a ftrong healthy man. Something or other therefore muff have prevented this fubftance from adling on the ner¬ vous coat of the ftomach 3 and this wre can only fup- pofe to have been the exceedingly difordered ftate of the gaftric juice, which occafioned fuch violent irrita¬ tion through the whole body, that the wreaker ftimulus of the medicine was entirely loft. It would feem proper therefore to confider the ftomach in hydro- phobic cafes as really containing a poifonous matter, which cculd not be expelled by vomiting, becaufe it is renewed as faft as evacuated. The indication therefore muft be, to change its nature by fuch medi¬ cines as are certainly more powerful than the poifon 3 and this indication will naturally lead us to think of large dofes of alkaline falts. Thefe, it is certain, will deftroy any animal fubftance with which they come in contafl, and render even the poifon of ferpents in- aflive. By exhibiting a few dofes of them, larger no doubt than what could be fafely done on other oc- cafions, we wrould be certain to change the ftate of the ftomachic juices ; and thus might free the patient from thofe intolerable fpafms which always occafion death in fuch a fliort time. Dr Wolf feems in¬ clined to think that volatile alkalies were of fer- vice 3 but the above hypothefis wrould incline us to ufe rather the fixed kind. At any rate, it feems vain for phyficians to truft much to the power of opium, mercury, mulk, or cinnabar, either fingly or combined in any poffible way. Cinchona has alfo failed, and the moft celebrated fpecifics have been found ineffedlual. Alkalies are the next moft powerful remedies which the materia medica affords, and they cannot be more unfuccefsful than the others have ge¬ nerally been. Another remedy which feems adapted to change the nature of the gaftric juices is ardent fpirits. In one of Dr Wolf’s patients two bottles of brandy feem to have effefted a cure. The oil mixed with it was of no efficacy in other cafes, and the opium and turbith feem not to have been exhibited till the worft w'as paft. In this cafe the difeafe feems to have attacked the vafcular as well as the nervous fyftem. In all the patients the warm bath feems to have been a palliative, and a very powerful one, and as fuch it ought never to be omitted, though we can by no means truft: to it as a radical cure 3 and the above hi- ftories abundantly fliow, that though the warm bath and opium may palliate for a ffiort time, the caufe on which the fpafms depend is ftill going on and increa- fing, till at laft the fymptoms become too ftrong to be palliated even for a moment by any medicine however powerful. At any rate, the above mentioned hypo¬ thefis fuggefts a new indication, which, if attended to, may perhaps lead to ufeful difeoveries. In cafes where putrefeent bile is abundantly fecreted, columbo root and vegetable acids are recommended to change the nature of the poifon which the body is perpetually pro¬ ducing in itfelf. Where corrofive mercury has been fwallowed, alkaline lalt is recommended to deftroy the poifon which nature cannot expel by vomiting ; and 3 ^ why 410 M E D I Spafmi. why ftiould not fometlung be attempted to deftroy the v~'“—' poifon which the itomach feems to fecrete in the hydro¬ phobia, and which nature attempts to expel, though in vain, by violent eftbrts to vomit ? But whatever plan may be purfued in the hopes of curing this dreadful malady after any of the fymptoms have made their appearance, we ought, in every in- Itance, to diredt our immediate care to prevention, as being perhaps the only real ground of hope : And the moft certain and efficacious way of preventing the ill confequences, is inftantly (if it can be done) to cut out the piece that happens to be bitten. Dr James, indeed, fays, that he would have little opinion of cut¬ ting or cauterizing, if ten minutes were fuffered to elapfe from the receiving of the bite before the opera¬ tion was performed. But in an inaugural differtation lately publiflied at Edinburgh by Dr Parry, the author is of opinion that exciffon will be of ufe a confiderable time after the bite is received. He adopts this opi¬ nion from what happens in the fmallpox, where the blood does not feem to receive the infedlion till fome days after inoculation has been performed. A fecond inflammation, he tells us, then takes place, and the in- fedlion is conveyed into the blood. In like man¬ ner, when the hydrophobous infedlion is about to be conveyed into the blood, according to him, the wmund, or its cicatrix, begins again to be inflamed •, and it is this fecond inflammation which does all the mifchief. Excifion, or the cautery, will therefore be effedlual any time between the bite and the fecond inflammation of the wound. Without implicitly trading to this doc¬ trine, however, or confldering it as in any degree afcer- tained in what manner the poifon diffufes itfelf, by what marks its progrefs may be known, or how foon the fyf- tem may be irremediably tainted with its malignity, it is undoubtedly fafeft not to lofe unneceffarily a mo¬ ment’s time in applying the knife. This, or a dilation of the wound if it be fmall, Dr Vaughan conflders as the only prophylaxies that can be depended upon. In the latter cafe, he direXs to fill the wound with gun¬ powder, and fet fire to it 5 which would produce a la¬ ceration of the part, and poflibly the aXion of ignited powder upon the poifon may have its ufe. In all cafes, likewife, after thefe praXices have been employed, the wound fliould be prevented from healing for fome length of time. 324 Sp. II. The Spontaneous HYDROPHOBIA. Hydrophobia fpontanea, Sauv. fp. 2. This difeafe very much refembles the former, fo that it has undoubtedly been often miftaken for it. It has been known to come on from an inflammation of the ffomach, where it was cured by repeated and large bloodletting ; in hyfteria, where it was cured by opium, mulk, or other antifpafmodics ; and in putrid fevers, where it was cured by evacuating the intellinal canal of the putrid matters by repeated clyfters. A very good method of diftinguifliing the two is, that in the fponta- neous hydrophobia the patient is much more delirious than in the genuine fpecies. In the inffance mentioned in the Medical Effays of this fymptom attending the in¬ flammation of the ilomach, the patient raved in the moji extraordinary manner. Dr Raymond fays he remem¬ bers a.fpoutantous hydrophobia attended with madnefs ; CINE. Praflice. and in almoft all the cafes of hydrophobia wmich are Hydrcpho- faid to have been cured, the patient wTas very delirious. b'a- , Dr Nugent’s patient was very frequently delirious, and dreaded days as well as water. In the Medical Tranf- aXions a cafe is communicated by W. Wrightfon lur- geon in Sedgefield, Durham, of canine madnefs fuccefs-. fully treated. This madnefs indeed came on after the bite of a dog faid to be mad : but it appeared only four days after the accident happened, and was attended with fymptoms very unlike any of thofe above mention¬ ed ; for he fuddenly ftarted up in a fit of delirium, and ran out of the houfe, and after being brought in, caught hold of the hot bars of the grate which held the fire : Whereas, in the true hydrophobia, the patients dread the fire, light, or any thing which makes a ftrong im- preflion on the fenfes. It is probable, therefore, that this was only a fpontaneoushydrophobia, efpecially as it readi ly yielded to venefeXion, 30 drops of laudanum, and pills of a grain and an half of opium given every three hours, fome bolufes-of mulk and cinnabar, &c. while in fome of the former cafes as much opium was given to a boy as would have deprived of life the ftrongeft healthy man had he fwallowed it •, and yet this amazing quanti¬ ty produced fcarcely any effeX. This patient alfo dread¬ ed the fight of a dog. Order IV. VESANIAi. 325 Paranoise, Vog. Clafs IX. Deliria, Sauv. Clafs VIII. Ord. III. Sag. Clafs XI. * Ord. III. Ideales, Lin. Clafs V. Ord. I. 326 Genus LXV. AMENTIA. Folly, or Idiotifm, Amentia, Sauv. gen. 233. Vog. 337. Sag. 346. Morofis, Lin. 106. Stupiditas, Morofis, Fatuitas, Vog. 336. Amnefia, Sauv. gen. 237. Sag. 347. Oblivio, Lin. 107. Vog. 338. Memorise debilitas, Junck. 120. Genus LXVI. MELANCHOLIA. 327 Melancholy Madnefs. Melancholia, Sauv. gen. 234. Lin. 71. Vog. 332. Sag. 347. Boerh. 1089. Junck. 121. Dsemonomania, Sauv. gen. 236. Sag. 34^- Dsemonia, I^,in. 69. Vefania, Lin. 70. Paraphobia, Lin. 75. Athymia, Vog. 329. Delirium melancholicum, Hojfm. III. 251. Erotomania, Lin. 82. • Noftalgia, Sauv. gen. 226. Lin. 83. Sag. 338. Junck. 125. Melancholia nervea, CL Lorry de melancholia, P. I. Genus LXVII. MANIA. 328 Raving or Furious Madnefs. Mania, Sauv. gen. 235. Lin. 68. Vog. 331. Sag. 349. Boerh. 1118. Junck. 122. Battie on Madnefs. Paraphrofyne, Lin. 66. Amentia^ Practice. M EDI Vefaniae. Amentia, Litl. 67. Delirium maniacum, Hojf'm. \\\. 2$l. Although thefe diflempers may be confidered as diftinft genera, yet they are fo nearly allied, and.fo readily change into each other, that it iulFiciently ju- ftifies the treating all of them together. The diftinguilhing charafleriftic of madnefs, accord¬ ing to Dr Battie, is * falfe perception ; and under this general chara&er may be comprehended all kinds ol what is called madnefs^ from the moll filly ftupidity and idiot!fm to the mod furious lunacy. Frequently the different kinds of madnefs are changed into each other by the cafual excitement of fome paflion: thus,^ an idiot may become furioully mad, by being put in a violent paflion •, though this does not fo often happen as the change of melancholy into the raving madnels, and vice verfa. _ It is a very furprifing circumflance, that mad peo¬ ple are not only lefs liable to be feized with infe&ious diforders than thofe who are in perfeft health; but even when labouring under other difeafes, if the pa¬ tients chance to be feized with madnefs, they are fome- times freed from their former complaints. Of this kind Dr Mead relates two very remarkable inftances. On the other hand, it has been known, that an in¬ termittent fever, fupervening upon madnefs of long flandino- has proved a cure for the madnefs; the ien.es having Returned when the fever terminated. Dr Monro faw two inflances of this himfelf; and mentions it as an obfervation made alfo by his predeceffor in the care of Bethlehem hofpital. . . , Another remarkable circumflance is, that immode¬ rate ioy, long continued, as effedlually diforders the mind as anxiety and grief. For it was obferyable m rhe famous South Sea year, when fo many immenfe fortunes were fuddenly gained, and as fuddenly loft, that more people had their heads turned,^ from the pro¬ digious flow of unexpected riches, than from the entire lois of their whole fubflance. Mad people, efpecially of the melancholic kind, fome- times obflinately perfevere in doing things which mult excite great pain ; whence it fhould feem as if their minds were troubled with fome diftraamg notions, which make them patiently bear the prefent dill re is, left more fevere tortures Ihould be inflifted ; or P°dm y they may think, that, by thus tormenting the body, they render themfelves more acceptable to the divine Being, and expiate the heinous fins of which they may imagine themfelves to have been guilty. I?, is, however, alfo highly probable, that their feel¬ ings differ exceedingly from what they are in a natural date ; at leaf! they are every day obferved to endure, apparently without the fmalleft uneafinefs, watching, hunger, and cold, to an extent which m a ftate o health would not only be highly diftreffing, but to the greater part of individuals would even prove fatal. And this refiflance of hunger, cold, and fleep, affords perhaps the bed ted for didinguifh.ng cafes of real infanity, from cafes where the difeafe is only feigned, and appearances of it put on, to anfwer particular pur- pofes; at lead where this power of refiflance is pre- fent, we have good reafon to conclude that the affec¬ tion is not feigned. . ... Cure. Although we be well acquainted with many CINE. of the remote caufes of this difeafe, iome of tne princi¬ pal of which have already been mentioned, yet we are dill fo ignorant of the influence of thefe upon the fyftem, as giving a derangement of the mental facul¬ ties, that no general principles on which tjae cure may be conduded, can with any confidence be point¬ ed out. _ r It may, however, be obferved, that while fome reme¬ dies feem to operate by producing an artificial termi¬ nation of this complaint, many others have effed only as aiding a natural termination. And wiiere a re- covery Irom this difeafe does take place, it mofl fre- quently happens in confequence of a natural conva- lefcence. All the fpecies and degrees of madneis which are hereditary, or that grow up with people from their early youth, are out of the power of phy ic ; and fo, for the molt part, are all maniacal cales ot more than one year’s danding, from whatever fource they mav arife. Very often mere debility, the dregs of fome particular difeafe, fuch as an ague, the fmall-pox or a nervous fever, fliall occafion different degrees ot foolidmefs or madnefs. In thefe cafes, the cure mud not be attempted by evacuations; but, on the con¬ trary, by nourifhing diet, clear air, moderate exerene, and the ufe of wine : whereas, in almofl all the other maniacal cafes, which arife from different fources, and which come on in confequence of intemperate living, violent paflions, or intenfe thinking, it is generally held, that evacuations of every kind are neceffary, un- lefs the conditution of the patient be fuch as abfolute- ly forbids them. . _ , Blood is mod conveniently drawn either from the arm or jugulars ; and if the weaknefs be fuch as ren¬ ders it improper to take away much blood, we may ap¬ ply cupping glaffes to the occiput. . Vomiting, in weakly people, mud be excited by the vinum ipecacuanhse ; but in the more robud by emetic tartar or antimonial wine: the mofl efficacious ca¬ thartics are the infufion or timdure of black hellebore, or infufion of fenna quickened with tinfture of jalap ; but if there be fuppreflion of the menles, or of an habitual haemorrhoidal difeharge, then aloetic purges will be more proper ; and in fome inflances cooling faline purgatives, fuch as lixiviated tartar, are of great fervice. In ge¬ neral, mad people require very large dofes, both of the emetics and cathartics, before any confiderable ope¬ ration enfues. Dr Monro affures us, that the evacuation by vomit¬ ing is infinitely preferable to any other: the prodigi¬ ous quantity of phlegm with which the patients la this difeafe abound, he fays, is not to be overcome but by repeated emetics; and he obferves, that the purges have not their right effea, or do not operate to fo good purpofe, until the phlegm be broken and attenuated by frequent emetics. He mentions the cafe of a gentle¬ man who had laboured under a melancholy for three years, from which he was relieved entirely by the ufe of vomits and a proper regimen. Increafing the dif¬ eharge by urine, is alfo of the greated moment, elpe- cially when any degree of fever is prefent. The cuta¬ neous difeharges are alfo to be promoted ; for which purpofe the hot bath is of the highed fervice in mania¬ cal cafes. Hoffman afferts, that he has feen numerous indances, both of inveterate melancholy and raging madnefs happilv cured by means of warm bathing ; .. 3 F 2 bleeding 4'2 M E D I bleeding and nitrous medicines having been premifed. Camphor has alfo been highly commended ; but, if we can believe Dr Locker of Vienna, not very defervedly. Having found very good effeas from a folution of this medicine in vinegar, he took it for granted that all the fuccefs was owing to the camphor 5 therefore, in order to give it a fair trial, lie feleaed feven patients, and gave it in large dofes of half a dram twice a-day. Ihis was continued for two months, and the doaor was furprifed to find that only one of his patients re¬ ceived any benefit. He then returned the other fix bacrv to the camphoiated julep made with vinegar, and m a few weeks four of them recovered the ufe of their reafon. This inclined him to think that the virtue de¬ pended folely on the vinegar, and accordingly he began to make the trial. Common vinegar was firff given : but after a little while he fixed on that which had been diililled, and gave about an ounce and a half of it every day j the patients having been previoufiy prepared by bleeding and purging, which was repeated according as it was found neceflary. He gives a lift of eight pa¬ tients who were cured by this method ; feme in fix Vveeks, otners in two months, and none of them took up more than three months in perfe&ing the cure. He does not indeed give the ages of the patients, nor men¬ tion the circumftances of the cafes ; he only mentions the day on which the ufe of the vinegar was begun «nd the day on which they were difeharged ; and he adds, that they all continued well at the time of his writing. Dr Locker informs us, that this medicine a&s chiefly as a fudonfic ; and he obferved, that the moie the pa¬ tients fweated, the fooner they were cured : it was alio found to promote the menftrual difeharge in fuch as had been obArufted, or had too little of this falutary evacuation. Both reafon and experience fhow the neceflity of confining fuch as are deprived of their fenfes; and no imall fhare of the management confifts in preventing them from hurting either themfelves or others. It has fome- times been ufual to chain and to beat them : but this is both cruel and abfurd ; fince the contrivance called the Jlrait wai/lcoat anfwers every purpofe of reftraining the patients without hurting them. Thefe waiftcoats are made of ticken, or fome ^ch ftrong fluff; are open at the back, and laced on like a pair of flays ; the fleeves are made tight, and long enough to cover the ends of the fingers, where they are drawn clofe with a firing like a purfe mouth, by which contrivance the patient has no power of his’ fingers ; and when laid on his back in bed, and the arms brought acrofs the cheft, and faflened in that pofi- tion by tying the fleeve-ftrings round the waift, he has no ufe of his hands. A broad ftrap of girth-web is then earned acrols the breaft, and faftened to the bedftead, by which means the patient is confined on his back • ana if he fhouid be fo outrageous as to require further reftraint, the legs are fecured by ligatures to the foot ot the bed ; or they may be fecured by being both put into one bag not very wide, which may be more eafily fixed than the feet themfelves, at leaf! without giving pain. It is of great ufe in praftice to bear in mind, that all mad people are cowardly, and can be awed even by the menacing look of a very espreflive countenance ; ^ 1 ^ Praaice. and when thofe who have charge of them once imprefs Mania. them with the notion of fear, they eafily fubrait to any tmng that is required. The phyfician, however, fhouid never deceive them in any thing, but more efpe- cially with regard to their diflemper : for as they are generally confcious of it themfelves, they acquire a kind of reverence for thofe who know it 5 and by letting them fee that he is thoroughly acquainted with their complaint, he may very often gain fuch an afeen- dant over them that they will readily follow his direc¬ tions. It is a more difficult matter to manage thofe whofe madnefs is accompanied either with excefiive ioy or with great dejedion and deipondency, than" thofe who are agitated with rage : and all that can be done is to endeavour to excite contrary ideas, by repreffimo- the immoderate fits of laughter in the one kind bv chi- cmg or threatening (taking care, however, not"abfo- iutely to terrify them, which can never be done without danger, and has often added to the mifery of the un- lappyfuiierer) j and difpelling the gloomy thoughts in the otner, by introducing pleafing concerts of mafic, or any other fpecies of entertainment which the pa¬ tients have been known to delight in while they had the ufe of their reafon. Upon the whole, in the cure of in fanny, more is perhaps to be effeded by moral than by medical treatment. And this moral treatment fhould be as gentle as is confiftent with fafety. Chains, bolts and feverity of every kind are to be avoided as’ much as poflible. But while great benefit is often derived from company and amufement, fo alfo on the other hand, fohtary confinement is in not a few cafes produc¬ tive of the beft effeds. I hough blitfering the head has generally been directed, Dr Mead faj/s he has oftener found it to do harm than fervice : but he recommends iffues in the oack ; and advifes to keep the head always clofe fhaved, and to wafh it from time to'time with warm vinegar. Opium has by many been forbidden in ma¬ niacal cafes, from a fuppofition that it always increafes the difturbance but there are inftances Where lar^e dofes of this medicine have been found to prove a curl', and perhaps if it were tried oftener we fhouid find powerful effeds from it : there certainly cannot much harm enfue from a few dofes, which may be immedi¬ ately difufed it they fhouid be found to exafperate the difeafe. . The diet of maniacal patients ought to be perfedly light and thin : their meals fhouid be moderate 5 but they fhouid never be fuffered to live too low, efpecially while they are under a courfe of phyfic : they fhouid be obliged to obferve great regularity in their hours : even their amufements fhouid be fuch as are beft fuited to their difpofition. After the difeafe appears to be fubdued, chalybeate waters and the cold bath will be highly proper to ftrengthen their whole frame and fe- cure them againft a relaple. Genus LXVIII. ONEIRODYNIA. 3 Uneasiness in Sleep. Somnium, Fog. 339. Somnambulifmus, Sauv. gen. 221. Lin. 7-7. Sag 333- Hypnobatafis, Vog. 340. Nodambulatio, Practice. M E D I Marc ores. Noflatnbulatlo, Junck. 124. U“" v~ ' Ephialtes, Sauv. gen. 138. Lin. 163. Sag. 245. Incubus, Vog. 221. Junck. 50. The greateft uneafinefs which people feel in ileep is that commonly called the incubus or night-mare. Thofe feized with it feem to have a weight on their breads and about their prmcordia. Sometimes they imagine they fee fpe&res of various kinds which opprefs or threaten them with fuffocatipn. Neither does this uneafinefs continue only while they are afleep •, for it is feme time after they awake before they can turn themfelves in their beds or fpeak 5 nay, fometimes, though rarely, the diftemper has proved mortal.—The incubus rarely feizes people except when the ftomach is oppreffed with aliments of hard digedion, and the patient lies on his back. It is to be cured by eating light fuppers, and railing the head high j or, if it be¬ come very troublefcme, antifpafmodic medicines are to be adminiftered, and the body ftrengthened by chaly- beates. The fame method is to be followed by thole who are fubjedl to walking in their deep ; a praPlice which mult neceffarily be attended with the greatelt danger : and femnambulifm may jultly be conlidered as merely a different modification of this difeafe. Ac¬ cordingly Dr Cullen has diftinguilhed the one by the title of oneirodynia affiva, and the other by that of oneirodynia gravaus. 330 Class III. CACHEXLZE. Cachexice, Sauv. Clafs X. and Clafs VIII. Sag. Clafs III. Deformes, Lin. Clafs. X. Order I. MARCORES. CINE. 413 whole body grows languid, and wades by degrees.— ^^Pn‘a~, Dr Cullen, however, afferts, that iome degree of fe¬ ver, or at lead of increafed quicknefs of the pulfe, al¬ ways attends this difeafe. Caufes. Sometimes this diftemper will come on wdthout any evident caufe. Sometimes it will arife from pnftions of the mind ; from an abufe of fpiri- tuous liquors ; from exceffive evacuations, efpecially of the femen, in which cafe the diftemper has got the name of tabes dorfalis. It may arife from mere old age, or from famine. Prognojis. This diftemper, from whatever caufe it may *rife, is very difficult to cure, and often termi¬ nates in a fatal dropfy. Cure. The general principles on which the treat¬ ment of this difeafe is to be regulated, very much de¬ pend on the caufe by which it is induced j and it is unneceffary to add, that this muft be removed as far as poffible. Next to this, the dileafe is moft effedfually combated by the introduftion of nutritious aliment in¬ to the fyftcm, and by obtaining the proper affimila- tion and digeftion of this. With the firft of thefe in¬ tentions, recoutfe mull be had to the diet wdfich is moft nutritious, and at the fame time of eafieft digeftion. But from the condition of the ftomach commonly at¬ tending this difeafe, it is neceflary that fmali quantities only ftiould be taken at a time, and that it fhould be frequently repeated. With the fecond intention, fto- machic and nervous medicines are the articles chiefly at leaft to be depended upon in this cafe. Ihe Peru¬ vian bark, fulphuric acid, and chalybeates, are excel¬ lent ; and thefe fliould be conjoined with gentle exer- cife, as far as the flrength and other circumftances ot the patient will admit. In that fpecies of the diftemper occafioned by venereal exceffes, it is fo effentially necel- fary to abftain from them, that without it the beft re¬ medies will prove altogether ufelefs. Macies, Sauv. Clafs X. Order I. Sag. Clafs III. Order I. Emaciantes, Lin. Clafs X. Order I. Genus LXIX. TABES. Wasting of the Body. Tabes, Sauv. gen. 275. Lin. 209. Vog. 306. Sag' ICO. This diforder is occafioned by the abforption of pus from feme ulcer, external or internal, which produces an hetflic fever. The primary indication therefore muft be to heal the ulcer, and thus take away the caufe of the difeafe. If the ulcer cannot be healed, the patient vTi certainly die in an emaciated ftate. But the pro¬ per treatment of the tabes proceeding from this caufe, falls to be confidered under the head of Ulcer in Sur¬ gery, and likewife under the genera Siphylis, Scro¬ fula, Scoreutics, &c. difeafes in which ulcers are at leaft a very common fymptom. Genus LXX. ATROPHIA. Nervous Consumption. Defcription. This affbaion confifts principally in a ifting of the body, without any remarkable fever ugh, or difficulty of breathing but attended with mt of appetite and a bad digeftion, whence the Order II. INTUMESCENTIAL Intumefcentite, Sauv. Clafs X. Ord. II. Sag. Clafs III. Ord. II. Tumidofi, Lin. Clafs X. Ord. II. Genus LXXI. POLYSARCIA. Corpulency. 335 Polyfarcia, Sauv. gen. 279. Lm. 213. Vog. 540. Sag. 160. Steatites, Vog. 390. In a natural and healthy ftate, the fat, or animal oil, is not allowed to diffufe itfelf throughout the cellular interftices at large, but is confined to the places where fuch an oily fluid is neceffary, by a particular apparatus of diftincl veficles. But in fome conftitutions the oily part of the blood appears to exceed the requifite pro¬ portion, and eafily feparates from the other conftituent parts j or there is an uncommon tendency to the fepa- ration of oily matter. In thefe cafes it is apt to accu¬ mulate in fuch quantities, that we may fuppofe it to burft thofe veficles which were originally deftined to hinder it from fpreading too far; or almoft every cell of the membrana adipofa, many of which are in ordi¬ nary cafes altogether empty, may be completely filled and diftended with fat. The increafe of the omentum particularly, and the accumulation 4 > 4 M E D I Intumef- accumulation bf fat about the kidneys and mefentery* ^well the abdomen, and obftruft the motions of the diaphragm j whence one reafon of the difficulty of breathing which is peculiar to corpulent people ; while the heart, and the large vefiels conne&ed with it, are in like manner fo encumbered, that neither the fyfhl- tic nor fubfultory motion Can be performed with fuf- ficient freedom, whence weaknefs and flownefs of the pulle : but when the whole habit is in a manner overwhelmed with an oily fluid, the enlargement of the cellular interftices will neceffarily interrupt the general diftribution and circulation throughout the nervous and vascular fyftems 5 impeding the adlion of the muf- cular fibres, and producing intenfibility, fomnolency, and death. Thefe cafes are the more deplorable, as there is but little profped! of a cure. For the animal oil is of too grofs a nature to be eafily taken up by abforption 5 and we know, that when fluids are accumulated in the cellular fyftem, there are only two ways in which they can be carried off or efcape ; namely, by the abfor- bents, which take their rife from the cellular inter¬ ftices, and through the pores of the Ikin by tranfuda- tion. Another misfortune is, that the difeafe fteals on fo imperceptibly, that it becomes inveterate before people begin to think of purfuing the proper means of relief. In this difeafe the cure mull turn upon two points : lirft, on preventing, the farther depofition of fat, by avoiding the introdu61ion of fuperfluous aliment, par¬ ticularly of fatty matters* into the fyftem j and, fe- condly, on promoting and forwarding the abforption of fat. On thefe grounds, befides what may be done by proper regimen, a variety of articles have been re¬ commended in the way of medicine. Soap has been propofed as a remedy to melt down and facilitate the abforption of the fat in corpulent people $ and Dr Fleming fome years ago publiffied a little treatife, wherein he recommends this medicine, and relates the cafe of a gentleman who is faid to have received confiderable benefit from it. But perhaps the foap-leys would be more powerful, and might be more eafily taken fheathed, in the manner dire&ed when ufed as a diffolvent of the ftone. Lieutaud advifes to take acetum fcilliticum m fmall dofes, with frequent purging and brifk exercife. But it will feldom happen that the patients will be found Efficiently fteady to perfift in any of thefe courfes, it being the nature of the diforder to render them irrefo- lute and inattentive to their condition. Therefore the principal ufe of rules muft be with a view to preven¬ tion 5 and perfons who are difpofed to corpulency ffiould take care in time to prevent it from becoming an ab- folute difeafe, by ufing a great deal of exercife, not indulging in fleep, and abridging their meals, efpecially that of fupper. Salted meats are lefs fattening than luch as are freffi j and drinking freely of coffee is re¬ commended to corpulent people. But Dr Fothergill obferves, that’a ftrift adherence to vegetable diet reduces exuberant fat more certainly than any other means that he knows j and gives two ca es in which this regimen fucceeded remarkably well. I he famous Dr Cheyne brought himfelf down in this way, from a moft unwieldy bulk to a reafonable de¬ gree of weight j as he hmafelf informs us. It deferves, 4 CINE. Prad ice. howrever, to be remarked, that every pra£lice for the removal or prevention of fatnefs muft be ufed with great caution and prudence: for not a few, anxious to prevent this affedtion, have had recourfe to a regi¬ men and to medicine which have proved fatal. This has particularly arifen from the exceffive ufe of acids, probably operating by entirely deftroying the adfion of the chylopoietic vifeera. Pneuma- tofi?. Genus LXXII. PNEUMATOSIS. Emphysema, or Windy Swelling. Pneumatofis, Sauv. gen. 280. Vog. 391. Sag. 107. Emphyfenta, Sauv. gen. 13. Lin. 288. Vog. 392. Leucophlegmatia, Lin. 214. The emphyfema fometimes comes on fpontaneoufly J but more frequently is occafioned by wounds of the lungs, which, giving vent to the air, that fluid infi- nuates itfelf into the cellular texture, and often blows it up to a furprifing degree. It muft be obferved, however, that it is only in cafes of laceration of the lungs where this difeafe can take place ; for in a Ample wound, the effufion of blood always prevents the air from getting out. The cure is to be ac- complilhed by fcarifications and compreffes ; but in fome cafes only by the pafacentefis of the thorax. When air introduced from the lungs is colledled in a confiderable quantity in the cavity of the thorax, the operation of the paracentelis is perhaps the only means of cure. Upon an opening being thus made, the air fometimes ruffieS out with incredible violence ; and the patient receives at leaft immediate relief from cir- cumtlances the moft diftreffing imaginable. In fome inftances it is followed even by a complete cure. Genus LXX1II. TYMPANITES. Tympany. Tympanites, Sauv. gen. 291. Lin. 219. Vog. 316. Sag. 118. Boerh. 226. Jimck. 87. AffedHo tympanitica, III. 339. Meteor!fmus, Sauv. gen. 292. This in an inflation of the abdomen, and is of ttvo kinds : 1. That in which the flatus is contained in the inteftines, in which the patient has frequent explo- fions of wind, with a fwelling of the belly commonly unequal. 2. When the flatus is contained in the ca¬ vity of the abdomen ; in which ca(e the fwelling is more equal, and the belly founds when ftruck, without any confiderable emiffion of flatus. Of thefe tw7o, however, the former difeafe is by much the moft com¬ mon ; infomuch, that many, even extenfively engaged in pra&ice, have never met with an inftance of true abdominal tympanites. In both cafes the reft of the body falls away. Caufes, &c. The tympany fometimes takes place in thofe who have been long troubled with flatulencies in the ftomach and inteftines. It happens frequently to women after abortion ; to both fexes after the fup- preffion of the haemorrhoids 5 and fometimes from te¬ dious febrile diforders injudicioufly treated. Prognojis. This difeafe is generally very obftinate, and for the moft part proves fatal by degenerating in¬ to Practice. MED! Intumef- to an afckes. Sometimes, if the patient be healthy , ceiltia;‘ and itrong, the difeafe may terminate favourably, and that the more readily if it has followed from fome dif- order. A hedtic confumption, dry cough, and ema¬ ciated countenance in a tympany, with a fwelling of the feet, denote approaching death in a very Ihort time. Cure. With a view to the prevention of this af- fedlion, it is necelfary, in the firft place, to avoid, as * far as it can be done, caufes giving rife to an uncom¬ mon extrication of air, by preferving the proper tone of the alimentary canal. After the affe&ion has taken place, the indications are, firtl, to expel the air al¬ ready extricated and confined in different cavities; and, fecondly, to prevent Further accumulation. On thefe grounds different remedies are employed. The cure, however, is principally attempted by carmina¬ tive, refolvent, and ftomachic medicines, gentle laxa¬ tives, and at lalf tonics, efpecially chalybeates. In the Edinburgh Medical Eflays, vol. i. we have a very remarkable hiftory of a tympany by Dr Monro fenior. The patient was a young woman of 22 years of age, who fell into the diftemper after a tertian ague, in which fire was badly treated. She became a patient in the Edinburgh Infirmary the 24th of March 1730 ; took feveral purgatives, and fome dofes of calomel j ufed the warm bath •, and had an antihyfteric plafter applied over the whole belly, but with very little effeft. She was monilroufly diflended, infomuch that the fkin feemed to be in danger of burfting : her breathing was much ftraitened 5 but the fwelling fometimes gradually decreafed without any evacuation. The returns and degree of this fwelling were very uncertain ; and when the belly w'as mod detumefied, feveral unequal and pro¬ tuberant balls could be felt over the whole abdomen, but efpecially at its fides. Her flomach was good, fhe had no third, and her urine w7as in proportion to the quantity die drank. She was very codive, had her menfes at irregular periods, but no oedematous fwell- ings appeared in the feet or any where elfe. In this fituation die continued from the time of her admidion till the 21 d of June, during which interval die had only mendruated twice. Throughout this fpace of time, the following circumdances were obferved, 1. Several times, upon the falling of the (welling, die complained of a headach ; once of pains throughout all her body, once of a giddinefs, twice of a naufea and vomiting, and the lad time threw up green bile ; and once her ftomach fwelled greatly, whild the red of the abdomen fubfided. 2. During the dowing of the menfes die did not fwell, but became very big upon their dopping. 3. Blood-letting and emetics, which were made ufe of for fome accidental urgent fymptoms, had no very fen- fible efteft in making the tympany either better or worfe. 4. She never had paffage of wind either w'ay, except a little belching fome days before the month¬ ly evacuation. Some time before the lad eruption of the menfes, the purgatives w’ere given more fparingly 5 and anti- hyderics of the dronged kinds, fuch as afafcetida, oleum corn. cerv. &.c. mixed w'ith foap, were given in large dofes, accompanied with the hotter mitifcorbutjcs as they are called, as horferadidi and ginger-root in- fufed in drong-ale with deel. The patient was order¬ ed to ufe frequent and drong fxidlions to all the trunk of her body and extremities, and to ufe moderate exer- C I N E. 4i5 cife. Immediately before the menfes began to dow, Phyfoirtc- clyders of the fame kind of medicines were injedled., tra' The menfes were in fudicient quantity ■, but as loon as they ceafed, her belly increafed in its circumference four inches and a half, but foon fubfided. She then complained of pains, which a gentle fwTeat carried off, Borborygmi were for the fird time obferved on the fame day, June 25th ; and having taken fome tinSiura facra at night, die paffed a fmall quantity of blood next day by dool. This was the fird appearance of the return of the haemorrhoids, to which fhe had been formerly fubjeft. The twTo following days her faponaceous, antihy- deric, and antifcorbutic medicines being dill conti¬ nued, die had fuch explofions of wand upwards and downwards, that none of the other patients w7ould re¬ main in the fame room, nay fcarce on the fame door with her. Her belly became lefs and fofter than it had been from the fird attack of the difeafe $ her me¬ dicines, with a dofe of fyrup of buckthorn at proper intervals, dill were continued, only the proportion of deel was increafed j her datulent difeharge went on fuccefsfully, and die gradually recovered her former health. Genus LXXIV. PHYSOMETRA. 33S Windy Swelling of the Uterus. Phyfometra, gen. 290. Sag. 119. Hylterophyfe, Vog. 317. The treatment of this is not different from that of the tympany. It is however, upon the whole, a very rare difeafe j and when it takes place, very feldom if ever admits of a cure. Genus LXXV. AN AS ARC ik. Watery Swelling over the Whole Body. Anafarca, Sauv. gen. 281. Ltn. 215. 313* Sag. 108. Boer/i. 1225. Hoffm. III. 322. Junck. 87. Monro on the Dropl’y. Millman Auimad- verfiones de hydrope 1779. Phlegmatia, Sauv. gen. 282. Angina aquofa, Boerh. 791. In this difeafe the feet fird begin to fwell, efpe¬ cially in the evening, after exercife, and when the pa¬ tient has dood or fat long ; this fwelling rifes fre¬ quently to the thighs. By lying in bed, the fwelling becomes lefs, or even almod difappears. In the pro- grefs of the difeafe, the fwelling often rifes to the hips, loins, and belly, and at lad covers the whole body. This difeafe, befides the other fymptoms afterwards mentioned under Ascites, is attended with a remark¬ able difficulty of breathing. In the cure of this, as well as other fpecies of dropfy, the general intentions are, fird, the evacuation of the water already effufed either by natural or artificial outlets; and, fecondly, the prevention of freffi accumulation, which is chiefly to be expefted from fupporting a due aftion of the ab- forbents, and from keeping up a proper difeharge by the ferous excretories. The remedies employed with thefe intentions arc much the fame with what are employed againd the more 416 MED! fntumef- more important genus of afcites. Only it may be , centiae- here noticed, that in anafarca it has by many been re- ”commended to fcarify the feet and legs. By this means the ■water is often difcharged : but the operator muft be cautious not to make the incifions too deep •, they ought barely to penetrate through the ikin •, and efpecial care muft be taken, by fpirituous fomentations and proper digellives, to prevent a gangrene. Dr Fothergiil ob- ferves, that the fafeft and moft efficacious way of making thefe drains is by the inftrument ufed for cup¬ ping, called a fcarijicator; and he always orders it to be fo applied as to make the little wounds tranfverfely ; as they not only difeharge better, but are alio longer in healing, than when made longitudinally. Notwithftanding every precaution, however, gan¬ grene will often enfue j and it is upon the whole a much fafer praiftice to evacuate the water by the na¬ tural outlets, the valvular lymphatic abforbents ; and with this intention emetics and cathartics, but particu¬ larly diuretics, are often employed with fuccefs. 340 Genus LXXVI. HYDROCEPHALUS. Water in the Head. External or Chronic Hydrocephalus. Hydrocephalus, Sauv. gen. 285. Lin. 216. Boerh. 1217. Hydrocephalum, Vog. 384. This differs from the hydrocephalus formerly treat¬ ed of at fome length under the title of Apoplexia Hy- drocephalica, chiefly in the water being colledled in the external parts of the head, whereas the former is entirely within the fkull. In the fifth volume of the Medical Obfervations we have an account of a very ex¬ traordinary cafe of this kind. Tne patient was a child only of a few days old, and had a tumor on his head about the fize of a common tea-cup, which had the appearance of a bladder diftended with w7ater 5 near the apex was a fmall opening, through which a bloody ferum was difcharged. In other refpe&s the child was healthy. No application was ufed but a piece of linen dipt in brandy. The tumor continued to increafe for many months j at the end of which time the mem¬ brane containing the water appeared equally thick with the other part of the fcalp, except at one place about the fize of a flailing, which continued thin, and at times appeared as if it would burft. He remained in this fituation for about 17 months, when the cir¬ cumference of the head was 20 inches, the bafe i64-, the middle x8|, and from the bafe to the apex near Hj. The water was then drawn off, and the child died in two days. Almoft all other cafes of this diftemper have proved fatal 5 the futures of the Ikull generally give way, and the whole external part of the head is equally enlarged : but in the inftance juft now given there was a deficiency of part of the bones. Although, however, in fome inftances where the head is thus en¬ larged £to an enormous fize, the water is exterior to the brain, and therefore entitled to the appellation of hydrocephalus exterior, yet much more licquently m thofe inftances where there is a manifeft feparation of the bones of the cranium at the futures, the water is ftill contained within the ventricles; and accordingly the difeafe may be much more properly diftinguifhed 2 CINE. FraCticc. into the acute and chronic hydrocephalus, than as is Hydrora- commonly done into the internal and external, Al- , . though the latter be much flower in its progrefs, fome- times fubfifting even for years, yet it is equally difficult of cure with the former, and very often it proves fatal in a few days if the water be drawn off by an artificial opening, which may be very eafily performed by a mere pundture with a common lancet, without either pain or any immediate hazard from the operation it- felf, although the water be lodged in the ventricles; for thefe are diftended to an enormous fize, and the fubftance of the brain almoft totally deftroyed, fo that hardly any thing is to be punctured but membrane. Genus LXXVII. HYDRORACHITIS. 341 ‘LSpina Bifida. Hydrorachitis, Sauv. gen. 287. Morgagn, de fed. XII. 9. etfeq. Spinola, Lin. 289. • Spina bifida, Vog. 386. This difeafe, which confiffs in a foft tumor on tl e lumbar vertebrae, attended with a feparatien of the vertebrae themfelves, though generally confidered as approaching to the nature of rachitis, is commonly re¬ ferred to the article Surgery, which may be confulted with regard to this affedtion. Genus LXXVIII. HYDROTHORAX. 34; Dropsy of the Breast. Hydrothorax, JSauv. gen. 150. Vog. 311. Boerh. 1 219. This affedlion, particularly with refpedt to its caufes, is in many circumftances fimilar to other kinds of dropfy, particularly to afcites. But from the fituaticn of the water, which is here depofited in the cavity of the thorax, it may naturally be fuppofed that fome peculiar fymptoms wdll occur. Befides the common fymptoms of dropfy, palenefs of the countenance, Icarcity of urine, and the like, this difeafe is, in fome inftances, attended with a fludluation of water within the breaft ; which when it does occur may be conii- dered as a certain diffinguilhing mark of this affedlion. But befides this, it is alfo diftinguilhed by the remark¬ able affedlions of circulation and refpiratiou with which it is attended. The breathing is peculiarly difficult, efpecially in a recumbent pofture ; and in many inftances patients cannot breath with tolerable eafe, unlefs when fitting eredl, or even Hooping fomewhat forwmrds. Ihe pulfe is very irregular, and has often remarkable inter- miffions. But the difeafe has been thought to be prin¬ cipally charadlerized by a fudden ftarting from Deep, in confequence of an almoft inexpreftible uneafy fenfation referred to the breaft, and attended with ftrong palpi¬ tation, which may probably arife from an affedlion either of circulation or of refpiration. That thefe fymptoms are common attendants of this difeafe, is undeniable ; and they are certainly the belt charadleriftics of this affedlion with which we are yet acquainted : but it muft be allowed that they are pre- fent in fome cafes where there is no water in the breaft; and Practice. M E ^ ^ Intupef- and that in other alliances where the difeafe exhls, centias. t]-,ey are either altogether wanting, or occur only to a v very ilight degree. Certain diagnoses, therefore, of this difeafe flill remain to he difeovered. When hydrothorax is prefent, from the affeftion of the vital fundlions with which it is attended, it may readily be concluded that it is a dangerous difeafe, and in manv in fiances it proves fatal, i he cure, as far as it can be acccmplifhed, is obtained very much on the fame principles as in other dropfies. Here, how¬ ever, probably from the uncertainty of the diagnofUcs, the artificial abiira£fion of water, by paracentelis of the thorax, is lefs frequently had recourfe to than m afeites •, though in fome inltances, after other means have failed, it has been faid not only to give relief of fymptoms highly urgent, particularly dyfpncea, but even to produce a complete cure. Benefit is often ob¬ tained from an artificial difeharge of water by the ap¬ plication of blifters to the bread : but in this, as well as other dropiies, a difeharge is chiefly efftaed by the natural cutlets, particularly from the ufe of cathartics and diuretics. In this fpecies of dvopfy, more perhaps than in any other, recourfe has been had to the ufe oi the digitalis purpurea, or foxglove, lb ftrongly recom¬ mended as a diuretic by Dr Withering in his treatne refpeaing the ufe of it. There can be no doubt that this article, though fometimes produdive of inconveni¬ ence from the diftreffing ficknefs and fevere vomiting which it not unfrequently excites, though ufed even but in fmall dofes, often operates as a powerful diuretic, and produces a complete evacuation of water, alter other articles have failed. From the eftbas mentioned above, however, as well as from its influence on the pulfe, which it renders much flower, it is neceflary that it fliould be employed with great caution, and m ;mall dofes. A dram of the dried leaves of me digitalis, macerated for four hours in half a pint or ^arm water, forms an infulion which may be given in do es of an ounce, and the dried powder of the leaves in dofes of one or two grains: thefe dofes may be gra¬ dually increafed, and repeated twice or oftener in the dav ; but this requires to be done with great caution, left fevere vomiting, or other diftreffing fymptoms, fliould take place. 543 Genus LXXIX. ASCITES. Dropsy of the Abdomen. Afeites, Saw. gen. 288. Lm. 217. Vog 314. Sag. gen. llj. Boer/,. 1226. Hojm. III. 322. lunch. 87. Dr Monro on the Droply, 1765. Mi/man, Animadverfiones de Hydrope, 1779. Defcription. This difeafe affumes three different forms : l. When the water immediately wathes the jn- teftines. 2. When it is interpoied between the_ abdo¬ minal mufcles and peritonaeum j or, 3. When * is con¬ tained in facs and hollow veficles ; in which caic is called the encysted dropfy. Some phyficians of grea reputation have aff^rted, that the water was often placed within the duplicature of the peritonaeum bu this is alleged by Dr Milman to be a mffiake, as that membrane is looked upon by the beft anatomifts to be Angle • and he thinks that the above-mentioned phyfi¬ cians have been led into this error from obfervmg the Vol. XIII. Part 11. CINE. 417 water colledled in the cellular fubiiance of the pento- Afcjtes ^ naeum. In the beginning of an afeites the patient becomes languid, breathlefs, and has an averfion to motion : his belly fwells 5 and, when ftruck, the found oi fluc¬ tuating water is perceptible •, there "is a difficulty of breathing when the belly is preffed. There is an al- moft continual thirft, which in the progrefs of the dii- eafe becomes very urgent j the urine is thick, in fmall quantity, and high coloured, The pulfe is fmall and frequent; and as the belly fwells, the other parts wafte away. A fever at laft anfes, which, conftantly increa;- imr, in the end carries off the patient. .Thefe fymp- tonas are moft urgent where the waters are in imroetiiatc contaefl with tire inteflines : in the other kinds the reit of the body is lefs wafted 5 nor is there lo great thirft or difficulty of breathing. __ Caufes, &c. The immediate caufe of dropfy is a greater effufion of feruai by the exhalant arteries than the abforbents take up. I his may be occafior.ed either by too great a quantity of liquid thrown out by the former, or by an inability of the latter to perfoim theii office. This commonly happens in people whofe bodies are of a weak and lax texture, and hence women are more fubjedl to this malady than men j chlorotic girls efpeciaUy are very apt to become dropfical. Sometimes, however, this difeafe is occafioned by a debility of the vital powers, by great evacuations of blood, or by acute difeafes accidentally protra&ed beyond their ufual period 5 and although this caufe feems very different from a laxity of . fibres, yet the _ dropfy feems to be produced in a fimilar manner by both. For the vital powers being debilitated by ei¬ ther of thefe caufes, naturally bring on a certain de¬ bility and laxity of the folids} and, on the other .hand, a debility of the folids always brings on a debility, of the vital powers ^ and from this debility of the vital powers in both cafes it happens, that thofe humours which ought to be expelled from the body are not dn- charged, but accumulate by degrees in its cavities. There, is, however, this difference between the two kinds of dropfy ariflng from thefe two.different .caufes : That in the one which arifes from laxity the folid parts are more injured that in that which arifes ftotn a debi¬ lity of the vital powers. In the former, therefore, the water feems to flow out from every quarter, and.the body fwells all over. • But when the difeafe is occafion¬ ed by a debility of the vital powers, though the folids be lefs difeafed, yet the power of the heart being much dimimftied, and the humours icaice propelled through the extreme veffels, the thin liquids, by which in a healthy ftate the body is daily recruited, are car¬ ried by their own weight either into the cavities or into the cellular texture. Hence thofe aqueous effu- fions which follow great evacuations of blood, or vio¬ lent loofeneffes, begin in the more depending parts o.. the body, gradually afeending, till they arrive at the cavity of the abdomen, or even the thorax. But another and much more fufficient caufe tor the production of dropfy is an obftruCtion oftiie circula¬ tion ; and this may take place from polypi in the heart or large veffels, and hard fwellings in the. abdomen. Inftances have been obferved of a dropfy arifing from fleatomatous tumors in tl^e omentum, and many, more from a fcirrhouS liver or fpleen, and from an inrarc- 2 G ' d-ion 4«-S M E D I Ir.tumf f- tlon and obdrucHon of the raefenteric glands, by which Kieans the lymph coming from the extremities is pre¬ vented from arriving at the heart. Scirrholjty of the liver, the moil common caufe of afcites, probably operates by augmenting elfhfion, in confequence of its preventing the return of the venous blood, the greater part of the veins from the abdomen going to the forma¬ tion of the vena portarum. Laftly, Whatever, either within or without the vef- fels, contradls or {huts up their cavities, produces a more copious and eafy tranfmiflion of the thin humours through the exhalant arteries, at the fame time that it prevents their return by the abforbent veins. This has been elfabliQied by experiment: For Lower hav¬ ing perforated the right fide of the thorax in a dog, tied the vena cava, and fewed up the wound. The ani¬ mal languifhed for a few hours, and then died. On diffedfion, a great quantity of ferum was found in the abdomen, as if he had long laboured under an afcites. In like manner, having tied the jugular veins of another dog, a furprifing fwelling took place in thofe parts above the ligatures, and in two days the animal died. On diffedlion, all the mufcles and glands were vaflly diftcnded, and quite pellucid, with limpid ferum. From thefe experiments, and fome cafes of the difeafe men¬ tioned by different authors, it appears, that when the veins are obfirucled fo that they cannot receive the ar¬ terial blood, the ferum is feparated as by a filtre into the more open cavities and laxer parts of the body, while the thicker part ftagnates and is colledfed in the •proper blood velfels. The too great tenuity of the humours is very fre¬ quently accufed as the caufe of dropfy, and many au¬ thors have afferted that dropfy might arife merely from a fuperabundance of water in the blood. For this, fome experiments are quoted, from which they would inter, that when a great quantity of aqueous fluid is in¬ troduced into the blood, the fuperfluous fluid ought by no means to pafs through the extremities of the fangui- ferous arteries into the veins in the common ccurfe of circulation, but by being effufed into the cavities fhould produce a dropfy. But this can only happen when the vital powers are very much diininiihed ; for, in a natu¬ ral flate, the fuperfluous quantity is immediately thrown out by the {kin or the kidneys: and agreeable to this we have an experiment of Schultzius, who induced a dropfy in a dog by caufing him drink a great quantity of water ; but he had firft bled him aimoft ad deiiquium, fo that the vital powers were in a manner opprefied by the deluge of water. In this manner do thofe become hydropic who are feized with the difeafe on drinking large quantities of water either when wearied with la¬ bour, or weakened by fome kinds of difeafes. Dr Fo- thergill relates an infiance of a perfon who, being ad- vifed to drink plentifully of barley-water, in order to remove a fever, ralhly drunk i 2 pounds of that liquor ■every day for a month, and thus fell into an almoll in- .curable dropfy. But if this quantity had been taken only during the prevalence of the fever, he would, in all probability, have fuffered no inconvenience, as may be inferred from what has been related concerning the diet a arnica ufed by the Italians. It is moreover evident from experiments, that, in a healthy flate, not only water is not depofited in the ca- . pities, but that if it is injefted into them it will be ab- C I N E. Practice. forbed, unlefs fotne laxity of the folitls has already taken place. Dr Mufgrave injefted into the right fide of the thorax of a dog four ounces of warm water ; whence a difficulty of breathing and weaknefs immedi¬ ately followed. But thefe fymptoms continually lefien. ed, and in the fpace of a week the animal feemed to be in as good health as before. Afterwards he injedled 16 ounces of warm water into the left cavity of the tho¬ rax in the fame dog ; the fame effe6!s followed, toge¬ ther with great heat, and firong pulfation of the heart; but he again recovered in the fpace of a week. Lafliy, He injefted 18 ounces of water into one fide of the tho¬ rax, and only fix into the other : the fame fvmptoms followed, but vaniffied in a much fhorter time; for within five days the dog was reflored to perfeft health. During this time, however, he obferved that the dog made a greater quantity of urine than ufual. The remote caufes of dropfy are many and various. Whatever relaxes the folids in fuch a manner as to give an occafion of accumulation to the ferous fluids, difpo- fes to the dropfy. A lazy indolent life, rainy wet wea¬ ther, a iwampy or low foil, and every thing which con¬ duces to vitiate the vifeera, or infenfibly to produce ob- ftruftions in them, paves the way for a dropfy. Hence thofe are ready to fall into the difeafe who ufe hard and vifeid aliments, fuch as poor people in fome countries who ufe coarfe brown bread, and children who are Fed with unwholefome aliments; and the fame thing hap¬ pens to thofe who drink immoderately of fpirituous lir quors. Prognojif. When the dropfy arifes from a feirrhus of the liver or fpleen, or any «)f the other vifeera, the prognofis mull: always be unfavourable, and alfo when it arifes from diforders of the lungs. Neither is the cafe more favourable to thofe in whom the fmall vefiels are ruptured, and pour out their liquids into the cavity of the abdomen. Thofe certainly die who have polypi in the veffels, or tumors com prefling the veins and vef- fels of the abdomen. A dropfy arifing from obflruc- tions in the mefenteric glands is likevvife difficult to cure, whether fuch obltru&ions arife from a bad habit of body, or from any other caufe ; if we can, however* by any means remove the difeafe of the glands, the dropfy foon ceafes. But in thofe who fall into dropfy without any difeafe preceding, it is not quite fo dan¬ gerous; and even though a difeafe has preceded, if the patient’s llrength be not greatly weakened, if the refpi- ration be free, and the perfon be not affeded with any particular pain, we may entertain great hopes of a cure. But where a great lofs of blood is followed by a fever, and that by a dropfy, the patients almoil always die, and that in a fhert time : thofe, however, are very fre¬ quently cured who fall into this diieafe without any preceding hsemorrhage. Cure, In the cure of this difeafe authors chiefly mention two indications : 1. To expel the effufed wa¬ ter; and, 2. To prevent its being again colleffed. But before we proceed to fpeak of the remedies, it is neceffary to take notice, that by the laws of the ani¬ mal economy, if a great evacuation of a fluid takes place in any part of the body, all the other fluids in the body are direfled towards that part, and thofe which lie, as it were, lurking in different parts will be immediately abfotbed, and thrown out by the fame paffage. Hence the humours which in hydropic per- fsfcs Afcites. PradHce. M E D I Intumef- fons ai*e extravafated into tlie different cavities of the cent!as. body vvill be thrown into the inteffines, and evacuated purgatives or by diuretics will be thrown upon the kidneys, and evacuated by urine. It is, however, not only neceffary to excite thefe evacuations in order to re¬ move this malady, but they muff be afliduoufly promo¬ ted and kept up till the abundant humour is totally ex¬ pelled. For this reafon Sydenham has advifed purga¬ tives to be adminiftered every day, unlefs, either through the too great weaknefs of the body, or the vio¬ lent operation of the purgative, it ihail be neceffary to interpofe a day or two now and then 5 becaufe if any confiderable intervals be allowed to take place between the exhibition of the purgatives, an opportunity is given to the waters of collediing again. In tins method, how¬ ever, there is the following inconvenience, that, when the waters are totally evacuated, the ftrength is at the fame rime fo much exhaufled, that the diftemper com¬ monly returns in a very lhart time. Hence our chief hopes of curing a dropfy conlift in gently evacuating the waters by means of diuretics. But the efficacy of thefe is generally very doubtful. Dr Freind has long ago obferved, that this part of medicine is of all others the moft lame and imperfecl ; but a French phyfician, Mr Bacher, lately difeovered, as he alleges, a method of making the diuretics much more fuccefsful. His re¬ putation became at laft fo great, that the French king thought proper to purchafe his fecret for a great fum of money. The balls of his medicine was the black hel¬ lebore root, the malignant qualities of which he pre¬ tended to correct in the following manner : A quantity of the dried roots of black hellebore were pounded, and then put into a glazed earthen veffel, and afterwards fprinkled with fpirit of wine. They were buffered to ftand for twelve hours, ftirring them about twice or thrice during that fpace of time. They were then fprinkled again, and at lalt good Rheniih wine was poured on till it Hood lix fingers above the roots. I he mixture was frequently agitated with a wooden fpati/a } and as the wine was imbibed by the roots, more Was poured on, fo as to keep it always at the fame height for 48 hours. The whole was then put on the fire and boiled for half an hour, after which the deco£Hon was violently preffed out ^ the fame quantity of wine w.as added as at firft, and the mixture boiled as before. Af¬ ter the fecond expreffion the woody refiduum was thrown away as ufelefs. Both the ftrained liquors were then mixed together with two parts of boiling water to one of the decoftion. The whole is afterwards evaporated in a filver veffel to the confidence of a fyrup. One part of the extradf is again mixed with two parts of boiling water, and the whole infptffaied as before.-—By this means, fays he, the volatile naufeous acrid particles are feparated by evaporation, and the fixed ones remain corre&ed and prepared for medicinal ufes j adding, to¬ wards the end, a ninth part of old brandy, and evapo¬ rating to the confidence of turpentine. Mr Bacher rea- fons a good deal on the way in which this procefs cor- re&s the medicine ; but tells us, that notvvithdanding the improvement, his pills will not have the defiled ef- fert unlefs properly made up. For forming them, they ought to be mixed with matters both of an mvifcatmg and indurating nature ; yet fo prepared tnat it will be readily foluble in the domach, even of a per- fon much ffebjlitated. For answering thefe purpo- CINE. 419 fes, he chofe myrrh and carduus benedi£tus, and he gives Afcites. the following receipt for the formation of his pills:—• “ Take of the extraft of hellebore prepared as above direded, and of folution of myrrh, each one ounce •, of powdered carduus benediclus, three drams and a fcruple. Mix them together, and form into a mafs, dividing it into pills of a grain and a half each.” To thefe pills Mr Bacher gives the name of the pdulcr tonicce, from an idea, that while they evacuate the wa¬ ter, they at the fame time a£l as tonics ’> and thus, from augmenting the adlion of the lymphatics, prevent the return of the difeafe. And if both thefe intentions- could be effe&ually anfwered by the ufe of the fame re¬ medy, it would unquedionably be of great importanc« in pradice. The effeds of thefe pills wTere, we are told, very fur- prifing. Dr Daignan relates, that he gave them to 1 8 hydropic patients at once $ and thefe he divided into three claffes, according to the degree of the difeafe with which they were affeded. The firft clafs contained thofe who laboured under an anafarca following inter¬ mittent fevers. The fecond clars contained thofe who had an anafarca, together with fome degree afcites, arifing from tedious febrile diforders. All thefe were cured ; but thefe two claffes confifted of fuch cafes as are moft eafily removed. But the third con¬ tained fix who were feized with a moft violent anafarca and afcites, after being much weakened by tedious dif¬ orders, and of confequence in whom the difeafe -was very difficult to be cured. Even of thefe, however, four were cured, and the other two died. The body of one of thefe being difie&ed, both fides of the cavity of the thorax were found to be full of a blackifh-red water. The lungs were unfound } there was a poly¬ pous concretion in the right ventricle of the heart; the liver and fpleen were hard, and of a preternatural bulk j and the glands of the mefentery were obftrufled and infartled. In the other, the liver and pancreas were feirrhous, and the fpleen very hard. The fame medicines were given by De Horne to eight perfons, fix of whom had both an anafarca and afcites, but the other two only an afcites. Four of thefe recovered three died without being freed from the dropiy ; one in whom the dropfy was cured died in a ftiort time after, having for fome time before his death become fpeechlefs. By thefe patients 10 of the pills were taken at once j and the fame dofe repeated to the third time, with an interval of an hour batwixt each dofe. At firft they proved purgative, and then diuretic : by which laft evacuation they finally cured the difeafe. But though Mr Bacher was firmly of opinien that h’S pills cured the dropfy by reafon of the above-related correftion, vet it is certain that, in the hands of other prac¬ titioners, thefe very pills have failed, unlefs they al- fo made ufe of the fame regimen recommended by that phyfician $ while, on the other hand, it is alfo certain, that different medicines will prove equally efficacious in dropfical cafes, provided this regimen is made ufe of. For a great number of ages it has been recommend¬ ed to dropfical patients to abftain as much as peffi- ble from drink, and thus to the torments of their dif¬ eafe was added that of an intolerable thirft j and how- great this torment was, we may uuderftand from an , example of a friend of King Antigonus, who, having 3 G 2 been 4 20 Intumef- cent:K. M E D I been clofely vvatcbed both by order of the phyficians ar.J alfo of the king, was fo unable to bear the raging third: occafioned by his difeafe, that he (wallowed his own excrements and urine, and thus fpeedily put an end to his life. Dr Milman (hows at great length the pernicious tendency of this praflice. He maintains that it is quite contrary to the fentiments of Hippo¬ crates and the heft ancient phyficisns. He afferts, that unlefs plenty of diluting drink be given, the belt diuretics can have no effeft. He condemns alfo in the ftrongeft terms the pra&ice of ghing dropfical patients only dry, hard, and indigeftible aliments. Thefe would opprefs the ftomach even of the molt healthy ; and how much more muft they do fo to thofe who are already debilitated by labouring under a tedious diforder ! By what means alfo are thefe aliments to be diffolved in the (lomach when drink is withheld ? In this difeafe the faliva is vifcid, and in fmall quantity •, from whence it may be reafonably conjedlured, that the reft of the fluids are of the fame nature, and the gaftric juices likewife depraved. Thus the aliments lie long in the ftomach j and if the vifeera were formerly free of ob- ftrudlions, they are now generated 5 the ftrength fails j perfpiration and other excretions are obftruefted ; the oifeid and pituitous humours produced by thefe kinds of food float about the praecordia, and increafe. the dif¬ eafe, while the furface of the body becomes quite dry. Nay, fo much does this kind of diet conlpire with the difeafe, that 100 pounds of fluid will fometimes be imbibed in a few days by hydropic perfons who take no drink. Even in health, if the body from any caufe becomes dry, or deprived of a confiderable part of its juices, as by hunger, labour, &c. it will imbibe a con- iiderable quantity of moifture from the air ; fo that xve inuft impute the above mentioned extraordinary inhala¬ tion, in part at leaft, to the denial of drink, and to the nature of the aliment given to the ftek. The following is the account given by Sir Francis Milman of his prac¬ tice in the Middlefex hofpital. If the patient be not very much debilitated, he is fometimes treated with the purging waters, and a dofe of jalap and calomel alternately. On the intermediate days he gets a faline mixture, with 40 or 60 drops of acetum fcilliticum every fixth hour ; drinking with the purgatives oat-gruel and fome thin broths. That he might the better afeertain what (hare the liquids given along with the medicines had in producing a copious flow of urine, he fometimes gave the medicines in the beginning of the diftemper without allowing the drink: but though the fwellings were ufually diminiftied a little by the purgatives, the urine ftill continued fcanty, and the patients were greatly weakened. Fearing, therefore, left, by following this courfe, the ftrength of the Tick might be too much reduced, he then began his c.ourfe of diuretic medicines, giving large quantities of bar1ey water with a little yb/ diureticus; by which mean^, fometimes in the fhort fpace of 48 hours after the courfe was begun, the urine flowed out in very large quanttiy : but as faline drinks are very difagree- able to the tafte, a drink was compofed purpofely for liydropic perfons, of half an ounce of fupertartrite of potafh, diflblved in two pounds of barley water, made agreeably fweet with fyrup, adding one or two ounces <$ French brandy. To this compofition Sir Francis Milman was induced c 1 N E. Praflke. by the great praifes given to fupertartrite of pctafK by Afcites. fome phyiicians in hydropic cafes. In the Acid Bono- w"r’v—" ' tnenfw, 15 cafes of hydropic patients are related who were cured only by tailing half an ounce of cream of tartar daily. But it is remarkable, that by thefe very patients the cream of tartar was taken for 20, 30, nay 40 days, often without any perceptible effect 5 yet when diffolved in a large quantity of water, it {bowed its falutary effedts frequently within as many hours, by producing a plentiful flow of urine. This liquor is now the common drink of hydropic patients in the hof¬ pital above mentioned, of which they drink at pleafure along with their medicines. Among purgative medicines Sir Francis Milman re¬ commends the radix fenckte ; but fays the decoction of it, according to the Edinburgh Pharmacopoeia is too ftrong. as he always found it excite vomiting when pre¬ pared as there dire&ed, and thus greatly to diitrefs the patients : but when only half an ounce or fix drams of the root are ufed to a pound of dscoflion, initead of a whole ounce as directed by the Edinburgh col¬ lege, he finds it an excellent remedy ; and though it fnay fometimes induce a little vomiting, and frequently a naufea, yet it feldom failed to procure nine or fen ftools a-day, and fometimes alfo proved diuretic. But we muft take care not to be too free in the ufe of fe- neka, or any other purgative, if the patients be very- weak *, and therefore, after having ufed purgatives for fome time, it will be proper to depend upon diuretics entirely for perfecting the cure j and of the fuccefs of this method our author gives fome very remarkable in- ftances. But he ob(erves, that after the dropfy is re¬ moved, the patients will fometimes die without any evi¬ dent caufe} and of this it is proper that the phyiicians fhould be aware. It is remarkable with what eafe a flux of urine is induced in thofe who have a feirrhous liver 5 while, on the ether hand, in one who had the mefenteric glands obftruCted, along with a feirrhofity of the liver and vitiated ftate of the lungs, the molt powerful diuretics proved ineffectual. In fome cafes Sir Francis Miiman thinks the kidneys may be fo pref- fed with the weight of the water, as to be unable to perform their office. With regard^ however, to diu¬ retics in general, it may be remarked, that the opera¬ tion of none of them can be certainly depended upon. • In particular conftitutions, and at particular times, one will be obferved to fucceed, after another, though com¬ monly much more powerful, has been tried in vain. Accordingly various articles of this kind are often ufed in fucceffion. Recourfe is particularly often had to the root of taraxacum, of colchicum, and of fquills j the latter, efpecially when combined with calomel, is often found to be a very powerful diuretic. And in¬ deed mercury in different forms, probably from afting as a deobftruent, is often of very great ufe in dropfical complaints. Among other diuretics, the laftuca virofa has of late been highly extolled by Dr Collins of Vien¬ na, and the nicotiana tabaccum by Dr Fowler of York: but neither has been extenfively introduced into prac¬ tice, although we have known fome inftances in which the latter, in particular, has been ufed with great ad¬ vantage. The water having been drawn off, we are to put,the patient on a courfe of ftrengtheners; fuch as cinchona, with feme of the warm aromatics, and a due proportion «dL Practice. M E 1 Jiitunnf- of rViubarb infufecl in wine and chalvbeates. Gentle centise. exercife, and fr’nflions on t’ne be:!y, with fuch a courfe 'J of .diet as (hall be light and nouriihing, are alfo to be enjoined : and it may be obferved, that the ufe of tonic medicines is by no means to be delayed till a complete evacuation of the water can be obtained. On the con¬ trary, by alternating, and even combining the ufe of evacuants and tonics, the influence of both is often very much promoted. When the patient can by no other means be relrev- rd, the operation of pavacentefis muft be had recourfe to, which is defcribed under the article SURGERY. 344 345 34(* 547 Genus LXXX. HYDROMETRA. Dkcpst of the Uterus. Hydrometra, Sauv. gen. 289. Sag. 116. Bocrh. 1 224. Genus LXXXI. HYDROCELE. Dropsy of the Scrotum. Ofcheocele, Sauv. gen. 41. f ag. 388. Ofcheophyma, Sag. 44. Hydrops feroti, Vog. 389. Hydrops teflium, Boerh. 1227. For the treatment of thefe two difeafes, we may re¬ fer the reader to what has already been faid of other fpecies of dropfy, particularly Afcites. But both ^are chiefly to be combated by cbirurgical operation, efpe- cially the latter, in which it feldom fails to produce a complete cure. Genus LXXXII. PHYSCONIA. Spelling of the Belly. Phyfconia, Sauv. gen. 283. Vog. 325* §en' 110. Hypofarca, Bin. 218. This difeafe may arife from a variety of caufes, as from a (welling of the liver, fpleen, kidneys, uterus, omentum, ovarium, mefentery, inteftines &c. and fometimes it arifes merely fiom fat.. In the rormer cafes, as the vifeera are generally feirrhous and indu¬ rated, the diftemper is for the moft part incurable •, neither is the profpeft much better where the difeafe is occafioned by a great quantity of fat. Genus LXXXIII. RACHITIS. The Rickets. Rachitis, Sauv. gen. 294. Lin- 212. Vog. 312. Sa*. gen. I 20. Boerh. 1480. Boffm. III. 487. Zeviani della Rachitide. Gllflbn de Rachmde. Defcription. This is one of the difeafes peculiar to infancy.' It feldom attacks children till they are nine months, nor after they are two years old •, but it fre¬ quently happens in the intermediate /pace between thefe two periods. The d.feafe (hows me f by a flac¬ cid tumor of the head and face, a loofe flabby (km, a fwelling of the abdomen, and falling away of the Ofher parts, efpecially of the, mufeks. There are CINE. protuberances of the epipbyfes of the joints j the jugu¬ lar veins fwell, while the red decreafe; and the legs grow’ crooked. If the child has begun to walk before he be feized with this difeafe, there is a flovvnefs, de¬ bility, and tottering in his motion, which loon brings on a conflant delire of fitting, and afterwards of lying down \ infomuch that nothing at laft is moveable but the neck and head. As they grow older, the head is greatly enlarged, with ample iutures j the thorax is compreffed on the fides, and the fternum rifes up (harp, while the extremities of the ribs are knotty. The abdomen is protuberant, and the teeth black and carious. In fucb patients as have died of tins difea(e, all the folids appear foft and flaccid, and the fluids diflblved and mucous. Caufes. The rickets may proceed from fcrophulous or venereal taints in the parents, and may be increafed by thofe of the nurfe. It is likewife promoted by feed¬ ing the child with aqueous and mucous fubftances, crude fummer fruits, fiih, unleavened farinaceous aliment, and too great a quantity of fwTeet things.—Sometimes it follows intermittent fevers and chronic dilorders ; and in flrort, is caufed by any thing which tends to debili¬ tate the body, and induce a viCcxd and unhealthy (late of the juices. Prognofis. The rickets do not ufually prove fatal by themfelves, but if not cured in time, they make the per- fon throughout life deformed in various ways ; and often produce very pernicious diforders, fuch as carious bones in different parts of the body. Cure. This is to be effected by mild cathartics, al¬ teratives, and tonics, fuch as are ufed in other difeafes attended with a debility of the fyftem and a vitiated date of the blood and juices. In the Weftern iflands of Scotland, the medicine ufed for the cure of the rickets is an oil extracted from the liver of the (kate- fiflr. The method of application is as follows : Firfl, the wrifts and ankles are rubbed with the oil in the evening : this immediately raifes a fever of feverar hours duration. When tile fever from the firfl; rub¬ bing fubfides, the fame parts are rubbed again the night following •, and repeatedly as long as the rub¬ bing of thefe parts continues to excite the fever.. When no fever can be excited by rubbing the wrifts and ankles alone, they are rubbed again along with the knees and elbows. 1 his increafed unction • brings on the fever again ; and is pra&ifed as before, till it no longer has that effe£h Then the vertebrae and fides are rubbed, along, with the former parts j and this uuftion, which again brings on the ferver, is repeat¬ ed as the former. When no fever can be any longer excited by this un&ion, a flannel (hirt dipped in the oil is put upon the body of the patient : this brings on a more violent and fenfible fever than any of the former unftions; and is continued till the cure be completed, which it commonly is in a (liort time. A German pbyfician, Dr Strack, has lately pub- lifned a paper, in which he recommends the filings of iron as a certain remedy in the rickets. This dif¬ eafe, he obferves, in general begins with • children when they are about 16 months old. It is feldom- ob¬ ferved with children before they be one year old, and feldom attacks them after they pafs two ; and it is very generally vvorfe where it begins early than where it begins late. For. MEDICINE. Practice. 34s 349 For effecting s curt, it is, he affirms, a matter of the utmoft confequence to be able to diftinguilb, very early, whether a child will be affii&ed with rickets or Dot. And this, he affures us, may be determined by the following fymptoms; Palenefs and fwelling of the countenance •, and in that part of the cheeks which ihould naturally be red, a yellow colour approaching to that of fulphur. When that is the cafe, he direfts that a medicine ihould be immediately had recourfe to which will retard the further progrefs of the difeafe, and remove what has already taken place. For this purpofe, he advifes that five grains of the filings of iron, and as much rhubarb, ffiould be rubbed up wdth ten grains of fugar, and given for a dofe every morning falling, and every evening an hour before fupper. But if confiderable loofenefs ffiould be produced, it will be neceflary, at firft, to perfiil in the ufe of one dofe only every day. After a month’s continuance in this courfe, accord¬ ing to Dr Strack, there in general enfues a keen appe¬ tite for food, quick digeftion, and a copious tlow of urine ; by means of which the fulnefs of the face and yellownefs of the complexion are by degrees removed, while the natural colour of the countenance and firmnefs of the body in general are gradually reftored. This pra£fice, he afl’ures us, has never failed of fuccefs in any one inllance •, not even in thofe children barn of parents greatly affliifled with the rickets. In addition to the ufe of chalybeate?, great benefit is often alfo obtained in this difeafe from the ufe of the cold bath ; which under prudent adminiftration, is per¬ haps one of the mod effeflual remedies for this complaint with which we are yet acquainted. Mr Bonhome of Paris, in a late treatife on the fub- jeft of rachitis, has endeavoured to prove, that the dif¬ eafe arifes from a peculiar acid, and in the cure he par- -ticularly recommends phofphate of foda, phofphate and muriate of lime ; but above all other articles alkaline lotions. The efficacy of thefe remedies, however, is not yet confirmed by experience. And we may con¬ clude with obferving, that both in the prevention and cure nothing has been found fo fuccefsful as cold ba¬ thing. When the bones of rickety children begin to bend, •they may fometimes be reftored to their natural ffiape by comprefles, holders, and proper fupports. See the article Surgery. Order III. IMPETIGINES. Jmpetigines, Sauv. Clafs X. Ord. V. Sag. Clafs III. Ord. V. Genus LXXXIV. SCROPHULA. King's Eyn. Scrophula, Sauv. gen. 285. Vog. 397. Sag. 121. Struma, Lin. 284. Defcription. This difeafe ffiows itfelf by hard, feir- rhous, and often indolent tumors, which arife by degrees in the glands of the neck, under the chin, armpits, and different parts of the body, but mod commonly in the neck, and behind the ears. In procefs of time, the oellular fubdance, ligaments of the joints, and even the 3 bones themfelves, are afieclcd. In fcrophula the fwel- Scrophula. lings are much more moveable than thole of the feir-''"* rhous kind ; they are generally fofter, and leldom at¬ tended with much pain ; they are tedious in coming to fuppuration ; are very apt to difappear fuddenly, and again to rife in fome other part of the body. We may likewife mention as charatteridic circumdances of this difeafe, a remarkable foftnefs of the Ikin, a kind of ful¬ nefs of the face, generally with large eyes, and a very delicate complexion. Coufes. A variety of caufes have been mentioned as tending to produce fcrophula, viz. a crude indiged- ible food ; bad water ; living in damp, low durations; its being an hereditary difeafe, and in fome countries endemic, &c. But whatever may in different circum¬ dances be the exciting or predilpofing caufes of the fcrophula, the difeafe itfeif either depends upon, or is at lead much conne£led with, a debility of the condi- tution in general, and probably of the lymphatic fyf- tem in particular, the complaint always diowing itfelf by fome affeflions of the latter. And that debility has at lead a confiderable influence in its produiflion is probable, not only from the man!fed nature of fome of the caufes faid to be productive of fcrophula, but » like wife from fuch remedies as are found mod fervice- able in the cure, which are all of a tonic invigorating- nature. Prognojfs. The fcrophula is a didemper which often eludes the mod powerful medicines, and therefore phy- ficians cannot with any certainty promife a cure. It is feldom, however, that it proves mortal in a diort time, unlefs it attacks the internal parts, fuch as the lungs, where it frequently produces tubercles that bring on a fatal confumption. When it attacks the joints, it fre¬ quently produces ulcers, which continue for a long time, and gradually wade the patient ; while in the meanr time the bones become foul avid corroded, and death enfues after a long feene of mifery. The prognofis in this refpeft mud be regulated entirely by the nature of the fymptoms. Cure. It was long fuppofed that fcrophula depended upon an acid acrimony of the fluids; and this, it is probable, gave rife to the ufe of burnt fponge, diffe¬ rent kinds of foap, and other alkaline fubflaipces, as the bed remedies for acidity. But althougli a four- nefs of the ilomach and prirrue vice does no ^doubt fre¬ quently occur in thefe complaints, yet this fymptom feems to be entirety the confequence of that general re¬ laxation which in fcrophula fo univerfally prevails, and which does not render it in the lead necedary to fuppofe a general acefcency of the fluids to take place; as the one very frequently, it is well known, even in other complaints, occurs without the lead lufpicion of any acid acrimony exiding in the other. This is alfb ren¬ dered very probable from the indolent nature of fero- phulous tumors, wffiich have been known to fubfid for years without giving any uneafinefs; which could not have been the cafe, if an acid, or any other acrimony, had prevailed in them. In the treatment of fcrophula, different morbid con¬ ditions, exiding in different parts, require, according to circumdances, various means of cure : but, upon the whole, the remedies diredled may be confidered as ufed with a view either to the tumours, to the ulcerations, or to the general date of the fydem. Gentle Fraflice. M E D I faipcti- Gentle mercurials are fometlmes of ufe as refolvents glnes* in fcrophulous fvvellings; but nothing has fuch confi- derable influence as a frequent and copious ufe of cin¬ chona. Cold bathing too, efpecially in the fea, toge¬ ther with frequent moderate exercife, is often of Angular fervke here ; as is iikevvife change of air, efpecially to a warm climate. In the fcrophulous inflammation of the eyes, or oph¬ thalmia ftrumofa, the cinchona has alfo been given with extraordinary advantage : and we meet wdth an inftance of its having cured the gutta rofacea in the face j a complaint which it is often difficult to remove, and which is extremely difagreeable to the fair fex. From the various cafes related of tumefied glands it appears, that when the habit is relaxed and the cir¬ culation weak, either from conflitution or accident, cin¬ chona is a moil efficacious medicine, and that it ads as a refolvent and difcutient. It will not, however, fuc- ceed in all cafes j but there are few in which a trial can be attended with much detriment. Dr Fothergill obferves, that he has never known it avail much where the bones were aSeded, nor where the fcrophulous tu¬ mor was fo fituated as to be accompanied with much pain, as in the joints, or under the membranous cover¬ ings of the mufcles ; for when the difeafe attacks thofe parts, the perioftasum feldom efcapes without fome in¬ jury, by which the bone will of courfe be likewlfe af- feded. Here cinchona is of no effed : inftead of lef- fening, it rather increafes the fever that accompanies thofe circumftances : and, if it do not really aggravate the complaint, it feems at lealV to accelerate the pro¬ gress of the difeafe. Various are the modes in wdiich cinchona is admini- flered : Dr Fothergill makes ufs of a decodion, with the addition of fome aromatic ingredients and a fmall quantity of liquorice root, as a form in wffiich a fufficient quantity may be given without exciting difguft. But where it is eafily retained in the flomach in fubftance, perhaps the belt form of exhibiting it is that of powder; and in this Hate it is often advantageoufly conjoined with powder of cicuta, an article poiTeffing very great deobilruent powers. The powder, however, foon becomes difagreeable to very young patients; and the (jxtrad feems not fo much to be depended upon as may have been imagined. In making the extrad, it is expofed to fo much heat, as mull have fome effed upon its virtues, perhaps to their detriment. In adminiftering it, likewife, if, great care be not taken to mix it intimately with a proper vehicle, or fome very foluble fubftance, in weak bowels it very often purges, and thereby not only difappoints the pbyfician, but injures the patient. A fmall quan¬ tity of the cortex W.nteranus added gives the medicine a grateful warmth ; and a little liquorice, a few rai- fins, gum arabic or the like, added to the decodion before it be taken from the fire, by making the liquor vifeid enables it to fufpend more of the fine particles of the bark ; by which procefs tne medicine is not only improved in efficacy, but at the fame time rendered lels difagreeable. In indolent fwellings of the glands from vifeid hu¬ mours, fea water has been flrongly recommended by Dr Ruffe!. Dr Fothergill alfo acquaints us, that the cicuta even by itfelf is not without a confiderable lhare of efficacy G 1 N E. 423 in removing fcrophulous diforders. l~7e mentions the Scrcphula. cafe of a gentlewoman, about 28 years of age, afflid-' v~* cd from her infancy with fcrophulous complaints, fe- vere ophthalmies, glandular fwellings, &c. cured by the extratlum cicutce taken conftantly for the fpacc of a year. He obferves, however, that W'hen given to chil¬ dren, even in very fmall dofes, it is apt to produce fpaf- modic affedions; for which reafon he rarely exhibits it to them when very young, or even to adults of very irritable habits. Dr Fothergill gives feveral other inftances of the fuccefs of cicuta in fcrophulous cafes, and even in one which feemed to be not far removed 'from a confirmed phthifis; but owns that it feldom had fuch good effeds afterwards: yet he is of opinion, that where there are fymptoms of tubercles forming, a ftrumous habit, and a tendency to phthifis, the cicuta will often be fer- viceable. It is anodyne, correds acrimony, and pro¬ motes the formation of good matter. With regard to the quality of the medicine, he obferves, that the ex- trad prepared from hemlock before the plant arrives at maturity, is much inferior to that which is made when the hemlock has acquired its full vigour, and is rather on the verge of decline : juft when the flowers fade, the rudiments of the feeds become obfervable, and the habit of the plant inclines to yellow; this, he thinks, is the proper time to colled the hemlock. It h as then had the full benefit of the fummer heat; and the plants that growr in expofed places will gene¬ rally be found more adive than thofe that grow in the ffiade. The lefs heat it undergoes during the pre¬ paration, the better. Therefore, if a confiderable quan¬ tity of the d;y powder of the plant gathered at a proper feafon be added, lefs boiling will be neceflary, and the medicine will be the more efficacious. But let the extrad be prepared in what manner foever it may, provided it be made from the genuine plant, at a proper feafon, and be not deftroyed by boilinp, the chief difference obfervable in ufing it is, that a larger quantity of one kind is required to produce a certain effed than of another. Twenty grains of one fort of extrad have been found equal in point of efficacy to thirty, nay near forty, of another; yet both of them made from the genuine plant, and mod probably prepared with equal fidelity. To prevent the inconveniences arifing from this uncertainty, it feems always expedient to begin with fmall dofes, and proceed ftep by ftep till the extrad produces certain effeds, which feldom fail to arife from a full dofe. Thefe effeds are different in different coni;Stations. But, for the moft part, a giddinefs affeding the head, and motions of the eyes, as if fomething pufhed them outwards, are firft felt; a flight ficknefs, and trembling agitation of the body ; a laxative ftool or two. One or all of thefe fymptoms are the marks of a full dole, let the quantity in weight be what it will. Here we muit flop till none of thefe effeds be felt; and in three or four days advance a few grains more.. For it has been fuppofed by moft of thofe who have ufed this medicine to any good purpofe, that the cicuta feldom procures any benefit, though given for a long time, unlefs in as large a dole as the patient can bear without fuffering- any of the inconveniences above mentioned. There is however reafon to believe, that its eft'eds, as a difcu¬ tient, are in no degree dependent on its. narcotic powers; aucLt 424- lu pcli, pii cs M E D I xr.d we are liveli-red tc tdiink., tlrat reccurfe is often had vo larger dofes than are neceflary *, or at lead that the h me benefit might be derived from. Imaller ones con¬ tinued for an equal length of time. 1'atients commonly bear a greater quantity of the ex- trad! at night than at noon, and at noon than in the morning. Two drams may be divided into thirty pills. Adults begin with two in the morning, two at noon, and three or four at night, with diredlions to increaie each dofe, by the addition of a pill to each, as they ‘Can bear it. But, after all, the bed form under which the cicuta can, we think, be exhibited, is that of powder from the leaves. This, either under the form of powder or made into pills, may be given at fird to the extent of four or five grains, and the dofe gradually rifrng till it amount to 15 or 20 grains twice or thrice a-day. Given to this extent, particularly when conjoined with cin- chena, it has often been found of great fervice in fero- phulous cafes. At the fame time it mud be allowed, that fuch patients, after redding every mode of cure, will have in feme indances a fpontaneous recovery in the progrefs of life, probably from the fydem acquir¬ ing additional vigour. Different mineral waters, particularly the fulphure- ous ones, as thofe of Harrowgate, Moffat, and Gills- ]and, have been much recommended in fcrophula, and femetimes produftive of benefit. Reccurfe has fome- times alfo been had with advantage to zinc, iron, and barytes, particularly muriate of barytes. But as well as in rachitis, no remedy has been found more effica¬ cious in fcrophula than cold bathing, efpecially fea- bathing. 3.5© Genus LXXXV. SIPHYLIS. Lurs Venerea, or French Pox. Siphylis, Sauv. gen. 3086. Lin. 6. Vcg. 319. Sag. t 26. Lues venerea, Boerh. 1440. Hojfm. III. 4I3‘ junc^' 96. VJJlruc de Lue Venerea. Dr Adruc, who writes a very accurate hidory of the lues venerea, is fully convinced that it is a new difeafe, which never appeared in Europe till fome time between the years 1494 and 1496, having been im¬ ported from America by the companions of Chrido- pher Columbus ; though this opinion is not without its opponents. Dr Sanches in particular has contend¬ ed with much learning and ability, that it appeared in Europe at an earlier period : But it is at lead certain that it was altogether unknown to the medical prac¬ titioners of Greece and Rome, and that it w7as a veiy common difeafe in America when the Europeans fird vifited that country. But at whatever period it may have been introduced into Europe, or from whatever fource it may have been obtained, there can be no doubt that, as wTell as fmallpox or meafies, fiphylis depends on a peculiar fpccific contagion 5 on a matter /i/r generis, which is alone capable of inducing this difeafe. The venereal infedlion, however, cannot, like tne contagious miafmata of the fmallpox and tome other difeafes, be carried through the air, and thus fpread from place to place ; for unlefs it is tranfmitted from the piarents to the children, there is no other way of 3 C I N E. FradUce. contra&ing the difeafe but from a&ual conta£! with Siphylis, the infettious matter. Thus, when a nurfe happensv J to labour under the difeafe, the infant that die fuckles will receive the infeclion \ as, on the other hand, when the child is infected, the nurfe is liable to receive it : and there have even been inftances known of lying-in women being infecled very violently, from having em¬ ployed a perfpn to draw their breads who happened to have venereal ulcers in the throat. It may be caught by touching venereal fores, if tne cuticle be abraded or torn : and in this way accoucheurs and midwives have fcacnetinies been infedltd feverely. Dr Macbride fays, the mod inveterate pex he ever faw was caught by a midwife, who happened to have a whitelow on one of her fingers when fhe delivered a woman ill of the lues venerea. But by far the mod ready way of contrafling this difeafe is by coition, the genital parts being much more bibulous than the red of the body. When the diforder is communicated, the places where the mor¬ bific matter enters are generally thofe where it fird makes its appearance ; and as coition is the moll ufual way of contrafling it, fo the fird fymptems commonly appear on or near the pudenda. The patient’s own account will, for the mod part, Dip us to difiinguifh the difeafe : but there are fome- times cafes wherein we cannot avail curfelves of this information, and where, inllead of confeffing, the par¬ ties ffiall conceal all circumdances ; while, on the other hand, there are now7 and then people to be met with, who perfuade themfelves that fymptoms are ve¬ nereal, which in reality are owing to fome other caufe : and therefore it is of the utmod importance to infoim ourfelves thoroughly of the nature of thofe fymptoms and appearances which may be confidered as pathog¬ nomic figns of lues venerea. In the fird place, when we find that the local fymptoms, fuch as chancres, buboes, phymofis, and the like, do not give way to the ufual methods •, or when thefe complaints, after having been cured, break out again without a fredi infeflion j we may judly fufpeff that the virus has entered the whole mafs of fluids : but if at the fame time ulcers break out in the throat, and the face is deformed by callous tubercles, covered with a brown or yellow fcab, w,e may be af- fured that the cafe is now become a confirmed lues, which will require a mercurial courfe. When eruptions of the furfuraceous and fuperficial kind are venereal, they are not attended with itching ; and the fcale being picked off, the fkin appears of a reddith brown, or rather copper colour, underneath ; whereas leprous eruptions are itchy, throw7 off a greater quantity of dales, and rife in greater blotches, efpe¬ cially about the joints of the knees and elbow's. Vene¬ real tubercles or puflules are eafily diflinguiffied from carbuncles of the face, by not occupying the cheeks or the nofe, nor as having a purulent apex, but are cover¬ ed at top, either wdth a dry branny feurf like the fuper¬ ficial eruptions juft now mentioned, or elfe with a hard dry fcab of a tawney yellow hue •, they particularly break out among the hair or near to it, on the forehead or on the temples. Venereal ulcers affedling the mouth are diflinguifh- able from thofe which are fcorbutic, in the following manner i 1. Venereal ulcers firft affedl the tonflls, fau¬ ces Practice.' M E D I Impeti- ces and uvula ) t’nen tlie gums, but thefe very rarely : g'nes- on the contrary, fcorbutic ulcers affe£\; the gums fird; v 1 ' ' of all 5 then the fauces, tonfils, and uvula. 2. Vene¬ real ulcers frequently fpread to the nofe ; fcorbutic ones almoil never. 3. Venereal ulcers are callous in the edges 5 fcorbutic ones are not fo. 4. Venereal ulcers are circumfcribed, and, for the moft part, are circular, at lead: they are confine’d to certain places ; fcorbutic ones are of a more irregular form, fpread wider, and frequently affeft the whole mouth. 5. Ve¬ nereal ulcers are for the moft part hollow, and general¬ ly covered at bottom with a white or yellow dough j but fcorbutic ones are more apt to grow up into loofe fungi. 6. Venereal ulcers are red in their circumfe¬ rence, but fcorbutic ones are always livid. 7. Vene¬ real ulcers frequently rot the fubjacent bones, the fcor¬ butic ones feldom or never. 8. And laftly, Venereal ulcers are generally combined with other fymptoms which are known to be venereal ; fcorbutic ones with the diftinguidiing ftgns of the fcurvy, fuch as diffi¬ cult breathing, liftleffnefs, fwelling of the legs, rotten gums, &.c. Another ftrong fign of the confirmed lues is often af¬ forded from certain deep-feated nofturnal pains, parti¬ cularly of the {bins, arms, and head. As for any fu- perficial wandering pains that have no fixed feat, and which affeft the membranes of the mufcles and liga¬ ments of the joints, they, for the moft part, will be found to belong to the gout or rheumatifm, and can never be confidered as venereal unlefs accompanied with fome other evident figns ; but with regard to the pains that are deeply feated, and always fixed to the fame place, and which affeft the middle and more folid part of the ulna, tibia, and bones of the cranium, and rage chiefly and with greateft violence in the fore¬ part of the night, fo that the patient can get no reft till morning approaches, thefe may ferve to convince us that the difeafe has fpread itfelf throughout the whole habit, whether they be accompanied with other fymptoms of the lues or not. Gummata in the fleftiy parts, nodes in the periofteuro, ganglia upon the ten¬ dons, tophi upon the ligaments, exojlofes upon the bones, and jici at the verge of the anus, are all of them figns of the confirmed lues : thefe are hard indolent fwellings; but as they fometimes arife independently of any venereal infedlion, and perhaps may proceed from a fcrophulous taint, unlefs they be accompanied or have been preceded by fome of the more certain and evident fymptoms of the lues, we muft be cautious about pronouncing them venereal. When thele fwell¬ ings are not owing to the fiphylitic virus, they are very feldom painful, or tend to inflame and fuppurate, whereas thofe that are venereal ufually do, and if they lie upon a bone generally bring on a caries. Thefe carious ulcers are moft commonly met with upon the ulna, tibia, and bones of the cranium j and when accompanied with nodlurnal pains, we can ne¬ ver hefitate about declaring their genuine nature. Fre¬ quent abortions, or the exclufion of fcabby, ulceiated, half-rotten, and dead fcetufes, happening without any manifeft caufe to diiturb the foetus before its time, or to deftroy it in the womb, may be reckoned as a fign that at leaft one of the parents is infedfted. Thefe then are the principal and moft evident figns cf the confirmed lues. There are others which are more Vol. XIII. Part II. CINE, • 4 equivocal, and which, unlefs we can fairly trace them Sipliyl back to fome that are more certain, cannot be held as figns of the venereal difeafe : Such are, x. Obftinate inflammations of the eyes, frequently returning with great heat, itching, and ulceration of the eyelids. 2. A finging and biffing noife in the ears, with ulcers or caries in the bones of the meatus auditorius. 3. Ob-- ftinate headachs. 4. Obftinate cutaneous eruptions, of the itchy or leprous appearance, not yielding to the milder methods of treatment. 5. Swellings of the bones •, and, 6. Wandering and obftinate pains. None of thete fymptoms, however, can be known to be ve¬ nereal, except they happen to coincide with fome one or other of the more certain ftgnsr 1 It may, perhaps, be confidered as a Angularity in this dileaie, that the diagnofis is often more difficult in the advanced than in the early periods of the affec¬ tion. That is, with thofe u'ho have been certainly fubje£fed to fiphylis, it is often very difficult to fay whether certain fymptoms, remaining after the ordi¬ nary modes of cure have been employed, be fiplrylitic or not. Very frequently, as appears from the fequel, noclurnal pains, ulcerations, and the like, remaining after a long courfe of mercury has been employed, are in no degree of a venereal nature, but are in reality to be conftdered as confequences rather of the remedy than of the difeafe j and are accordingly heft removed by nourifliing diet, gentle exercife, and tonics. But as long as any fymptoms of any kind remain, it is often impoffible to convince fome patients that they are cured ; and it is often impoffible for a phyfician with certainty to affirm that the difeafe is altogether overcome. Upon the whole, we are firft to diftinguifh and con- fider the feveral fymptoms apart; and then, by com¬ paring them with each other, a clear judgement may be formed upon the general review. Prognojis. Being thoroughly convinced that the cafe is venereal, wx are to confider, firft of all, whether it be of a longer or fhorter date ; for the more recent it is, it will, aeteris paribus, be lefs difficult to remove. But there are other circumftances which wall affift us in forming a prognoftic as to the event. As, x. The age of the patient. This diforder is more dangerous to infants and old people, than to fuch as are in the flowTer and vigour of life, in whom fome part of the virus may be expelled by exercife, or may be fubdued in fome degree by the ftrength of the con- ftitution. 2. The fex. Though women are for the moft part . W’eaker than men, and therefore fhould feem lefs able to refift the force of any difeafe, yet experience (hows that this is eafier borne by them than by men ; per¬ haps owing to the menftrual and other uterine dif- charges, by which a good portion of the virus may be carried oft' immediately from the parts where it was firft applied ; for it is obfervable, that whenever thefe difcharges are obftrufted, or ceafe by the ordinary courfe of nature, all the fymptoms of this difeafe grow worfe. 3. The habit of body. Perfons who have acrid juices will be liable to fuffer more from the venereal poifon than fuch as have their blood in a milder ftate j hence, when people of a fcorbutic or fcrophulous ha¬ bit contrail; venereal diforders, the fymptoms are al¬ ways remarkably violent, and difficult to cure. And 3 H for 426 Impeti- gines. M E D I for the fame reafons, the confirmed lues is much more to be dreaded in a perfon already inclined to an afthma, phthilis, dropfy> gout, or any other chronic diftem- per, than in one of a found and healthy conftitution. I'or as the original difeafe is increafed by the accef- lion of the venereal poifon, fo the lues is aggravated by being joined to an old diforder. The more nume¬ rous the fymptoms, and the more they affefl the bones, the more difficult the cure. Ot all combinations the union of fiphylis with fcrophula is perhaps the mod difficult to overcome : but if the acrimony ffiould feize on the nobler internal parts, fuch as the brain, the lungs or the liver, then the difeafe becomes incurable, and the patient will either go oft fuddenly in an apopledlic fit, or fink under a confumption. Cure. Viewing this difeafe as depending on a pe¬ culiar contagious matter introduced into the lyftem, and multiplied there, it is poffible to conceive that a cure may be obtained on one of three principles ; ei¬ ther by the evacuation of the matter from the fyftera, by the deftruclion of its a&ivity, or by counterafting its influence in the iyftem. It is not impoffible that articles exift in nature capable of removing this com¬ plaint on each of thefe grounds : but we may ven¬ ture at leaft to aflert, that few fuch are yet difeover- effi. Notwdthftanding numbers of pretended infalli¬ ble remedies for fiphylis, mercury is perhaps the only article on which dependence is placed among European praftitioners ”, and with regard to its mode of opeia- tion, all the three different opinions pointed out have been adopted and fupported by different theorifts.— But although many ingenious arguments have been employed in fupport of each, we are, upon the whole, inclined to think it more probable that mercuiy opeiutes by deftroying the activity of the venereal virus, than that it has effect either by evacuating it, or. by ex¬ citing a ftate of aftion by which its influence is coun- terafled. Some praftitioners have affirmed, that the difeafe may be totally extirpated without the ufe of mercury ”, but, excepting in flight cafes, it appears from the moft accurate obfervations, that this grand fpeci- fic is indifpenfable ; whether it be introduced through the pores of the {kin, in the form of ointments, p.laf- ters, walhes, &c. ”, or given by the mouth, difguifed in the different ffiapes of pills, troches, powffiers, or fo- lutions. . Formerly it was held as a rule, that a fall vat ion ought to be raifed, and a great difeharge excited. But this is now found to be unneceffary : lor as meicury probably afts by feme fpecific power in fubduing and correftlng the venereal virus, all that is required is to throw in a fufficient quantity of the medicine for. this purpofe ; and if it can be diverted from the Eli vary glands fo much the better, flnee the inconveniences attending a fpitting are fuch as we ihould always with to avoid. _ _ Mercury, wffien combined with any fanne furawince, has its aftivity prodigioully increafed ; hence the great variety of chemical preparations which have been con¬ trived to unite it with different acids. Corrofive fublimate or the murias hydrargyri corro- fivus is one of the m- ft aftive of all the mercurial pre¬ parations, infomuch as to become a poiion even in very {'mall dofes. It therefore cannot fafely be given in fub- ftancc} but muft'be diffolved in order to render it Ca- C 1 N E. Pra&ice. pable of a more minute diviflon. We may fee, . by looking into Wifeman, that this is an old medicine, though feldom given by regular prafliiionefs. How it came to be introduced into fo remote a part of the world as Siberia, is not cafily found out •, but I)r Clerc, au¬ thor of the HiJIoire Nature/le de CHomme Male.de, allures us, that the fublimate foiution has been in ufe there time out of mind. It appears to have been totally forgotten in other places, until of late years, when Baron Van Swietea brought it into vogue ”, fo that at one period, if we may credit Dr Locker, they ufed no other mercurial prepa¬ ration at Vienna. The number of patients cured by this remedy alone in the hofpital or St Mark, which is under the care of this gentleman, from .1754 to 1761 inclufive, being 4S80. _ _ The method of preparing the foiution is, to diflblve as much fublimate in any kind of ardent fpirit (at Vien¬ na they ufe only corn brandy) as will give halt a grain to an "ounce of foiution. The dole to a grown per¬ fon is one fpoonful mixed with a pint ot any light pti- fan or barley water, and this to be taken morning and evening : the patients Ihould keep principally in a warm chamber, and lie in bed to fweat after taking the medicine ”, their diet ihould be light j and they ought to drink plentifully throughout the day, ot whey, pti- fan, or barley water. If the foiution does not keep the belly open, a mild purge muft be given from time to time ”, for Locker obferves, that ffiole whom it purges two or three times a-day, get well iooner than thofe whom it does not purge : he alio fays, that it very feldom affeds the mouth, but that it promotes the urinary and cutaneous difeharges. I Ins courle is not only to be continued till all the fymptoms dif- appear, but for fome weeks longer, due ffiorteft time in which Locker ufed to let the patients out was fix wreeks ; and they were continued on a courfe of de- coftion of the woods for fome weeks after they left off the foiution. This method has been introduced both in Britain and Ireland, though by no means to the exclufion of others; but it appears, that the foiution does not turn out fo infallible a remedy, either in thefe kingdoms, or in France, as they fay it has done in Germany. It was feldom if ever found to perform a radical cure, and the frequent ufe of it proved in many cafes highly prejudicial. It has therefore been fucceeded in prac¬ tice, even at Vienna, by mercury exhibited in other forms ; and, among thefe, by a remedy firft recom¬ mended by Dr Plenck, and fince improved by. Dr Saunders; confiding of mercury united with mucilage of gum arabic, which is faid to render its exhibition perfeflly mild and fafe. For particulars, we refer to Dr Saunders’s treatife. But a late French writer, fuppofed to be Dr Petit, in a final 1 book, entitled, H parallel of the different methods of treating the venereal difeafe, infills, that there is neither certainty nor fafety in any other method than the repeated friftions with mercurial ointment. If, therefore, it is determined to have recourfe to the mercurial fri&ions, the patient may with advan¬ tage be prepared by going into the warm bath fome days fucceffively ; having been previoufly blooded if of a plethoric habit, and taking a dofe or two of fome proper cathartic. The Practice. M E B I Impeti- . The patient being fitted with the neceffary apparatus gines. Gf flannels, is then to enter on the courfe. — jf he be of a robuft habit, and in the prime of life, we may begin with two drams of the «n- pucntum hydrargyn fortius, (Ph. Lend.) which is to be rubbed in abuut the ankles by an affifiant whole hands are covered with bladders: then having inter¬ mitted a day, we may expend two drams more of^the ointment, and reft for two days 5 after which, if no forenefs of the mouth comes on, ufe only one dram 5 and at every fubfequent fviftion afcend till the oint¬ ment {hall reach the trunk of the body j after which the rubbings are to be begun at the wrifts, and from thence gradually extended to the {boulders. In older to prevent the mercury from laying too much hold of the mouth, it muft be diverted to the {kin, by keep¬ ing the patient in a conftant perforation from the warmth of the room, and by drinking plentifully of barley-water, whey, or ptifan •, but if, neverthelefs, the mercury ftiould tend to raife a fpitting, then, trom time to time, we are either to give fome gentle cathar¬ tic, or order the patient into a vapour or warm bath ; and thus we are to go on, rubbing in a dram of the ointment every fecond, third, or fourth night, accord¬ ing as it may be found to operate } and on the inter¬ mediate days either purging or bathing, unleis we ftiould cboofe to let the falivation come on ; which, however, it is much better to avoid, as we ihall thus be able to throw in a larger quantity of mer- cury. f It is impofiible to afcertam the quantity ot mercury that may be rieceffary to be rubbed in, as this will va¬ ry according to circumftances : but we are always to continue the friclions, for a fortnight at leaft, after all fymptoms of the difeafe {hall have totally difappear- ed • and when we have done with the mercury, warm bathing, and fudorific decoaicns of the woods, are to be continued lor fome time longer. This is a general {ketch of the methods ot treat¬ ment for the confirmed lues; but for a complete hft- tory of the difeafe, and for ample direaions m every fituation, we refer to Aftruc, and his abndger Dr Chapman —We have to add, however, that a method of curing this difeafe by mercurial fumigation has been lately recommended in France, but it feems not to meet with great encouragement. One of the moft recent propofals for the cure of _ the venereal difeafe is that ot Mr* Clare and ennfifts in rubbing a fmall quantity ot mercury under the form of \hsfubmurias hydrargyn ov calomels it is commonly called, on the ^fide of the cheek-, by which means it has been fuppofed that we will not only avoid the inconveniences of unction but alfo the purgative e&as that are often produced by this medicine when taken into the ftomach. But at- - ter all, the introduction of mercury under the form of unflion, as recommended by jhe lateft an . writers in Britain on the venereal difeafe. Dr Swe- diaur, Mr John Hunter, and others is ftill very ge¬ nerally preferred to any mode that has yet been pro- p0Where, after a long trial of mercury, diftreffing fymptoms ftill remain, particularly obftinate ulcera¬ tions and fevere pains, benefit has often been derived fiom the ufe of opium : but there is little reafon to believe, as has been held by fome, that ox itfelf tt ax- CINE. 427 fords an infallible cure ot this difeafe y at leaf! w?e are inclined to think, that all the fafts hitherto brought in fuppsrt of the cure of liphylis by opium are at the utmoft very doubtful. The fame obfervation may perhaps be made with re¬ gard to another remedy which has of late been highly extolled in fiphylis, viz. the nitric acid. This article feems to have been firft introduced both againft aftec- Scorbutuv tions of the liver and venereal complaints by Dr Scott of Bombay. It has fince been highly extolled by Dr Beddoes and other writers in Britain. And tuere are many w-ell authenticated cafes on record in which it has produced a cure. But it is very rarely preferable to mercury 5 and it is chiefly ufcful when, from fome pecu¬ liarity of conftitution, mercury cannot be exhibited. In obftinate ulcerations, remaining probably after the venereal virus has been overcome, and refilling the ufe of mercury, a complete cure has in many inftances been obtained from the uie of the root of the. meze- reon, the daphne mezereum of Linnaeus. This arti¬ cle has been chiefly employed under the form 01 de- codlion 5 and it now appears that it is the balls of an article at one time highly celebrated in veneieal com¬ plaints, under the title of Lijbon diet drink. But, up¬ on the whole, thefe fequel® of this.difeafe are perhaps more readily overcome by country air, gentle exerciie, and nourilhing diet, particularly a milk diet,, than by the ufe of any medicine whatever. It muft indeed be allowed, that ^for combating different fequelae, various praftices accommodated to the nature of theie will on particular occafions be requifite. But into the confi- deration of thefe wTe cannot here propofe to enter. Genus LXXXVI. SCORBUTUS. 35* Scunrr. Scorbutus, Sauv. gen 391. Lin. 223. Vog. 318. Sag. 127. Boer/i. 1148. Hojfrn. III. 369. •Junci. 91. Lind on the Scurvy. Hultne de Scor- buto. Roufpc de Morbis Navigantium. Dcfcription. The firft indication of the fcorbutic dia- thefis is generally a change of colour in the face, from the natural and healthy look to a pale and bloated complexion, with a liftleffnefs, and averfion from every fort of exercife j the gums foon after become iteny, fwell, and are apt to bleed on the ftighteft touch $ the breath grows offenfive; and the gums, fwelling daily more and more, turn livid, and at length become ex¬ tremely fungous and putrid, as being continually in contadl with the external air ^ which m every caie fa¬ vours the putrefaction of fubftances difpofed to run into that date, and is indeed in fome refpeCts abfolutely requifite for the production of a&ual putridity. The fymptoms of the feurvy, like thofe of every other difeafe, are fome what different in different fub- jeCts, according to the various circumftances of confti¬ tution ; and they do not always proceed in the fame regular courfe in every patient. But what is very , re¬ markable in this difeafe, notwithftanding the various and immenfe load of diftrefs under w-bich the patients labour, there is no ficknefs at the ftomacb, the appe¬ tite keeps up, and the fenfes remain entire almoft to the very laft : when lying at reft,, fcorbutic patients make no complaints, and feel little diftrefs .or pain; but 3 H 2. the 4^8 M E D I Impeti- the moment they attempt to rife or fur themfeives, then 1 gir’es' , the breathing becomes difficult, with a kind of ftraitnefs or catching, and great oppreffion, and fometimes they have been known to fall into a fyncope. This catch¬ ing of the breath upon motion, with the lofs of ftrength, dejection of fpirit, and rotten gums, are held as the ef- fentiai or diftinguiffiing fymptoms of the difeafe. The fkin is generally dry, except in the very laft ftage, when the patients become exceedingly fubjeft to faint- ings, and then it grows clammy and moift : in fome Jt has an anferine appearance : but much oftener it is fmooth and ffiining j and, when examined, is found to be fpread over with fpots not riling above the fur- face, of a redith, bluilh, livid or purple colour, with a fort of yellow rim round them. At firft thefe fpots are for the molt part fmall, but in time they increafe to large blotches. 1 he legs and thighs are the places where they are principally feen : more rarely on the head and face. Many have a fwelling of the legs, which is harder, and retains the impreffion of the fin¬ ger longer than the common dropfical or truly oede- matous Iwellings. The ffighteft wounds and kruifes, in fcorbutic habits, degenerate into foul and unto¬ ward ulcers } and the appearance of thefe ulcers is fo lingular and uniform, that they are eafily diffin- guifhed from all others. Scorbutic ulcers afford no good digeftion, but give out a thin and fetid ichor mixed with blood, which at length has the appear¬ ance of coagulated gore lying caked on the furface of the fore, not to be feparated or wiped off without forne difficulty. The flefii underneath thefe Houghs feels to the probe faft and fpongy, and is very putrid. Neither detergents nor efcharotics are here of any fervice ; for though fuch Houghs be with great pains taken away, they are found again at the next dreffing, where the fame fanguineous putrid appearance always prefents itfelf. Their edges are generally of a livid colon1-, and puffed up with excrefcences of proud fleffi arifing from below the flun. As the violence of the difeafe increafes, the ulcers ffioot out a foft bloody fun¬ gus, which often rifes in a night’s time to a monfirous fize; and although deftroyed by cauteries, asffual or potential, or cut away with the knife, is found at next dreffing as large as ever. It is a confiderable time, however, before thefe ulcers, bad as they are, come to affeft the bones with rottennefs. Tliefe appear¬ ances will always ferve to affure us that an ulcer is fcorbutic ; and ffiould put us on our guard with re- fpetff to the giving mercurials, which are very generally pernicious in thefe. cafes. Scorbutic people, as the difeafe advances, are feldom free from pains ; though they have not the fame feat in all, and often in the fame perfon ffiift their place. Some complain of univerfal pain in all their bones •, but moft violent in the limbs, and efpecially the joints : the moft frequent feat of their pain, however, is fome part of the bread-. The pains of this difeafe feem to arife from the diftraflion of the fenfible fibres by the extra- vafated blood being forced into the interftices of the periofteum and of the tendinous and ligamentous parts ; whofe texture being fo firm, the fibres are liable to higher degrees of tenlion, and confequently of pain. The Hates of the bowels are various; in fome there is an obftinate coftivenefs; in others a tendency to a flux, with extremely fetid ffools; the urine is alfo rank CINE. PradUce. and xetid, generally high coloured ; and, when it has Scorbutus. Hood for fome hours, throws up an oily fcum on the furface. JLhe pulfe is variable j but molt commonly flower and more feeble than in the time of perfed health. A ffiffnefs in the tendons, and weaknefs in the joints of the knees, appear early in the difeafe : but as it grows more inveterate, the patients generally lofe the ufe of their limbs altogether j having a contra&ion of the flexor tendons in the ham, with a fwelling and pain in the joint of the knee. Some have -their legs monftroufly fwelled, and covered over with livid fpots or ecchymofes; others have had tumours there fome, though without fwelling, have the calves of the legs and the flefh of the thighs quite indurated. As per- fons far gone in the fcurvy are apt to faint, and even expire, on being moved and brought out into the frefli air, the utmoft care and circumfpedion are requilite when it is neceffary to ftir or remove them. Scorbutic patients are at all times, but more efpe« cially as the difeafe advances, extremely fubjeft to profufe bleedings from different parts of the body ; as from the nofe, gums, inteftines, lungs, &.c. and like- wife from their ulcers, which generally bleed plenti¬ fully if the fungus be cut away. It is not eafy tov conceive a more difmal and diverfified fcene of mifery than what is beheld in the third and laft ftage of this diftemper ; it being then that the anomalous and more extraordinary fymptoms appear, fuch as the burfting out of old wounds, and the diffolution of old fra&ures that have been long united. Caufes. The term fcurvy has been Indifcriminate- ly applied, even by phyficians, to almoft all the dif¬ ferent kinds of cutaneous foulnefs; owing to fome writers of the laft century, who comprehended fuch a variety of fymptoms under this denomination, that there are few chronic diftempers which may not be fo called, according to their fcheme: but the difeafe here meant is the true putrid fcurvy, fo often fatal to feamen, that with many it has got the name of fea- fcarvy, thoughit be a difeafe frequently occurring on (bore, as was experienced by the Britifli garrifons of Bolton, Minorca, and many other places. Indeed no difeafe is perhaps more frequent or more deftru£tive to people pent up in garrifons without fufficient fupplies of found animal food and frefli vegetables. It is foroetimes known to be endemic in certuin countries, where the nature of the foil, the general ftate of the atmo- fphere, and the common courfe of diet, all combine in producing that lingular fpecies of corruption in the mafs of blood which conftitptes the fcorbutic diathelis; for the appearances, on diffefting fcorbutic fubjedts, fuffi- ciently (how that the fpurvy may, with great propriety, be termed a difeafe of the blood. Dr Lind has, in a poftfcript to the third edition of his treatife on the fcurvy, given the refult of his oblervations drawn from the diffeclion of a confider¬ able number of vidlims to this fatal malady'; from which it appears that the true fcorbutic ftate, in an advanced ftage of the diftemper, confifts in numerous effufions- of blood into the cellular interftices of moft; parts of the body, fuperficial as well as internal ; particularly the gums and the legs; the texture of the former being almoft entirely cellular, and the generally de¬ pendent ftate of the latter rendering thefe parts, of all others in the whole body, the moft; apt to receive and Practice, M E D I Jmpeu- an(J retain the ftagnant blood, when its crafis comes , gl,‘es' . to be deftroyed; and when it lofes that glutinous quality which, during health, hinders it from efcaping through the pores in the coats of the blood-veffels or through exhalant extremities, A dropfical indifpofition, efpecially in the legs and bread, was frequently, but not always, obferved in the fubjefts that were opened, and the pericardium was fometimes found diftended with water : the water thus colle£!ed was often fo {harp as to Ihrivel the hands of the diffedlor ; and in fome inftances, where %he {kin happened to be broken, it irritated and fefter- ed the wound. The flefhy fibres rvere found fo extremely lax and tender, and the bellies of the mufcles in the legs and thighs fo duffed with the eft’ufed flagnating blood, that it was always difficult, and fometimes impoffible, to raife or feparate one mufcle from another. He fays that the quantity of this effufed blood was amazing •, in fome bodies it feemed that almoft a fourth part of the whole mafs had efcaped from the veffels; and it often lay in large concretions on the periofteum, and in fome few inftances under this membrane immediate¬ ly on the bone. Notwdthftanding this diffolved and depraved ftate of the external fleftiy parts, the brain always appeared perfectly found, and the vifcera of the abdomen, as well as thofe in the thorax, were in general found quite uncorrupted. There were fpots indeed, from'extravafated blood, obferved on the mefen- tery, inteftines, ftomacb, and omentum j but thefe fpots were firm, and free from any mortified taint; and, more than once, an effufion of blood, as large as a hand’s breadth, has been feen on the furface of the ftomach j and what was remarkable, that very fubjefl was not known wffiile living to have made any complaint of ficknefs, pain, or other diforder, in either ftomach or bowels. Thefe circutnftances and appearances, with many others that are not here enumerated, all prove to a de- monftration a putrefcent, or at leaft a highly depraved Hate of the blood : and yet Dr Lind takes no fmall pains to combat the idea of the fcurvy’s proceeding from animal putrefaffion j a notion which, according to him, “ may, and hath milled phyiicians to pro- pofe and adminifter remedies for it altogether ineffec¬ tual.” He alfo, in the preface to his third edition, talks of the mifchief done by an attachment to delufive theo¬ ries. He. fays, “ it is not probable that a remedy for the fcurvy will ever be difcovered from a preconceived hypothefis, or by fpeculative men in the clofet, who have never feen the difeafe, or who have feen at moft only a few cafes of it j” and adds, “ that though a few partial fatts and obfervations may, for a little, flatter with hopes of greater fuccefs, yet more enlarged experience muft ever evince the fallacy of all pofitive a(- fertions in the healing art.” Sir John Pringle, however, is of a very different opinion. He “ is perfuaded, after long refledion, and the opportunities he has had of converfing with thoie who to much fagacity had joined no fmall experience in nautical praftice, that upon an examination of the feveral articles which have either been of old approved, or have of late been introduced into the navy, it will appear, that though thefe means may vary in form CINE. 429 and in mode of operating, yet they all fome way con- Scorbutus, tribute towards preventing putrefaction j whether of “ ~v the air in the clofer parts of a fhip, of the meats, of the water, of the clothes and bedding, or of the body xtfelf.” What Dr Lind has above advanced is the more re¬ markable, as, in the two former editions of his book, he embraced the hypothefis of animal putrefadion be¬ ing the caufe of the fcurvy *, and if thefe effufions of blood, from a deftrudion of its crafis and the diffolved ftate of the mufcular fibres, together with the rotten condition of the mouth and gums, do not betray pu- trefcency, it is hard to fay wdiat does, or what other name we {hall beftow on this peculiar fpecies of de¬ pravation wffiich conftitutes the fcurvy. The blood, no doubt, derives its healthy properties, and maintains them, from the due fupplits of whole- fome food ; wdfile the infoluble, fuuerfluous, effete, and acrid parts, are carried off by the feveral difcharges of ftool, urine, and pei fpiration. Our fenfes of tafte and fmell are fufficient to inform us when our food is in a ftate of foundnefs and fweet- nefs, and confequently wholefome j but it is from chemiftry that we muft learn the principles on which thefe qualities chiefly depend. Experiments of various kinds have proved, that the foundnefs of ^animal and vegetable fubftances depends very much, if not entirely, on the prefence of their aerial principle. Rottennefs is never obferved to take place without an emiflion of fixed air from the putrefy¬ ing fubftance : and even when putrefaction has made a confiderable progrefs, if aerial acid can be transferred, in fufficient quantity, from fome other fubftance in a ftate of effervefcence or fermentation, into the putrid body, the offenfive fmell of this will be deftroyed. If it be a bit of rotten fleftr with which the experiment is made, the firmnefs of its fibres wall be found in fome meafure reftored. The experiments of Dr Hales, as well as many others made fince his time, fhow that an aerial prin¬ ciple is greatly connected with, and remarkably abun¬ dant in, the gelatinous parts of animal bodies, and in the mucilage or farina of vegetables. But thefe are the parts of our food which are moft; particularly nu¬ tritive 5 and Dr Cullen, whofe opinion on this as on every other medical fubjedft muft be allowed of the greateft weight, affirms, in his Lectures on the Mate¬ ria Medica, that the fubftances on which we feed are nutritious only in proportion to the quantities of oil and fugar which they refpectively contain. This oil and fugar are blended together in the gelatinous part of our animal food, and in the mucilaginous and fari¬ naceous part of efculent vegetables j and, wdiile thus intimately combined, are not perceivable by our tafte, though very capable of being developed and rendered diftinft by the pow’er of the digeftive organs ; for in confequence of the changes produced during digeftion, the oily and the faccharine matter become manifeft to our fenfes, as wre may fee and tafte in the milk of animals, which is chiefly chyle a little advanced in its progrefs toward fanguification ; the oil is obferved to feparate fpontaneoufly, and from which a quantity of aCtual fugar may be obtained by a very fimple pro- cefs. Thus much being premifed, w’e can now readily . comprehend 43° Impeti- gines. M EDI comprehend how the blood may come to lofe thofe qualities of fmoothnefs, mildnefs, and tenacity which sre natural to it. For if, in the fir ft place, the fluids, and organs fubfervient to digeftion, fliould be fo far diftempered or debilitated that the nutritious parts of the food cannot be properly developed, the blood mult be defrauded of its due fupplies ; which will alfo be the cafe if the aliment fliould not originally con¬ tain enough of oily and faccr arine matter, or fhould be fo circumfianced, from being dried or failed, as to hinder the ready extrication of the nutritious parts j or, laftly, if the natural difcharges fhould be inter¬ rupted or fufpended, fo that the fuperfluous, aciid, and effete fluids are retained in the general mafs in all thefe inflances the blood muft of neceffity run into proportionate degrees of depravation. . • And hence wre may un^erftand how it may pofubiy happen, that wdien perfons are greatly weakened by feme preceding diforder, and at the fame time debar¬ red the ufe of proper bodily exercife, the fcorbutic diathefis fhould take place, even though they enjoy the advantages of pure air and wholefome diet. Fut thefe are folitary cafes, and very rarely feen for whenever the feurvy feizes numbers, and can be con- fidered as an epidemic difeafe, it will be found to de¬ pend on a combination of the major part, or perhaps all, of the following circumftances : i. A moift atmofphere, and more efpecially if cold be joined to this moifture. 2. Too long ceffation from bodily exercife, whether it be from con ft mint, or a lazy flothful difpofition. 3. Dejedkon of mind. 4. Negledl of cleanlinefs, and wTant of fufficient cloth- ing. j. Want of wholefome drink, either of puie water or fermented liquors. And, 6. Above all, the being obliged to live continually on faked meats, per¬ haps not well cured, wuthout a due proportion of the vegetables fufticient to ccrreft the pernicious tendency of the fait, by fupplying the bland oil and faccharine matter requifite for the purpofes of nutrition. Thefe general principles refpedling the cau.es and nature of feurvy, feem to afford a better explanation of the phenomena of the difeafe than any conjectures refpedting it that have hitherto been prOpofed. It muft, however, be allowed, that Dr Lind is by no means the only writer who is difpofed to conhder^ this difeafe as not referable to the condition of the circu¬ lating fluids. In a late ingenious treatife on this fub- jedl by Sir F. Milman, he ftrenuoufly contends, that the primary morbid affedlion in this complaint is a debili¬ tated ftate of the folids arifing principally from want *of aliment. But his arguments on this fubjedl, as well as thofe of Dr Lind, are very ably anfwered by a ftill later writer on this fubjeft, Dr Trotter, who has drawn his cbfcrvations refpefiing it from very extenfive expe¬ rience, and who confiders it as clearly eftabhftied, by incontrovertible fads, that the proximate caufe of feurvy depends on fome peculiar ftate of tVie blood. That this difeafe does not depend On a debilitated ftate of the folids, is demonftratively proved from numerous cafes where every poffible degree of debility occurs in the folids without the flighteft ^ appearance of feurvy. Dr Trotter, in the fecond edition of his Obfervations on the Scurvy, from the refult of farther obfervation and later difeoveries in chemiftry, has attempted, with much ingenuity, to prove that the morbid condition 2 C I N E. Fraaice. of the blood, which takes place'in feurvy, arifes from Scorbutus the abftraclion of vital air, or, as it is new generally ' called, oxij^ene ; and this opinion, thougo ftid, per¬ haps, in fome particulars requiring farther connima- tion, is, it muft be allowed, iupported by many plau* fible arguments. Prevention ami Cure. The feurvy may be prevent¬ ed, by obviating and correcting thole Circumftances in refpedl of the non-naturals vvnich were mentisned as contributing to the dileafe, and laid down as came . It is therefore a duty highly incumbent on ameers commanding at lea, or in garrifons, to me every pm- fible precaution \ and, in the firft place, to correct tea coldnefs and moifture of the atmofphere by fufficient fires : in the next, to fee that their men be lodged in dry, clean, and well ventilated births or apartments . thirdly, to promote cheerfulnefs, and enjoin frequent exercife, which alone is of infinite ule in preventing the feurvy : fourthly, to take care that tne clotmng be proper, and cleanlinefs of perfon ftrictly_ obferyed : fifthly, to fupply them with wholefome drink, either pure water or found fermented liquors ■, and n ipirits be allowed, to have them properly diluted with wa¬ ter and fweetened with melaffes or ccar'e fugar : and- laftly, to order the faked meats to be fparingly ufed, or fometimes entirely abftained from ■, a?>d in their place, let the people live on different compofitions of the dried vegetables } frefti meat and recent vegetables being introduced as often as they can pofiibly be pro¬ cured. A clofe attention to thefe matters will, m general, prevent the feurvy from making its appearance at all, and will always hinder it from fpreading its influence far. But when thefe precautions have been ftegledled, or the circumftances luch that they cannot be put in pradfice, and the difeafe has adiuaily taken place, our whole endeavour muft be to reftore the blood to its original ftate of foundnefs 1 and happily, fmh is the nature of this difeafe, that a fufticiency of new matter, of the truly mild nutritious fort, and par¬ ticularly fuch as abounds with vital air, lumi as ic- cent vegetables, or different acid fruits, can be thiown into the circulation while the fleftiy fibres, retain any tolerable degree of firmnefs, the patient will re¬ cover ; and that in a furprifingly fhort fpace of time, provided a pure air, comfortable lodgings, fufficient clothing, cleanlinefs, and exercife, lend their necei- fary aid. This being the cafe, the plan of treatment }S to be condudfed almoft entirely in the dietetic way } as toe change in the mafs of blood, which it is neceffaiy to produce, muft be brought about by tilings that can Le received into the ftomach by pints or pounds, and not by thofe which are adminiftered in drops or grains, drams or ounces. For here, as there is no difoider of the nervous fyftem, we have no need of. tho.e adlive drugs w'hich are indifpenfably neceffaiy in fe¬ brile or nervous difeafes •, the fcorbutic diathefis oe- ing quite oppofite to that which tends to pioduce a fever cr any fpecies of fpafmodic diforders 5 nay, Dr Lind fays, he has repeatedly found, that even the infedlion of an hofpital fever is long refifted oy a fcoi- butic habit. It will now naturally occur to the reader,, what thofe alimentary fubfiances muft be which bid the faireft Practice. M P . D I Impetl- faireil to rtftore the blood to its healthy flate ; and he g‘ncs- needs fcarceiy to be told, that they are of thole kinds v which the fiomach can bear with pleafure though ta¬ ken in large quantities, which abound in jelly or mu¬ cilage, and which allow thofe nutritious parts to be eafiiy developed •, for though the vifcera in fcorbutic patients may be all perfectly found, yet we cannot ex¬ pect that either the digeftive fluids or organs fhould polTefs the fame degrees of power, which enable them, during health, to convert the crude dry farinacea, and the hard falted flefh of animals, into nourilhment. We muft therefore fearch for the antifcorbutic virtue in the tender fweet flelh of herbivorous animals 5 in new milk } and in the mucilaginous acid juices of re¬ cent vegetables, whether they be fruits, leaves, or roots. The four juices of lemons, oranges, and limes, have been generally held as antifcorbutics in an eminent de¬ gree, and their power afcribed to their acid $ from an idea that acids of all kinds are the only correctors of putrefaftion. But the general current of practical obfervations thows, and our experiments confirm it, that the virtue of thefe juices depends on their aerial principle; accordingly, while perfedly recent and in the mucilaginous flate, and efpecially if mixed with wine and i'ugar, the juices of any one of thefe fruits will be found a molt grateful and powerful antifcor¬ butic. Dr Lind obferving, “ that the lemon juice, when given by itfelf undiluted, was apt, elpecially if over- doled, to have too violent an operation, by occafion- ing pain and licknefs at the ftomach, and fometimes a vomiting found it neceffary to add to it wine and fu- gar. A pint of Madeira wine, and two ounces of fu- gar, were put to four ounces and a half of juice, and this quantity was found fufficient for weak patients to ufe in 24 hours : fuch as were very weak Upped a little of this frequently according as their Itrength would permit ; others who were ftronger took about two oun¬ ces of it every two hours j and when the patients grew ftill ftronger, they were allowed eight ounces of lemon juice in 24 hours.” While this very pleafant mixture, which is both a cordial and an antifeptic, may be had, it would be needlefs to think of preferibing any other ) but when the freih juice cannot be procured, we mufl: have re- courfe to fuch other things as may be obtained. But the various modes of combining and adminiflering tbefe, fo as to render them perfectly agreeable to the Ifomach, mult always be regulated by circumltances, and therefore it will be in vain to lay down parti- cular directions j fince all that we have to do is, to fix on fuch fruits and other freih vegetables as can be molt conveniently had and taken, and contrive to give them in thofe forms, either alone or boiled up with tlelh meat into foups, which will allow the patients to comume the greatelt quantities. . The firlt promifing alteration from fuch a courfe is ufually a gentle diarrhoea and if, in a few days, the Ikin becomes foft and moilt, it is an infallible fign of recovery j efpecially if the patient gain Itrength, anti can bear being Itirred or carried into trie open air with¬ out fainting. But if the belly flieuld not be loofened by toe uie ct the freih vegetables, nor the fkh become foft and mo!ft. CINE. 43i then they mult be aihfted by Hewed prunes, or a decOc- Scorbutus, tion of tamarinds with fupertartrite of potash, in order “ ‘ to abate the coltivenefs •, and by drinking a light decoc¬ tion of the woods, and warm bathing, in order to relax the pores of the Ikin 5 for nothing contributes more to the recovery of fcorbutic patients than moderate fweat- ing. With regard to particular fymptoms, antifeptic mouth waters compofed of a decoction of cinchona and infufion of roles, with a folution of myrrh, mult be uled occafionally, in order to cleanl'e the mouth, and give firmnefs to the fpongy gums. Swelled and indu¬ rated limbs, and ftiffened joints, muft be bathed with warm vinegar, and relaxed by the fteam of warm wa¬ ter, repeatedly conveyed to them, and confined to the parts by means of clofe blankets: ulcers on the legs muft: never be treated with unftuous applications nor fharp efcharotics but the drefling Ihould conftft of lint or foft rags, dipt in a ilrong decodion of cinchona. This difeafe at no time requires, or indeed bears, large evacuations, either by bleeding or purging j and as has been already mentioned, the belly muft only be kept open by the freih vegetables or the mildeft laxa¬ tives. But we are always to be careful that fcorbutic perfons, after a long abltinence from greens and fruits, be not permitted to eat voracioully at firit, left they fall into a fatal dyfentery. All, however, that has now been laid down as ne¬ ceffary towards the cure, fuppofes the patients to be in fituations where they can be plentifully furnilhed with all the requilites ; but unhappily thefe things are not to be procured at fea, and often deficient in gar- rifons : in order therefore, that a remedy for the feur- vy might never be wanting, Dr Macbride, in tne year 1762, fir ft conceived the notion, that the infufion of malt, commonly called wort, might be fubilituted for the common antifcorbutics j and it w^s accordingly tried. More than three years elapfed before any account arrived of the experiments having been made : at length, ten hiftories of cafes were received, wherein the"wort had been tried, with very remarkable fuccefs ; and this being judged a matter oi greSt importance to the feafanng part of mankind, thele were immediate¬ ly communicated to the public in a pamphlet, under the title of An hi/lorical account of a new method of treating the feurvy at fea. This was in 1767* but after that time a conflder- able number of letters and medical journals, fufficient to make up a fmall volume, were tranfmkted to Dr Macbride, particularly by the furgeons of his Majefty’s {hips who had been employed of late years for mak¬ ing difeoveries in the fouthern hemifphere. Certain it is, that in many inftances it has fucceeded beyond expeffation. In others it has fallen ffiort : but whether this was owing to the untoward fituation of tne pa¬ tients, or inattention on the part of the perfons who were charged with the adminiftration of the wort, not preparing it properly, or not giving it in fufficient quantity, or to its own want of power, muft: be col¬ lected from the cafes and journals themfclves. During Captain Cook’s third voyage, the moft re¬ markable, in refpeCft of the healthinefs of the crew, that ever was performed, the wort is acknowledged tp1- have been of Angular ufe. Li. 432 MEDICINE. Praftice* gines, In a letter which this vety celebrated and fuccefs- ful circumnavigator wrote to Sir John Pringle, he gives an account of the methods purfued for preferv- jmg the health of his people ; and which were pro- du$tve of fuch happy efFeds, that he performed “ a voyage of three years and 18 days, through all the climates from 529 north to 710 fouth, with the lofs of one man only by difeafe, and wdio died of a compli¬ cated and lingering illnefs, without any mixture of feurvy. Two others were unfortunately drowned, and one killed by a fall j fo that out of the whole number ji8 with which he fet out from England, he loll only four,'” lie fays, that much was owing to the extraordinary attention of the admiralty, in caufmg fuch articles to be put on board as either by experience or cohjedture were judged to tend moft to preierve the health of fea- men : and with refpedt to the wort, be expreffes himfelf as follows; 6< We had on board a large quantity of malt, of which was made fiveet wort, and given (not only to thofe men who had manifeft fymptoras of the feurvy, but to fuch alfo as were, from circumftances, judged to be moll liable to that diforder) from one or.two to three pints in the day to each man, or in fuch propor¬ tion as the furgeon thought necefiary, which fome- times amounted to three quarts in the 24 hours: this is without doubt one of the bell fea antifcorbutic medicines yet found out j and if given in time, will, with proper attention to other things, I am perfuaded, prevent the feurvy from making any great progrefs for a conliderable time : but I am not altogether of opinion that it will cure it, in an advanced Hate, at fea.” On this laft point, however, the captain and his furgeon differ; for this gentleman politively afferts, and bis journal (in Dr Macbride’s poffellion) confirms it, that the infufion of malt did effed a cure in a con¬ firmed cafe, and at fea. The malt being thoroughly dried, and packed up in fmall calks, is carried to fea, where it will keep found, in every variety of climate, for at leall two ^cars: when wanted for ufe, it is to be ground in a hand mill, and the infufion prepared from day to day, by pouring three meafures of boiling water on one of the ground malt; the mixture being well malhed, is left to infufe for 10 or 12 hours, and the clear in¬ fufion then drained off. The patients are to drink it in fuch quantities as may be deemed neceffary, from one to three quarts in the courfe of the 24 hours : a panada is alfo to be made of it, by adding bifeuit, and currants or railins j and this palatable mefs is ufed by way of folid food. This courfe of diet, like that of the recent vegetables, generally keeps the bowels fufliciently open j but in cafes where coftivenefs ne- verthelefs prevails, gentle laxatives mull be interpoled from time to time, together with diaphoretics, and the topical affiliants, fomentations and gargles, as in the common way of management. Captain Cock wras alfo provided with a large flock of /our krout; (cabbage leaves cut fmall, fermented and flopped in the fecond ftage of fermentation, and afterwards preferved by a due quantity of fait.) A pound of this was ferved to each man, twice a-week, while they were at fea. Sour krout, frnce the trial / 3 made of it on board Captain Cook’s {hips, has been Scorbutus, extenfively ufed by direction of the Briiilh govern- ——J ment in many other fituations, where fcorbutus has prevailed and it has been found to be highly fervice- able both in preventing and in curing the difeafe. It was particularly found, during the late American wary to be highly beneficial to the Britifh troops befieged in Boflon, who w?ere at that time entirely fed On fait previfions fent from England, and among whom true fcorbutus was very fatal till the four krout arrived. The feurvy at one period broke out among them with very alarming appearances j but by the feafonable ar¬ rival of a quantity of four krout, it was effe£lually over¬ come. Care, however, muft be bellowed, that this ar¬ ticle be properly prepared and properly kept. When due attention is paid to thefe particulars, it may be preferved in good condition for many months j and is confidered both by failors and foldiers as a very accept¬ able addition to their fait provifions. But when ferv¬ ed out to them in a putrid flate, it is not only highly difagreeable to the tafle, but probably alfo pernicious in its effe&s. Among other means of preventing feurvy, Captain Cook had alfo a liberal fupply of portable foup ; of which the men had generally an ounce, three days in the wreek, boiled up with their peafe $ and fometimes it was ferved to them oftener 5 and when they could get frefh greens, it was boiled up with them, and made fuch an agreeable mefs, that it was the means of making the people eat a greater quantity of greens than they would otherwife have done. And what was ftill of further advantage, they were furnifhed with fugar in lieu of butter or oil, which is feldom of the fweetell fort j fo that the crew were undoubtedly great gainers by the ex¬ change. In addition to all thefe advantages of being fo well provided with every neceffary, either in the way of diet or medicine, Captain Cook was remarkably at¬ tentive to all the circumftances refpedling cleanlinefs, exercife, fufficient clothing, provifion of pure water, and purification of the air in the clofer parts of the flap. From the effedl of thefe different means, as em¬ ployed by Captain Cook, there can be little doubt that they will with due attention be fufficient for the prevention and cure of the difeafe, at leafl in mofl fituations : but befides thefe, there are alfo fome other articles wdiich may be employed with great ad¬ vantage. Newly brewed fpruce beer made from a decoftion of the tops of the fpruce fir and melaffes, is an ex¬ cellent antifcorbutic \ it a£ls in the fame way that the wort does, and will be found of equal efficacy, and therefore may be fubflituted. Where the tops of the fpruce fir are not to bejiad, this beer may be pre¬ pared from the effence of fpruce as it has been call¬ ed, an article which keeps eafily for a great length of time. But in fituations where neither the one nor the other can be had, a mofl falutary mefs may be prepared from oatmeal, by infufing it in water, in a wmoden veffel, till it ferments, and begins to turn fourifh 5 which generally happens, in mode¬ rately w^arm weather, in the fpace of twm days.— The liquor is then ftrained off from the grounds, and Practice. M EDI Impetigines and boiled do;vn to the confidence of a jelly, which -v-"— is to be eaten with wine and fugar, or with butter and fugar. Nothing is more commonly talked of than a land fcurvy, as a diflindl fpecies of difeafe from that which has been now defcribed 5 but no writer has yet given a defcription fo clear as to enable us to diftinguith it from the various kinds of cutaneous foulnefs and erup¬ tion, which indeed are vulgarly termed fcorbutic, but which are akin to the itch or leprofy, and for the mod part require mercurials. Thefe, however, are very dif¬ ferent difeafes from the true fcorbutus, which, it is well known, may prevail in certain fituations on land as well as at fea, and is in no degree to be attributed to fea air. 35* Genus LXXXVII. ELEPHANTIASIS. Elephantiafis, Sauv. gen. 302, V°K' 321, * gen. 128, Elephantia Arabum, Vog. 322. The bed account of this difeafe is that by Dr He- berden, publidred in the fird volume of the Medical Tranfa&ions. According to him, frequently the fird fymptom is a fudden eruptron of tubercles, or bumps of different fizes, of a red colour, more or lefs intenfe (attended with great heat and itching), on the body, legs, arms, and face j fometimes in the face and neck alone, at other-times occupying the limbs only ; the patient is feveridi; the fever ceafing,. the tubercles^re¬ main indolent, and in fome degree fcirrhous, of a livid or copper colour, but fometimes of the natural colour of tlm Ikin, or at lead very little altered ; and after fome months they not unfrequently ulcerate, difcharging a fetid ichorous humour in imall quantity, but never laudable pus. The features of the face fwell and_ enlarge greatly ; the part above the eyebrows feeros inflated j the hair of the eyebrows falls off, as does the hair of the beard •, but Dr Heberden has never feen any one whofe hair has not remained on his head. I he alee na/i nve fwell- ed and fcabrous 5 the nodrils patulous, and Sometimes affefted with ulcers, which, corroding the cartilage and feptut?i na/i, occafion the nofe to fall. T he lips aie tu¬ mid j the voice is hoarfe } which fymptom has been ob- ferved when no ulcers have appeared in the thioat, al¬ though fometimes both the throat and gums aie ulce¬ rated. The ears, particularly the lobes, are thickened, and occupied by tubercles. The nails grow fcabrous and rugofe, appearing fomething like the rough bark of a tree 5 and* the didemper advancing, corrodes the parts gradually with a dry fordid fcab or gangrenous ulcer 5 fo that the fingers and toes rot and feparate joint after joint. In fome patients the legs fetm rather pods than legs, being no longer of the natural fhape, but fwelled to an enormous fize, and indurated, not yielding to the preffme of the fingers j and the fuper- ficies is covered with very thin feales, of a dull whitidi colour, feemingly much finer, but not fo white as thole obferved in the lepra Gracorntn. The whole limb is overfpread with tubercles, interfperfed with deep fif- fures 5 fometimes the limb is covered with a thick mold fcabby crud, and not unfrequently the tubercles ulce¬ rate. In others the legs are emaciated, and .ometimes Vol. XIII. Part II. G 1 N E. 433 ulcerated \ at other times affecled with tubercles with- Ek-phanti, out ulceration. The mufcular delh between the thumb ' < and forefinger is generally extenuated. The whole dun, particularly that of the face, has a remarkably diining appearance, as if it was vainifhed or finely polilhed. The fenfation in the parts affedled is very obtufe, or totally abolifhed j fo that pinching, or pundduring the part, gives little or no uneafinefs ; and in fome patients, the motion of the fingers and toes is quite dedroyed. The breath is very offenfivc j the pulfe in general weak and flow. The difeafe often attacks the patient in a different manner from that above defcribed, beginning almod in- fenfibly j a few indolent tubercles appearing on vari¬ ous parts of the body or limbs, generally on the legs or arms, fometimes on the face, neck, or bread, and fometimes in the lobes of the ears, increafing by very flow degrees, without any diforder, previous or conco¬ mitant, in refpeft of pain or uneafinefs. To didinguifh the diflemper from its manner of at¬ tacking the patient, Dr Heberden dyles the fird by jluxion and the other by congeJHon. That by fluxion is often the attendant of a crapula, or forfeit from grofs foods ; whereby, perhaps, the latent feeds of the difbrder yet dormant in the mafs of blood are excited ^ and probably from frequent obfervations of this kind (the lad meal being always blamed), it is, that, ac¬ cording to the received opinion, either fifli, (the tunny, mackarel, and fhell-fifh, in particular), melons, cucum¬ bers, young garden-beans, or mulberries, eaten at tlm fame meal with butter, cheefe, or any preparation of milk, are fuppofed to produce the didemper, and are accordingly religioufly avoided. Violent commotions of the mind, as anger, fear, and grief, have more than once been oblerved to have giv¬ en rife to the diforder •, and more frequently, in the fe¬ male fex, a fudden fuppreflion of an accudomed evacua¬ tion, by bathing the legs and feet in cold water at an improper feafon. The diforder by fluxion is what is the oftened endea¬ voured to be remedied by timely application ; that by congedion, not being fo confpicuous, is generally either negledled or attempted to be concealed, until perhaps it be too late to be cured, at lead unlefs the patients would fubmit to a longer courfe of medicine and drift¬ er regimen of diet than they are commonly inclined to do. Several incipient diforders by fluxion have been known to yield to an antiphlogidic method, as bleeding, re¬ frigerant falts in the faline draughts, and a. folution of cry dais of tartar in water, for common drink, (by this means endeavouring to precipitate part of the pec¬ cant matter, perhaps too grofs to pafs the pores by the kidneys) ; and when once the fever is overcome, cin¬ chona, combined with faffafras, is the remedy_ princi¬ pally to be relied on. The only topical medicine pre- feribed by Dr Heberden, was an attenuating embroca¬ tion of brandy and alkaline fpirit. By the fame method fome confirmed cafes have been palliated. But, except¬ ing in one patient, Dr Heberden never faw or heard of a confirmed elephantiafis radically cured. He adds, however, that he never met with another patient pof- feffed of prudence and perfeverance enough to profecute the cure as he ought. 3 I Genus 434 354 M E D I Genus LXXXVIII. LEPRA. The Leprosy. Lepra, Sauv. gen. 303. Lin. 262. Sag. 129. Lepra Gracorum, Vog. 320. This dillemper is but little known to phyfieians in the weitern parts of Europe. Wallis tells us, that it firft begins with red pimples, or puftules, breaking out in various parts of the body. Sometimes they appear iingle j fometimes a great number arife together, efpe- cially on the arms and legs 5 as the difeafe increafes, frefh pimples appear, which, joining the former, make a fort of clutters 5 all which enlarge their borders, and fpread in an orbicular form. The fuperfkies of theie puilules are rough, whitifh, and fcaly w'hen they are fcratched the fcales fall off, upon which a thin ichor oozes out, which foon dries and hardens into a fcaly cruft. Thefe clutters of puftules are at firft fmall and few ; perhaps only three or four in an arm or leg, and of the fize of a filver penny. But if the difeafe be fuf- fered to go on, they become more numerous, and the clufters increafe to the fize of a crown-piece, but notexaft- ly round. Afterwards the affedlion increafes to fuch a degree, that the whole body is covered with a leprous fcurf. The cure of this diftemper is very much the fame with that of the Elephantiasis. Here, how¬ ever, recourfe is frequently had to antimomal and mer¬ curial medicines, continued for a confiderable length of time. In conjunaion with thefe, warm bathing, parti¬ cularly the vapour bath, has often been employed with advantage. Although what can flri&ly be called lepra is now, at leaft, a very rare difeafe in this country, yet to this general head may be referred a variety of cutaneous affections which are here very common, and which in many inttances prove very obftinate. Thefe appear under a variety of different forms ; fometimes under that of red puftules 5 fometimes of white fcurfs •, fometimes of ulcerations •, and not unfrequently a tran- fition takes place from one foi’m to another, fo that they cannot be divided into different genera from the external appearance. Ihete affeCtions will often yield to the remedies already mentioned j but wdiere anti- jn-mials and mercurials either fail, or from different circumitances are confidered as unadvifeable, a cure may fometimes be effected by others. In particular cales, pu> ging mineral waters, the deco&ion of cincho¬ na, the infufion of the cenanthe crocata, and various others, have been employed with fuccefs. Different externa] applications alfo have fometimes been em¬ ployed with advantage. An article ufed in this way, known under the name of Gowland’s lotion, with the compofftion of which we are unacquainted, has been much celebrated, and has been faid to be employed with great fuccefs, particularly againft eruptions on the face and nofe. Genus LXXXIX. FRAMBOESIA. The Tajvs. Framboefia, Sauv. gen. 125. Sag. 125. Dvfcription, The defciiptkm which is given of this CINE. Pra&ice. diftemper by the anonymous author of a paper in the Framboefia. 6th volume of the Edinburgh Medical Effays, (art. 76.) v—' differs, in fome circumftances, from one that Sauvages received from M. Virgile, an eminent furgeon of Mont¬ pelier, who praflifed twelve years in the iffand of St Domingo •, and therefore he diftinguifties \he frambcc- Jia into two fpecies, Gmneenfis and Americana. Theframbcejia Guineenjis is faid by the firft-mention- ed writer to be fo common on the coaft of Guinea and other parts of Africa, that it feldom fails to at’ tack each individual of both fexes, one time or other, in the courfe of their lives 5 but moft commonly dur¬ ing childhood or youth. “ It makes its appearance in little fpots on the cuticle, level with the ikin, at firft no larger than a pin’s head, which increafe daily, and become protuberant like pimples: foon after the cuticle frets off, and then, inftead of finding pus or ichor, in this fmall tumor, only white floughs or fordes appear, under which is a fmall red fungus, growing out of the cutis, increafing gradually to very different magnitudes, fome lefs than the fmalleft wood ftraw berry, fome as big as a rafpberry, and others ex* ceeding in fize even the largeft mulberries $ which ber¬ ries they very much refemble, being knobbed as thefe are.” Thefe protuberances, which give the name to the difeafe, appear on all parts of the body : but the greateft numbers, and the largeft fized, are generally found in the groins, and about the pudenda or anus, in the armpits, and on the face : when the yaw's are very large, they are few in number} and when re¬ markably numerous, they are lefs in fize. The pa¬ tients, in all other refpefts, enjoy good health, do not lofe their appetite, and feem to have little other uneafi- nefs than what the fores occafion. M. Virgile defetibes the fpecies of yaws that is common among the negroes of St Domingo, and which Sauvages has termed frambeejia Americana, as beginning from an ulcer that breaks out indiferiminate- ly in different parts of the body, though moft common¬ ly on the legs •, at firft fuperficial, and not different from a common ulcer in any other circumftance laving its not healing by the ufual applications j fooner or lat¬ er, numerous fungous excrefcences break out on the furface of the body, as before deferibed, like little ber¬ ries, moift, with a reddiih mucus. Belides thefe, the foies of the feet and palms of the hands become rawq the Ikin fretting off, fo as to leave the mufcles bare j thefe excoriations are fometimes moift with ichor and fometimes dry, but always painful, and confequently very diftrefling. They are mentioned alio by the au¬ thor of the article in the Medical Effays ; and both he and M. Virgile obferve, that there is always one excrefcence, or yaw, of an uncommon fize, which is longer in falling off than the others, and which is con¬ fidered as the majier-yaw, and fo termed. An ingeni¬ ous inaugural differtation on the fubjeft of the yaws was lately publiflied at Edinburgh by Dr Jonathan Anderfon Ludford, now phylician in Jamaica. The author of that differtation confiders Dr Cullen as im¬ properly referring framboefia to the clafs of cachexias. He thinks that this difeafe ought rather to be referred to the exanthemata ; for, like the fmallpox, he tells us, it has its acceflion, height, and decline. It begins with fome degree of fever, either more or lefs violent; it may be propagated by inoculation ; and it attacks the. Practice. M E D I Impetigines. the fame individual only once in the courfe of a life- v " time, tbofe who recover from the difeafe being never afterwards affe&ed with it. Thefe particulars re- fpeSing frambcefla are refted not merely on the au¬ thority of Dr Ludford, but are fupported alfo by the teftim’ony of Dr William Wright, a phyfician of di- ilinguilhed eminence, who, while he relided in Jamai¬ ca, had, in the courfe of extenfive praftice, many op¬ portunities of obferving this difeafe, and to whom Dr Ludford acknowledges great obligations for having communicated to him many important fadls refpeft- ing it. Dr Ludford confiders the yaw^s as being in every inftance the confequence of contagion, and as depend¬ ing on a matter fui generis. He fuppofes no peculiar predifpofition from diet, colour, or other circumilan- ces, as being in any degree neceffary. He views the difeafe as chiefly arifing from contaft with the matter, in confequence of fleeping in the fame bed, wafhing in the fame veffel with the infedted, or the like. In fhort, the yaws may be communicated by any kind of contadl •, nay, it is even believed that flies often convey the infeaion, when, after having gorged themfelves with the virulent matter by fucking the ul¬ cers of thofe who are difeafed, they make pundtures in the fkin of fucb as are found, and thus inoculate them 5 in confequence of which the diforder will foon appear. Prosrnojis. The yaws are not dangerous, if the cure be fkiifully managed at a proper time •, but if the pa¬ tient has been prematurely falivated, or has taken any quantity of mercury, and it his fkin has been Jiiddenly cleared, the cure will be very difficult, if not imprac¬ ticable. Cure. In attempting the cure of this difeafe, the four following indications are chiefly to beheld in view: 1. To fupport the ftrength of the patient. 2. To promote excretion by the fkin. g. To corredt the vitiated fluids. 4. To remove and counteradl the injuries done either to the conftitution in general, or to particular parts, by the difeafe. ^ With the firft of thefe intentions, a liberal diet, con- fifting of a confiderable quantity of animal food, with a confiderable proportion of wine, and gentle exercife, are to be employed : but the cure is principally to be effedled by. mercurial falivation, after the virulent matter has been completely thrown out to the furface of the body by fudorifics. The following are the par¬ ticular diredtions given on this head by the author of the article in the Medical Effays. The yaws being an infedlious difeafe, as foon as they begin to appear on a negro, he muft be removed to a houfe by himielt; or, if it is not certain whether the eruption be the yaws or not, fhut him up feven days, and look on him again, as the Jews were commanded to do with their lepers, and in that time you may in molt cafes be cer- tain. . , , • • 1 As foon as you are convinced that it is tne yawTs, give a bolus of flowers of fulphur, with camphor and theriaca. Repeat this bolus every night fo^a fortnight or three weeks, or till the yaws come to the height *, that is, when they neither increafe ip fize or number : .then throw your patient into a gentle falivation .with C I N E. . 435 calomel given in fmall dofes, without farther prepava- Framboefia- tion ; five grains repeated once, twice, or thrice a-day, ^ is fuflicient, as the patient can bear it. If he fpits a quart in 24 hours, it is enough. Generally, when the falivation is at this height, all the yaws are covered with dry fcaly cruffs or fcabs j which, if numerous, look terribly. Thefe fall off daily in fmall white fcales; and in ten or twelve days leave the fkin fmooth and clean. Then the calomel may be omitted, and the fa¬ livation permitted to go off fpontaneoufly. A dram of corrofive fublimate diffolved in an ounce of rum or brandy, and the folution daubed on the yaws, will, it is faid, in general clear the fkin in two days time. After the falivation, fweat the patient twice or thrice in a frame or chair with fpirits of wine 5 and give an alterative eleftuary of aethiops and gum guaiac. He may likewife ufe the decodlion of guaiacum and faffa- fras fermented w-ith melaffes, for his conflant drink while the ele&uary is taking, and a week or a fort¬ night after the elecfluary is finilhed. The mafler-yaw mull be confumed an eighth or a tenth part of an inch below the fkin, with Mcrcur. cor- rof. rub. et alum. ujl. part, cequal. and digelled with ling. bafil.Jlav. §j. and mercur. corrof. rub. 3j- and ci¬ catrized with lint preffed out of fpirits of wine, and with the fulphate of copper. After the yaws are cured, fome patients are afflicfled with carbuncles in their feet 5 which fometimes render them incapable of walking, unlefs with pain. 1 he method of cure is, by bathing and paring to deftroy the cuticle, and then proceed as in the mafter-yaw. The gentle efcharotics are to be preferred; av 1 imaginable care is to be taken to avoid the tenui . periofteum. To children under fix or feven years old, at the per time of falivating, when the yaws are come to their full growth, give a grain or two of calomel in white iugar, once a-day, once in two days, or once in three days, fo as only to keep their mouths a little fore till the yaw^s dry, and, falling off in white fcales, leave the Ikin clean. This fucceeds always, but requires a longer time than in adults. In St Domingo they are falivated by umflion ; but it does not appear that fuccefs always followed this pracflice. It is alfo ufual in that bland to give the So¬ lution of corrofive fublimate along with a decoction of farfaparilla. Twelve ounces of this root, and 12 pounds of the coarfeff Sugar, macerated for 15 days in 12 quarts of wrater, is mentioned as a fpecific, and faid to be the prefcription of an Englifh phyfician ; the dofe is four ounces every fixth hour. Genus XC. TRICHOMA. The Plica Polonica, or Plaited Hair. Trichoma, Sauv. gen. 3II. Sag. 137. Plica, Lin. 313. Plica five Rhopalofis, Vog. 323. This diforder is only met with in Poland and Lithu¬ ania, and confifts of feveral blood-veffels running from the head into the ends of the hairs ; which cleave toge¬ ther, and hang from the head in broad flat pieces, ge¬ nerally about an ell in length, but fometimes they are 3 I 2 Avp 355 43<5 M E D I Impetigines five or fix yards long } one patient has tnci'e or lefs of thefe, up to 20, and fometimes 30. They are painful to the wearer, and odious to every fpe£tator. At the approach of winter an eruptive fever happens to many in thefe countries : the eruptions principally infdl the head, and when at the height an ichorous humour flows from them. In this ftate they are too tender to admit of being touched, and the matter running down the hairs mats them together j the Ikin by degrees, break¬ ing, the ramifications of the capillary veffels following the courfe of the hair, or prolonged out of the Ikin, are increafed to a vaft length. No method of relief is yet known ; for if the dif- charge be checked, or the veflels cut oft, the confe- quence is an increafe of more rmierable fymptoms, and in the end death. Sennertus fays, rvhen all the morbid matter is thrown out of the body the plicae fall oft" fpon- taneoufly. He further obferves, that the only fafe prac¬ tice in this cafe is, to follicit the peccant matter to the hairs, to which it naturally tends ; and that this is belt anfwered by lotions of bear’s-breech. Some fay that a deco&ion of the herb club-mofs, and its feeds, with which the head is to be walhed, is a fpecific. 3S6 Genus XCI. ICTERUS. The "Jaundice. I&erus, Lin. 224. Vog. 306. BoerJi. 918. Junch. 90. Aurigo, Sauv. gen. 306. Sag. 132. Cachexia idlerica, Hojfrn. III. 301. Defcription. The jaundice firft (hows itfelf by a lift- leffnefs and want of appetite, the patient becomes dull, opprefted, and generally coftive. Thefe fymptoms have continued but a very ftiort time, when a yellow colour begins to diftufe itfelf over the tunica albuginea, or white part of the eye, and the nails of the fingers } the urine becomes high coloured, with a yellowifti le- diment capable of giving a yellow tindl to linen j the ftools are whitifh or gray. In fome there is a moft violent pain in the epigaftric region, which is confider- ably increafed after meals. Sometimes the patient has a continual propenfity to fleep j but in others there is too great watchfulnefs *, and fometimes the pain is fo great, that though the patient be fleepy he cannot compofe himfelf to reft. The pains come by fits ; and mort women’who have had the jaundice and born chil¬ dren, agree, that they are more violent than labour- pains. As the difeafe increafes, the yellow colour be¬ come6' more and more deep ; an itching is felt all over the Ikin •, and even the internal membranes of the vif- cera, the bones, and the brain itfelf, become tinged, as hath been fhown from diftedfions, where the bones have been found tinged fometimes for years after the jaun¬ dice has been cured. In like manner, all the fecretions are affedled with the yellow colour of the bile, which in this difeafe is diffufed throughout the whole mafs of fluids. The fa- liva be comes yellowith and bitter •, the urine exceflively high coloured, in fuch a manner as to appear almoft black ; nay, the blood itfelf is fometimes faid to ap¬ pear of a yellow colour when drawn from a vein •, yet Dr Heberden fays, that he never faw the milk altered in its colour, even in cafes of very deep jaundice. In C I N E. Practice. procefs of time the blood begins to acquire a tendency is. to diflblution and putrefadfion ; which is known by —-y—J the patient’s colour changing from a deep yellow to a black or dark yellow. Haemorrhages enfue from vari¬ ous parts of the body, and the patients frequently die of an apoplexy •, though in fome the difeafe degene¬ rates into an incurable dropfy ; and there have not been wanting inftances of fome who have died of the droply after the jaundice itfelf had been totally removed. Caufes. As the jaundice coniifts in a diffufion of the bile throughout the whole fyftem, it thence fol¬ lows, that whatever may favour the diftufion is alio to be reckoned among the caufes of jaundice. Many dif- putes have arifen concerning the manner in which the bile is introduced into the blood \ but it is now general¬ ly agreed that it is taken up by the lymphatics of the gall bladder and biliary dudts. Hence, a jaundice may arife from any thing obftrucling the pafi'age of the bile into the duodenum, or from any thing which alters the ftate of the lymphatics in fuch a manner as to make them capable of abforbing the bile in its na¬ tural ftate. Hence the jaundice may arife from feirrhi of the liver or other vifccra prefling upon the biliary drifts, and obftrufting the paffage of the bile ; from flatus diftending the duodenum, and {hutting up the entrance of the duftus communis choledochus into it \ from the fame orifice being plugged up by vilcid bile, or other fordes 5 but by far the moft frequent caufe of iaundice is the formation of calculi, or more properly biliary concretions : for although they w7ere long ccn- fidered as being of a calcareous nature, yet more accu¬ rate experiments have now7 demonftrated, that they ccn- fift principally of a febaceous matter j accordingly, while they are fo light as to fwim in water, they are alfo highly inflammable. Thefe are found of almoft all fizes, from that of a fmall pea to that of a walnut, or bigger : they are of different colours •, and fometimes appear as if formed in the inward part by cryftalliza- tion, but of lamellae on the outer part ; though fome¬ times the outw7ard part is covered with rough and ftiining cryftals, while the inward part is lamellated. Thefe enter into the biliary dufts, and obftruft them, caufing a jaundice, with violent pain for fome time 5 and wTich can be cured by no means till the concretion is either paffed entirely through the duftus communis or returned into the gall-bladder. Sometimes, in the opinion of many celebrated phyficians, the jaundice is occafioned by fpafmodic conftriftions of the biliary dufts •, but this is denied by ethers, and it is not yet afeertained whether thefe dufts are capable of being affefted by fpafm or not, as the exiftence of mufcular fibres in them has not with certainty been difeovered. It cannot, however, be denied, that violent fits of paf- fion have often produced jaundice, fometimes tempora¬ ry, but frequently permanent. This has been by fome deemed a fuflficient proof of the fpafmodic contraftion of the dufts *, but their opponents fuppofed, that the agitation occafioned by the paflion might puftr fonvard fome biliary concretion into a narrow part of the duft, by which means a jaundice would certainly be pro¬ duced, till the concretion was either driven backward or fonvard into the duodenum altogether. But even fuppofing the dufts themfelves to be incapable of fpafm, yet there can be no doubt that by a fpafm of the in- teftines biliary concretions may be retained in the dufts; and Praftice. M E D I Impetigin -- an(l indeed it is principally where the daft entering "-V"— obliquely into the inteftine forms as it were a fpecies of valve that thefe concretions are retained. In a very relaxed date of the body there is alfo an abforption of the bile, as in the yellow fever •, and in¬ deed in all putrid diforders there is a kind of yellowifli tin ft over the ikin, though much lefs than in the true jaundice. The reafon of this is, that in thefe difor¬ ders there is ufually an increafed fecretion of bile, commonly of a thinner confidence than in a healthy Hate, while the orifices of the lymphatics are probably enlarged, and thus ready to abforb a fluid foraewhat thicker than what they ought to take up m a healthy ft ate ; but thefe diforders are of fliort duration in c©m- parifon with the real jaundice, which fometimes lafts for many years. Thefe affeftions, however, cannot with propriety in any cafe be confidered as real in- ftances of jaundice j for, to conftitute that difeafe bile muft not only be prefent in the blood, but wanting in the alimentary canal. It is obfervable, that women are more fubjeft to jaundice than men, which probably arifes from their more fedentary life j for this, together with fome of the deprefling paflions of the mind, is found to pro¬ mote the acceffion of the difeafe, if not abfolutely to produce it. Pregnant women alfo are frequently at¬ tacked by the jaundice, which goes off after their de- livery. Prognojis. As jaundice may arife from many dif¬ ferent caufes, fome of which cannot be difcovered du¬ ring the patient’s life, the prognofis muft on this ac¬ count be very uncertain. 1 he only cafes which admit of a cure are thole depending upon biliary concretions, or obftruftions of the biliary dufts by vifcid bile ; for the concretions are feldom ot fuch a fize tnat tne du$s will not let them pals through, though frequent¬ ly not without extreme pain. Indeed this pain, thougn fo violent, and almoft intolerable to the flck perfon, affords the bell prognofis 5 as the phyfician may rea¬ dily affure his patient that there is. great hope of his being relieved from it. 1 he coming on of a gentle diarrhoea, attended with bilious ftools, together with the ceffation of pain, are fignsof the difeafe being cured. We are not, however, always to conclude, becaufe the difeafe is not attended with acute pain, that it is there¬ fore incurable j for frequently the paffage of a concre¬ tion through the biliary dufts is accompanied omy with a fenfation of flight uneafinefs. Cure. The great objeft to be aimed at in the cure of jaundice is unqueftionably the removal of the caufe which obflrufts the paffage of bile into the inteftines : But before this can be accompliflied, praftices are of- * tenneceffary for alleviating urgent fymptoms; which may be done fometirnes by lupplying the want of bile in the alimentary canal, fometimes by affording an exit for bilious matter from the general ma.s of blood, but moft frequently by obviating the effefts of diften- tion and obftruftion to the circulation in the fy Idem of the liver. The meafures to be employed for the removal of the obftruftion muft depend very much on the nature o the obftrufting caufe. When the jaundice arifes from indurated fwellings or fcirrhi of the vifcera, it is .abfolutely incurable ; ne,- CINE. verthelefs, as thefe cannot always be difcovered, the phyfician ought to proceed in every cafe of jaundice as ' 1? W _ f „ . 1 II r S ' U I /I ^ /-wi 11 ro c 1a T I if it arofe from calculi. The indications here are, 1. Lo diffolve the concretionsj and, 2. lo prevent their for¬ mation a fecond time. But unhappily the medical art has not yet afforded a folvent for biliary concre¬ tions. They cannot even be diffolved when tried out of the body either by acids or alkalies, or any thing but a mixture of oil of turpentine and ipirit of wine j and thefe fubftances are by far too irritating to be given in fufficient quantity to afteft a concretion in the biliary dufts. Boerhaave obferves, that difeafes of the liver are much more difficult to cure than thole in any other part of the body 5 becaufe of the ditu- culty there is in getting at the part affefted, and tne tedious and round-about paffage the blood has to it. The juice of common grafs has indeed been recom¬ mended as a fpecific in the jaundice, but on no good foundation. Gliffon obferves, that blame cattle aie fubjeft to biliary concretions when fed with hay or dried ftraw in winter, but are cured by the lucculent grafs in the fpring j and Van Swieten tells a ftrange ftory of a man who cured himlelf of the jaundice by living almoff entirely on grafs, of which he devoured fuch" quantities, that the farmers w-ere wont to drive him out of their fields j but other praftitioners have by no means found this in any degree effectual. . I he only method of cure now attempted in the jaundice is- to expel the concretion into the inteftines} for which vomits and exercife are the principal medicines. 1 he former are juftly reckoned the moft efticacious medi¬ cines, as they powerfully ihake all the abdominal and thoracic vifcera 5 and thus tend to diilodge any ob¬ ftrufting matter that may be contained in them. But if there'’be a tendency to inflammation, vomits mud not be exhibited till bleeding has been premifed. We muft alfo proceed with caution if the pain be very (harp j for in all cafes where the difeafe is attended with violent pain, it will be neceffary to allay it by opiates before the exhibition of an emetic. I here is alfo danger, that, by a continued ufe of vomits, a concre¬ tion which is too large to pafs, may be lo impafted in the dufts, that it cannot even be returned into the gall¬ bladder, which would otherwife have happened.. . In all cafes, therefore, if no relief follows the exhibition of the fecond or third emetic, it. will be prudent to for¬ bear their farther ufe for fome time. Of all kinds of exercife, that of riding on horleback is moft to be depended upon in this oileafe. It ope¬ rates in the fame manner with vomits, namely, by th* concuffion it gives to the vifcera. j and tnerefore the cautions neceflary to be obferved in the ufe of vomits are alfo neceflary to be obferved in the tue of riding. Cathartics alfo may be of fe.rvice, by cleanfing the privies vice, and foliciting a diicharge of the bile into the inteftines but they muft not be of too draftic .1 nature, elfe they may produce incurable obftruftions, by bringing forward concretions that are too. large to pafs. Anodynes and the warm batn are ferviceabie bv their relaxing quality't and there can be no aoubt, that, from afting as powerful antifpaanodics, they often give an opportunity for the difeharge of concretions by very flight caufes, when they would otherwife be firmlv retained. Soap has been fuppofed to do fervice '■ as 4 M £ D I Pvffefthe- as a folvent j but this is now found to be a miftake, and ii9e- it a£ls in no other way than as a relaxant or as a gentle purgative. Eut when all means of relief fail, as in cafes of fcir- rhus, we can then only attempt to palliate the fymp- toms, and preferve the patient’s life as long as polhble. This is beft ac compliihed by diuretics •, for thus a great quantity of bilious matter is evacuated, and the fyftem h freed from the bad confequences which enfue on its flagnation in the habit. But even this is by no means equal 1:0 the common evacuation by ftool j nor can all the attempts to fupply the want of bile in the mteftines by bitters and other ftomacbics reftore the patient to his wonted appetite and vigour. If the pain be very violent, we mud on all occalions have recourfe to opiates •, or if the blood has acquired a tendency to diffolution, it muft be counteradled by proper anti- feptics. If the difeafe goes off, its return muff be prevented by a courfe of tonic medicines, particularly the cin¬ chona and antifeptics: but we can by no means be certain that the jaundice will not return, and that .at any interval ; for there may be a number of concre¬ tions in the gall-bladder, and though one has paffed, another may very quickly follow, and produce a new7 fit of jaundice *, and thus fome people have continued to be affe&ed with the diftemper, at Ihort intervals, during life. In the Eaft Indies, mercury has been lately recom¬ mended as exceedingly efficacious in diforders of the liver, efpecially thofe which follow intermitting and remitting fevers. Dr Monro, in his Obfervations on •the means of preferving the health of foldiers, acquaints us, that he has feen fome idleric cafes which, he thought, received benefit from taking a few grains of the fub- murias hydrargyri at night, and a purge next morning j and this repeated two or three times a-week. Infants are fubjeft to a temporary jaundice, com¬ monly called the gum, foon after birth ; the caufe of which is not well underftood. It differs remarkably from the common jaundice j as, in the latter, the dif¬ eafe is firft difcoverable in the white of the eyes} but though the Ikin of infants in the gum is all over yel¬ low, their eyes always remain clear. The diforder goes off fpontaneoufly, or by the ufe of a gentle pur¬ gative or two. Class IV. LOCALES. Vitia, Saui). Clafs I. Lin. Clafs XL Vog. Clafs X. Sag. Clafs. I. Plagae, Sag. Clafs II. Morbi organic! Auftorum. Order I. DYSESTHESIA. Dvfaefthefiae, Saw. Clafs VI. Ord. I. Sag. Clafs IX. Ord. I. Genus XCII. CALICO. The Cataract. Caligo, Sauv. gen. 153. Vog. 288. Sag. gen. 259. Catarafta, Lin, 109. 4 C I M E. Pra&ice, A cataraB is an obftru&ion of the pupil, by the in- Amaurofk terpofition of fome opaque fubftance which either di- v miniffies or totally extinguifhes the fight. It is ge¬ nerally an opacity in the cryilalline humour. In a re¬ cent or beginning cataraB, the fame medicines are to be ufed as in the gutta ferena ; and they will fometimes fucceed. But when this does not happen, and the ca- taraft becomes firm, it muft be couched, or rather ex- tradled 5 for which operation, fee Surgery.—Dr Buchan fays he has refolved a recent catarafl by giving the patient fome purges with calomel, keeping a poul¬ tice of freffi hemlock conftantly upon the eye, and a perpetual blifter on the neck. There is, however, but little reafon to fuppofe that thefe practices will frequently fucceed. A refolution can only be effecled here by an abforption of the opaque matter ; and where this is poffible, there is per¬ haps a better chance of its being effefled by the agency of the elcftric fluid than by any other means. For this purpofe eleflricity is chiefly applied under the form of the eleBric aura, as it has been called } but even this is very rarely fuccefsful. Genus XCIII. AMAUROSIS. 360 The Gutta Serena. Amaurofis, .SVzw-u. gen. 155. Lin. no. Vog. 238. Sag. 261. Amblyopia, Lin. 108. Vog. 236. A gutta ferena is an abolition of the fight without any apparent caufe or fault in the eyes. In every cafe it depends on an affe£Hon of fome part of the optic nerve. But the affeftions which may produce this difeafe are of different kinds. When it is owing to a decay or wafting of the optic nerve, it does not admit of a cure j but when it proceeds from a compreffiou of the nerves by redundant humours, thefe may be in fome meafure drained off, and the patient relieved. For this purpofe, the body muft be kept open with the laxative mercurial pills. If the patient be young, and of a fanguine habit, he may be bled. Cupping with fcarifications on the back part of the head will likewife be of ufe. A running at the nofe may be promoted by volatile falts, ftimulating powders, &c. But the moft likely means of relieving the patient, are iffues or blifters kept open for a long time on the back part of the head, behind the ears, or on the neck ; which have been known to reftore fight even af¬ ter it had been for a confiderable time loft.—Should thefe fail, recourfe muft be had to a mercurial faliva- tion j or, what will perhaps anfwer the purpofe better, 1 2 grains of the corrofive fublimate mercury may be diffolved in an Englifh pint and a half of brandy, and a table fpoonful of it taken twice a-day, drinking half * a pint of the decoftion of farfaparilla after it.—Of late eleftricity has been much celebrated as efficacious, when no other thing could do fervice ; and here it has in fome degree the fame chance of fuccefs as in other cafes of infenfibility, depending on an affeflion of the nerves, in fome of which it has certainly in particular cafes been of ufe. In the amaurofis, Dr Porterfield obferves, that it is of the utmoft confequence to know of how long Hand¬ ing the difeafe has been } which is not always eafily done if one eye only be affefted. This is a very effen- tial Practice. M E D I Dyfsefthe- tial point j becaufe an amaurofis of long (landing is al- fiae. together incurable. Pvlr Boyle mentions the cafe of a ila(j a catarafl for feveral years without know¬ ing it himfelf, though others did. He difcovered it at laft by happening to rub his found eye, and was fur- prifed to find himfelf in the dark. When a perfon therefore has a gutta ferena only in one of the eyes, he may think that the eye has but lately loft the power of fight j though this perhaps has been the cafe for feveral years. On the other hand, he may imagine that a re¬ cent difeafe of this kind is really of long Handing. But by inquiring at what time he firft became fubjedl to miftakes in all adlions that require the diftance to be exadlly diftinguifhed, as in pouring liquor into a glafs, fnuffing a candle, or threading a needle, we may difcover the age of the difeafe, and thence be aflifted to form a more juft prognoftic with refpedl to its cure. Dr Porterfield gives an inftance of his conjecluring in this manner concerning the cafe of a young lady who had difcovered a lofs of fight in one of her eyes only the day before. The difeafe was thought to be of long Handing ; but as the dodlor found that fhe had only been fubjedt to miftakes of the kind above mentioned for about a month, he drew a favourable prognoftic, and the difeafe was cured. 361 Genus XC1V. DYSOPIA. Defrayed Vision. CINE. This diforder may proceed from various caufes both natural and accidental, fome of which admit of no re¬ medy. If it be occalioned by a partial adhefion of the eyelids, the hand of the furgeon is required : if by a tranfverfe polition of the pupil, fome mechanical con¬ trivance is neceffary. If it be owing to an albugo co¬ vering part of the pupil, or to a film rendering a por¬ tion of (the cornea opaque, the remedies for thefe af- fedlions are to be here applied.' Genus XCV. PSEUDOBLEPSIS. Imaginary Vision of Objedts which do not exift. Suffufio, Sauv. gen. 217. Sag. 329. Phantafma, Lin. 73. Sag. 289. This very often takes place when the body is dif- eafed, and then the patient is faid to be delirious. Sometimes, however, in thefe cafes, it does not amount to delirium ; but the perfon imagines he fees gnats or other infedls flying before his eyes j or fometimes, that every thing he looks at has black fpots in it, which laft is a very dangerous fign. Sometimes alfo fparks of fire appear before the eyes) which appearances aro not to be difregarded, as they frequently precede apo¬ plexy or epilepfy. Sometimes, however, people have been affedted in this manner during life without feeling any other inconvenience. Such a dilorder can rarely if ever be cured. 439 Paracufis. $61 Amblyopia, Sauv. gen. 154. Sag. 258. There are feveral fpecies referred to this genus by Dr Cullen, viz. 1. Dgfopia Tenebrarum ; 2. Dyfopia Luminis.— The former of thefe is properly the nytlalofna, or night- blindnefs, of ancient authors. But amongft both the Greek and Latin writers, there is a diredl oppofition in the ufe of this word nyBalofna ; fome faying it fig- nifies “ thofe who cannot fee by night,” and others ex- prefs by it “ thofe who cannot fee during the day, but during the nightV—The difference in the account of this diforder, as to its appearing in the night or in the day, is reconciled by confidering it as of the in¬ termitting kind : the difference then will confift in the different times of its approach 5 fo it may be called/>e- riodicalblindnefs. Intermittents appearing in a variety of modes, and the fuccefs of cinchona in fome inftances of this fort of blindnefs, both favour the opinion of its being an intermittent difeafe of the eyes \ and this view has accordingly been taken of it by fome late writers, particularly in fome papers in the London Me¬ dical Obfervations, and Medical Franladtions. 3. Dyfo/)ia Proximorvm (PrejbytiaJ), or the defeat of thofe who fee only at too great diftance. 4 ^yfJ~ pia Dissitorum (Myopia), or the defedt of thofe who are Jhortfghted.— I hefe are diforders which depend on the original ftrudlure or figure of the eye,, therefore admit of no cure. T he inconveniences arifing from them may, however, be in fome meafure remedied by the help of proper glaffes. I he former requires the aid of a convex, and the latter of a concave glafs. 5. Dyfopia Lateralis ; a defefl by wdiich obiefls cannot be viewed diftindlly but in an oblique pofition. -—Thus, in viewing an objedl placed on the left, they turn their face and eyes to the right, and vice verfa. Genus XCVI. DYSECCEA. Deafness, or Difficulty of Hearing. Genus XCVII. PARACUSIS. Depravation of Hearing. Paracufis, Sauv. gen. 159. Sag. 265. Syrigmus, Sauv. gen. 2x9. Sag. 231. The functions of the ear may be injured by wounds, ulcers, or any thing that hurts its fabric. I he hear¬ ing may likewife be hurt by exceflive noife ; violent colds in the head*, fevers j hard wax, or other fub- ftances fticking in the cavity of the ear} too great a degree of moiilure or drynefs of the ear. Dealnefs is very often the effedl of old age, and is incident to moft people in the decline of life. Sometimes it is ow¬ ing to an original fault in the ftrudlure or formation of the ear itfelf. When this is the cafe it admits of no cure 5 and the unhappy perfon not only continues deaf, but generally likewife dumb, for life. When dealnefs is the effedl of wounds or ulcers of the ears, or of old age, it is not eafily removed. When it proceeds from cold applied to the head, the patient mull be careful to keep his head warm, efpe- cially in the night * he ftiould likewife take /ome gen- tie purges, and keep his feet warm, and bathe them freauently in lukewarm water at bedtime. When deafnefs is the effed of a fever, .it generally goes off after the patient recovers. If it proceed from dry wax fticking in the ears, it may be foftened by drop¬ ping oil into them ; afterwards they mull be fyringed with warm milk and water. If deafnefs proceeds from drynefs of the ears, which. may,. 3^3 3*4 440 MEDICINE. Pra&ice. Dyfasfthe- may be known by looking into them, half an ounce of the oil of fweet almonds, and the fame quantity oi v camphorated fpirit of wine, or tmfiture of afafoetida, may be mixed together, and a few drops of it put into the ear every night at bedtime, Hopping them after¬ wards with a little wool or cotton. Some, inftead ot oil, put a fmall flice of the fat of bacon into each ear, which is faid to anfwer the purpofe very well.—When the ears abound with moifture, it may be drained olt by an iffue or feton, which fliould be made as near the affedled parts as podible. , , ,, Some, for the cure of deafnefs, recommend the gall of an eel mixed with fpirit of wine, to be dropped in¬ to the ear 5 others, equal parts of Hungary water and fpirit of lavender. Etmullgr extols amber and muik j and Brookes fays, he has often known ha'rdnefs ot hearing cured by putting a gram or two ol mufic in¬ to the ear vuth cotton wool. . Where, however, an application wuth confiderable ftimulant power is nece - fary, camphorated oil, with the addition of a few drops of volatile alkaline fpirit, may be confidered. as one o the bed. It is proper, however, to begin with a Imall quantity of the alkali, increafing it as the ear is found to bear it. In fome indances, where deameis depends on a date of infenfibility in the nerves, ekaricity, par¬ ticularly under the form either of Iparks or or the elec¬ tric aura, has been employed with great fuccefs. Great benefit has alfo in fome cafes been derived from gal- vanifm. But thefe and other applications mud be varied according to the caufe of the diforder. . Though fuch applications may fometimes be ot ier- vice, yet they much oftener fail, and frequently they do hurt. Neither the eyes nor ears ought to be tam¬ pered with } they are tender organs, and require a very delicate touch. For this reafon, what we would chiel- ly recommend in deafnefs, is to keep the head warm. From whatever caufe this diforder proceeds, this is. al¬ ways proper; and more benefit has often been derived from it alone, in the mod obdinate cafes of deafnefs, than from any medicines whatever. them. Few things are more hurtful to the fenfe of _ Agcufti;;. fmelling than taking great quantities of mad. Cure. When the nofe abounds with moidure, after gentle evacuations, luch things as tend to take od irritation and coagulate the thin fiiarp lerum may be applied-, as the oil of anife mixed with fine dour, camphire diflfolved in oil of almonds, &c. The vapours of amber, frankincenfe, gum madic, and benzoin, may likewife be received into the nofe and mouth. lor moidening the mucus when it is too dry, iome recom¬ mend fnuff made of the leaves of marjoram, mixed with oil of amber, and anifeed ; or a dernutatory of calcined fulphate of zinc, I 2 grains of which may be mixed with tw’o ounces of marjoram-water and hltramd. 1 n~ deam or vapour of vinegar thrown upon hot iron re¬ ceived up the nodrils is like wile ot ufe tor loftening the mucus, opening obflru&ions, &c. If there be an ulcer in the noife, it ought to oe dreffed with fome emollient ointment, to which, if the pain be very great, a little laudanum may be added. If it be a venereal ulcer, it is not to be cured without mercury. In that cafe, the dilution of the cavrolive fublimate in brandy may be taken, as directed in the gutta ferena. The ulcer ought likcwife to be walked with it; and the fumes of cinnabar may be received up the nodrils. . If there be reafon to fufpea that, the nerves which fupply the organs of fmelling are inert or want, ik- mulating, volatile falts, drong funds, and otiiei things which occafion fneezing, may be applied to the noie. The forehead may- likewife by anointed witn balfam of Peru, to which may be added a little ot the oil of amber. Genus XCIX. AGEUSTIA. DefeSi of Tasting. Sag. 263. Ageudia, Sauv. gen. 157 Ageudia, Lin. 114. Annerenfis. Vop* z!4.Q« 166 Genus XCVIII. ANOSMIA. DefeSi of Smelling. Anofmia, Sauv. gen. 156. Lin. 113* V°8' 24^* Sag. 262. Caufes. Morbid affe&ions in the fenfe of fmelhng, may be confidered with refpea to their caufes, as arif- ing from one of two fources 5 either from fome orga¬ nic affedion of the parts here principally concerned, or from a mere atonic date of the part? without any obvious affedion. The fenfe of fmelling may be di- minilhed or dedroyed by various difeafes of the parts as, the moidure, drynefs, inflammation or fuppuration of that membrane which lines the inlide of the nofe commonly called the olfaSiory membranethe compref- fion of the nerves which fupply this.membrane, or fome fault in the brain itfelf at their origin. A defed, or too great a degree of folidity, of the fmall fpongy bones of the upper jaw, the caverns of the forehead, Eoay likewife impair tne fenfe of fmelhng. It may alfo be injured by a collcdion of fetid matter in thofe caverns, which keeps condantly exhaling from Caufe. This difeafe alfo may arife either from an organic affedion, or an atonic hate of the parts. ^ I he tade may be diminidied by cruds, filth, mucus, aphthae, pellicles, warts, &c. covering the tongue ; it may be depraved by a fault of the ialiva, which, being di|-^ charged into the mouth, gives the fame fenfation as if the food which the perfon takes had really a bad tade ; or it may be entirely dedroyed by injuries done to the nerves of the tongue and palate. Few things prove more hurtful either to the fenfe of lading or fmell¬ ing than obdinate colds, efpecially thofe which affed the head. Cure. When the tade is dimmidied by filth, mu¬ cus, &c. the tongue ought to be feraped, and fre¬ quently Wadied with a mixture of water, vinegar, and honey, or fome other detergent. When the faliva is vitiated, which feldom happens unlefs in fevers or other difeafes, the curing of the diforder is the cure of this fymptom. To relieve it, however, in the mean time, the following pradices may be of ufe : if there be a bitter tade, it may be taken away by vomits, purges, and other things which evacuate bile : what is called a nidorous tafe, arifing from putrid humours, is 2 Practice. Dyibrexiffi. is corre^ed by tbs juice of citrons, oranges, and other -v— acids : a fait tafte is cured by plentiful dilution with watery liquors : an acid tafte is deftroyed by abforbents and alka'ine falts, as powder of oyfter-ftiells, fait of wormwood, &c. When the fenfibility of the nerves which fupply the organs of tafte is diminilhed, the chewing of horfe- radilh, and or other ftimulating fubftances, will help to recover it. MEDICINE. 3*7 3** 36? Genus C. ANAESTHESIA. t)efeB of the Senfe of Feeling. Sauv. gen. 161. Lin. 21$. Fog. 26J. Caufes, &c. This fenfe may be hurt by any thing that obftru£ls the nervous influence, or prevents its being regularly conveyed to the organs of touching, as preflure, extreme cold, &c. It may likewife be hurt by too great a degree of fenfibility, when the nerve is not fufficiently covered by the cuticle or fcarf- Ikin, or where there is too great a tenfton of it, or it is too delicate. Whatever diforders the fundtions of the brain and jierves, hurts the fenfe of touching. Hence it appears to proceed from the fame general caufes as palfy and apoplexy, and requires nearly the fame method of treatment. In a fiupor, or defed of touching, which arifes from an obftruftion of the cutaneous nerves, the .pa¬ tient muft firft be purged ; afterwards fuch medicines as excite the adlion of the nerves, or ftimulate the fy- ftem, may be ufed. For this purpofe, the fpirit of hartftiorn, either by itfelf or combined with effential oils, horfe-radilh, &c. may be taken inwardly, the difordered parts, at the fame time, may be frequently rubbed with frefti nettles or fpirit of fal ammoniac. Blifters and fmapifms applied to the parts will likewife be of ufe ; and alfo warm bathing, efpecially in the na¬ tural hot baths. Order II. DYSOREXIiE. are many circumftances which ieem to render it pro¬ bable that it more frequently arifes from a morbid condition of the fecreted fluid poured into the fto- mach, by means of wdiich the aliment is diflblved. When the adivity of this fluid is morbidly increafed, it will both produce too hidden a folution of the folid aliment, and likewife operate as a poweiful and pecu¬ liar ftimulus to the ftomach, giving an uneafy fenfa- tion, fimilar to that which takes place in natural hun¬ ger. Such things are proper for the cure as may en¬ able the ftomach to perform its office : chalybeates and other tonics will generally be proper. In fome, brandy drunk in a morning has been ufeful 5 and frequent fmoking tobacco has relieved others. Oil, fat meat, pork, opiates, and in fhort every thing which in a found perfon wmuld be moft apt to pall the appetite, may alfo be ufed as temporary expedients, but cannot be ex- peded to perform a cure. In fome, the pylorus has been found too large j in which cafe the difeafe mull have been incurable. G^nus CII. POLYDIPSIA. Excessive Thirst. Bull 441 Sag. Polydipfia, Sauv. gen. 224* Sag. 336. Lin. 80. Vog. 275. Sect. I. APPETJTUS ERRONEI. Morofitates, Sauv. Clafs VIII. Order II. Clafs XIII. Order II. Patbetici, Lin. Clafs V. Order II. Hypersefthefes, Vog. Clafs VII. Genus Cl. BULIMIA. Insatiable Hunger, or Canine Appetite. Bulimia, Sauv. gen. 223. Lin. 19. Sag. gen. 33^. Bulimus, Vog. 296. Addephagia, Vog. 297. Cynorexia, Vog. 298. This difeafe is commonly owing to fome fault in the ftomach, by which the aliments are thrown out too foon ; and unlefs the perfon be indulged m his defire for eating, he frequently falls into fainting fits. Sometimes it is attended with fuch a ftate of the fto¬ mach, that the aliment is rejeded by vomit, almoft im¬ mediately after being fwallow d ; after which the ap¬ petite for food returns as violent as ever. But there Vol. XliL Part II. 37* This is almoft always fymptomatic *, and occurs in fever, dropfy, fluxes, &c. The cure is very generally obtained only by the removal of the primary difeafe j and it is beft palliated by the gradual introdudion of diluents : But when thefe are contraindicated, it may often be fuccefsfully obviated by fuch articles taken into the mouth as have effed in augmenting the flow of faliva. Genus CIII. PICA. Longing, or Falfe Appetite. Pica, Sauv. gen. 222. Sag. 334. Citta, Lin. 78. Allotriophagia, Vog. 299. Malacia, Vog. 300. The pica is alfo very generally fymptomatic of other difeafes, as of worms, chlorofis, pregnancy, &c.; and is therefore chiefly to be combated by the re- jnoval of the primary affedion. It may, however, be obferved, that peculiar longings occurring in certain difeafes, as for example in fevers, often point out a na¬ tural cure. The indulgence of fuch appetites to a moderate degree is feldom produdive of any incon¬ venience, and often followed by the beft confequence*. Hence there are fome praditioners who think that fuch craving fhould very generally be indulged j par¬ ticularly when the patient can afllgn no reafon what¬ ever for fuch particular longings, but is merely prompt¬ ed by an uncommon and inexplicable defire. Genus CIV. SATYRIASIS. Satyriafis, Sauv. gen. 228. Ltn. 81. Sag. 340. Satyriajis is a violent defire of venery in men, even fo that reafon is depraved by it. The pulfe is quick, and the breathing fliort ; the patient is fleeplefs, thirfty, 3 K and 37i 37* 44 2 MED! Pyforcxi*. ajul loathes his food j the urine is evacuated with dif- ficulty, and a fever loon comes on. Thefe fymptoms, however, are probably not fo much the confequence of fatyriafis, as merely concomitant effecls refulting from the fame caufe. And indeed this affection is moll frequently the concomitant of a certain modification of infanity. The nature and caufe of this affedrion are in moft inftances very little afcertained j but as far as we are acquainted with the treatment, it agrees very much with the affection next to be mentioned, which, of the two, is the moft common occurrence. >73 Genus CV. NYMPHOMANIA. Furor Utertnus. Nymphomania, Sauv. 229. Sag. 341. Satyriafis, Lzn. 81. The furor uterinus is in moft inftances ei.her a fpecies of madnefs or a high degree of hyfterics. Its immediate caufe is a preternatural irritability of the uterus and pudenda of women (to whom the diforder is proper), or an unufual acrimony of the fluids in thefe parts.-—Its prefence is known by the wanton behaviour ©f the patient : fhc fpeaks and adts with unreftrained obfcenity 5 and as the diforder increafes, fhe fcolds, cries, and laughs, by turns. While reafon is retained, {he is filent, and feems melanchol)’,- but her eyes dif- cover an unufual wantonnefs. '1 he fymptoms are bet¬ ter and worfe until the greateft degree of the diforder approaches, and then by every word and adlion her condition is too manifeft.—In the beginning a cure may be hoped for; but if it continue, it degenerates into a mania.—In order to the cure, blood-letting is common¬ ly recommended in proportion to the patient’s ftrength. Camphor in dofes of 15 or 20 grains, with nitre, and fmall dofes of the tindlure of opium, Ihould be repeated at proper intervals. Some venture to give cerufa aceta- ta in dofes from three to five grains. Befides bleeding, •cooling purges fhould alfo be repeated in proportion to the violence of fymptoms, &c. What is ufeful in ■maniacal and hypochondriac diforders, is alfo ufeful here, regard being had to fanguine or phlegmatic ha¬ bits, &c. When the delirium is at the height, give •opiates to compofe j and ufe the fame method as in a phrenitis or a mania. Injections of barley-water, wfith a fmall quantity of hemlock-juice, according to Rive- rius, may be frequently thrown up into the uterus: this is called^terz/fc ; but matrimony, ifpoffible, fhould be preferred. For although this cannot be reprefent- ed as a cure for the difeafe when in an advanced ftate, yet there is reafon to believe that it has not unfre- quently prevented it where it would otherwife have taken place., ■'374 Genus CVI. NOSTALGIA. Vehement Desire of revisiting one's Couutrt. Noftalgia, Awy. gen 226. Lin. Si,, 338. This is to be reckoned a fpecies of melancholy ; and unlefs it be indulged, it very commonly proves not only incurable but even fatal. Although it cannot be confidered as altogether peculiar to any nation, yet it is obferved to be much mote frequent with C I N E. Pradice. fome than with others \ and it has particularly been Noftalgia, remarked among Swifs foldiers in the fervice of foreign dates. Sect. II. slPPETITUS DEFICIENTES. * Anepithymioe, Sauv. Clafs VI. Ord, II. Sag. IX, Ord. II. Privativi, Lin. Clafs VI. Order III, Adynamite, Vog. Clafs VI. Genus CVII. ANOREXIA. ^ Want of jItpetite. Anorexia, Sauv. gen. 162. Lin. 116. Vog. 279. Sag. 268. The anorexia is fymptomatic of many difeafes, but feldom appears as a primary affedfion ; and it is very generally overcome only by the removal of the affedlioiv on which it depends. Genus CVIII. ADIPSIA. Want of Thirst. Adipfia, Sauv. gen. 163. Lin. 117. Vog. 281. Sag. 269. This by Dr Cullen is reckoned to be always fymn- tomatic of fome diftemper affedling the fenforium com¬ mune. Genus CIX. ANAPHRODISIA. Impotence to Venerp. Anaphrodifia, Sauv. gen. 164. Sag. 270. Atecnia, Lin. 119. Agenefia, Vog. 283. For this, fee the article Impotence in the alphabe¬ tical order. Order III. DYSCINESIiE. Genus CX. APHONIA. Lofs of Voice. Aphonia, Sauv. gen. 166. Lin. J15. Vog. 253, Sag. 272. The lofs of voice may proceed! from various caufes. If one of the recurrent nerves, which are formed by the par vagum and the nervus accef/bmus, and reach the larynx, be cut, the perfon is capable of only as it were a half-pronunciation ; but if both be cut, the fpeech and voice are both loft. The lofs of fpeech happening in hyfteric patients is alfo called aphonia ; but more properly that lefs of fpeech is thus named which depends on fome fault of the tongue. Since the motion of any part is deftroyed, or leflen- ed at Raft, by the interception of the nervous fluid in its paffage thither, and fince the nerves deftined for the motion of the tongue arife principally from the fifth pair, it appears that the feat of this diforder is in the fifth pair of nerves, and that the immediate caufo Practice. M E D I Dyforexise. is a diminution or total dellruftion of the nervous ' ■ ' power in them. Hence a palfy of the tongue, wliich is either antecedent or fubfequent to hemipledtic or apo¬ plectic diforders, demand our utmoft attention. If an aphonia appears alone, it generally befpeaks an approaching hemiplegia or apoplexy j but if it fuc- ceed thefe diforders, and is complicated with a weak memory and a fluggifhnefs of the mental powers, it threatens their return. That aphony ufually termi¬ nates the beft which proceeds from a ftagnation of fereus humours compreffmg the branches of the fifth pair of nerves, which run to the tongue j but it is no lefs affliftive to the patient, and is very obilinate of cure. Other caufes of this diforder are, the firiking in of eruptions on the Ikin, a congeftion of blood in the fauces and tongue, obltru&ed periodical evacuations in plethoric habits, fpafmodic affeftions, worms, a crumb of bread falling into the larynx, fear-, too free an ufe of fpirituous liquors; alfo whatever deftroys the liga¬ ments which go from the arytaenoid to the thyroid car¬ tilages, will deftroy the voice. The pro^nojiics vary according to the caufe. That fpecies which is owing immediately to fpafms, foon gives way on the removal of them. If a palfy of the tongue be the caufe, it is very apt to return, though relieved, but often continues incurable. In order to the cure, we muft endeavour firft to re¬ move whatever obftrufts the influx of the nervous fluid into the tongue, and fecondly to ftrengthen the weak parts. Thefe general intentions, in all cafes, being regarded, the particular caufes mult be removed by remedies accommodated to each. If worms be the caufe, antifpafmodics may give pre- fent relief j but the cure depends on the deftruftion or expulfion of the animals themfelves. In cafe of a con- geftion of blood about the head, bleeding and nitrous medicines are to be ufed.—That fpecies of aphony W'hich remains after the fhock of an hemiplegia or apo¬ plexy, requires blifters to be? applied to the nape of the neck ■, if fpafmodic conftrictions about the fauces and and tongue be-the caufe, external paregorics are of the greatefl fervice, anodyne antifpafmodics may be laid tinder the tongue, and the feet bathed in warm water ; carminative clyfters alfo are ufeful.—When a palfy of the tongue produces this complaint, evacuations, according to the patient’s habit, muft be made, and warm nervous medicines muft be externally applied, and internally adminiftered ; blifters alfo ftiould be placed between the (boulders.—In cafe of repelled cuticular eruptions, fudo- rifics ftiould be given, and the patient’s drink fhould be warm. The fpiritus ammoniae fuccinatus, or vi- num antimonii, may be employed either in combina¬ tion with other articles, or by themfelves, and given at proper diftances of time, in the patient’s drink, or on a bit of fugar.—Sometimes the ferum flows fo rapidly to the fauces and adjacent parts, in a falivation, as to deprive the patient of all power to fpeak •, in this cafe diaphoretics and laxatives, with a forbearance of all mercurials, are the fpeedieft remedies. 38* Genus CXI. MUTITAS. Dumbness. Mutitas, Sauv. gen. 165. Vog. 257. Sag. 271. CINE. 443 Dumb people are generally born deaf 5 in which cafe the diftemper is incurable by medicine : though even fuch people may be taught not only to read and write, but alfo to fpeak and to underftand what others fay to them. For fome obfervations on the method in which this has been accompliflied, we may refer the reader to the article Dumbness, in the alphabetical order. But in thefe cafes, admitting of cure in the manner above alluded to, the dumbnefs proceeds prin¬ cipally, if not folely, from the deafnefs. For when it proceeds from a defedl of any of the organs ne~ cefiary for fpeech, the tongue for inftance, it is al¬ ways incurable j but if it arife from a palfy, the medicines applicable in that cafe will fometimes re- ftore the fpeech. Mutitas. Genus CXII. PARAPHONIA. 38, Change in the Sound of the Voice. Paraphonia, Sauv. gen. 168. Cacophonia, Sag. 274. Raucedo, Lin. 146. Raucitas, Vog, 252. Afaphia, &c. Vog. 250, 251, 254, 255, 256. The voice may be changed from various caufes. Iu males it becomes much more hard about the time of pu¬ berty $ but this can by no means be reckoned a difeafe. In others it proceeds from a catarrh, or what we call a cold; it arifes alfo from affedtions of the nofe and pa¬ late, as polypi, ulcers, &c. in which cafe the cure be¬ longs properly to Surgery. In fome it arifes from a laxity of the velum pendulum fwlati and glottis which makes a kind of fnoring noife during infpiration. The cure of this laft cafe is to be attempted by tonics and fuch other medicines as are of fervice in difeafes at¬ tended wifh laxity. Genus CXIII. PSELLISMUS. 3S? DefeB in PRONUNCIATION. Pfellifmus, Sauv. gen. 1S7. Lin. 139. Sag. 273- Traulotis, &.c. Vog. 258, 259, 260, 261. Of this difeafe (if fuch it may be called), there are many different kinds. Some cannot pronounce the letter S ; others labour under the fame difficulty with RrL, M, K : &c.-, while fome who can with fuf- ficient eafe pronounce all the letters, yet repeat their words, or the firft fyllables of them, in fuch a ftrange manner, that they can fcarce be underftood. Very frequently thefe defedls arife entirely from habit, and may then be got the better of by thofe who have the refolution to attempt it ; as we are told that De- moffhenes the celebrated orator got the better of a habit of ftammering by declaiming with pebbles in his mouth. Sometimes, how'ever, pronunciation may be impeded by a wrong conformation of the tongue or organs of fpeech 5 and then it cannot by any pains whatever be totally removed. Genus CXIV. STRABISMUS. Squinting. Strabifmus, Sauv. gen. 116. Ldn. 304. Vog. 514. Sag. 222. 3 K 2 Defcription. 444 M E E> I Dyttinefise- Defcription. This difeafe fliows itfelf by an un- • ' common contraftion of the mufcles of the eye j where¬ by the axis of the pupil is drawn towards the nofe, temples, forehead, or cheeks, lo that the perfon can¬ not behold an objeft diredlly. Caufes, Prognq/is, &c. I. This difeafe may proceed from cultom and habit; while in the eye itfelf, or in its mufcles, nothing is preternatural or dete&ive. Thus children by imitating thofe that fquint, and infants by having many agreeable obje£ts prefented to them at once, which invite them to turn one eye to one and the other eye to another, do frequently con¬ trail: a habit of moving their eyes differently, which afterwards they cannot fo ealily correit. Infants likewife get a cuftom of fquinting by being placed obliquely towards a candle, window, or any other agreeable objeil capable of attracting their fight : for though, to fee the objeCt, they may at firfl: turn both eyes towards it} yet, becaufe fuch an oblique fituation is painful and laborious, efpecially to the mofl diftant eye, they foon relax one of the eyes, and content themfelves with examining it with the eye that is next it ; w'hence arifes a diverfity of fituation and a habit of moving the eyes differently. In this cafe, which may admit of a cure if not too much confirmed, it is evident, that objeCls will be feen in the fame place by both eyes, and therefore mull appear fingle as to other men •, but becaufe, in the eye that fquints, the image of the objeCl to which the other eye is direded falls not on the mofl fenfible and delicate part of the retina, which is naturally in the axis of the eye, it is eafy to fee that it mull be but faintly perceived by this eye. Hence it is, that w’hile they are attentive in viewing any objeft, if the hand be brought before the other eye, this objeCl wull be but obfcurely feen, till the eye change its fituation and have its axis direCled to it •, which change of fitu¬ ation is indeed very eafy for them, becaufe it depends on the mufcles of the eyes, whofe funClions are entire; but, by reafon of the habit they have contraCled of moving their eyes differently, the other eye is at the fame time frequently turned afide, fo that only one at a time is direfted to this objeft. y II. The Jirabifmus may proceed from a fault in the firfl: conformation, by w’hich the mofl delicate and fenfible part of the retina is removed from its natural fituation, which is diredlly oppolite to the pupil, and is placed a little to a fide of the axis of the eye ; which obliges fuch people to turn away the eye from the objeCl they would view, that its piClure may fall on this moft fenfible part of the organ. When this is the cafe, the difeafe is altogether in¬ curable, and the phenomena that arife therefrom differ in nothing from the phenomena of the former cafe, excepting only that here, I. The objeft to which the eye is not diredled will be beft feen ; which is the re- verfe of what happens when this difeafe arifes barely from habit and cuflsm. 2. No object will appear altogether clear and diflindl : for all objetfls to wThich the eye is direCfed, by having their image painted in the retina at the axis of the eye, w’here it is not very fenfible, will be but obfcurely feen ; and objefts that are placed fo far to a fi le of the optic axis as is ne- ceffary for making their image fall on the moft fenfible and delicate part of the retina, muft appear a little CINE. Pradice, confufed, becaufe the feveral pencils of rays that come Strabifrnus. therefrom fail too obliquely on the cryttalline to be v accurately collefted in fo many diflindf points of the retina; though it mult be acknowledged, that this confufion will, for the moft part, be fo fmall as to efcape unobferved. III. This difeafe may proceed from an oblique po« fion of the cryftalline, where the rays that come di- redlly to the eye from an objedft, and that ought to converge to the point of the retina, which is in the axis of the eye, are, by reafon of the obliquity of the cryftalline, made to converge to another point on that fide of the vifual axis where the cryftalline is mofl elevated ; and therefore the objeft is but obfcurely feen, becaufe its image falls not on the retina at the axis of the eye, where it is moft fenfible : But the rays that fall obliquely on the eye, wall after refrac¬ tion, converge to this moft fenfible part of the re¬ tina ; and, by converging there, muft imprefs the mind with a clear idea ef the ©bjeft from whence they came. It is for this reafon that the eye ne¬ ver moves uniformly with the other, but turns away from the objefl it wmuld view, being attentive to the objeft to which it is not direfted. When this is the cafe, it is in vain to expedl: any good from me¬ dicine. The fymptoms which naturally arife from it are, i. The obje£t to which the eye is dire&ed w-ill be but faintly feen, becaufe its image falls on the retina where it is not very fenfible. 2. The objedl to which the eye is not dire&ed, by having its image painted on the retina at the axis of the eye, will be clearly perceived. But, 3" Ihis fame objedl muft appear fomewhat indiftindl, becaufe the pencils or rays that flow from it are not accurately colle&ed in to many diftindt points in the retina, by reafon of their oblique incidence on the cryftalline. 4- mufi he feen, not in its proper place, but thence tranflated to feme other place fituated in the axis of vifion. And, 5. Be¬ ing thus tranflated from its true place, w'here it is feen by the other eye that does not fquint, it muft neceffa- rily appear double; and the diftance between the places of its appearance will be ftill greater, if the cryftalline of the other eye incline to the contrary fide. IV. This difeafe may arife from an oblique poft- tion of the cornea; which, in this cafe, is gene¬ rally more arched and prominent than what it is na¬ turally. When the eye has this conformation, no objedt to which it is diredled can be clearly feen, becaufe its image falls not on the retina at the axis of the eye ; and therefore the eye turns afide from the objedt it would view, that its image may fall on the moft fen¬ fible part of the retina. When the ftrabifmus proceeds from this caufe, the prognoftic and the phsenomena that attend it will be much the lame as in the cafe immediately preceding; from which neverthelefs it may be diftinguilhed by the obliquity of the cornea, which is mamfeit to the fenfes and if the cornea be alfo more arched and prominent than what it is naturally, which is common¬ ly the cafe, the eye will alfo be fhort-fighted. V. This want of uniformity in the motions ofour eyes, may arile from a defedf, or any great w'eaknefs or M E D I Pra&ice. .. . , Dj.fc.eii*. or imperfcaioo, In ttro fight of both or ether of the v eyes: and this, according to Dr Porterfield, is the moft common caufe of this difeafe. The prognoftic m this cafe is the fame with that of the difeafe from which 11 VI Another caufe from which the ftrabifmus may proceed, lies in the mufcles that more the eye. W hen any of thofe mufcles are too ihort or too long, too tenfe or too lax, or are feized with a fpafm or paralyhs, their equilibrium will be deftroyed, and the eye will be turned towards or from that fide where the mufcles ^In tfiYs* cafe, the difeafe frequently yields to medi¬ cine, and therefore admits of favourable prognoftic , excepting only when, by a fault in the firft confer- mation §any of the mufcles are longer or ftiorter than their a^tagonift ; in which cafe, if ever it ihould hap¬ pen. no medicine can be of any ule. As to-what concerns the optical phaenomena, ey are the fame here as in cafe firft : only when the di - eafe commences not till, by cuftom and habit, the uniform motion of the eyes has been rendered ne- ceffary all objefts do for feme time appear double , bUlTirVhhUywaPnProrf‘untrmi.y in the motions of olr eyes may proceed from a preternatural adhefion or attachment to the eyelids I of this we have an inftance in Lancdus. And that the fame thing may alio be oc cafioned by a tumor of any kind within the orbit, prefting thl eye afide, and reftraimng it from follow- fog thf motions of the other, is fo evident, Aa. in fiances need not be brought to prove it. Here * fo the cafe may admit of a favourable prognoftic , and as for n-hat concerns the optical phenomena, Any muft be the fame as in the cafe immediately pre- Ce i"hge' cure, in confirmed cafes, is to be effec- ted by mechanical contrivances, by which the p fon may be obliged to look, liralght upon objects or not fee^them at all j or a, lead that he may lee w th uneafinefs and confufedly when he fquints. I 68th volume of the Philofophical Tranfe&ons we have an account of a confirmed cafe of “ a J uncommon kind. The patient was a boy °fJ'' old, and viewed every objea which was him with but one eye at a time 1 ^ „ithJ his left prefented on his right fide, he viewed eye ; and if it was prefented on h.s left fide, he view h with his right eye He turned *= pupil of that eve which was on the fame fide with the obj fuch a diredion that the image of the objeA m g fall on thlt part of the bottom of the eye where the op ic nerveP=n,ers it. When an objea was he d dl real? before him, he turned h.s head a ’‘tt e » °ne fide/and obferved it with but one eye, viz. t tired of obferving hwhh Aat ey.^ he.mrne llonCe!nwhh eTual “aciUty i b«.^eVer ^"'f^'Teuers which^were written on'bitTof Papec to as to name r,-“ - ference in the diameters of the mfts, nor CINE. 44-5 tradility of them after having covered his eyes from StraUmus. the liaht. Thefe obfervations were carefully made by writing Angle letters on ftireds of paper, and laying wagerf with the child that he could not read them when they were prefented at certain diftattces and m certain direftions. . j .u * As from thefe circumftances it appeared that there was no defed in either eye, which is frequently the cafe with perfons who fquint and hence that the dif¬ eafe was limply a depraved habit of moving his eyes, the difeafe feemed capable of a cure. A paper gno¬ mon was made for this purpofe, and fixed to a cap , and when this artificial nofe was placed over is r nofe, fo as to projed an inch between his eyes the child, rather than turn his head fo far to look at oblique objeds, immediately began to view them with that eye which was next to them. But having the ^fortune to lofe his father foon after this method was begun to be followed, the child was negleded for fix years? du- ring which time the habit was confirmed in fuch a manner as feemed to leave little room to hope for a cure. The fame phyfician, however, being again cal¬ led, attempted a fecond time to remove ^ deformity by a fimilar contrivance. A gnomon of thin brais was made to Hand over bis nofe, with a halt circle o the lame metal to go round h.s tempks : thefe were covered with black Tilk, and by means of a buckle behind his head, and a crois piece oyer the crown of his head this gnomon was worn without any incon¬ venience and projeded before his nofe about two inches aiid an hal^ By the ufe of machine he foon found it lefs inconvenient to view all oblique ob jeds with the eye next to them than the eye oppofue t0 After this habit was weakened by a week’s ufe of the gnomon, two bits of wood, about the fize o a ffo ,fe nuill were blackened all but a quarter of an inch ft their fummits; «tr7- hin, to look at, one being held on one fide the eztre mitv of his black gnomon, and the other on the ot er fide of it. As he viewed thefe, they were gradually brought forwards beyond the gnomon, and then o,m „a° concealed behind the other : b, thefe means m an- other°week, he could bend both his eyes on the fame obiea for half a minute together ; and by “"""'". S SS ufe of the fame machine, he was m a fair wa, of be- W cured when the paper was written. _ Dr Darwin, who writes the hiftor, of the above cafe, the “he“ thke patients, fays he, are certainly cure- ,ii • rr tVif> Heft eve many hours m a day , as able by covering the belt eye m ;t not on|y by a more frequent ufe o h ^ ^7^ whlch the acquires a. hab,t °2U butg „ai„s at the fame time a natient wiihes to lee, our fnme in^both thefe refpeas, which alfo facilitates the cure. Genus CXV. CONTRACTURA. Contraciions oj the Limbs. Contradura, Sauv. gen. 119. T/«. 299. 2 25* Obftipitas, Sauv. %^. n* Caput 384 4+6 Apocer Caput obflipum, Vog. Digitium, Fog. 221. medicine. ■-36 as?' 3S8 Tne contradlion of various mufcles of the body is generally the confequence of fome otjjer difeafe, as ti;e rheumatifra, gout, fcurvy, or palfy, efpecially that tpecies of the latter which follows the co/ica PiBonum. It is exceedingly difficult of cure j though the warm medicinal waters are much recommended, and have fome- trnies done great fervice. Of late eledricity has been ound to perform furprifing cures in this way. Order IV. APOCENOSES. Apocenofcs, Fog. Clafs II. Ord. II. Fluxus, Sauv. Clafs IX. Sag. Clafs V. Morbi evacuatorii, Lin. Clafs IX. Genus CXVI. PROFUSIO. Flux of Blood. Profulio, Lin. 239., Hcemorrhagia, lrog. 81. Boerh. 218. p Thf direafe commonly known by the name of bloodu . is the putrid or contagious dyfentery, a difeafe winch has already been treated of. But independent o, the difcharge of blood which then takes place, lue- morrhagy may take place from the alimentary canal as well as ^om other parts ef the fyftem. In fuch inftances however, if we except the place from which the ducharge occurs, the phenomena are very much the fame as in menorrhagia, h*moptyfis, and other naemorrhagies already treated of; while the difeafe is to be combated on the fame principles and by the lame remedies. Genus CXVII. EPHIDROSIS. Exceffive Sweating. Ephidrofis, Sauv. gen. 258. Sag. gen. 194. Sudor, Lin. 208. Hydropedefis, Fog. 121. This is generally fymptomatic; and occurs in al- moltaU fevers, but efpecially in the latter ftages of the hectic. Sometimes it is a primary difeafe, arifino- merely from weaknefs ; and then eafily admits of a cure by the ufe of the cinchona, the cold bath, and ether tonics. , Pradicc, commend purgatives, and blitters on the nape of the PtyalifmuS neck, m order to draw off the abundant humours; but' v ' as the dileale evidently proceeds from weaknefs, it would rather feem proper to purfue a contrary method. Sauvages recommends to the patients to abttain from Itudy, wine and falted meats ; and alfo to avoid fraoke or wind and at night to foment the eyes with an in- tuiion of four cloves in two ounces of proof-fpirit— Hungary water, rofe water with fulphate of zinc dif- olved it it, &c. have alfo been recommended. Genus CXVIII. EPIPHORA. Flux of the Lachrymal Humour. Epiphora, Sauv. gen. 259. Sag. 195. Lin. 172. Fog. 99. Ilus by Sauvages is deferibed as an involuntary enufion of tears without any remarkable itching heat or pain. It follows long continued ophthalmias ; or it may be occafioned by immoderate fiudy, or anv thmg that weakens the eyes: hence it comes on about the age of 50 years, when the eydight naturally be¬ comes weak. . It in general grows worfe in the win¬ ter-tune, and is very hard to cure. Some authors re- 3 Genus CXIX. PTYALISMUS. Salivation. Ptyalifmus, Sauv. gen. 261. Sag. 197. Lin. 176. Pbg. ici. A falivatmn is often fymptomatic, but rarely a prima- ;'y \‘5 ea e- Cullen is of opinion, that when the lat¬ ter happens to be the cafe, it arifes from laxity; and \rVS C,Ur^ aflnngents and tonics, 'in the ledical Iranfadions we have the following account of Ltxr a for^^ to no partmular compkints, perceived the beginning of « dileafe which afterwards proved moft obftinlte and th; rrT’ V1Z' an .I"ceiTant ^tting. The quantity of this difcharge was different at different times, varying from one pint to two pints and an half in 24 hours As to its quality it feemed to be no other than the or¬ dinary fecietion of the falival glands. By fo large and conftant^ an evacuation, her ttrength became extreme- '-V and the efficacious medicines had proved ufelefs. She had taken large quantities of cin- - '0na’ b“th /lone and combined with preparations of iron : and afterwards the fetid gums, opium, amber f um’ .and ,tbe Neville-Holt water, had in fucceflion been givfen her. In the mean time an exaft regimen had been prefenbed : ffie had been ordered to ride con- ftantJy ; and to confine herfelf to a mucilaginous diet fuch as veal, calves feet, &c. Likewife a /emle open! !rr ™edlP,ne bad notv and then been inferpofed. The diieale ftil! continuing unaltered, ffie had afterwards tried e tmBura faturnma; and had, at the fame time, been encouraged to chew cinchona, and to fwallow the faliva. iffit all theie attempts had been vain ; and after ffie had aken fome or other of the medicines above mention- vears^i thC 600 f Scfember 1753, namely, above two years it appeared to her phyfician, Sir George Baker unreasonable to expeft relief in fuch a cafe from any in-’ ternal medicines whatever. J He now conceived a fufpicion, that fome extrane¬ ous body having accidentally found its way into the meatus audit onus, might poffibly be the caufe of this extraordinary fecretion, by keeping up a continued ir¬ ritation m the parotid glands. With this view he ex¬ amined her ears, and extra&ed from them a quantity of fet.d woo How, or when, it come thither, no ac. count could be given. I o this fubflance he attributed the beginning of the ialivation, notwithftanding that the difeafe did not im¬ mediately abate on the removal of the wool ; as it ap¬ peared to be no improbable fuppofition that the dif- , charge 3S5 Pradice. M E D I Apocecofci. charge might be continued by the force of habit, though the original caufe no longer remained. It ieemed, therefore, expedient to introduce fome other habit, in the place of the increafed fecretion of iaiIva ’ ^h5ch might afterwards be gradually left or. With this intention, he prevailed on the patient to chew perpetually a little dry bread, and to fwallow ‘r V1?1 ^fr ^P^e* a few weeks, it became necef- jfuy for her to chew the bread only at certain hours in the day 5 and thus, after two months, fhe became en- tiioy free from a moll difguftful and tedious difor- der. . Jt Is worthy of obfervation, that, at firft, the fwallow- ing of 10 much faliva frequently occahoned a naufea ; and that then, for a few hours, (he was obliged to fpit it out as ufual j and that, during the greateft part of the time, rvhen fhe chewed the bread, fhe had a ftool or two every day more than common. 33* Genus CXX. ENURESIS. ^ involuntary Fivx of Urine, Enurefis, Sauv. gen. 264. Lin. 19$. Fog. 113. Sag. 200. ihis is a diflemper which frequently affe&s chil¬ dren, otherwife healthy, when afleep ; and is extreme¬ ly difagreeable. Often it is merely the effedt of lazi- neis, and may be driven off by proper corredtion 5 but fometimes it proceeds from an atony or weaknefs of <.he fphindfer of the bladder. Many ridiculous cures have been preferibed for it, and among the reft field- mice dried and powdered. Ionics are frequently of ufe j but fometimes the diflemper proves obitinate, in fpite of every thing we can ufe. In the London Me¬ dical Obfervations we find blifters much recommend¬ ed in this difeafe, when applied to the region of the os facrum. A girl of 13 years of age had been fubjedt to an enurefis for four years. She could retain her water but a very little while in the day-time, but it flowed continually in the night. She had taken Peru¬ vian bark and elixir of vitriol in confiderable quantities; tdfo valerian and the volatile julep, without effedt. Shg was feverely threatened, as the phyfician fufpedted it might arife from a bad habit; but this producing no effedt, a blifter was applied to the os facrum, which in 24 hours totally removed the difeafe. A man aged 32, having been feized with an incontinence of urine and palfy of the lower extremities in confequence of tak¬ ing a quack medicine, was cured of the incontinence of urine in 24 hours by one blifter, and of the palfy it- felf by another. A woman of 50 having been feized with an enurefis and paralytic affedtion of the right thigh and leg in confequence of a fprain, was cured of both by a fingle bhfter. Several other cafes are men- ticVied, by which the power of blifters in removing this diitemper feems to exceed that of every other medi¬ cine whatever. m Genus CXXI. GONORRHOEA. Gonorrhoea, Sauv. gen. 208. Lin. 200. Vcg. 118. Sag. 204. The gonorrhoea is a flux of vifeid matter of various colours, from the urethra in men and the vagina in wo- CINE. meti. It commonly proceeds from coition with a per.on mfedted with the venereal difeafe, and is one of the moft common forms under which that difeafe ihows itlelr. Defcription. The firft fymptoms of the difeafe in men are commonly a fenfation at the end of the penis not unlike a flea-bite, together with a fulnefs of the ips oi the urethra, and fome degree of tenfion in the penis, the urinary canal feeling as if tightened, and the urine flowing in a fmall and unequal Itream : a little whitifh mucus is to be feen about the orifice of the urethra, and oozing from it when flightly preffed, efpecially if the preffure be made on the fpot where the orenefs is mofl felt. The difeharge foon increafes in quantity, and varies in its colour according to the degree of inflammation. The patient feels a fenfation of heat and pain in^ evacuating his urine, particularly ft certain fpots of the urethra, and above all towards its orifice j and the involuntary eredions to which he is fubjeded from the ftimulus, particularly when warm in bed, occafion a diftortion or curvature of the penis, attended with exquifite pain. When the inflammation is violent, the glans appears tumid and tranfparent, the tenfion extends through the whole of the penis" . t te perineum is affeded with fwelling and rednefs, and even the loins, buttocks, and anus, fympathize and af¬ ford a very uneafy fenfation. Sometimes the prepuce inflames aoout the end of the penis, and cannot be drawn back, occaiioning what is called a phjmofus; at otuer times, as in the paraphymojis, it remains in an inflamed date below the glans, fo that it cannot be drawn forwards ; and, if the ftridure and inflammation be violent, may terminate in gangrene. Now and then,, efpecialiy when there is a phymofis, we may perceive a hard chord extending along the back of the penis. This is an inflamed lymphatic, and may be eonfi.dered as a prelude to a bubo. When, however, a bubo.does appear, almoft univerfally fame ulceration is previoufly to be. difeovered about the pneputium, or glans penis; which gives ground to prefume that lome other contagious matter befides that of gonor¬ rhoea, may have been applied to the urethra. For it is certain that matter capable of communicating the con¬ tagion. of gonorrhoea to a female, is often copioufly applied to the whole glans penis of a male for feveral , ays *°gether, without giving either ulceration or bubo. In mild cafes, the feat of the difeafe is in the urethra not far from its orifice ; but it frequently happens that the virus mfinuates itfelf much higher up, fo as to affefl Cowper’s glands, the proltate, and parts very near to the neck of the bladder. In the generality of cafes, the inflammation goes > on increafing for feveral days, commonly for a week or a fortnight; after which the fymptoms begin to- abate ; and the running, when left to itfelf, gradually It-lie ns, m quantity, and becomes whiter and’thicker, tn at length it totally flops. The colour of the mucus, however, is by no means a certain guide in thefe cafes: for in many patients it is of a yellowilh, and fome¬ times of a greenifh hue to the very lafl; but in gene- ral it Dccomes more confident towards the clofe of the doeafe. In women, the external parts of generation being- fewer and more, Ample, the-difeafe is Ms complicated thiua K 448 .'M e n ,T Apocenofes tVian in men. Sometimes the vagina omy is aff. cte j t-—v—and when this happens, the fymptoms are very trifling : hut in general it comes on with an itching and leniation of heat as in the other fex ; and is attended with in- ,flanimation of the nymphae, infide of the labia, clitoris, carunculce myrtiformes, the onfice and fometimes the whole of the meatus urinarius. Very often the deep- feated glands of the vagina are affe£ted, and it is lome- times difficult to diftinguiffi the difcharge of a go¬ norrhoea from that of the fluor albus. Caufes, &c. Many ingenious arguments have ot late been advanced to prove, that the. gonorrhoea and the lues venerea are different affeftions, originating from two diftimff fpecies of virus j and this contro- verfy ftill, perhaps, remains to be decided by mture faffs. Certain it is, that in 19 of 20 caies of gonor¬ rhoea, no fvmptom whatever of fiphyhs appears ; and that the difeafe readily admits of cure without having recourfe to thofe remedies which are univerfally reqm- fite for combating the contagion of fiphylis. It is by no means wonderful, that in fome cafes both conta¬ gious, fuppofmg them different, Ihould be communi¬ cated at the fame time. Nay, cafes are by no means rare, wffiere the contagion of itch, though eflentially different from both, has been communicated with ei¬ ther. But as undeniable proof that the contagion in both cafes is precifely the fame, it has been alleged by fome, that the matter of a chancre introduced into the urethra will generate a gonorrhoea, and that the 1- charge from a gonorrhoea will produce chancre, bubo, and every other fymptom of fiphylis. On the. other hand, however, it is contended, that when experiments of this nature are conduced with the greateft accu¬ racy, the matter of fiphylis uniformly produces fiphy¬ lis, and that of gonorrhoea, gonorrhoea only. With¬ out pretending to decide on which of the!e experi¬ ments the greateft dependence is to be put, we may only obferve, that while an almoft inconceivably fmall portion uf fiphylitic matter applied to the glans penis, from connexion with an infeaed female, infallibly produces fiphylis if it be not fpeedily removed the matter of gonorrhoea, in every inftance of that dfteale, is applied to the whole furface of the glans penis for many days together without producing almoft. any bad effea whatever. From this, therefore, there is.ground for inferring, either that it is not capable ot being ab- forbed, or that if abforbed it is innocent. . But while there have been difputes with regard to the peculiar nature of the matter in gonorrhoea, there have alfo been controverfies with, refpeff to the fource from whence it is derived. While fome fuppo.e it to be principally purulent matter arifing from ulcerations, others affert that no fuch ulceration is ever produced.in the urethra by gonorrhoea. They contend that the m- creafed fecretion in thefe cafes is exaftly fimilar to what happens in the catarrh. But the companion will bv no means hold good in every particular : m the latter the whole membrane of the nofe is equally irn- tated ; whereas in the gonorrhoea, only particular parts of the urethra feem to be affefted. The difeale, m the generality of cafes, feldom extends more than an inch and a half along that canal, and in many is con¬ fined (at leaft in the beginning) to a fmall fpot about an inch from the extremity of the glans. Ihe dii- C 1 N E. Prafticc. charge is produced from that part of the urethra where the pain is felt 5 and the patient, when he voids his urine, feels no fmarting till it reaches the inflamed Ipot: but as the diforder increafes, the inflammation attetfs a greater number of points, juft in the fame manner as chancres afte6t different parts of the glans. It might be fuppofed that diflVftb n would at once clear up this matter, and put an end to the difpute ; but this is ar from being the cafe. Dr Simmons has feen ieveral urethras opened in perfons who had a gonorrhoea at the time of their death : in three ot them the fur face of the urethra, as in the cafes related by Morgagni, appeared for fome way down of a flight red colour, and in all of them w7as covered with mucus} but with¬ out any appearance of ulceration, except in two diuec- jdons at Paris, in which moft of the gentlemen prefent were convinced that they faw evident marks of it : but Dr Simmons fays that the appearances were to him not fufficiently fatisfa&ory to enable him to decide with certainty on the fubjed. On the other hand, when we confider that the difcharge m a gonorrhoea is fometimes tinged with blood, and that w'hen this hap¬ pens a little blood-veffel is no doubt ruptured, we can have no reafon to doubt that an ulceration may,^ and fometimes does, happen in thefe cafes; etpecially as we often obferve an excoriation near the orifice ot the urethra. It is certain, that wherever there is con- fiderable inflammation, there will be danger of ulcera¬ tion. Befides, from a neglefted or badly-treated go¬ norrhoea, we often fee fiftulas in perineo, and other ul¬ cers of the urethra, penetrating through its fubftance, and affording a paffage to the urine. And there can be no doubt that flight ulcerations of this canal often occur, and are afterwards perfectly obliterated, ln a fimilar manner to what happens in the papillae, of the tongue, the tonfils, &c. Such an obliteration will the more readily take place in a part like the uiethra, defended with mucus, and not expofed to the air, which is known to have no little effect in hardening a cicatrix* But whether ulcers take place or not, whether the virus of gonorrhoea be precifely of the fame kind with that w'hich gives fiphylis, or of a different kind, there is reafon from the phenomena of the difeaie to con¬ clude, that the matter firft ads by mixing with the mucus at the extremity of the urethra ; and that from thence it is propagated upwards, particularly where the excretories of mucus are moft numerous \ and that on the parts to which it is applied, it operates as a pe¬ culiar irritating caufe. The conlequences of this ir¬ ritation will be inflammation and an increafed lecre- tion of mucus j and fo far the complaint will be local. In ninety-nine cafes of an hundred a local affection of this kind conftitutes the wffiole of the difeafe •, and of this inflammation, ulcerations within the urethra, ffric- tures and other local afi:e6tions, may be the conie- quence. But whether a difeafe of the habit ever takes place unlefs when the contagion of fiphylis is commu¬ nicated with that of gonorrhoea, ftill remains to be de¬ termined by future obfervations and experiments.. Nothing can be more variable than the period at which the difeafe makes its appearance after infection. Perhaps, at a medium, we may place it between, the 4th and 14th day : but in fome cafes it happens withm l Pradice. MED ■Apocfflofe. 24 hours; and m others, not before the end of five or neither of thele extremes^ however 1 c I N E. which of the comes gonor. even fix weeks are common. From what has been faid of the manner in the contagious matter in gonorrhoea afts, and influence it exerts on thofe parts with which it in contact, it follows, that the prevention of ^yjuui- rhoea mull depend on the removal of the contagious matter, as foon as that can be done ; and where this is efther altogether neglefted or not properly accomplilh- e !, that the cure mui! depend on counteradfing the in¬ flammation which this contagious matter excites, and tne confequences which refult from it. The firft of thefe intentions may be. mofi: certainly and moil eafily accompliflied by careful lotion of all the parts to which the contagious matter has any chance of being applied. Thefe parts, at leaft on the firft application of the matter, are readily acceflible : for even in men there is no reafon to believe that it at firft penetrates to any extent in the urethra. This waftiing of the parts fliould be performed as foon as poflible ; becaufe then the matter is both moft ac- celFible and leaft involved with mucus : but although waftiing cannot be accompliflied at an early period, it ftould not be neglected afterwards; for from the dif- eafe uniformly commencing, even when it does not appear till a confiderable time after the application of the contagious matter, with a peculiar fenfe of titilla- tion at the external parts, particularly in men at the extremity of the urethra, there is reafon to believe that the contagious matter attached to the mucus may re¬ main latent there for a very confiderable time. For the purpofe of waftiing, with a view to the prevention of this difeafe, recourfe may be had to almoft any wa¬ tery fluid, provided it be not fo ftimulant as to pro¬ duce bad effefts from injuring the parts. Pure w^ater, properly applied, is perhaps one of the beft lotions ; but there can be no doubt that its powder in removing the contagious matter may be fomewhat increafed by fuch additions as render it a more powerful folvent of mucus. With this intention, one of the moft po’.ver- ful additions is the vegetable alkali, either in its mild or cauflic ftate. In the latter ftate it is the moft adfive, but in the former it is moft fafe ; and the carbonas f>ot- oJJ'ce of the Edinburgh pharmacopoeia, to the extent of half a dram, diflolved in fix or eight ounces of water, is one of the beft lotions that can be employed. The purpofe of removing the contagion may often alfo be eftedfually anfwered from waftiing with water im¬ pregnated wftth foap ; for there the alkali, though in a cauftic ftate, is prevented from exerting any difa- greeable effefts, in confequence of its being combined with oily matters. With the view of preventing gonorrhoea, forne have adviied, that the alkali either in its mild or cauftic ftate, properly diluted with water, fhould be injedfted into the urethra : and there can be no doubt, that by this means the contagious matter, when it has entered the urethra, may be removed. A removal may alfo be effeCfed by the injeftion of a w^eak folution of cor- rofive fublimate, which feems to a6t not by diflblving the mucus but by producing an augmented fecretion. But at a very early period of the difeafe, inje&ions are probably unneceftary ; and if it has made any confide¬ rable progrefs, they are dangerous : for from the aug- Vou XIII. Part II. 449 mented fenfibihty of the part, even very gentle ones are Gonorrhcea. apt to excite a high degree of inflammation. 1 1 I here are pradlitioners who, fuppofing that the body polienes powers to expel the virus, and that the difeafe has a certain period to run through its feveral ftages of progiefs, acme, and decline, are tor leaving the cure to nature ; or at leaft content themfelves with afliftina her by an antiphlogiftic regimen, gentle evacuations,° and the like. ”1 hat in many cafes the diforder admits of a natural cure, there can be no doubt ■, the increafed fecretion of mucus carrying off the virus fafter than it is formed till at length the infedion is wholly removed : But it is equally certain, that in every cafe, by the applica¬ tion of luitable remedies to the inflamed part, we" may Ihorten the duration of the complaint, and abridge the juffenngs of the patient, with the fame certainty and latety as we are enabled to remove the effefts of an ophthalmia or any other local inflammation, by proper topical applications. General remedies, fuch as occa- honaj blood-letting, a cooling diet, the liberal ufe of diluting liquors, and mild purges, are by all allowed to be ufeful, and even neceffary. Aftruc was of opi¬ nion that in thefe cafes blood-letting ought to be re¬ peated five or fix times ; and there are ftill many prac- tnioners who depend much on repeated evacuations of this fort for a removal of the inflammation. But there is, perhaps, not one cafe in ten in which it is at all re- quifite ; and this fmall number of cafes will confift only of the ftrong and plethoric : in fuch, when the chordee is frequent and painful, and the pulfe hard and full the lofs of from eight to twelve ounces of blood will be’ beneficial, but it will be feldom neceffary to repeat the operation. The inflammation in thefe cafes is kept up by the local ftimulus of the virus and the urine ; and all that we can expeft from venefeefion is to moderate the pam and the frequency of ere&ion. In perfons of a delicate habit, and of an irritable fibre, the evacuation will do no good ; hut if repeated will certainly be liable to do harm, by increafing irritability, and of courfe rendering the patient more fufceptible of ftimulus. . The utility, and even the neceflity, ©f a coolin^ re_ gimen, are fufficiently obvious j wine and fpirituous liquors, fpiceries, a fifh-diet, much animal-food, and ialted and high-feafoned difhes of every fort, will con- ftantly add to the complaint. The patient fhould eat meat only once a-day, and that fparingly. He fhould abftain from hot flippers. Milk, mild vegetables, and fruit., Ihould conftitute the principal part of his diet while the inflammatory fymptoms continue. Every thing that tends to excite the venereal imagination fliould be ftudioufly avoided ; for whatever promotes erections of the penis will increafe the inflammation and of courfe add fuel to the difeafe. For the fame reafons much walking or riding on horfeback will be hurtful, from the irritation kept up in the perimeum by fuch means. Violent exercife of any kind, or any thing that is liable to increafe the heat and the momen¬ tum of the blood, will of courfe be improper. The drinking freely of mild, cooling, mucilaginous liquors, luch as linfeed-tea, orgeat, whey, milk and water, almond emulfion, and the like, will be extreme¬ ly ufeful, by diluting the urine, and preventing its falts from ftimulating the urethra. When the heat and pain in making water are very confiderable, mucilaginous 3 -k fubftanees „ M E D I A^«nofe, f„bftanc« are found to have the b'« pmoularly ' the gum tragacanth. It is a common practice to pv. equal quanltiet of this gum or gum-arab.c and mtre ^ j to diffolve nitre in the patient s drink, with a \ .e_ lollfen the inflammation. But in thefe cafes m.re ts alwavs improper : it is known to be a powerful u.m - tic its chief aftion being upon the urinary patiages •, fo that the ftimulus it occafions will only icrve to mcieet the evil it is intended to alleviate Supertartnte of potafs, on account of its diuretic quality, will be equal- lv imnroper Our view here is not to promoee ^ 1 ternatural flow of urine ; for the virus, being mfoluble in water, cannot eaflly be waflred away by Inch means but our object ought to be, to_ render the urine that fecreted as mild and as little flimulating as pofliblc. Mild purges, which conftitute another material part ef the general remedies, are no doubt extremely u e- fal when exhibited with prudence ; but it is well know* that the abufe of purgative medicines m this difeafe has been produdive of numerous evils. Foimerly it was a pretty general pradice to give a large dole of calomel at bed-time, three or four times a-week *, and to work it off the next morning with a Urong dofe of the pilules cocci*, or feme other draftic purge. ns method was perfevered in for feveral weeks : m conle- quence of which the patient often found hnnfeff trou¬ bled with an obftinate gleet, and perhaps his conftitu- tion materially injured-, the effed of fuch a tnethod being (efpecially in irritable habits) to weaken Lmach and bowels, and lay the foundation of hyjpo- chondrial complaints. Violent purging hkewife often occafions ftrangury, and other Uoublefome fymptoms The cathartics employed m thefe cafes ftiou gentle ; fuch as Rochelle fait, manna, tart mu fed alkali, and the like. They fhould be given only in a dofe fuf- ficient to procure two or three ftools, and be repea ed only every two or three days. _ I he daily ufe of the purgative eleduaries that are ft)H given by feme pi ac- titioners, ferves only to keep up a continual irritation on the bladder, and of courfe to prolong the mham- m The topical remedies that are ufed ccnflft chiefly of different forts of injedions, the^ ingredients of which mre extremely various; but their modes of operation may in general be referred to their mucilaginous and fedative or to their detergent, ftimulating, and aflrm- .ent qualities. In the hands of fkilful pradrtioners, great advantages may doubtlefs be derived from the ufe of thefe remedies; but, on the other hand, the improper and unfeafonable adminiftraUon of them may proved fource of irreparable mifchiet to the patient. P We know that mucilaginous and oily injedions will t-nd to allay the local inflammation; and that a leda- tive injedion, fuch as a folution of opium, will lelkn the irritability of the parts, and of courfe produce a fimilar effed ; the utility of fuch applications is there¬ fore fufficiently obvious. p A detergent injedion, or one that will ad upon mucus of the urethra, increaie the diicharge of it u a it away, and with it the venereal virus that is blended with it, can only he ufed as a prophyladic before Oie fymptems of infedion have made their appearance. But great circumfpedion is neceffary in the uie of this kind of injedion. If it be^ too weak, it can be of no efficacy ; and if it be too itrong, it may prove CINE. Pra&ice. dangerous to the patient. A fuppreffion of urine has Gonorrhoea, been brought on by the improper ufe of an injedion —v— of this kind. When the fymptoms of inflammation have once made their appearance, the ftimulus of. lucff f an iniedion muff be extremely hazardous. Excoriation of the urethra has but too often been produced by re¬ medies of this fort in the hands of adventurous and unfkilful praditioners. While the inflammation of the urethra continue,, every thing that ftimulates it muff be hurtful. It the inieffion excite, a painful fenfation in the urethta aS is but too often the cafe, it will be liable to produce fwelled tefticles, difficulty in making water, excoria¬ tion, and other effeds of increafed inflammation : if, by its aftringency, the running be checked before the virus thif excited the difeharge be properly fubdued, the patient will be expofed to freffi dangers ; and per¬ haps to a variety of local complaints, iuch as obftruc- tions in the urethra, and abfeeffes **/.erma’o, which are well known to be fometimes owing to applications of this fort improperly managed. , a. When the inflammation has fubfided, gently ftimu¬ lating and aftringent injedions may be ufed with late- ty and with confiderable advantage : for as the in¬ flammation is at fir ft excited by the ftimulus of the ve¬ nereal virus, fo when the former begins to leffen, we may be affured that the admty of the latter has abated in proportion ; and, in general, when the inflamma¬ tory fymptoms are entirely removed, it will be found, that the mucus is no longer of an imedious nature, but is merely the effed of an increased fecretion and of relaxation. Mild aftringents will therefore lerve to brace and ftrengthen the veflels fecretmg mucus, and in this way will leffen the difeharge, and greatly pro¬ mote the cure. It is certain, that in the greater num¬ ber of cafes, a gonorrhoea, which if treated by internal remedies alone, would continue for five or fix weeks, or longer, may, when judicioufly treated with injec¬ tions, be cured in a fortnight, and very often in lefs time. The great aim, therefore, of the praditionei ought to be at firft to make ufe of fuch injedions only as will tend to lubricate the fuvface of the uvet.iia, and to counterad and deftroy the ftimulus of the virus : as the inflammation abates, he may add fume gently attrin- gent preparation to a mucilaginous and fedative injec¬ tion ; taking care that its aftringency be fuited to the ftate of the difeafe, and to the irritability ot the pa¬ tient. Amongft a great variety of tubftances, mer¬ cury in different forms is one of tho.e that is the moft frequently employed in injedions. All thefe mercu¬ rial injedions have more or lets of aftringency , and, according to Dr Simmons, it is folely to this property that we are to aferibe their efteds ; for the idea of their ccrreding the venereal virus was originally in¬ troduced, and has, he thinks, been continued, upon mil- taken principles. . Calomel, mixed with the mucus difeharged m a go¬ norrhoea, has no more power in deftroying the infec¬ tious properties of that mucus than ceruffe or any other preparation would have. A diluted folution of fubli- - mate injeded into the urethra, will, like a folution of verdigrife, or blue vitriol, or any other jlyptic, con- ftringe the mouths of the lacunae ; but this is all that it will do, for it will never leflen the mfedious nature of the virus. The fame thing may be oblerve^J- Fra^ice. EDI Apocenofes. crude mercury extinguulied by means of mucilage, or v 1 of mercurial ointment, blended witb the yolk, of an egg, and which, when thrown up into the urethra, will aft nearly in the fame manner as baltam of copaiva, or any other simulating injeftion. Lhe. ftimulus ot mercury, however, has often been found of confiderable efficacy ; and in women, when the vagina only was affefted, af¬ ter waffling the parts well, the cure has been ac- compliftied by rubbing them repeatedly with mercurial ointment. rr r>- As the gonorrhoea is only a local affection, it may be inferred, that the internal ufe of mercury is unne- ceffary towards the cure. Very often indeed this complaint may be removed without having recoude to mercurials. Sometimes patients have been met with whofe general health has been greatly impaired by a long continued ufe of mercury in fuch cafes, while the original difeafe, the gonorrhoea, was rendered much worfe by it. In fome it has degenerated into a gleet, that was cured with extreme difficulty ; in ethers it has brought on a variety of diftrefling fymptoms. _ In cates of gononhoeas, therefore, whenever mercury is admim- flered, it ought to be, not with a view to expedite the cure, but merely to obviate the dangers of lyphilis. When the infeftion is apparently flight, and tne inflam¬ mation and the fymptoms trifling, we may proceed with¬ out the afliftance of mercury, efpecially if the patient be of a weak, relaxed, and irritable habit, likely to be injured by mercurial medicines. On tne other hand, when the difeharge is violent, the inflammation con¬ fiderable, or the feat of the difeafe high up m tne ure¬ thra, it is perhaps the moft prudent plan to give mer¬ curials in fmall dotes, and in fuch forms as feem the beft adapted to the conffitution of the patient. The pilulce hydrargyri, as prepared according to the receipts inferted in the laft edition either of the Lon¬ don or Edinburgh Pharmacopoeias, in both ol which the mercury is rendered affive merely by tr.wre may perhans be confidered as one of the milded and moll efficacious forms under which mercury can be exhibited by the mouth. Its efficacy will depend on its not ir¬ ritating the bowels, and thus palling off by Hool, care mull likewife be taken to prevent «s affe&ng the mouth. Of the chemical preparations of mercury, the mildeff and leaft irritating is calomel. It may be given from gr. ilS. to gr. iii. at bed-time,_ occafionally inter- pofmgamild purgative to prevent it from falivating but in general the mercurial pill juft menaoned is h6 Wher^there is no chancre nor bubo, no appearance in fhort of fyphilitic infeftion, it would be improper to adminifter corroftve fublimate, the mercunus calci- natus, or any other of the more acrid preparations of ^AfS-a gonorrhea proceeding from venereal caufes has been removed, another kind of running withou pain 'called the gonorrhoea mucofa, or gleet fometime remain^ Sometimes it arifes from a conftnftion and excoriation of the urethra, and frequent y ^ ei- ftft of an enlargement and difeafed ftate the pio flat In each of thefe cafes, as the gleet is the effeft of irritation, the cure will depend Ihtr^eclfof glee,' thaTSs io depend chiefly on relaxation. It fa in general free from mfea.on, and CINE.. 451 Is moft common in thofe who have had long and fre Onr.'-ano^ quent gonorrhoeas. It is likewife orten the effeft or a debilitated habit, from fevere purging, or a long con¬ tinued ufe of mercurials. A diicharge of this kind^is more frequent in women than in men •, or, at lead, s.ne fluor albus, after a gonorrhoea, will oiten be miftaken for a gleet. . . When there is no reafon to fufpeft remaining con¬ tagion, affringent injeftions will be oi the greatest er- jj. wi]j '[je neceflary, at the fame time, to attend VICe. Ab VVlil , . ' . to the health of the patient, by employing cinchona, chalybeate waters, cold bathing, and fuch other reme¬ dies as will tend to {Lengthen the fyftem : and indeed by the ufe of thefe, particularly by the cmchona, luch runnings are often fuccefsfully combated in thofe who from apprehenfion of dangerous confequences cannot be prevailed upon to employ injeftions. When t acre is no tendency to inflammation, the balfam of copaiva may be preferibed with advantage in large doles. Dr Sim¬ mons fays he once faw a complaint of this fort removed by applying a blifter to the pennaeum, after it had re¬ fitted a variety of other remedies. In the Medical Oo- fervations alfo we have an account of a gleet and in¬ continence of urine removed at once by a blitter to toe os facrum. In general, however, the other methods above mentioned will be fufficient to remove it,, though fometimes it will continue for a long time in ipite ot ail our endeavours to check it—Other kinds of gonor hcea, in which the femen itfelf is. ejefted, efpecially .during fleep, may be cured by tonics and a mild cooling re¬ gimen. Order V. EPISCHESES. Genus CXXII. OBSTIPATIO. Costiveness. Obflipatio, Lin. 166. Fog. 128. Sag. 221. Cottivenefs is fometimes occattoned by debility, in dyfpeptic perfons, fometimes it is the effeft of rigi¬ dity, and fometimes it is fymptomatic of the. colic. It may proceed from an affeftion of the liver J drinking rough'red wines, or other aftringent liquors •, too much exercife, efpecially on horfeback : it may hkewife pro¬ ceed from a long ufe of cold infipid food, which does not fufficiently ftimulate the inteftines. Sometimes it is oiving to the bile not defeending to the inteftines, as m the jaundice ; and at other times it proceeds from dii- eafes of the inteftines themtelves, as a pai>y, Ipalms, tu¬ mors, &c. _ . f Exceflive coftivenefs is apt to occafion pains ot the head, vomiting, colics, and other complaints of the bowels. It is peculiarly hurtful to hypochondriac and hyfteric perfons, as it generates wind and other dnlrei- fing fymptoms. , Perfons who are generally coftive fliculd live upon a moiftening and laxative diet ; as roafted or boiled apples, pears, Hewed prunes, raifins, gruels with cur¬ rants, butter, honey, fugar, and tuch like. Broths with fpinage, leeks, and other foft pot-herbs, are hke¬ wife proper. Rye-bread, or that which is made ot a mixture of wheat and rye together, ought to be eaten. No perfon troubled with coftivenefs thould eat w hite bread alpne, efpecially that which is made of fine 3 L 2 ' 394 393 M E D I 45 2 .Eptfchefes. flour. The Left bread for keeping the belly foluble |s what in fome parts of England they call mejlin. It is made of a mixture of wheat and rye, and is very agreeable to thofe who are accuftomed to it. Coftivenefs is increafed by keeping the body too warm, and by every thing that promotes the perfpira- tion 5 as wearing flannel, lying too long in bed, &c. In¬ tend thought, and a fedentary life, are likewife hurtful. All the iecretions and excretions are promoted by mo¬ derate exercile without doors, and Dy a gay, cheerful, fprightly temper of mind. The drink fhould be of an opening quality. All ar¬ dent fpirits, auftere and aftringent wines, as port, cla¬ ret, &c. ought to be avoided. Malt liquor that is fine and of a moderate ftrength is very proper. Butter¬ milk, whey, and other watery liquors, are likewife proper, and may be drank in turns, as the patient’s inclination diredfs. ± hofe who are troubled with coftivenefs ought, if poftible, to remedy it by diet, as the conftant ufe of medicines fox that purpofe is attended with many in¬ conveniences, and often with bad confequences. In time the cuftom becomes neceflary, and generally ends in a total relaxation of the bowels, indigeftion, lofs of appetite, wafting of the ftrength, and death. I he learned Dr Arbuthnot advifes thofe who are troubled with coftivenefs to ufe animal oils, as freih- butter, cream, marrow, fat broths, &c. He likewife recommends the expreffed oils of mild vegetables, as olives, almonds, piftaches, and the fruits themfelves ; all oily and mild fruits, as figs ; decodfions of mealy Vegetables ; thefe lubricate the inteftines ; fome fapo- naceous fubftances which ftimulate gently, as honey, hydromel, or boiled honey and water, unrefined fupar &c. are ufeful. 6 ’ I-he dodtoi obferves, that fuch lenitive fubftances are proper for perfons of dry atrabilarian conftitutions, who are fubjedl to aftridtion of the belly and the piles,* and w’ill operate when ftronger medicinal fubftances are fometimes ineffedlual j but that fuch lenitive diet hurts tliofe whofe bowels are weak and lax. Tie likewife obi'erves, that all watery fubftances are lenitive ; and that even common water, whey, four milk, and butter¬ milk, have that effedt :— I hat new milk, efpecially aftes milk, ftimulates ftill more when it fours on the ftomach 5 and that whey, turned four, wall purge ftrongly :—That moft part of fruits are likewife laxa¬ tive ; and that fome of them, as grapes, will throw fuch as take them immoderately, into a cholera mor¬ bus, or incurable diarrhoea. _ When the body cannot be kept open without medi¬ cine, gentle dofes of rhubarb may be taken twice or tnrice a-week. 1 his is not near fo injurious to the ftomach as aloes, jalap, or the other draftic purga¬ tives fo much in ufe. Infufions of fenna and manna may likewufe ce taken, or half an ounce of tartarifed alkali diffolved in water gruel. About the fize of a nutmeg of lenitive eledluary taken twice or thrice a- day, generally anfwers the purpofe very well. C I N This difeafe is E. Fradice. 394 Genus C XX111. ISCHURIA. Suppression of Urine. Ifchuria, Sauv. gen. 293. Lin. 167. Fog. 129. Sag. 212, Horne's Clinical Experiments, iedt. xv. diftinguiftied into various fpecies, Ifchuria according as the feat of it is in the kidneys, the —v— ureteis, the bladder, or the urethra j and hence thefe fpecies are named rena/is, ureterica, veficalis, and ure- thralis. J. Ifchuria vena/is, or a fuppreflion of urine from an affedhon of the kidneys, happens but rarely ; however, Dr Home in his Clinical Experiments deferibes fuch a t^e enc^ December 1774, a man °f a fiiil habit, aged 33, was feized with Ihivering, cold- 21 c Is j and fevere cough* I hree days after, his urine appeared high-coloured, was paffed with pain, and in fmall quantity. Aoout the 8th of January *775, he was attacked with violent pains in the fmall of his back, over the whole abdomen, and in the ankles, with pain in the region of the liver when preffed. A general fw-elling was afterwards obferved all over the body, but chiefly in the ankles and abdomen, which laft W’as tenfe and hard. I befe were attended with vomiting, bad appetite, and confiderable thirft. When he^entered the clinical ward (January 2ift), the cough, ficknefs, and vomiting, had gone off, but the fuppref- fton of urine remained. The little which he made was pai.ed with his ftools, fo that Dr Home faw it but once 5 and then it was pale, and had a white powder at bottom. ^ The pains and fwellings, which retained tne ^ impreffion of tlie finger, continued j he had a headach, and a very flow pulie, beating only 48 ftrokes in a. minute. He had taken a great many diuretic medicines betore his admifticn. I iie day after his re¬ ception, he was feized with a fpontaneous diarrhoea, which^ continued duiing the remainder of his life. Cry ft a! s of tartar were exhibited in dofes of half an ounce each morning ; at bed-time he took 20 drops of tinflure of opium with a fcruple of nitre, and con¬ tinued this courfe for eight days without any increafe of urine. The ftronger and heating diuretics were then tried, as an infufion of juniper berries and pills of garlic j but they were attended with no fenfible ad¬ vantage. Whenever the pulfe became fo ftrong that he could bear bleeding, eight ounces of blood uTere taken aw^ay, which was fizy. This was thrice repeat¬ ed ; he appeared eafier after each bleeding, his pulfe bore it well, and the fwellings and other fymptoms abated. The heating diuretics, in this ft ate, were given up ;. and a mixture of vinegar and nitre was fubllituted in their place, in each dole of which, taken every two hours, there was a fcruple of nitre. Fo¬ mentations were applied to the region of the kidneys, and camphorated oil was afterwards rubbed on the pait. He was ordered the femicupium, which from a deficiency of w'ater in the hofpital at that time he got only once ; and which then feemed to have a good effedf,. as he paffed a gill of urine wdien he w^as in it. Notwithftanding this, however, the difeafe continually gained ground j he became comatofe, delirious, and died ten days after his admiffion. On diffedlion, the kidneys were found of an irregular form ; fome watery veficles appeared on their furface, containing black gritty particles like fine fand ; and the lower part of the right kidney was confiderably inflamed. The pylorus, part of the duodenum, and a confiderable part of the fmall inteftines, were much inflamed. In the abdomen were found about five pounds of fluid and in the cavities of tb.e thorax about half a pound! The Pra£iice. M E D I Epiichefes. The lungs were a little inflamed, and full of fmall tubercles on their furface and in their fubftance : the heart was large, and a polypus in each ventricle. About fix ounces of fluid were found in the pericardium : in the brain nothing preternatural appeared, except about an ounce of water in each ventricle. Dr Home feems to have been at a lofs for the re¬ mote caufe of this fupprefTion of urine, which mani- fefily had its immediate origin from the kidneys having loft the power of performing their functions. He thinks the inflammation which appeared in the right kidney was fcarce fufficient to have occafioned the diftemper, as the other would have fupplied its place : for which_ reafon aifo he thinks that the ifchuria was owing to a general aftedtion of the fyftem ; and that it was of an arthritic nature, the patient having been troubled with complaints of that kind for a loner time before. 396 2. The ifcJiuria ureterica is alfo a rare difeafe, unlefs the obflrudlion proceeds from a frone or clot of blood flopping up the paffage. Gravel or Hones, indeed, are very frequently formed in the kidneys; and, by falling into the ureters, occafion an ifchuria, with violent pain, and fymptoms more or lefs urgent in proportion to the fize and fhape of the Hones. Sometimes it is attended with coldnefs of the extremities, naufea, vomiting, and fpadic conflridtion of the pnecordia, a difficulty of making water, conHipation of the belly, difficulty of breathing, flupor of the thigh, retradlion of the teHicle, inquietude, lofs of flrength, fyncope, and convulfion fits. When the violent'pain has continued for feveral days and nights without intermiffion, and has brought the patient exceeding low, and the fuppreffion of urine is complete, wuth coldnefs of the extremities and convulfions of the tendons, death is at hand. Nor is it a good fign when the Hone continues long in the ureter 5 for then the appetite decays, a naufea and retching to vomit fupervene, and the patient is con- fumed with a he£lic heat. Sometimes the pain is at¬ tended with an inflammation of the flomach and in- tellines; and fometimes the difeafe ends in a dropfy of the breafl, or lethargy, which foon carry off the patient. The indications of cure are, to exclude the Hone as eafily as poffible, and prevent the breeding of others. If the patient be of a fanguineous temperament, Sy¬ denham recommends to take away ten ounces of blood from the affefled fide •, and then to give the patient a gallon of poffet-driuk in which twm ounces of marfii- mallow roots have been boiled, inje&iijg at the fame time an emollient glyfler. After the poffet drink has been vomited up, and the clyfler returned, give a pretty large dofe of an opiate. But if the patient be old or weak, or lubjeft to nervous affections, bleeding may be omitted, eipecially if his urine at the begin¬ ning of the fit be coffee coloured, and mixed with gravel; but as to other things, the cure is the fame.—Huxham highly recommends an emollient bath prepared of a decoClion of marfh-mallow root, lintfeed, fenugreek feed, and flow’ers of chamomile, to which may be added a few white poppy feeds. By the u(e of this bath he fays he has feen the mofl cruel fit of the gravel fuddenly ended, when neither copious bleeding nor opiates had the leafl effeCt. Mild diuretics are al¬ fo of iervice. Hoffman recommends dulcified fpirit of CINE. ni re as proper to relax the ipafiic fhi&ure. It is to be ta\en with fuitable difiilled waters and fyrup of pop¬ pies 5 or in broth, with a few fpoonfuls oi oil of fweet almonds. Turpentine glyfler3 are alfo accounted very ferviceable ; and may be prepared with ten ounces of a decoftion of chamomile, with half an ounce of turpen¬ tine diffolved in the yolk of an egg, and about as much honey. The fal diuretiens, or ace!is potajfce, is much efleemed by iome, when taken along with an opiate. But when the Hone is too big to pafs, Arbuthnot re¬ commends a cool and diluent diet to binder the further growth of it. W hey, infufion of lintfeed, decoCHon of marfhmallows, and gently refolving diuretics, are alfo proper, j o put a flop to the vomiting, the compound tinClure of benzoin, formerly named balfamum traumati- cum, has fometimes been ufed with fuccefs, when almoft every other means have failed. 3- ’fee ifchuria vejica/is may arife from a ftone in the bladder j and this indeed is the mofl common caufe of it : but there are certain cafes, in which, though the ufual quantity of urine, or perhaps more, be paffed, the patient dies from the retention of a flill greater quantity in the bladder. Of this Dr Home gives the following inftances. A man of 58 years of age, of a ftrong fpare habit, and never fubjeft to the gravel, had, during the winter of 1777, a cough with expefroration, which went off in the beginning of 1778. About the 17th of February 1778 he felt fome difficulty in palling his urine, and much pain about the region of the bladder. He continued in this way for ten days, after which he became eafier on application of fome medicines. The abdomen then fwelled, and he had pains in his loins and thighs. On the 3d of March he was admitted into the clinical ward : his abdomen was then fwelled and tenfe ; and an evident fluctuation was felt, which fome that touched him thought was fonorous and produced by wind. A tumor was difeovered between the navel and fpine . of the os ilium on the left fide, which gave him much pain, efpecially when preffed. This tumor became more eafily felt after the fwelling of the abdomen de- creafed, feemed round, and very near as large as the head of a child. It appeared very much on the left fide, even wrhen the patient lay on the right, and it then became dependent. He paffed urine frequently, and rather more than in health, as it was computed at four pints a-day. It was always clear, and of a light co¬ lour. His body had a firong difagreeable fmell ; his Ikin was dry, belly bound, and his appetite entirely gone, fo that he had hardly taken any food for j 2 days. His legs fwelled (lightly for fome days in the evening. His pulfe was generally regular, fometimes flower than natural, and fometimes a little quicker \ being once felt at 64, and another time at 92. He was often feized, efpecially after eating or drinking, with hiccough $. which increafed and lafted till his death. On the 20th day of his difeafe, after fome dofes of fquills, the gene¬ ral fwelling of his abdomen fell, became much fofter, and more diflinClly difeovered the fwelling of the left fide. The next day a vomiting came on ; he became delirious, and died the day following. The body be¬ ing opened, it appeared that the tumor which was fo diflinCIly felt on the left fide of the abdomen, was owing to a diflenfion of the bladder with urine. Its fundus reached to about the divifion of the aorta into the 453 Ifchuria. 397 454 M E D. 1 Epifchefes. the iliacs *, it entirely filled the pelvis, and contained v—~-vf—^ five ancl fix pounds of urine of a pale colour. On examining the external furface, its neck, and the beginning of the urethra, were found to be furrounded with a fcirrhofity, which impeded the evacuation of the urine. The bladder itfelf was much thickened, but not more in one part than another. The ureters entered naturally but wTere much thickened in their upper half near the kidney. The kidneyi were fome- v.hat enlarged } particularly the left, which had feveral watery veficles on its external furface. Thefe organs were not in their ufual fituation 5 but lay clofe on each fide of the fpine, and very near the aorta; fo that the renal vefiels were very fhort. What was very Angular, the lower end of each arofe over the fpine, and they were united together by their membranes, the aorta palling beneath the union. 1 he bladder had prefifed confiderably on this part ; and the peritoneum covering them was confiderably thicker than natural. The lungs adhered every where to the pleura, and in fome places very firmly : they were of a loofe texture and black colour ; and the veins of the lower extremi¬ ties were turgid with blood. It does not appear that this patient got any medicines farther than a few dried fquills, which diminilhed the fwellings and brought off much wind. He alfo got a mixture of mufk, and af¬ terwards of opium, for his hiccough ; but without fuc- cefs. His difeafe was miftaken for an afcites ; and the catheter was not tried : but in another cafe the ufe of this inftruraent was apparently of more fervice than any internal medicines. "Ibis laft patient was about 90 years of age, and laboured under fymptoms very fimi- lar to thofe already mentioned. When admitted into the clinical ward, he had the hypogaftric region fwel- led, and difficulty of paffrg his watery but without pain, vomiting, or hiccough. He had loft all appe¬ tite ; was thirfty, and coftive. His pulfe was no, and v.’eak. In the evening about three Engbih pints of pale clear urine were drawn off by means of the cathe¬ ter : the next day all the fymptoms were gone off or abated. After this he continued to pafs fome urine, fometimes voluntarily, fometimes involuntarily and in- fenfibly ; but fo much always remained behind, that his bladder was conftantly full, unlefs when the urine was drawn off, which was done twice every day. The urine wTas fometimes pale, fometimes of a deep red colour ; and once there was fome blood mixed with it, which perhaps might have been occafioned by the catheter. About the fixth day the urine was very putrid, with much purulent like matter at the bottom, and was pal- fed with more pain. About the 1 ith, the putrid fmell went off. The next day all the urine palled in- fenfibly except what was drawn off; and an hiccough, though not very fevere, had come on. In this way he continued without fever, though frequently troubled with the hiccough, efpecially during thofe nights in which the urine had not been drawn off. A month after admiffion, the bladder, with the affiftance of the catheter, was almoft entirely, though infenfibly evacuated, and the hiccough had left him ; he had no other complaint but that of voiding his urine infen¬ fibly, the natural effeft of a feirrhous bladder, and which was probably incurable. With this patient the hot bath and mercurials were tried, in order CINE. , Pra&ice. to foften the feirrhofity of the bladder, but without Ifchuria.. effedf. ~"J 4. The ifehuria urethralis arifes from fome tumor 3i>5 obftrudling the paffage of the urethra, and thus hin¬ dering the flow of urine. It is no uncommon di- ftemper, and often follows a gonorrhoea. Dr Home gives us an example of this alfo.—The patient was a man of 60 years of age, who had laboured under a gonorrhoea fix months before, and which was flopped by fome medicines in two or three days. He felt, foon afterwards, a difficulty in palling his urine, which gradually increafed. About 10 days before bis ad- miflion into the clinical ward, it was attended with pains in the glans, and ardor' urince; he had paffed only about eight ounces the day before his admiffion, and that with very great difficulty ; and the hypoga¬ ftric region was (welled and pained. On introducing the catheter, three pounds of mine were drawn off, by which the pain and fwelling w'ere removed. The iu- ftrument required force to make it pafs the neck of the bladder, and blood followed the operation ; and the finger, introduced into the anu'-, felt a hard tumor a- bout its neck. He was treated with mercurial pills and ointment, by which the fwelling about the neck of the bladder foon began to decreafe ; but at the fame time a fwelling of the right tefticle appeared. He was vomit¬ ed with four grains of turbith-mineral, the fubfu/phas hjdrargyrijlavus of the prefent pharmacopoeia, which operated gently ; and here Dr Home obferves, that though thefe vomits are little ufed, from a miftaken no¬ tion of their feverity, he never favv them' operate with more violence than other vomits, or than he could have wiftied. The fwelling diminilhed in confequence of the emetic and fome external applications; and the cure was completed by bleeding and a decoftion of mezereon root. Genus CXX1V. DYSURIA. Difficulty of discharging urine. Dyfuria, Sauv. gen. Sag. 213. Stranguria auciorum. 265. Lin. 57. Vog. 164. 399 A difficulty of making water may arife from many different caufes ; as fi\ m fome acrid matter in the blood, cantharides, for inftance : and hence a ftran- gury very often fucceeds the application of blifters. In many cafes it arifes from a compreffion of fome of the neighbouring parts; of the uterus, for inftance, in a ft ate of pregnancy. Or it may arife from a fpaf- modic affection of the bladder, or rather its fphindler ; or from an inflammation of thefe parts, or others near them. Hence the difeafe is diftinguiihed into fo many fpecies, the cure of which is to be attempted by reme¬ dies indicated by their different caufes. But the moft common, as well as the moft dangerous fpecies is that arifing from a calculous concretion, or Stone in the Bladder. Dyfuria calculofa, Sauv. fp. 12. The figns of a ftone in the bladder are, pain, efpe¬ cially about the fphin&er.j and bloody urine, in confe¬ quence 400 3 Practice. MED 1 Epifchefes. quence of riding pr being jolted in a carriage-, a fenfe <—-y— of weight in the perinceum ; an itchinefs of the g/ans penis ; flimy fediment in the urine j and frequent flop* pages in making water a tenefmus alfo comes on while the urine is difcharged : but the moll certain %n is, when the ftone is felt by the finger introduced into the anus, or by founding. Caufes, Sec. It is not eafy to fay what the particu¬ lar caufes are which occafion the apparently earthy par¬ ticles of the fluids to run together, and form thofe cal¬ culous concretions which are found in different parts of the body, and efpecially in the organs for fecreting and difeharging the urine. The gout and ifone are generally fuppofed to have feme affinity, becaufe gouty people are for the molt part affiiaed with the gravel. But perhaps this is in part owing to their long confinement, and to lying on the back, which people who labour under the gout are often obliged to fubmit to ; fince the want of exer- cife, and this pofture, will naturally favour the ftagna- tion of a fhort time to choak up, the pipes through which it runs. But on the other hand it is objected, that b e human calculus is of animal origin, and by chcmica analyfis appears to bear very little analogy to the ftony concretions of water: and though it be allowed, that more perfons are cut for the ftone in the hofp.itals at Paris than in moft other places ; yet upon inquiry it is found, that many of thofe patients come from different provinces, and from towns and villages far diftant fiom Dr Percival conjeflures, that though this difeafe may chiefly depend upon a peculiar difpofition to concre^: / 456 JvmfcU In tl,e animal fluids, which in many inftanc.-s is here- cutary, and in no inftance can with certainty be impu¬ ted to any particular caufe j yet hard water'is at leaft negatively favourable to this diathefis, by having no tendency to dimimlh it. The urine of the mod; healthy perion is generally loaded with an apparently terreous matter, capable in favourable circumftances of formina a calculus ; as is evident from the thick cruft which it depoftts on the Tides of the veffels in which it is contain¬ ed. And it feems as if nature intended bv this excre¬ tion to difcharge all the fuperfluous falts of the blood together with thofe earthy particles, which are either denved from our aliment, and fine enough to pafs through the la&eals, though infuperable by the powers of circulation, or which arife from the abrafion of the iolids, or from the diftblution of the red globular part of our fluids. . Now water, whether ufed as nature pre- ients^us with it, or mixed with wine, or taken under the form of beer or ale, is the great diluter, vehicle, and menftruum, both of our food, and of the fa line, earthy, and excrementitious parts of the animal juices! And it is more or lefs adapted to the performance of theie offices, in proportion to its degree of purity. For it muft appear evident to the moft ordinary underftand- ing, that a menftruum already loaded, and perhaps fa- turated with different contents, cannot adl fo power¬ fully as one which is free from all fenfible impregna¬ tion.^ Nor is this reafoning founded upon theory alone : for it is obferved, that Malvern water, which iffues from a fpnng in Worcefterftiire remarkable for its un¬ common purity, has the property of diffolving the little fabulous ftones which are often voided in nephritic complaints. And the folution too, which is a proof' Of its being Complete, is perfedly colourlefs. Hence this w'ater is drunk with great advantage in diforders of the urinary paffages. And during the ufe of it, the patient’s urine is generally limpid, and feldom depofits any landy fediment. Yet notwithftanding this appear¬ ance of tranfparency, it is certainly at fuch times load¬ ed with impurities, which are fo diluted and diffolved as not to be vifible. For it is attended with a ftrong and fetid fmell, exadly refembling that of afparagus. Hoffman mentions a pure, light, fimple water in the principality of Henneberg, in Germany, which is re¬ markable for its efficacy in the ftone and gravel : and a water of fimilar virtues was difcovered not many years ago in the Black foreft, near Ofterod, which upon exa¬ mination did not afford a fingle grain of mineral mat- tfr’ r .^eec^ ^ ,s w°rthy of obfervation, that moft of the fpnngs which were formerly held in great efteem and were called hohj wells, are very pure, and yield little or no fediment. , I?r Percwal informs us that a gentleman of Man- chefter, who had been long fubjedl to nephritic com- plaints, and often voided fmail ftones, was advifed to refrain from his own pump-water, which is un¬ commonly hard, and to drink conftantly the foft wa¬ ter of a> neighbouring fpring ; and that this change alone, without the ufe of any medicine, has rendered the returns of his diforder much lefs frequent and pain- ful. A lady alfo, much affected with the gravel, was induced by the perufal of the firft edition of Dr Perci val s Effay to try the effed of foft water; and by the conftant ufe of it remained two years entirely free from her dilorder. medicine. In nephritic cafes, diftilled water would be an excel¬ lent fubftitute for Malvern water, as the following ex¬ periment evinces. & 1 wo fragments of the fame calculus, nearly of eoual weight, were immerfed, the one in three ounces of di- fiihed water, the other in three ounces of hard pump, water. The phials were hung up clofe together in a kuchen-chimney, at a convenient diftance from the fire After 14 days maceration, the calculi were taken out’ and carefully dried by a very gentle heat. The for¬ mer, viz. that which had been immerfed in diftilled water, was diminiftied in its weight a grain and a half- the latter had loft only half a grain. It is the paffage of thefe calculi from the kidneys down into the bladder, which occafions the pain, vo- miting, and other fymptoms, that conrtitute what is ulualiy termed a// of the gravel os Jlone. . When an inflammation is adually railed, the difeare is known by the name of nephritis, and has been alrea¬ dy treated of. As foon as the ftone paffes through the ureter, and mils into the bladder, the pain and other nephritic iymptoms ceafe ; and every thing will remain quiet, either till the ftone be carried into the urethra, or until it has remained long enough in the bladder to acquire weight lufhcient to create new diftrefs. If a ftone happen to be fmooth and of a roundifti orm it may he in the bladder and acquire confider- able bulk before it can be perceived bv the patient : but when it is angular, or has a rugged furface, even though it may be fmail in fize, yet it feldom fails to raile pain, and occafion bloody urine, or the difeharerg of a flimy fluid, with tenefmus, and difficulty in making water. 6 1 here have been various attempts made to diffolve the ftone ; and there are certainly fome articles which have this efteeft when applied to them out of the body • but the almoft total impoftibility of getting. thefe con! veyed to the kidneys, renders it extremely doubtful whether a folvent ever will be difcovered. Of all the articles employed for this purpofe, no one perhaps has had greater reputation than fixed alkaline fait in its cau- fticftate, particularly under the form of the lixivium cauflicitm, or aqua potafa, as it is now called : but this being of a very acrid nature, it requires to be w-ell Iheathed by means of fome gelatinous or mucilaginous vehicle. Veal-broth is as convenient as any for this purpofe ; and accordingly it is ufed by thofe who make a fecret of the cauftic alkali as a folvent of cal¬ culus. Mr Blackrie, wffio has taken much pains in this in¬ quiry, has proved very fatisfaftorily, that ChittrickY noitrum is no other than foap-lees given in veal-broth which the patients fend every day to the doftor, who’ returns it mixed up with the medicine, in a clofe veffel lecured by a lock. It is not every cafe, however, that either requires or will bear a courfe of the cauftic alkali. Some cal- cuh are of that foft and friable nature, that they will diiiolve even in common water ; and there are cafes wherein it appears that the conftant ufe of fome very flmp.e decochon or infufion of an infignificant vege- able, has brought away large quantities of earthy matter, m flakes which apparently have been united together in layers to form a ftone. Dr Macbride af- fures Practice. Dyfuria. Practice. M EDI Epifchefes. fares ns, that a decoction of raw coffee, only 30 ber- v “ ries in a quart of water, boiled till it acquired a deep greenilh colour, taken morning and evening to the quantity of eight or ten ounces, with ten drops of fweet fpirit of nitre, had the powerful effedt of bring¬ ing away, in the courfe of about two months, as much earthy matter in flakes as filled a large tea cup. The patient was far advanced in years; and, before he began this decodtion, had been reduced to great extre¬ mities by the continuance of pain and other diflref- fing fymptoms: he was purged occafionally with oleum ricini. Very lately the alkali in a mild ftate, and in a dif¬ ferent form, has been much ufed by many calculous patients, and with great advantage, under the form of what is called alkaline aerated water, the aqua fuper- carbonatis potaffae of the prefent edition of the Edin¬ burgh Pharmacopoeia. For the introdudlion of this medicine, or at leaft for its extenfive ufe, we are chiefly indebted to that ingenious phyfician Dr William Fal¬ coner of Bath. He has lately publilhed an account of the Aqua Mephitic a Alkalina, or folution of fixed al¬ kaline fait, faturated with fixable air, in calculous dif- orders ; which contains a number of cafes ftrongly fup- porting the benefit to be derived from it. But whe¬ ther the good effedls obtained in thefe inflances are to be explained from its operating as a folvent of calculus, feems to be extremely doubtful. There are indeed cafes in Dr Falconer’s treatife, of patients in whom, after ufing it for a confiderable time, no done could be de¬ tected by founding, although it had been difcovered in that way before they began the employment of it. But in many inflances, the relief has been fo hidden, that it may be concluded, that, notwathflanding the cafe ob¬ tained, the calculus ftiil remained. In fuch cafes,. it probably removed from the urine that quality by which it gives to the calculus frefli accretions, producing that roughnefs of its furface by which it is chiefly capable of a Cling as a ftimulus. For the diflrefling fymptoms re- fulting from ftone are chiefly to be attributed to the inflammatory and fpafmodic affeClions which it induces j and when its furface is leaft capable of operating as a flimulus, thefe of courfe will be lead confiderable. It is therefore not improbable, that this remedy produces relief, by preventing frefli additions being made to the calculus. An infufion of the feeds of daucus JylvcJlt is fweetcn- ed with honey, is another fimple and much celebrated remedy ; it has been found to give confiderable eafe in cafes where the ftomach could not bear any thing of an acrid nature. The leaves of the uva urfi were ftrongly recommended by the late celebrated De Pia^.n , and this, whatever its way of operating may be, feems to have been produClive of good effeCts its iome inftances. I here is no reafon to believe that it has any influence in dif- folving calculus j and indeed it feems to be chiefly ufe- ful in thefe inftances where ulcerations take place in the urinary paffages. . ... In the Edinburgh Medical Commentaries, yol. in. we have an account of a method ufed by the inhabi¬ tants of Arabia Petrsea for curing the ftone, to which thev are very much fubjedl, and which the author (an Englilh gentleman of experience and candour) adirms he has feen frequently performed with fuccels. Ly means of a catheter, they injefl into the bladder a weak Vol. XIII. Part II. CINE. ley of alkali with the purified fat of a fneep’s tail, and a proper quantity of opium, all put together. Their ca¬ theters are made of gold ; and in performing the ope¬ ration they introduce them quite into the bladder ; fo that the compofition is fafely conveyed to the ftone without hurting any other part. But when a ftone is fituated in the kidney, they have no method of cure. If this method of curing by injeflion could be fafely praflifed, it would no doubt have the advantage over that of taking alkalies by the mouth, where the medi¬ cine is not only much weakened, but the conftitution of the patient runs the rifle of being greatly injured. But from fome experiments mentioned in the fecond volume of the Medical Tranfaflions, and ftill more from the chemical analyfis of urinary concretions, lately publilh¬ ed by Fourcroy and other modern chemifls, it appears that the human calculi are very different from one an¬ other in their natures. Some, for inftance, will eafily yield to an alkaline menftruum, and very little to an acid j while others are found to refift the alkali, and yield to the acid ; and fome are of fuch a compabl na¬ ture, that they yield neither to acids nor alkalies. An attention, however, to the fragments, feales, or films, which the ftone may call off, and alfo to the contents and fediment of the urine, may lead to the difeovery of what folvent is proper, or whether the ftone can be dif- folved by any. To ufe either alkalies or acids impro¬ perly may be hurtful; though there may be fuch kinds of calculi as demand the alternate ufe of acids and al¬ kalies ; nay, there may be found calculi of oppofite kinds in the fame fubjedl. In fuch cafes as will not allow us to think of diffol- ving the ftony concretions, and where the only object is to palliate and procure eafe from time to time, little more can be done than to keep the bowels open occafionally by fome gentle cathartic, and w’aftv off as much of the loofe gravelly matter and flime as can be removed by fuch mild diuretic infufions and decoc¬ tions as (hall be found to pafs freely and fit w;ell on the ftomach. Perfons afflifted with the ftone ftiould be careful in refpeft of their diet, and ftudioufly avoid all heavy and flatulent food, as w^ell as high fauces that are apt to turn rancid. For the fame reafen, butter and acids are to be fliunned ; for thefe often create heart¬ burning, and every thing that offends the ftomach raifes the nephritic pain *, fuch is the fympathy that obtains between the digeftive and the uropoietic or- gans. There have been furgeons bold enough to entertain an idea of cutting even into the kidney, in order to extra# a ftone : this, however, except in cafes where an abfeefs has been formed, and nature points out the w'ay, is both very uncertain and very hazardous. But cutting into the bladder for the fame purpofe, is an an¬ cient and well-known operation, and often crowned with fuccefs. A defeription, however, of this opera¬ tion belongs to the article SURGERY, to which we re¬ fer ; and here {hall only make this remark, that a fur- geon ftiould never begin his operation, until he and his afliftants are perfedlly fatisfied, from aflually feeling the ftone, that there is one in the bladder ; becaufe it has fometimes happened, that when the incifion has been made, no ftone could be found : and the patient hawng died in confequence of the operation, and the 3 M ' body 458 M E D I Epifchefcs. body being opened, it has appeared that the fymptoms ^"l" ” which occafioned the belief of a done in the bladder arofe from fome other caufe. WHEN a dyfuria proceeds from any acrimonious mat¬ ter thrown into the blood, it may be readily cured by bleeding, emollient clyfters, cooling and diluting drinks with gum arabic or gum tragacanth, linfeed tea, or the warm bath. When it arifes from inflammations of the bladder or parts adjoining to it, we are to regard it only as a fymptornatic affedlion ; and the remedies ufed to remove the primary difeafe will alfo remove the dyfuria. Sometimes it may arife from an ulcer of the bladder ; in which cafe it is generally incurable ; a mild nutritious diet will, however, protraefl the patient’s life 5 and even render that life tolerable, by alleviating fymptoms. 401 Genus CXXV. DYSPERMATISMUS. Difficult Emission of Semen. Dyfpermatifmus, Sauv. gen. 260. Sterilitas, Lin. 171. Sag. 211. Agenefia, Fog. 283. This impeditnent proceeds generally from obftruc- tiens in the urethra, either by tumors in itfelf, or in the cavernous bodies of the penis ; in which cafe the treatment is the fame as in the ifehuria urethralis; fometimes it is owing to a kind of epileptic fit which feizes the man in the venereal aft ; and fometimes the femen, when ejefted from the proper receptacles, is again abforbed, or flows into the bladder, and is expel¬ led along with the urine. The laft cafe it is very diffi¬ cult, or even impoffible, to cure ; as proceeding from feirrhi, or other indiffoluble tumors of the verumonta- num, or the neighbouring parts. It is alfo, in gene¬ ral, incurable. In fome it proceeds merely from too violent an ereftion ; in which cafe emollient and relax¬ ing medicines will be of fervice •, and we have an ex¬ ample of a cure performed by means of thefe in the firft volume of the Edinburgh Medical Effays. 402 Genus CXXVI. AMENORRHOEA. Suppression of the Menses. Amenorrhoea, Vog. 130. Dyfmenorrhoea, Lin. 168. Sag. 218. This obftruftion, with many other fymptoms, as dyfpepfia, yellowilh or greeniffi colour of the fkin, un- ufual appetites, &c. conftitutes the chlorojis already treated of, a difeafe which feldom or never appears without a fuppreffion of the menfes. In Dr Hume’s Clinical Experiments we find the virtues of feveral em- menagogues fet forth in the following manner. Chaly- beates feldom or never fucceeded : they were always found more ufeful in diminiffiing the evacuation when CINE. Praciice. too violent, than in refloring it when deficient. The Amenor- tinfture of black hellebore proved fuccefsful only in one Hwea. of nine or ten cafes, though given to the length of four ' tea-fpoonfuls a-day, which is double the quantity re¬ commended by Dr Mead. Compreffion of the crural artery, recommended by Dr Hamilton in the Phyfical and Literary Eflays, vol. ii. proved fuccefsful only in one of fix cafes. From the effefts produced by this compreffion, it has the ftrongefl appearance of loading the uterus with blood ; from the fenfations of the pa¬ tient it produces the fame effefts as the approach of the menles, and has every appearance in its favour j yet does not fucceed. Dr Hume fuppofesthat the uterus is moft frequently in too plethoric and inflammatory a ftate 5 in which cafe, this remedy will do more hurt than in a ftate of inanition ; however, he owns, that in the cafe in which it did fucceed, the patient was ple¬ thoric and inflammatory. Venefeftion is recommended as an excellent remedy 5 the doftor gives three inftan- ces of its fuccefs, and fays he could give many more. It afts by removing the plethoric ftate of the uterus, re¬ laxing the fibres,.and giving the veffels full play ; fo that their aftion overcomes all refiftance, and the eva¬ cuation takes place. It is of no great moment from whence the blood is taken : the faphamic vein has been fuppofed to empty the uterus moft ; but it is difficult to get the proper quantity from it, and the quantity of the difeharge cannot be fo well meafured. The powder of favine is a moft powerful remedy ; and proved fuccefs ful in three cafes out of four in which it wras tried. It was given to the quantity of half a dram twice a-day. It is a ftrong topical ftimulus, and feems improper in plethoric habits. Madder-root, according to Dr Hume, is a very powerful medicine in this difeafe •, and proved fuccefsful in 14 out of 19 cafes in which it was tried, being fometimes exhibited in the quantity of two feru- ples, or a dram, four times a-day. It has fcarcely any fenfible effefts ; never quickens the pulfe, or excites in¬ flammatory fymptoms : on the contrary, the heat, thirft, and other complaints abate 5 and fometimes thefe fymp¬ toms are removed, though the difeafe be not cured j but when it fucceeds, the menfes appear from the third to the 12th day. We have now confidered all thofe difeafes enumera¬ ted in Dr Cullen’s Nofology, the cure of which is to be attempted chiefly by internal medicines. The other genera either require particular manual operations, or a very confiderable ufe of external applications ; and therefore more properly fall under the article Surgery. To this, therefore, we {hall refer the genera which fall under the three laft orders of the clafs of locales, viz. the tumores, e&opia:, and dialyfes; and we ftiall add, by wray of Appendix, a few obfervations on fome im¬ portant affeftions to which Dr Cullen has not given a place in his fyftem, or which praftitioners in general are not agreed in referring to any one particular genus which he has mentioned. APPENDIX. Appendix. Angina Pecloris. MEDICINE. APPENDIX. 459 Angina Pedtoris. ANGINA PECTORIS. Dr HeBERDEN was the firfl who defcribed this difeafe, though it is an extremely dangerous, and, by his account, not very rare affe£tion. It feizes thofe who are fubjecl to it when they are walking, and par¬ ticularly when they walk foon after eating, with a moft difagreeable and painful fenfation in the bread, which feerns to threaten immediate dellruftion : but the mo¬ ment they Hand {till, all the uneafinefs vanilhes. In all other refpects the patients at the beginning of this dif- order are well, and have no Ihortnefs of breath ; from which the angina peBoris is totally different. After it has continued fome months, the fits will not ceafe in- fiantaneoufiy on Handing ftill; and it will come on not only when the patients are walking, but when they are l^ung down, and oblige them to rife up out of bed eve¬ ry night for many months together. In one or two very inveterate cafes, it has been brought on by the motion of a horfe or carriage, and even by fwallowing, coughing, going to ftool, fpeaking, or by any difturb- ance of mind. The perfons affefted were all men, al- moft all of whom were above 50 years of age, and moft of them with a fhort neck and inclining to be fat. Something like it, however, was obferved in one wo¬ man, who ■was paralytic $ and one or two young men complained of it in a flight degree. Other practition¬ ers have obferved it in very young perfons. . \ When a fit of this fort comes on by walking, its du¬ ration is very ftiort, as it goes off almoft immediately upon flopping. If it comes on in the night, it will laft an hour or two. Dr Heberden met with one in whom it once continued for feveral days ; during all which time the patient feemed to be in imminent danger of death. Moft of thofe attacked with the diftemper died fuddenly : though this rule was not without excep¬ tions \ and Dr Heberden obferved one who lunk under a lingering illnefs of a different nature. The os Jlerni is ufunlly pointed to as the feat of this malady. It feems as if it was under the lower part of that bone, and at other times under the middle or up¬ per part, but always inclining more to the left fide $ and in many cafes there is joined with it a pain about the middle of the left arm, which appears to be feated in the biceps mufcle. The appearance of Dr Heberden’s paper in the Me¬ dical Tranfaftions very foon railed the attention of the faculty, and produced other obfervations froin phyfi- cians of eminence ; particularly Dr Fothergill, Dr Wall of Worcefter, Dr Haygarth of Chefter, and Dr Percival of Manchefter. It alfo induced an unknown fufferer under the difeafe to write Dr Heberden a very fenfible letter, defcribing his feelings in the moft na¬ tural manner j which, unfortunatelym three weeks after the date of this anonymous epiftle, terminated in a hidden death, as the writer himfelf had appre¬ hended. . r The youngeft fubjeft that Dr Fothergill ever faw afflicted with this diforder was -about 3s years o age j and this perfon was cured. The method that fucceed- ed with him was a courfe of pills, compofed of the mafs of gum pill, foap, and native cinnabar ; with a light chalybeate bitter : this was continued for fome months, after which he went to Bath feveral fucceflive feafons, and acquired his ufual health : he was ordered to be very fparing in his diet •, to keep the bowels open j and to ufe moderate exercife on horfeback, but not to take long or fatiguing walks. The only fymptom in this patient that is mentioned, tv as a ftriClure about the cheft, which came on if he was walking up hill or a little fafter than ordinary, or if he was riding at a very brifk trot \ for moderate exercife of any kind did not affeft him : and this un- eafy fenfation always obliged him to flop, as he felt himfelf threatened with immediate death if he had been obliged to go forward. It is the ftiarp conftriflive pain acrofs the cheft, which (according to Dr Fothergill’s obfervation) parti¬ cularly marks this fingular difeafe; and which is apt to fupervene upon a certain degree of mufcular motion, or whatever agitates the nervous fyftem. In fuch cafes as fell-under the infpe&ion of Dr Fo¬ thergill, he very feldom met with one that was not at¬ tended with an irregular and intermitting pulfe ; not only during the exacerbations, but often when the pa¬ tient was free from pain and at reft : but Dr Heber¬ den obferves, that the pulfe is, at leafir fometimes, not difturbed ; and mentions his having once had an op¬ portunity of being convinced of this circumftance, by feeling the pulfe during the paroxyfm. But no doubt thefe varieties, as wHl as many other little circumftances, will occur in this difeale, as they do in every other, on account of the diverfity or the hu¬ man frame j and if thofe which in general are found to predominate and give the diftinguiftiing charadler be prefent, they will always authonfe us in giving the name to the difeafe 1 thus, when w'e find the conilric- tory pain acrofs the cheft, accompanied with a fenfe of ftrangling or fuffocation } and ftill more, if this pain ftiould ftrike acrofs the breaft into one or both arms j we {hould not hentate to pronounce the cafe an angina peBoris. As to the nature of this difeafe, it appears to be purely fpafmodic ; and this opinion will readily prefent itfelf to any one who confiders the fudden manner of its coming on and going off ; the long intervals of per- fea eafe ; the relief afforded by wine, and fpirituous cordials 5 the influence which paflionate affbaions of the mind have over it *, the eafe which comes from varying the pofture of the head and fhoulders, or fiom remaining quite motionlefs 5 the number of years for which it will continue, without otherwife difqrdering health ; its bearing fo well the motion of a horfe or carriage, which circumftance often diftinguiihes fpaf¬ modic pains from thofe which arife from ulcers ; and, laftly, its coming on for the moft part after a full meal, and in certain patients at night, juft after the firft fleep, at which time the insubus, convulfive aflhma, and other difeafes, juftly attributed to the difordered func- 3 M 2 tions 4<5o , M E D I Angina tions of the nerves, are peculiarly apt to return or to be , ?£^oris; aggravated. From all thefe circumftances taken together, there can be little doubt that this aifeclion is of a fpafmodic nature : but though it fliould be admitted, that the whole diftrefs in thtfe cafes arife from fpnfm, it may not be lo eafy to afcertain the particular muicles which are thus affeded. The violent fenfe of firangling or choaking, which fhows the circulation through the lungs to be inter¬ rupted during the height of the paroxyfm ; and the pe¬ culiar conftridive pain under the fternum, always in¬ clining (according to Dr Heberden’s obfervation) to the left-fide ; together with that moft diftreffing and alarming fenfation, which, if it were to increafe or continue, threatensan immediate extindion of life; might authorife us to conclude that the heart itfelf is the mufcle affeded : the only objedion to this idea is, that the pulfe is not always interrupted during the paroxyfm. The appearances in two of the diffedions, favour the opinion that the fpafm affeds the heart; as in one fub- jed the left ventricle was found as empty of blood as if it had been wadied ; and in another, the fubftance of the heart appeared whitifh, not unlike a ligament ; as it fliould feem, in both cafes, from the force of the fpafm fqueezing the blood out from the veiTels and cavities. It this hypothefis be allowed, we mud conclude that the fpafm can only take place in an inferior degree, as long as the patient continues to furvive the paroxyfm ; fince an affedion of this fort, and in this part, of any confiderable duration or violence, mull inevitably prove fatal: and accordingly, as far as could be traced, the perfons who have been known to labour under this dif- eafe have in general died fuddenly. The difledions alfo fliow, that whatever may be the true feat of the fpafm, it is not neceflary for the bring¬ ing of it on, that the heart, or its immediate appenda¬ ges, thould be in a morbid date; for in three out of the fix that have as yet been made public, thefe parts were found in a found date. On opening the body of the poor gentleman who wrote the letter to Dr Heberden, “ upon the mod careful examination, no manifed caufe of his death could be difcovered ; the heart, in particular, with its veffels and valves, were all found in a natural condi¬ tion.” In the cafe communicated by Dr Percival to the pub- lifhers of the Edinburgh Medical Commentaries, “ the heart and aorta defcendens were found in a found date.” And in Dr Haygarth’s patient, “ on opening the tho¬ rax, the lungs, pericardium, and heart, appeared per¬ fectly found.” Not to mention Dr Fothergill’s pa¬ tient (R. M.), in whofe body the only morbid ap¬ pearance about the heart was a fmall white fpot near the apex. Thus the caufe, whatever its na¬ ture might have been, was at too great a didance, or of too fubtile a nature, to come under the infpeClion ' of the anatomid. But there wTas a circumdance in two of the fubjeCls that is worthy of remembrance ; and which flrows that the crafis of the blood, while they were living, mud have been greatly injured, namely, its not coagulating, but remaining of a cream-like con¬ fidence, without any feparation into ferum and craffa- mentuitt. CINE. Appendix From all that we have feen hitherto publidied, it in-,i does not appear that any confiderable advances have ^'do’-is. been made towards the aCtual cure of this anomalous *’ y fpafm. The very judicious and attentive Dr Heberden (to whom the public are highly indebted for fird making the diforder known) confefles, that bleedings, vomits, and other evacuations, have not appeared to do any good : tvine and cordials taken at bed-time, will fome- times prevent or weaken the fits ; but nothing does this lo effe&ually as opiates : in fhort, the medicines ufually called nervous or cordial, fuch as relieve and quiet convulfive motions, and invigorate the languith- ing principle of life, are what he recommends. Dr Wall mentions one patient, out of the 12 or 13 that he had feen, wTo applied to him early in the dif- eafe, and was relieved confiderably by the ufe of anti- monial medicines joined with the fetid gums : he was dill living at the time the doClor wTrote his paper, (November *772), and going about with tolerable eafe. Two were carried off by other diforders; all the red died fuddenly. Dr Fothergill’s direClions are chiedy calculated with the view to prevent the diforder from gaining ground, and to alleviate prefent dillrefs. Accordingly he en¬ joins fuch a kind of diet as may be moll likely to pre¬ vent irritability: in particular, not to eat vo’-acioufly: to be very abdemious in refpeft to every thing heating ; fpices, fpirits, wines, and all fermented liquors: to guard mod fcrupuloufly againd pafiion, or any vehement emotions ; and to make ufe of all the ufual means of edablilhing and preferving general health : to mitigate excefles of irritability by anodynes ; or pains, if they quicken the circulation : to difperfe flatulencies when they didend the domach, by moderate dofes of carmina¬ tives ; amongd which, perhaps, Ample peppermint w'ater may be reckoned one of the fafed. But fince obefity is judly confidered as a principal predifpofing caufe, he infids drongly on the necedity of preventing an increafe of fat, by a vegetable diet, and ufing every other prac¬ ticable method of augmenting the thinner fecretions. Thefe were the only means recommended by the praflitioners mentioned above for oppofing this for¬ midable difeafe : but Dr Smyth of Ireland has, we are told, dilcovered that it may be certainly cured by idues, of which Dr Macbride gives the following indance. “ 5. a tall well-made man ; rather large than otherwife ; of healthy parents, except that there had been a little gout in the family ; temperate ; being very attentive to the bufinefs of his trade (that of a watchmaker), led a life uncommonly fedentary ; had, from his boyhood upwards, been remarkably fubjeft to alarming indammations of his throat, which feized him, at lead, once in the courfe of the year ; in all other refpe&s well. “ In 1767, (then 48 years of age), he was taken, without any evident caufe, with a hidden and very difpiriting throbbing under the dernum. It foon afterwards increafed, and returned upon him every third or fourth week, accompanied with great anxiety, very laborious breathing, choaking, a fenfation of fulnefs and didenfion in the head, a bloated and flufhed countenance, turgid and watery eyes, and a very irregular and unequal pulfe. The paroxyfm in¬ vade d3 Appendix. iV^ ^ v ided, almoft conftantly, while he was fittmg^ after dinner ; now and then he was feizeo. witn it in the morning, when walking a little fader than ufual : and was then obliged to flop, and reft on any objea at hand. Once or twice it came on in bed 5 but did not Angina Pecloris. nanu. wu'-"- / oblige him to fit up, as it was then attended wuth no great difficulty in breathing. In the afternoon fits his greateft eafe was from a fupine poftuie ; in which he ufed to continue motionlefs for fome hours, until, quite fpent and worn out with anguiih, he dropt into a {lumber. In the intervals between thefe attacks, which at length grew fo frequent as to return every fourth or fifth'day, he was, to appearance, m perfedt health. “ Thus matters continued for more than two years ; and various antifpafmodics were ineffedlually tried for his relief. In 1769, there fupervened a very (harp conftridlory pain at the upper part of the fternum, ftretching equally on each fide, attended with the for¬ mer fymptoms of anxiety, dyfpncea, chocking, ^ c. and with an excruciating cramp, as he called it, tnat could be covered with a crown-piece, m each of his arms, between the elbow and the wnft, exactly at t'1® infertion of the pronator teres; the reft of the limb was quite free. The fits were fometimes brought on, and always exafperated, by any agitation or mind or body He once attempted to ride on horieback du¬ ring the paroxyfm j but the experiment was near proving fatal to him. The difference of feafon or wea¬ ther made no impreffion upon him. Still, m the in¬ tervals, his health was perfeAly good ; except that his eyes which before his illnefs were remarkably ftrong and’clear, were now grown _ extremely tender: and that his fight was much impaired. He had no flatu¬ lency of ftomach, and his bowels were regular. “ In this fituation, February 22. 1770, he applied to me for affiftance. I had feen, I believe eight or ten of thefe frightful cafes before. Two of the patients dropt dead fuddenly. They were men between 40 and co years of age, and of a make fomewhat flefhy. 1 ne fate of the others I was not informed of *, or, at leait cannot now recolka. . , “ Having found the total inefficacy of buffers and the whole clafs of nervous medicines m the treatment of this anomalous fpafm, I thought it right to attempt the cerrcfting or draining off of the irritating fluid in the cafe now before us. To this purpofe, I ordered a mixture of lime-water with a little of the compound ju¬ niper-water, and an alterative proportion of Huxham s antimonial wine : I put the patient on a plain, light, perfpirable diet ; and reftrained him from all vile d, flatulent, and acrimonious articles. By P“r[uin| ^ courfe he was foon apparently mended j but after he had perfifted regularly in it for at leaft two months he kept for fome time at a ftand I then ordered a large iffue to be opened on each of his thighs. Only one was made. However, as foon as it began to d.f- charge, his amendment mamfeftly mcreafed. The quency and feverity of the fits abated coni’derably and he continued improving gradually, ^ «t the end of 18 months he was reftored to peneft health . which he has enjoyed, without the leaft interruption till now, except when he has been tempted (perhap once in a twelvemonth) to tranfgrefs rules, by making a large meal on falted meat, or indulging him-elf CINE. ale or mm-punch, each of which never failed to dif- order him from the beginning of his illnefs : and even on thefe occafions, he has felt no more than the flighteft motion of his former fufferings •, infomuch that he would defpife the attack, if it did not appear to be of the fame flock with his old complaint. No other caufe has had the leaft ill effeft on him. 461 Areina Peiftoris. S uau UIC lean in emei. mi* ....... “ Though rum was conftantly hurtful, yet punch made with a maceration of black currants in our vul¬ gar corn-fpirit, is a liquor that agrees remarkably well with him. “ He never took any medicine after the iffue began to difeharge} and I have directed that it {hall be kept open as long as he lives. The inflammations of his throat have difappeared for five years paft; he has recovered the ftrength and clearnefs of his fight } and his health feems now to be entirely re-efta- blilhed.” Dr Macbride, in a letter to Dr Duncan, pubhlhed in the Edinburgh Medical Commentaries, gives the following additional obfervations on this difeafe- “ Within thefe few weeks I have, at the defire of Dr Smyth, vifited, three or four times, a very inge¬ nious man who keeps an academy in this city, of about 34 years of age, who applied to the doftor for his ad¬ vice in January laft. r “ I ffiall give you his fymptoms as I had them irotn his own mouth, which appear to me to mark his cafe to be an angina pe&oris, and as deplorable as any that I have read of. It was ftrongly diftinguiffied by the exquifite conftriaory pain of the fternum, extend¬ ing to each of his arms as far as the infertion of the deltoid mufcle, extreme anxiety, laborious breathing, ftrangling, and violent palpitation of the heart, with a moft irregular pulfe. The paroxyfms were^ fo fre¬ quent, that he fcarcely ever efcaped a day, ror fix or feven years, without one. They were ufually excited by any agitation of mind or body, though flight. He had clear intervals of health between the fits. I he diftemper feems hereditary in him, as he fays his fa¬ ther was affe&ed in the fame manner fome years pre- vi®us to his death. He has a ftrong gouty taint, which never ffiowed itfelf in his limbs ; and he has led a life of uncommon fedentarinefs, from_ intenfe appli¬ cation to mathematical ftudies,. attention of mind, and paffion, even from his boyifli years. Theie cir- cumftances may, perhaps, account for his having been taken with this difeafe at fo early an age as 17. “ A large iffue was immediately opened in each m his thighs. In a month afterwards he began to menci, and Iras’ gone on improving gradually. He can now run up flairs briikly, as I faw him do no later than yefterday, without hurt •, can bear agitation of mind ;• and has no complaint, excepting a flight oppreffion o, the breaft, under the fternum, which he feels iome- times in a morning, immediately after drefling him- felf and which he thinks is brought on by the motion ufed in putting on his clothes j though for a complete week preceding the day on winch I faw him laft, he told me that he had been entirely free from all un- eafinefs, and was exulting that he had not had inch an interval of eafe for thefe laft feven years. “ Doctor Smyth alfo {bowed me, in his adverjana, the cafe of a gentleman who had been under his care in 1760, which he had forgotten when my book ' 1 went 462 Puerpera! Fever. M E D I went to the prefs^and which he was reminded of the ^ other day by a vifit from his patient. It was a ge- mime angina pedoris, brought on by a very feden- tary life, and great vexation of mind, clearly marked by the exquifite pain under the ilernum, that extend¬ ed acutely to the upper extremities, particularly along the^ left arm, together with the other fymptoms of dyipnoea, anxiety, palpitation of the heart, &c. re¬ cited in the cafe above. The diforder went off in 1762, by large fpontaneous difcbarges from the piles, but returned upon him feverely in 1765. Iffues in Ins thighs were then reconrmended to him, but not made. But, W’hetner it w'as by the perfuafion of fome mend, or of his own accord, he went into a courfe o James s powder, in ftnall alterative dofes, com¬ bined with a little caftor and afafoetida. This he perfifted m for about fix weeks ; in the meanwhile, he had large acrimonious gleetings from the fcrotum and a plentiffil difcharge of ichor from the anus.— From this time he began to find his complaints grow' Ids and lefs diftrefling, and he has now been totally iree from them for fix years part.” CINE. 4C4 The PUERPERAL, or Childbed Fever. 7 his fpecies of fever, as its name imports, is pecu¬ liar to wobien in childbed j and is ufually the moft fatal of all the diforders to which the fex is liable. Eut, notwithftandiug the prevalence of it in all ages, its* real nature has remained, to the prefent time, a’fub- jeft of much difpute and uncertainty. The critical pe¬ riod of its invafion, when febrile commotions are apt to be excited by various accidents, and the equivocal lymptoms which accompany it, have even afforded room for queflioning whether it be a primary or a fe- condary difeafe. Some writers have confidered it as proceeding entirely from an inflammation of the uterus; others have imagined it to be the confequence of an obftrudbon to the fecretion of the milk ; while the greater number has been inclined, for reafons equally if not more plaufible, to impute it to a fuppreflion of the lochia. If we examine this fever attentively, how¬ ever, according to its natural courfe, and independently of dl the accidental concomitant fymptoms with which it is not effentially connefled, we may fafely pronounce it to be a primary difeafe of a particular nature, and per- Laps not the neceffary confequence of any of the caufes above mentioned. This fever is moft generally incident to w'omen with¬ in 48 hours after delivery, though it may fupervene on the fourth or fifth day, and fometimes confiderably later. . It is preceded, like other fevers, by a rigor, which is commonly violent; and, when happening du¬ ring the time of labour, may be confounded with the pains of parturiency. In its earlier ftage it is attended with the figns of inflammation. A great pain is felt in the back, hips, and the region of the uterus; which, in the part laft mentioned, is accompanied wdth the fenfe of heat and throbbing. A fudden change in the quality, or quantity of the lochia now alfo takes place ; the patient is frequently troubled with a tenefmus; and’ the urine, w'hich is very high-coloured, is difcharged in fmall quantity and with pain. At the firft attack «>f tlie fever, the woman is generally feized with a vo¬ miting of porraceous matter, as in the cholera morbus, ,. . Appendix, to which difeafe it then bears a ftrong refemblance.— Puerperal Eut inftead of this fymptom, there is fometimes only Fever. a naulea, or loathing at the ftomach, with a difagree- able tafte m the mouth. The belly fwells to a confi- derable bulk, and becomes fufceptible of painful fen- fations from the flighteft impreflion. The tongue' is generally dry, though fometimes rnoift, and covered with a thick brownifh fur. When the fever has con- S, ckcT yf’ ,thef>'mPtcnis of inflammation ua y ubfide, ana the difeafe acquires a more putrid I?™- ^ thls period, if not at the very beginning of the diforder,. a bilious or putrid diarrhoea, of a danaer- ous and obftinate nature, fupervenes, and accompanies it through all its future progrefs; each motion to ftool being preceded by a temporary increafe, and followed by an alleviation of pain. The patient ufually nau- leates all kind 0. food and drink, except what is cold and acidulated.. A brown or blackifh fordes, the con- lequence of putrid exhalations, adheres to the edges of the teeth ; a troublefome hiccough is at length produ¬ ced, which greatly exafperates the pains of the abdo¬ men ; petechne or vibices alfo appear, with fometimes a mihary erupuon but which produces no mitigation of the difeafe. Ihrough the whole courfe of the fe- Y€*’. the patient is affeaed with great anxiety and de- jeaion of fpints. Such in general is the courfe of the puerperal fever : the lymptoms of which, however, may be often varied according to the conftitution of the patient, the degree of the difeafe, and its earlier or later invafion. When the woman is naturally weak, or her ftrength has been greatly reduced by immoderate evacuations after de¬ livery ; when the difeafe is violent, and immediately follows.that period ; its progrefs and termination are proportion ably rapid and fatal. In fuch unfortunate circumftances, many have been known to expire 'with¬ in 24 hours from the firft attack of the difeafe : nay there are fome mftanoes where the rigor has concluded t le fcene. The cataftrophe, however, is moft gene¬ rally fufpended for fome days ; and the number of thefe is variable, though the 1 ith from the commencement of the fever may juftly be fixed as the period which is ulually deciftve. In whatever ftage of the difeafe an unfavourable termination may happen, it would feem as if the commencement of the patient’s recovery were not marked by any critical revolution of the fever as depending on an alteration of the humours 1 but that the cure is gradually effeaed, either by a fpontaneous vomiting, or a long-continued difcharge by ftool of that porraceous matter, the exiftence of which in the flomach is ufually evinced at the firft attack of the dijeale. The moft unfavourable prognoftic, therefore anles from fuch a, weaknefs of the patient as ren- ders her unable to fupport fo tedious an evacuation as that by which the fever is overcome. When the lo¬ chia return to their former ftate, when the fwelling and tendernefs of the abdomen abate, and there is a moi- fture on the fkin, we have reafon to hope for a happy termination of the difeafe. Though the puerperal fever may generally be afcer- tamed from the defcription which has been given, and chiefly by that remarkable tendernefs of the abdomen which particularly diftinguiflies it : yet, as fome of its lymptoms may be confounded with thofe arifing from other diieafes, and which require a different method - of Appendix. M E D I Puerp sal of cure, it will be proper to mention here the circum- ' ftances by which ^ may be known with greater cer- v tainty. & The pains of the abdomen, attending the childbed fever, may be diilinguifhed from thofe called after- pains, by their uninterrupted continuance through the couife ef the difeafe, though fometimes they buffer exacerbations j whereas, in the latter, they often to¬ tally intermit. They are alfo diftinguilhable by the ab- fence of fever with concomitant fymptoms in the one, and their evident exigence in the other. Many circumftances evince a diffimilarity between the puerperal and miliary fevers, notwithftanding the fymptoms of anxiety and oppreflion are common to both ; infomuch that the nature of the approaching difeafe may be afeertained at the very commencement of its attack. In the puerperal fever the rigor is more violent, of longer duration, and not interrupted, as it is in the other, i he pulle is fuller and ftronger j the fkin is more hot 5 and the tongue, whether moifl or dry, though generally the latter, is not of a white, but brown:fh appearance ; and the urine is alfo higher co¬ loured. Eruptions, which are critical in miliary fevers, procure n6 mitigation of the puerperal fever, and cordials generally increafe it. When the original attack of the puerperal fever hap¬ pens to coincide vvith the febrile commotion which is excited in childbed women by the milk, the na¬ ture of. it may at firft be mifapprehended 5 but the concomitant fymptoms, and greater violence of the difeafe, muft in a fliort time diffipate fuch an error. From all the moft accurate accounts of this difeafe, and from the period at which it generally commences, there feems reafon to conclude, that it owes its rife more immediately to accidents after delivery. For it is allowed tnat it may follow a labour under the beft and moft favourable circumftances, though endeavours to dilate the os internum are fuppofed frequently to produce it. 1 he more immediate caufes generally af- figned by authors are a ftoppage of perfpiration, the too free ufe of fpices, and the negled of procuring ftools after delivery; fudden frights, too hafty a fe- paration of the placenta, and binding the abdomen too tight. The putrid appearance, however, which this difeafe fo foon affumes, affords ground to fufpeft that the predifpoftng caufe of it is a vitiated ftate of the humours ; for it is generally obferved to be moft pre¬ valent in an unhealthy feafon, and among women of a weakly and fcorbutic conftitution. But from its pre¬ valence in fome particular hof’pitals, while others in the fame city are entirely free from it, there can be little doubt that it is often communicated by contagion from one female to another. This opinion is corroborated alfo by many other eircumftances ; particularly by the means by which it has been removed from hofpitals. It would feem, however, that this contagion does not aft on the female fyftem without a certain predifpofition, and that this predifpofition is induced by thofe changes to which the female habit is fubjefted in confequence of delivery. Within thefe few years this fever has been treated of by feveral writers, moft of whom have differed from each other in their fentiments of the nature of the dif¬ eafe. The firft in the order of publication is Dr Denman, who fceuis to be of opinion, that it may de- c T N E. rive its origin either from a redundancy or too great acrimony of the bile, the fecretion of which appears rx bn.TiriUCh interruPted in time of geftation. In Dr Manning’s treatife on this fever, he" mentions its being highly probable that fuch a caufe contributes greatly to produce the difeafe, efpecially where the putrid tendency of the humours is increafed by uir- wholefome air and diet. It has kkewile been the fate of the puerperal fever that no.difeafe has more divided the fentiments of phy- ficians in regard to the method of cure. The appa- lent indications and contra-indications of bleeding, and other remedies, arifing from the complication of inflammatory and putrid fymptoms ; the equivocal ap¬ pearance of the vomiting and purging, as whether they be critical or fymptomatical; and the different caufes whence fymptoms ftmilar to each other ma”- arife in. pregnant women ; all thefe circumftances con¬ cur to involve the lubjeft in great obfeurity and inde- cifi.on. If we carefully attend to the feveral charac- teriftics of the difeafe, however, fo as to be able to dii ftinguifh it from every, other puerperal complaint, and obferve at the fame time the ufual manner of its de- clenfion, our judgement may be guided in the method of cure by the falutary efforts of nature. But, in order to obtain a clearer view of the genuine indica¬ tions, it will be proper to confider them under the fe¬ veral lights in which they have been generally agitated by authors. One of the moft effential points to be afeertained in the cure of the childbed fever, refpefts the pro¬ priety of bleeding. A free ufe of the lancet has been' generally regarded as the moft fuccelsful expedient in praftice •, and there are fome inftances of critical haemorrhagies which would feem to confirm its uti¬ lity. But. Dr Denman thinks we may fafely affirm from experience, that for one who will be benefited by large bleeding, a much greater number will be inju¬ red, and that even almoft irretrievably. Nor can this fee.m furprifing, when we confider the fituation of childbed women. In moft, the evacuations confe- quent upon delivery are fufficient to diminiffi any un¬ due fuperabundance of the fluids 5 and if, as frequent¬ ly happens, the difeafe be produced by too hafly a re¬ paration of the placenta, the conlequence of which is generally a very copious difeharge of blood, we can never fuppofe that nature will be affifted in overcoming the febrile commotion, by the farther evacuation of the vital fluid, through the defeft of which ihe is now rendered unequal even to the ordinary fupport of the animal ceconomy. We may appeal to every praftical phyfician, how much he has known the pulfe to fink, and what a train of nervous fymptoms he has obferved to fucceed an excefs of the difeharge above mentioned. Befides, it is an axiom in phyfic, that a remedy which cures, any diforder, will always prove fufficient to pre¬ vent it; and therefore, if bleeding were the proper cure in the childbed fever, the difeafe ought to have been prevented by a large evacuation of blood, when that happened previous to its attack. Experience, how¬ ever, in this, as in all other difeafes, is the only uner¬ ring guide we can folloiv ; and whoever regulates his praftice by faft and obfervation, will be convinced that bleeding, efpecially in a larger quantity, is, in general very far from being attended with fuccefs. Bleeding 464 MEDICI N E. Appendix. JPuerpera1 is feldom proper, except in women of_ plethoric confl:!- Fever. and in whom the fiens of inflammation rife tutions, — — o high. Nor even in fuch patients ought it to be re¬ peated without great caution, and the^ exiftence of ilrong indications. Bleeding, when ufed in proper mr- cumilances, may unqueftionably palliate the fever •, but that it often fhortens the duration of it, appears to be a matter of much doubt. On this account the prac¬ tice becomes ilill more fufpicious and excepuonaoie, when we confider that by venefeaion improperly ufed the patient’s ftrength may be fo far reduced as not to fupport the tedious loofenefs by which, the difeaie is generally carried off. Though bleeding,. however, ought in general to be ufed with great caution, there are certainly many cafes in which it is both ne'.effary and advantageous. The genuine nature and effefts of the loo.enei.s in this difeafe, is another controverted point of the. high- eft importance, and which merits the mod attentive in¬ quiry. Phyficians, obferving that women who die of the puerperal fever are generally molefted with that evacuation, have been induced to conftder this fymp- tom as of the moft dangerous and fatal tendency and what, therefore, we fliould endeavour by every means to reftrain. In this opinion, however,. they would feem to have been governed by too partial an. oblei- vation of fadls. For experience certainly authorifes the affertion, that more women appear to have recovered of the childbed fever, through the intervention of a diarrhoea, than have been deftroyed by that caufe. If it alfo be conlidered, that purging is ufually almoft the only fenftble evacuation in the more advanced ftate o the difeafe, and is that which accompanies it to its k- teft period, we (hall have the ftrongeft reafon to think that it is critical rather than fymptomatical, and ought therefore to be moderately fupported, inftead of being unwarily reftrained. Nay, the advantage which is found to attend vomiting as well as purging, m the earlier ftage of the difeafe, would feem to evince tnat the matter difcharged by thefe evacuations is what' chiefly foments the difeafe. Emetics and purgatives, therefore, in the opinion of Dr Manning, are the only medicines on which anj rational dependence is to be placed in this fever ; at leaft, they are certainly fuch as are found the moft fuccefsful. It is an cftabh.fned rule in praflice, to prefcribe a vomit at the beginning of every fever attended with any naufea or loathing o the ftomach, and where there is not any reafon to ap¬ prehend an inflammation of that organ. Nor does the Hate of childbed women afford the fmalleft ground for prohibiting our recourfe to the fame expedient in an- fwering a fimilar indication. . ... It is fo feldom a phyfician is called during the ri¬ gor preceding the puerperal fever, that he has few op¬ portunities of trying the effeds of remedies in that ear¬ ly ftate of the difeafe. When fuch occur, however, we fhould endeavour as much as poffible to. abate and fti or ten that period, as the fucceeding fever is general¬ ly found to bear a proportion to the violence and. du¬ ration of it. For this purpofe, warm diluting drinks fhould be plentifully ufed, with a fmall quantity of vo¬ latile fpirits or brandy. When Dr Manning appre¬ hended fuch an accident, he fometimes ordered the nurfe to give immediately a difh or two of warm fac - whey } taking care that it was not too ftrong, which 3 is a caution that ought always to be remembered : for Pw though a free ufe of the more cordial and fpintuous kinds of liquors might perhaps foon abate the i there is danger to be feared from their influence on the approaching fever, efpecially in women of a ftrong and healthy conftitution. In all cafes, warm applications to the extremities, fuch as heated bricks, towels, or toafted grains in a linen bag, may be ufed with perfect fafety, and fome advantage. „ n . . ^ When the hot fit is advanced, the. firft tiling Dr Manning orders is fome emollient injection, as chicken- water, or water and milk, which ought to be frequent¬ ly repeated through the courfe of the difeafe. J uefe prove beneficial, not only by promoting the difcharge from the inteftines, which feems in fact to be the fil¬ iation of the difeafe ; but alfo by. a&ing as a kindly fomentation to the uterus and adjacent parts. With this intention they are particularly ferviceable when the lochia are fuppreffed. Great care, however, is re- quifite in adminiftering them, on account of tne ten- dernefs and inflammatory difpofition, which at that time render the parts in the pelvis extremely fufceptible of pain. The next ftep in the method of cure ought to be to promote the difcharge of the morbid matter both by the ftomach and inteftines. . This intention may be an- fw'ered by a remedy prefcribed by Dr Denman—Two grains of tartrite of antimony rubbed up with a fcruple of the powder of lapilli cancrorum. Of a powder thus prepared, Dr Denman gives from two to fix grains, and repeats it as circumftances re¬ quire. If the firft dofe do not procure any fenfible operation, he repeats it in an increafed quantity at the end of two hours, and proceeds in that manner .5 not expelling any benefit but from its fcnuble evacuation. Should the difeafe be abated, but not removed, (which fometimes happens), by the effect of the fiift dofe the fame medicine mutt be repeated, but in a lets quantity, till all danger be over. But if any alarming fymptoms remain, he does not hefitate one moment to repeat the powder, in the fame quantity as firft given j though this be feldom neceffary, if the firft dofe ope¬ rates properly. It is to be obferved, fays Dr Denman, that as. the certainty of cure depends upon the proper repetition of the medicine, the method of giving it at ftated hours does not appear eligible. If the firft dofe pro¬ duce any confiderable effea by vomiting, procuring ftools, or plentifully fweating, a repetition of tut me¬ dicine in a lefs quantity will feldom fail to anfwer our expectations j but great judgement is required in adapt¬ ing the quantity firft given to the ftrength of the pa¬ tient and other circumftances. We are not to expect that a difeafe which from the firft formation carries lo evident marks of danger, fhould inflantly ceafe, even though a great part of the caufe be removed. ^ Frequent dofes of the faline draughts ougnt abo to be given, which not only promote the evacuation by the inteftines, but likewife increafe tne falutary dif- charges of urine and perfpiration. Thefe medicines are particularly ferviceable in fubduing the remains ot the fever, after its violence has been broken by the more efficacious remedies above mentioned ; but when they are ufed even in the decline of the difeafe, gentle laxatives of rhubarb and magnefia, as adviled by Dr Denman, Fever. Appendix. ^V1 ^ ^ Puerperal Denman, ouglat ta be _ frequently interpofed, fince, as be juftly obferves, without flools we can do little fervice. Although the difcharge by the inteftines appears to have the molt falutary effed in this difeafe; yet when the ftomach has not been properly unloaded of offen- five matter, though a great naufea and ficknefs had in¬ dicated the expediency of fuch an evacuation at the beginning of the fever, the continuance of the loofe- nefs is fometimes fo long protradled as in the end to prove fatal. In this alarming hate of the difeafe, when the ftools are very frequent and involuntary, and all appearances threaten danger, Dr Denman fays, that a clyfter of chicken-water injeaed every one, two, or three hours, or as often as potiible without fatiguing the patient too much, with a cordial diaphoretic draught taken every fix hours, has produced better effeas than could be expeaed. While thefe medicines are employed, we mould en¬ deavour to mitigate the pains of the belly by relaxing applications. During the courfe of die difeafe, the pa¬ tient ought to drink freely of diluting liquors, and ab- ftain from every thing of a heating quality, unlefs great faintnefs fhould indicate the ufe of a fmall quantity or fome cordial medicine. r , Such is the praaice recommended m this diieate by Dr Denman. We fhallnow take a cuffory view of the fentiments of fucceeding writers on this fubjea. According to Dr Hulme, the proximate caufe of the puerperal fever is an inflammation of the inteflines and omentum 5 for the confirmation of which opinion he appeals to diiTeaions. He fuppofes the chief pre- difponent caufe of the difeafe to be the preffure of the eravid uterus againft the parts above mentioned. 1 ie omentum, fays he, in the latter ftage of pregnancy, muff either be flat, which is its natural fituation or be rumpled or carried up by the gravid uterus m folds or doublings. When the latter is the cafe, which he ob- ferves is probably not feldom, tbs danger of a ftrangu- lated circulation will be greater. r r Mr White, who has alfo wnitten on this dileaie, ju- dicioufly remarks, that were Dr Hulme’s hypothefis well founded, the diforder ought rather to take place before delivery, and be immediately removed at that period • That it would likewife moil generally happen to women at their firth labour, when the abdominal mufcles are lefs yielding, and the pains more violent j the contrary of which is moft frequently experienced to be the cale. , , 1 It alia deferves to be remarked, that, upon Dr Hulme’s fuppofition, we cannot account for the dil- eafe being more common and fatal m large towns and in hofpitals, than in the country and private praftice, while‘other inflammatory diforders are more endemic among thofe who live in the latter than the former fi¬ tuation. Even admitting the fncTon of the mteLines and omentum againft the uterus to be as vlolellJ- as Dr Hulme fuppofes, is it not highly improbable, that any iiHammatirm could be occaSoned by the preffuce f fuch foft fubftances upon each other ? Or, "'re e would fill a large hat. He owns that it has fometimes violent effefts; but this he aferibes to the negroes who make the decodion (in which form the bark is uied) too ftrong, and not to the remedy itfelf. _ Mr Anderfon, furgeon in Edinburgh, has alfo given an account of this bark and its operation, in a letter to Dr Duncan, publiihed in the Edinburgh Medi¬ cal Commentaries, volume iv. p. 84. From this, ac¬ count it appears, that there are two different kinds of cabbage bark *, the one much paler, than the other : the pale kind operates much more violently than the other. It often occafions loofe ftools, great naufea, and fuch like fymptoms, attended with great, uneafinefs in the belly : in oue or two inftances it was iui- peded of inducing fyncope. The darker coloured , kind refembles the caffia lignea,. though it is ot a much coarfer texture. This kind, Mr Anderfon thinks, may be exhibited in any caie where an an¬ thelmintic is neceffary j the dangerous fymptoms might have followed either from the ufe of the firft kind, or from an over-dofe of the fecond. The ufual method of preparing the medicine is by boiling two ounces and a half of the bark in two quarts of water to a pint and a half. Of this a tea-fpoonful may be given at firft.m the morning, gradually increafing the quantity till we come to four or five table-fpoonfuls m a day. Mien exhibited in this manner, Mr Anderion inform.-, us, he never faw it produce any violent lymptoms. that and tl: nat ne nevci — --v . ' * nd has experienced the heft effeds-from it as an .an- LOm’ntic. After the ufe o^,this decodion for eight 1 ' or / 47° M E I) I C I or,l!;n<; n,oi'n;ngs fuccefTively, a dofe of jalap with calomel muft be given, which ft-Horn fails to brincr E'.vay the worms, fome dead, feme alive. If at any tntie tiie decoction produce more than one or two lou.e Itools, few drops of liquid laudanum may e g!Vtnl nod, in general, Mr Anderlon gave ij or 20 drops of the fpirit of lavender with each dofe. i,. ?n f/f tt.er ‘10171 profelibr of chemiftry at i luladelphia, to Dr Duncan of Edinburgh, the follow¬ ing account is given of another preparation of this me- Iclne" E ^as ^cng (lays he) been a complaint among phyficians, that we have no vermifuge medicine winch can be depended upon. Even calomel fails in many cafes where there are the molt pathognomonic ngns of worms in the bowels. But this complaint, it JS hoped, is now at an end. The phyficians of Jama’ica lave lately found, that the cabbage bark, as it is called in the Weft Indies, made into a fyrup with brown fu- gar, is an infallible antidote to them. I have ufed above 30 pounds of it, and have never found it fail in orle inilance. The fyrup is pleafant ; it fometimes piuves, and always purges, the firft or fecond time it is given.” The moft accurate botanical defeription of the geof- jroea mermis, or the tree furniftiing the worm bark, as it has o.ten been called, is that which was publiftied Jo me years ago in the Philofophical Tranfadtions by Dr Wright, formerly phylician at Jamaica, now of Edinburgh, who alfo highly extolls this remedy as an anthelmintic. Notwithftanding thefe encomiums, however, the cab- bage bark has not come into general ufe in Britain, wit diieafes from the teretes, or lumbrici as they are Owen called, the fpecies of worm againli which this baik is employed, much lefs frequently occur in Bri¬ tain than in fome other countries. When they do oc¬ cur, in almoii every inftance they readily yield to more gentie and fafe anthelmintics ; and the worms may not only be expelled by calomel, but by the vegetable bit¬ ters 5 as the powder of the artemifia fantonica, or the like. 4. Couhage, or cow itch. This is the Dolichos ureas or pi ri'iens of Linnaeus; and the principles on which it acts have been already explained under the ar¬ ticle Dolichos. It is fomewbat fimilar to the pow- ocr of tm, but bids fair for being more efficacious. At might at^ firft appear to occur as objedtions to this medicine, tnat by the hairs of it entangling themfelves with one another, calculi might be formed in the in- teiiines, or obftrudtions equally bad ; or if the ftiarp points ana hooks with which it abounds were to ad¬ here to the nervous coats of the inteftines themfelves, tney might occafion a fatal irritation, which could not he removed by any means wffiatever. But from the experience of thofe who have employed it extenfively m pradfice, it would appear, that thefe objedlions are ei.t.rely theoretical : and that it may be employed with pr-ifedl fafety. i he fpicula?, gently feraped off from a iingm pod,, and mixed with fyrup or melaffes, are taken for a dofe in the morning falling. This dofe is repeat- eu in this manner for two or three days without any lenfible operation ; but even a very flight purgative taken. afterVards has been found to difeharge an almoft incredible quantity of worms. And according to Dr Liancrofl, who has given a very particular account of r . ^ E. Appendix. Es me in Ins Natural Hiftory of Guiana, it is one of Worms, t.ie la. eft and- mb ft certain anthelmintics yet d covered ■ ** but, as well as the bark of the Geoffraa, it lias hither¬ to been very little ufed in Britain, probably from its not being tieceffary* Indian pink.. This plant, which is the Spigelia matuancUca of Linnams, is alffi an American plant and was firft recommended in the Edinburgh Phylical and Literary Eli'ays by Dr Garden of Charleliown in South Carolina. He is of opinion that a vomit ou< ht always to fir cede thd ufe o* it ; and informs us, that halt a dram of it purges as brifidy as the fame quan¬ tity of rhubarb. At other times he has known it pro¬ duce no effed on the belly though given in very large quantity : In fuch cafes it becomes neceffary to addCa gram or two of .fvyeet mercury, or fome grains of rhu¬ barb ; but then it is lefs efficacious than when it proves Purgative without addition. The ufe of it, however m finall doles, is by.no means fafe; as it frequently produces, giddinefs, dimnefs of fight, convulfions, &c. I he addition of a purgative, indeed, prevents thefe ef- feds ; but at the fame time, as already obferved, it di- minilhes the virtue of the medicine. The dodor’there¬ fore recommends large dofes, as from them he never knew any other effed than the medicine’s proving eme¬ tic or violently cathartic. The dofe is from 12 to 60 or 70 grains of the root in fubftance, or two, three, or four drams of the infufion, twice a day. This medicine has alio had its day, and is now very far from being’ confidered as a fpecific. 6 Ihe long round worms feem to be the moft dan¬ gerous which in fell the human body, as they often pierce through the ftomach and inteftines, and thus bring on a miferable death. The common fymptoms of them are. naulea, vomiting, loofenefs, fainting, fiender intermitting pulfe, itching of the nofe, and epileptic fits. By the confumption of the chyle they produce hunger, palenefs, weakmfs, coftivenefs, tumor of the abdomen, erudations, and rumbling of the inteftines • but it is from the perforation of the inteftines that the difeafe proves fo frequently fatal. A child may be known to have w-orms fr un his cold temperament palenefs of the countenance, livid eyelids, hollow eyes' itching of the nofe, voracity, ftartings, and grinding o. the teeth, in fteep ; and more efpecially by a very fetid breath. Very frequently, however, they are void¬ ed by the mouth and anus, in which cafe there is no room for doubt. In the Medical Commentaries, vol. ii. we have an account of the inteftines being perforated by a worm, and yet the patient recovered. The pa¬ tient was a woman troubled with an inflammation in tne lower part oi the abdomen. The pain was fo vio¬ lent, that for fix days ffie flept none at all; the tumor then broke, difeharged upwards of a pound of thin wa¬ tery fanies, immediately after which the excrements followed. 1 he next day lire was extremely low; her pulfe could fcarcely be felt ; the extremities were cold ; and there was a confiderable difeharge from the wound, which had already begun to mortify. She cr0t a de- co&ion of cinchona with wine, which alleviated the fymptoms ; but in removing the mortified parts a worm was found among, them nine inches long, and as thick as an eagle’s quill. By proper applications, the dif¬ eharge of excrements ceafed, and (lie recovered perfedl health. She was fenfible of no accident giving rife to the Appendix. M E D I t Worms, the inflammation ; fo that in all probability it arofe en- ' tirely from the worm itfelf. The tcenia, or tape worm as it is called, is one of thofe molt difficult to be removed from the human bo¬ dy. It is of two kinds, tcenia folium and tcenia lata; for a defcription of wffiich iee the article Ttenia. The reaion of its being fo difficult to cure is, that though portions of it are apt to break off and be dif- charged, it is endowed with a power of reprodu&ion, fo that the patient is little or nothing better. The fymptoms occafioned by it are not different from thofe above defcribed. A fpecific againft the taenia lata has been lately fo much celebrated in France, that the king thought proper to purchafe it from the proprietor (Madame Nouffer), and the account of it has been tranflated into Engliffi by Dr Simmons. The patients are required to obferve no particular regimen till the day before they take the fpecific. That day they are to take nothing after dinner till about 7 o’clock ; after which, they are to take the following foup : “ Take a pint and an half of water, two or three ounces of good frefh butter, and two ounces of bread cut into thin dices ; add to this fait enough to feafon it, and then boil it to the confidence of panada.” About a quarter of an hour after this, they take a bifcuit and a glafs of white wine, either pure or mixed with w’ater ; or even water alone, if they have not been accuftomed to wine. If the patient has not been to llool that day, (which, however, is not ufual with patients in this way), the following clyiler is to be injefted. “ Take a fmall quantity of the leaves of mallows, and boil them in a fufficient quantity of water, mixing with it a little fait, and when drained off add two ounces of olive oil.” Next morning, about eight or nine hours after the fupper above mentioned, the fpecific is to be taken. This is no other than trvo or three drams of the root of male ievn, pohjpodium filix mas of Linnaeus, gathered in autumn, and reduced to fine powxder. It is to be taken in any diddled w’ater, or in common water. This medicine is apt to occalion a naufea : to avoid which, Madame Nouffer allows her patients to chew any thing that is agreeable, but forbids any thing to be fwallow- ed ; or they may fmell to vinegar, to check the fick- nefs: but if, notwithdanding this, the fpecific be thrown up, a frefli dofe mud Jae Iwallowed as foon as the lick-, nefs is gone off, and then they mud try to fleep. About two hours after this the following bolus is to be taken. “ Take of the panacea of mercury 14 times fublimed, and feledl refin of fcammony, each ten grains: of frefli and good gamboge fix or feven grains : reduce each of thefe fubdances Separately into powder, and then mix them with fome conferve into a belus ” This compofi- tion is to be fwallowed at two different times, waffling it down with one or two ddhes of weak green-tea, after which the patient mud walk about his chamber. When the bolus begins to operate, he is to take a diffi of the fame tea occafionally, until the worm be expelled ; then, and not before, Madame Nouffer gives him broth or foup, and he is dire&ed to dine as is ufual after ta¬ king phyfic. After dinner he may either lie down or walk out, taking care to conduct himfelf difcreetly, to eat but little fupper, and to avoid every thing that is not of eafy digedion. The cure then is complete ■, but it is not always ef¬ fected with the fame quicknefs in every fubjedt. He CINE. who has not kept down the whole bolus, or who is not fufficiently purged by it, ought to take, four hours af, ter it, from two to eight drams of Epiom fait dif- folved in boiling water. The dofe of this fait may be varied according to the temperament and other cir- cumdances of the patient. . the worm (hould not come away in a bundle, but m the form of a thread ('which particularly happens when the worm is involved in much tenacious mucus), the patient mud continue to dt upon the clofe dool without attempting to draw it away, drinking at the fame time warm weak tea : fometimes this alone is not fufficient, and the patient is obliged to take another dole of purging fait, but without varying his pofition till the worm be wholly expelled. It is unufual for patients who have kept down both the fpecific and purging dofe, not to difeharge the worm before dinner-time. X his, however, fometimes happens when the dead worm remains in large bundles in the intedines, fo that tne faeces becoming more limpid towards the end of the purging, pals by it without drawing it with them. The patient may in this cafe eat his dinner; and it has been obferved, that the food, joined to the ufe of a clyder, has brought about the expuldon of the worm. Sometimes the worm is brought away by the adtion of the fpecific alone, before the patient has taken the purging bolus : when this happens, Madame Nouffer gives only two thirds of it, or fubditutes the fait in its dead. Patients mud not be alarmed by any fenfation of heat or uneafinefs they may feel during the action of the remedy, either before or after a copious evacua¬ tion, or julf as they are about to void the worm. Thefe fenfations are trandtory, and go off fpontaneoudy, or by the affiftance of the vapour of vinegar drawn in at the nofe. They who have vomited both the fpecific and bolus, or who have kept down only a part of them, lome- times do not void the worm that day. Madame N mf- fer therefore directs them to take again that night the foup, the wine and bifcuit ; and if circumltances re¬ quire it, the clylter. If the worm do not come away during the night, die gives them early the next morning another dofe of the fpecific, and, two hours afterwards, fix drams or an ounce of purging fait, repeating the whole procefs of the preceding day ; excepting the bolus, which die fuppreffes. She obferves, that very hot weather diminilhes in fome degree the aciion of her remedy ; die therelore prefers the month of September for adminidering it; but as die has not been always able to choofe the fea¬ fon, and has been fometimes obliged to undertake the cure of patients in the hotted days of lummer, Ihe then gave her fpecific very early in the morning ; and with this precaution die faw no difference in its eft’edfs. On the day appointed for the trial of this medicine before the commiffioners nominated by the king of France, it was exhibited to five different perions ; but only one of them was certainly known to have the tcenia lata by having difeharged parts of it before. That perion was cured ; the lecond voided a portion of the tcenia folium ; tile third fome afearides, with a part of the tcejiia folium; the tourth and fifth voided no worms; but .. 471- Worms. M EDI but tbc I;.ft confiacred much of the vifcid flime he void- ed to be worms in a diffolved flate. This trial was thought fufficient to afcertain the ef¬ ficacy of the medicine, and further trials were made by thofe to whom the fecret was communicated. The firft voided two taenia, after much vomiting and 18 or 20 ftools 5 the fecond had no vomiting, but was as violently purged, and difcharged tv.o worms •, the third had 20 copious flools during the night, and difcharged the worm in the morning } and the fifth was affedted in much the fame manner. Some others who were not relieved, were fuppofed not to have a ttenia. This fpecific, however, is not to be confidered as a new difcovery } the efficacy of fern in cafes of taenia having been known long ago. Tbeophralfus prefcribes its root, in dofes of four drams, given in water Iweeten- ed with honey, as ufeful in expelling flat worms.— .Diofcorides orders it in the fame dofe, and adds, that its effedfs are more certain when it is mixed with four oboli (40 grains) of fcammony or black hellebore •, he particularly requires that garlic fliould be tah^n be¬ fore hand. Pliny, Galen, Oribafius, and Aetius, a- fcribe this fame virtue to fern •, and are followed in this by Avicenna, and the other Arabian phyficians. D01- flenius, Valerius Ccrdus, Dodonaeus, Mathiolus, Da- lechampius, who commented on Diofcorides, or co¬ pied him in many things, all mention the fern-root as a fpecific againft the taenia. Sennertus, and Burnet after him, recommended in fimilar cafes an infufion of this plant, or a dram of its powder, for yoting perfons, and three drams for adults. Simon Paulus, quoted, by Ray and Geoffrey, confideis it as the moft efficacious of all poifons againft the flat worm, and as being the bafis of all the fecret remedies extolled by empirics in that difeafe. Andry prefers diflillcd fern-water to the root in powder, or he employs it only in the iorm of an opiate, or mixed with other fubftances. Thefe are not the only authors who have mention¬ ed the taenia j many others have deferibed this worm, the fymptoms it excites, and the treatment proper to expel it. Almoft all of them mention the fern root, but at the fame time they point out other remedies as poffefTing equal efficacy. Amongft thefe we find the bark of the root of the mulberry-tree, the juice of the auricula tnurus, the roots of chanucleon niga, gin¬ ger, zedoary 5 decoffions of mugwort, fouthernwood, wormwood, penny-royal, origanum, hjffop, and in ge¬ neral all bitter and aromatic plants, &c. Some of them direft the fpecific to be fimply mixed and taken in wine ox honey and water ; others join to it the ufe of feme purgative remedy, which they fay adds to its efficacy. Oribafius, Sylvius, &c. diflinguifh the fpe¬ cific that kills the worm, from the purgative that eva¬ cuates it, and direa them to be given at different times. Sennertus gives a very fatisfaaory realon for adopting this method. If we give, fays he, the pur¬ gative medicine and the fpecific at the lame time, the latter will be haflily carried off before it can have ex¬ erted its powers on the worm : whereas, if we give the fpecific firft, and thus weaken the worm, it will collea itfelf into a bundle, and, being brought away by means of the purge, the patient will be cured. Ihe cure will be more fpeedy if the prinue vice have been previoufly lubricated. Thefe precautions are all of them effential to the fuccefs of the remedy, nor are 2 CINE. Appendix. they negleaed by Madame Nouffer in her method^ of, VVo‘mg- , treatment. The panada and inje-aion the preferioes the night before, to lubricate the inteftines, and pre¬ pare the primer vice. rI he fern root, taK.cn ^in the morning, kills and detaches the worm 3 of this the patients are fenfible by the cefTation of the pain in the ftomach, and by the weight that is felt in the lower belly. The purgative bolus adminiftered two hours after this, procures a complete evacuation ; it is com- pofed of fubftances that are at once purgative and ver¬ mifuge, and which, even when adminiftered alone, by different phyficians, fometimes Succeeded in expefting the worm. If this purgative appear to be too 'ftrong, the reader is defired to recoiled, that it produced no ill effeds in either of the cafes that came under the obfervation of the phyficians appointed to make the trials ; and that in one of thofe cafes, by dimimftnhg the dofe, they evidently retarded the evacuations. Regard however, they obferve, is to be. bad beta to the age and the temperament of the patient, and the treatment fhould always be direded by a prudent and experienced phyfician, who may know how to vaiy the proportions of the dofe as circumfiances may re¬ quire. If the purgative be not of fufficient ftrength, the worm, after being detached by the Specific, re¬ mains too long a time in the inteftines., and becoming foon corrupted, is brought away only in detached por¬ tions : on the other hand, if. the purgative be too ftrong, it occafions too much irritation, and evacua¬ tions that cannot fail to be inconvenient. Madame Nouffer’s long experience has. taught her to diftinguifh all thefe circumftances with lingular adroitnefs. . This method of cure is, as we have feen, copied m a great meafure from the ancients : it may be poffible to produce the fame effeds by varying the remedies; but the manner of applying them is by no means in¬ different : we ffiall be always more certain of fuccefs, if the inteftines be previoufty evacuated, and if the fpecific be given fome time before the purgative bolus. It is to this method that Madame Nouffer s con.lant fuccefs is attributed. 1 . Her remedy has likewife fome power ovei the L-eiitci folium; but as the rings of this worm feparate from each other more eafily than thofe of the tcenia lata, k is almoft impoffible for it to be expelled entiie. It will be neceffary therefore to repeat the treatment fe- veral times, till the patient ceafe to void any portions of worms. It muft likewife be repeated, if, after the expulfion of one tcenia folium, another ihould be gene¬ rated in the inteftinal canal. 1 his lafl cafe is fo rare, that it has been fuppofed that no perion. can have more than one of thefe worms ; and for this reafon it has been named folitary worm, which, being once re¬ moved, could never be renewed or replaced by a fe¬ cond : but experience has proved, that this notion is an ill-founded prejudice ; and we know that iometimes thefe worms fucceed each other, and that fometimes feveral of them cxift together. Two living taeniae have frequently been expelled from tne fame patient. . lir De Haen relates an inftance of a woman who voided 18 tsenise at once. In thefe cafes the fymptoms are ufually more alarming ; and the. appetite, becomes ex- ceffive, becaufe thefe worms derive all their nounhiment from the chyle. If too auftere and ill-judged a regimen ' deprives Appendix. M EDI , Worms- , deprives them of this, they may be expetted to attack 1 even tlle membranes of the inteftines themfelves. This evil is to be avoided by gating frequently. Such are the precautions indicated in this difeafe. The ordinary vermifuge remedies commonly procured only a palliative cure, perhaps becaufe they were too often improperly adminiftered. But the efficacy of the prefent remedy, in the opinion of the French pbyficians, f’eems to be fufficiently confirmed by ex¬ perience. To the above account, however, it feems proper to fubjoin the following obfervations by Dr Simmons. “ A Swifs phylician, of the name of Herrenfchwand, more than 20 years ago, acquired no little celebrity by diftributing a compofition of which he flyled hira- felf the inventor, and which was probably of the fame nature as Madame Nouffer’s. Several very eminent men, as Tronchin, Hovius, Bonnet, Cramer, and o- thers, have written concerning the effedfs of this re¬ medy. It feems that Dr Herrenfchwand ufed to give a pow’der by way of preparation, the night before he adminiflered his fpecific. Nothing could be faid with certainty concerning the compofition either of one or the other. The treatment was faid fometimes to pro¬ duce mod violent effedls, and to leave the patients in a valetudinary Hate. Dr De Haen was diffiuaded by his friends from ufing it, becaufe it difordered the pa¬ tients too much. It will be readily conceived, now that we are acquainted with Madame NoufFer’s method, that thefe effedls were occafioned wholly by the pur¬ gative bolus. It is not ftrange, that refin of fcam- mony or jalap, combined with mercunus dulcis and gamboge, all of them in llrong dofes, fhould in many fubjedls occafion the greateft diforders. It feems like¬ ly, however, that much of the fuccefs of the remedy depends on the ufe of a draftic purge. Some of the ancients who were acquainted with the virtues of the fern root, obferved that its efficacy was increafed by fcammony. Reflnous purges, efpecially when com¬ bined with mercury, have often been given with fuc¬ cefs in cafes of tcenia. Dr De Haen faw a worm of this fort five ells long expelled by the refm of jalap alone. Dr Gaubius knew a woman who had taken a variety of anthelmintic remedies without any effeft, though fhe had voided a portion of tcenia an ell and a half long previous to the ufe of thefe medicines : but at length, after taking a purge of lingular flrength, Ihe voided the worm entire. Many other inflances of the fame kind are to be met with in authors. Other remedies have occafionally been given with fuccefs. In Sweden, it has been a pra&ice to drink feveral gallons of cold w'ater, and then to take fome draffic purge. Boerhaave fays, that he himfelf faw a tcenia meafuring 300 ells expelled from a Ruffian by means of the fulphate of iron. From fome late accounts, there is reafon to believe that Dr Herrenfchwand’s remedy for tcema does not fo exaflly agree with that of Madame Nouffer as Dr Sim¬ mons feems to imagine. According to the account given us by a gentleman who had his information from Dr Herrenfchwand himfelf, it conlilts entirely of gam¬ boge and fixed vegetable alkali. 408 Of POISONS. Qf naany poifons we have already treated, but there Vol. XIII. Part H. CINE. 4- are fome of which nothing has hitherto been faid. A- Poifons. mong the rnofl. fatal of thefe are the bites and flings of '—"'v*—- ferpents, fcorpions, &c. According to Dr Mead, the fymptotr.s which follow the bite of a viper are, an acute pain in the place wounded, with a fwelling, at firth red, but afterwards livid, which by degrees fpreads farther to the neighbouring parts ; with great faintnefs, and a quick, low, and fometimes interrupted pulfe; great fick- nefs at ftomach, with bilious convulfive vomitings, cold fweats, and fometimes pains about the navel. Frequent¬ ly a fanious liquor runs from the fmall wound, and little puftules are raifed about it : the colour of the whole fkin in lefs than an hour is changed yellow, as if the patient had the jaundice. Thefe fymptoms are very fre¬ quently followed by death, efpecially if the climate be hot, and the animal of a large fize. This is not, how¬ ever, the cafe with all kinds of ferpents. Some, we are alfured, kill by a fatal lleep 5 others are faid to produce an univerfal liEemorrhage and diflblution of the blood j and others an unquenchable thirft. But of all the fpecies of ferpents hitherto known, there is none whole bite is more expeditioully fatal than that of the rattle- fnake. Dr Mead tells us, that the bite of a large fer- pent of this kind killed a dog in a quarter of a minute j and to the human fpecies they are almofl equally fa¬ tal. Of this ferpent it is faid, that the bite makes the perfon’s fkin become fpotted all over like the fkin of the ferpent ; and that it has fuch a motion as if there were innumerable living ferpents below it. But this is probably nothing more than a diffolution of the blood, by which the fnin becomes fpotted as in pete¬ chial fevers, at the fame time that the mufcles may be convulfed as in the diflemper called hieranofos, which was formerly thought to be the effeft of evil fpirits : but it is even not improbable that obfervers have been fomewhat aided by fancy and fuperflition when they thought that they detefted fuch appearances. It has juftly appeared furprifing to philofophers, how fuch an inconfiderable quantity of matter as the poifon emitted by a viper at the time of biting fhould produce fuch violent effefts. But all inquiries into this matter mufi: neceffarily be uncertain ; neither can they contribute any thing towards the cure. It is certain that the poifon produces a gangrenous difpofition of the part itfelf, and likewife feemingly of the reft of the body ; and that the original quantity of poifon con¬ tinues fome time before it exerts all its power on the patient, as it is known that removing part of the poi- fonous matter by fuftion will alleviate the fymptoms. The indications of cure then are three: 1. To re¬ move the poifonous matter from the body : Or, 2. If this cannot be done, to change its deftrudive nature by fome powerful and penetrating application to the wound : And, 3. To counteraft the effecls of that portion already received into the fyftem. The poifonous matter can only be removed from the body by fucking the wound either by the mouth, or by means of a cupping glafs •, but the former is probably the more efficacious, as the faliva will in fome meafure dilute and perhaps obtund the poifon. Dr Mead direfts the perfon who fucks the wound to hold warm oil in his mouth, to prevent inflammation of the lips and tongue : but as bites of this kind are moft likely to happen in the fields, and at a diftance from houfes, the want of oil ought by no means to retard 3 O the 74 ' MED! Potions, the operation, as the delay of a few minutes might v prove of the mo ft fatal confequence ; and it appears from Dr Mead’s experiments, that the taking the poifon of a viper into the mouth undilated, is attend¬ ed with no worfe confequences than that of railing a flight inflammation. A quick excifton of the part might alfo be of very great fervice. The only way of anfwering the fecond indication is, by deftroying the poifoned part by a red-hot iron, or the application of alkaline falts, which have the power of immediately altering the texture of all ani¬ mal fubftances to which they are applied, provided they are not covered by the fkin ; and as long as the pcifon is not totally abforbtd into the fyftem, thefe mufl: certainly be of ufe. To anfw’er the third indication, Dr Mead recom¬ mends a vomit of ipecacuanha, encouraged in the working with oil and warm water. The good ef¬ fects of this, he fays, are owing to the {hake which it gives to the nerves, whereby the irregular fpafms into which their whole fyftem might be drawn are prevented. After this the patient mufl: go to bed, and a fweat muft be procured by cordial medicines 5 by wTich the remaining efxefts of the poifon will be carried off. . It has been confidently aflerted by many, that the American Indians are pofteffed of fome fpecific remedy by which they can eafily cure the bite of a rattlefnake. But Mr Catefby, who muft have had many opportu¬ nities of knowing this, pofitively denies that they have any fuels medicine. They make applications indeed, and fometimes the patient recovers j but thefe recove¬ ries he aferibes to the ftrength of nature overcoming the poifon, more than to the remedies made ufe of. He fays, they are very acute in their prognoftics whe¬ ther a perfon that 'is bit will die or not j and when they happen to receive a bite in certain parts of the body, when the teeth of tlse animal enter a large vein, for inftance, they quietly reftgn themfelves to their fate, without attempting any thing for their own re¬ lief. Indeed, fo violent and quick is the operation of this poifon, that unlefs the antidote be inftantly ap¬ plied, the perfon will die before he can get to a houfe. It would feem therefore eligible for thofe who are in danger of fuch bites, to carry along wfith them fome ftrong alkaline ley, or dry alkaline fait, or both, which could be inftantly clapt on the wound, and by its diflblving power would defti'oy both the poifon and the infecled parts. Strong cordials alfo, fuch as ardent fpirits, volatile alkali, &c. might poflibly ex- , cite the languid powers of nature, and enable her to expel the enemy, which would otherwife prove too powerful. This feems to be fomewhat confirmed from the account we have in the Philofophical Tranfadlions of a gentleman bit by a rattlefnake, who was more relieved by a poultice of vinegar and vine-afhes put to his wound than any thing elfe. The vine afhes being of an alkaline eature, muft have faturated the vinegar, fo that no part of the cure could be attributed to it: on the other hand, the afhes themfelves could not have been faturated by the fmall quantity of acid ne- ceffary to form them into a poultice ; of confequence they muft have operated by their alkaline quality.— Soap ley, therefore, or very ftrong fait of tartar, may reafonably b/6 thought to be the belt external applica- C .1 N E. Appendix. t!on, not only for the bites of vipers, but of every tifeafes of venomous creature j and in fad we find dry full uni- Chskirer.., verfally recommended both in jhe bites of ferpents and ' of mad dogs. Dr Mead recommends the fat of vipers immediately rubbed into the wound } but owns that it is not fafe to truft to this remedy alone. Some years ago the volatile alkali v.as ftrongly re¬ commended by M. Sage of the Trench academy, as a powerful remedy againft the bite of the viper : and, by a letter from a gentleman in Bengal to Dr Wright, it would appear that this article, under the form of the eau tie luce, which is very little if any thing different from the [piritus ammonia: fuccinatus of the London Pharmacopoeia, has been employed with very great fuccefs againft this affedtion in the Eaft Indies : but from the trials made with it by the abbe Fontana, pub- lithed in his Treatife on the Poifon of the Viper, it ■would appear that it by no means anfwered his expedta- tion ; and the efficacy of this, as well as of the fnake pills mentioned under the article Hydrophobia, full requires to be confirmed by further experience. MELiENE. 4** This is a diftemper not very common, but it has been obferved by the ancient phyficians, and is de- feribed by Hippocrates under the name of morbus niger. It ftiows itfelf by a vomiting and purging of black tar-like matter, which Plippocrates, Boerhaave, and Van Swieten, fuppofed to be occafioned by atra bilis. But Dr Home, in his Clinical Experiments, en¬ deavours to fhew that it is owing to an effufion of blood from the meferaic veffels, which, by its ftagnation and corruption, affumes that ftrange appearance. The difeafe, he fays, frequently follows haemorrhage ; and thofe of a fcorbutic habit are molt fubjedt to it. It is an acute difeafe, and terminates foon j yet it is not attended with any great degree of fever. In one of Dr Home’s patients the crifis happened on the eighth day by diarrhoea •, in another, on the 14th, by fweat and urine ; and a third had no evident critical evacua¬ tion. As to the cure, Dr Home obferves, that bleeding is always neceflary where the pulfe can bear it 5 nor are we to be deterred from it by a little weaknefs of the pulfe, more than in the enteritis. Emetics are hurtful, but purgatives are ufeful. But the mofi pbwerful medicine for checking this hannorrhage is the fulphuric acid : and, that this might be given in greater quantity, he mixed it with mucilage of gum arabic ; by which means he was enabled to give double the quantity he could otherwife have done. The cold bath was tried in one inftance, but he could not deter¬ mine whether it was of any fervice or not. The cure iv^s completed by exercife and cinchona. Of the DISEASES o/CHILDREN. 410 Dr Buchan obferves, that from the annual regifters of the dead, it appears that about one half of the children born in Great Britain die under twelve years of age } and this very great mortality he attributes in a great meafure to wrong management. The par¬ ticulars of this wrong management enumerated by him are, 1. Mothers not fuckling their own children. This, he owns, it is fometimes impoflible for them to do j but 1 Appendix. M E D I Bifeafesof but whefe it can be done, be affirms that it ought Children, never to be omitted. This, he fays, would prevent the '““’■■v unnatural cuftom of mothers leaving their own children to fuckle thofe of others *, on which he pafles a moll fevere cenfure, and indeed fcarce any cenfure can .be fevere enough upon fuch inhumanity. Dr Buchan in¬ forms us, “ He is fare he fpeaks within bounds, when he fays not one in a hundred of thefe children live who are thus abandoned by their mothers.” For this reafon he adds, that no mother ffiould be allowed to fuckle another’s child till her own be fit to be weaned. A regulation of this kind would fave many lives among the poorer fort, and would do no harm to the rich ; as moft women who make good nurles are able to fuckle two children in fucceffion upon the fame milk. . . 2. Another fource of the difeafes of children is the unhealthinefs of parents : and our author infills that r.o perfon who labours under an incurable malady ought to marry. . 3. The manner of clothing children tends to pro¬ duce difeafes. All that is necefifary here, he fays, is to wrap the child in a foft loofe covering •, and the foftnefs of every part of the infant’s body fufficiently fhows the injury which mull neceffarily enfue by pur- fuing a contrary method. . 4. A new-born infant, inftead of being treated with fyrups, oils, &c. ought to be allowed to fuck the mo¬ ther’s milk almoft as foon as it comes into the world. 3rD condemns the practice of giving wines and fpin- tuous liquors along with the food foon after birth 5 and fays, that if the mother or nurfe has a fufficient quantity of milk, the child will need little or no other food before the third or fourth month. But to this it may reafonably be objeaed, not only that the nurfing would thus be very fevere on the mother ; but if the child be left thus long without other# food, it wid not eafily reliffi that food for fome time, and its ftomach is apt to be eafily hurt by a flight change of diet after it has been long accuftomed to one thing. Ihe human fpecies are unqueftionably fitted by nature for a mixed aliment, both from the vegetable and animal, kingdom. And the analogy of other animals, belonging to the clafs of mammalia for whom milk is equally provided at the earlied periods of life, would lead us to the con- clufion, that mixed aliment is well fitted for the human fpecies even in the earhefi periods of infancy. ae lamb is no ffioner dropt than by natural mffina .t crons the grafs as well as it fucks its mother. And the ftomach in the human fpecies, immediately after b.rth can digeft other food as well as milk Neither can it be fho wn, that the ftrongeft and moft healthy infants are thofe which get no other food but the mother s mi k dtL thffirif months of their life. In faft, children are evidently of a weak and lax habit of body, fo that many of their difeafes muft anfe from, that caufe , a 1 directions which indifcriminately advife an antiphlo- regimen for infants as foon as they come into fhe world8, muft of neceffity be wrong. Many inftances in faflt might be brought to ffiow, ^at by the prepo^ Herons method of llarving infants and at t,,e time treating them with vomits and purges, they are - , • ? t r t’ne world. Animal food indeed, often hurried out o, tne worm. ^ pvreffivelv particularly under the form o; brot . , - . rgreeafcle to children, and they ought to be indulged CINE. - 475 with it in moderation. This will prove a. much better Difeafes of remedy for thofe acidities with which children are of- ^ 1 ^ ' » ten troubled, than magnefia alba, crabs eyes, or other abforbents, which have the moft pernicious effects on the ftomachs of thefe tender creatures, and pall the ap¬ petite to a furprifing degree. The natural appetites of children are indeed the bell rule by which we can judge of what is proper or improper for them. I hey mult no doubt be regulated as to the quantity 5 but we may be affured that what a child is very fond of will not hurt it, if taken in moderation. When children are fick, they refufe every thing but the bread; ; and if their dif- temner be very fevere, they will refufe it alfo, and in this cafe they ought not to be preffed to take food of any kind j but when the ficknefs goes off, their appe¬ tite alfo returns, and tney will require the ufual quanti¬ ty of food. According to Dr Armftrong, inward fits, as they are called, are in general the firlt complaint that ap¬ pears in children j and as far as he has obferved, moi., if not all infants, during the firft months, are more or lefs liable to them. The fymptoms are thefe : The child appears as if it was afteep, only the eyelids die not quite clofed •, and if you obferve them narrowly, you will fee the eyes frequently twinkle, with the white of them turned up. There is a kind of tremulous mo¬ tion in the mufcles of the face and lips, which pro¬ duces fomething like a,fimper or a imile, and iom.et'ines almoft the appearance of a laugh. As the difoider increafes, the infant’s breath feems now and then, to flop for a little ; the nofe becomes pinched ; there is a pale circle about the eyes and mouth, which fome times changes to livid, and comes and goes by turns ; the child ft arts, efpecially if you attempt to ftir it though ever fo gently, or if you make any r.oife near.it. ^ difturbed, it fighs, or breaks wind, which gives relief for a little, but prefently it relapfes into the dozing. Sometimes it ilruggles hard before it can break wind, and feems as if falling into convulsions ; but a violent burft of wind from the ttomach, or vomiting, or a loud fit of crying, fets all to rights again. As the child increafes in ftrength, thefe fits are tue .more apt to go off fpontaneoufly and by degrees •, but in calc they do not, and if there is nothing done to remove them, they either degenerate into an almoft conftant drowfinefs, (which is fucceeded by a fever and the thrufn), or ehe they terminate in vomitings, four, curdled, or green ftools, the watery gripes, and convulfions. Fhe thrulh indeed very often terminates in thefe laft fymptoms. As thefe complaints naturally run into one an.0t.1er, or fucceed one another, they may be confidered, in a man¬ ner, as only different ftages of the fame adeaie and which derive their origin from the fame caufe. 1 nu3» the inward fits may be looked upon as the .firft ftage ot the diforder •, the fever, and thruffi (when it happens), as the fecond ; the vomitings, four, curdled, green or watery ftools, as the third j and convulfions, as the 1-ft ' As to the caufe of thefe complaints, he obferves, that in infants the glandular fecretions, which are all more or lefs glutinous, are much more copious than m adults. During the time of fucking, the glands of the mouth and fauces being fqueezed by the contraaion of the mufcles, pour forth their contents plent.fullv •, which afterwards mixing with the mucus ot tne gullet 3 Q 2 and 47s . M E D ] Children0*" an<^ ^omac^» rent^er the milk of a flimy confidence, by i. yUl'. which means it is not fo readily abforbed into the lac- tea’s; and as in mold infants there is too great an aci¬ dity in the domach, the milk is thereby curdled, which adds to the load ; hence ficknefs and fpafms, which, being communicated by fympathy to the nerves of the gullet and fauces, produce the convulfive motions above defended, which go commonly by the name of inward Jits. 1 he air, likewife, which is drawn in during fac¬ tion, mixing with the milk, &c. in the domach, per¬ haps contributes towards increafing the fpafms above mentioned. Dr Armdrong is the more induced to attribute thefe fits to the caufes now adigned, that they always appear immediately after fucking or feeding ; efpecially if the child has been long at the bread, or fed heartily, and has been laid down to deep without having fird broken wind. Another reafon is, that nothing relieves them fo foon as belching or vomiting; and the milk or food they throw up is generally either curdled, or mixed with a large quantity of heavy phlegm. If they be not relieved by belching or vomit¬ ing, the fits fometimes continue a good while, and gra¬ dually abate, according as the contents of the domach are pufhed into the intedines ; and as loon as the former is pretty well emptied, the child is waked by hunger, cries, and wants the bread; he fucks, and the fame procefs is repeated.—Thus, fome children for the fird weeks are kept almod always in a dofe, or feemingly io ; eipecially if the nurfes, either through lazinefs or want of Ikill, do not take care to roufe them when they perceive that it is not a right deep, and keep them awake at proper intervals. This dozing is reckoned a bad fign amongd experienced nurfes ; who look upon it as a forerunner of the thrudi, as indeed it often is ; and therefore, when it happens, we ought to be upon our guard to ufe the necefiary precautions for prevent¬ ing that diforder. for thefe diforders, the only remedy recommended by Dr Armdrong is antimonial wine, given in a few drops, according to the age of the infant. By this means the'fuperabiindant mucus will no doubt be eva¬ cuated ; but at the lame time we mud remember, that this evacuation can only palliate, and not cure the dif- caie. . This can only be effected by tonics ; and, when from inward fits and other fymptoms it appears that the tone of the domach is very weak, a decodtion of cin¬ chona, made into a fyrup, will readily be taken by in- iants, and may be fafely exhibited from the very day they come into the world, or as foon as their bowels are emptied ot the meconium by the mother’s milk or any other means. Dr Clarke obferves, that fractures of the limbs, and comprejjions of the brain, often happen in difficult la¬ bours ; and that the latter are often followed by con- vulfions foon after delivery. In thefe cafes, he fays, it will be advhable to let the navel-dring bleed two or three fpoonfuls before it be tied. Thus the oppredion ot the brain will be relieved, and the difagreeable con- fequences jud mentioned will be prevented. But if this has been negledled, and fits have adlually come on, we mud endeavour to make a revulfion by all the means in our power ; as by opening the jugular vein, procuring an immediate difeharge of the urine and me¬ conium, and applying fmall bliders to the back, legs, or behind the ears. The fcmicupium, too, would fceui CINE. Appendix. to be ufeful in this cafe, by driving the oppreffive load Difeafesof of duids from the head and upper parts. Children. It fometimes happens after a tedious labour, that the child is fo faint and weak as to difeover little or no dgns ol life. In fuch a cafe, after the ufual cleanfing, the body thould be immediately wrapped in warm flan¬ nel, and brilkly toffed about in the nurfe’s arms, in order, if poffible, to excite the languid circulation. If this fail, the bread and temples may be rubbed with brandy or other Ipirits ; or the child may be provoked to cry, by whipping, or other dimulating methods, as the application of onion, or fait and fpirit of hartdiorn, to the mouth and nodrils. But after all thefe expe¬ dients have been tried in vain, and the recovery of the child ablolutely defpaired of, it has fometimes been happily revived by introducing a fhort catheter or blowpipe into the mouth, and gently blowing into the lungs at different intervals. Such children, how¬ ever, are apt to remain weak for a condderable time, fo that it is offen no eafy matter to rear them ; and therefore particu’ar care and tendernefs will be required in their management, that nothing may be omitted which can contribute either to their prefervation or the improvement of their ftrength and vigour. All the diforders which aiife from a retention of the meconium, fuch as the red gum, may eafily be removed by the ufe of gentle laxatives ; but the great fource of mortality among children is the breeding of their teeth. The ufual fymptoms produced by this are fretting ; reffleffnefs ; frequent and hidden ftartings, efpecially in deep ; coilivenefs ; and fometimes a violent diarrhoea, fever, or convuliions. In general, thofe children breed their teeth with the greateft eafe, who have a moderate laxity of the bowels, or a plentiful flow of laliva dur¬ ing that time. In mild cafes, we need only, when neesffary, endea¬ vour to promote the means by which nature is obferved to carry on the bufinefs of dentition in the eafieft man¬ ner. For this purpofe, if a coffivenefs be threatened, it muff be prevented, and the body kept always gently open ; the gums Ihould be relaxed by rubbing them frequently with fvveet oils, or other foftening remedies of that kind, which will greatly diminiih the tenfion and pain. At the fame time, as children about this period are generally difpofed to chew whatever they get into their hands, they ought never to be without fome- thing that will yield a little to the preffure of their gums, as a cruft of bread, a wax candle, a bit of li¬ quorice root, or fuch like ; for the repeated mufcular aftion, occafioned by the conftant biting and gnawing at fuch a fubftance, will increafe the difeharge from the falivary glands, while the gums will be fo forcibly pref- fed againft the advancing teeth, as to make them break out much fooner, and with Ids uneafinefs, than would otherwife happen. Some likewife recommend a flice of the rind of freih bacon, as a proper mafficatory for the child, in order to bring moifture into its mouth, and facilitate the eruption of the teeth by exercifing the gums. It thefe means, however, prove ineffedlual, and bad fymptoms begin to appear, the patient will often be relieved immediately by cutting the inflamed gum down to the tooth, where a fmall white point thows the latter to be coming forward. When the pulfe is quick, the fkin hot and dry, and the child of a fuffi- cient age and ftrength, emptying the veflels by bleed- % Appendix. M E D I Scn'f "2; 'Wdtytt the jugular, .viil frequently be neceffa- \ 7 77,’ aS we^as 111 otner inflammatoi-y cafes : and tae oejjy fliould be opened from time to time bv emol¬ lient, oily, or mucilaginous clyfters. But, on the contrary, if the child be low, funk, and much weaken¬ ed, repeated doles of the fpirit of hart (horn, and the Inte reviving medicines, ought to be preferibed. Blif- ters applied to the back, or behind the ears, will often be proper in both cafes. A prudent adminiftration of opiates, when their ufe is not forbid by coftivenefs or other wile, is fometjmes of great fervice in difficult teething, as, by mitigating pain, they have a tendency to Prevent its bad effedls, inch as a fever, convulfions, or other violent fymptoms ; and often they are abfolutelv neceffary, along with the teftaceous powders, for check¬ ing an immoderate diarrhoea. When cathartics are neceflary, if the child feems too tender and weak to bear their immediate operation, they fliould be given to the nurfe *, in which cafe they Will communicate fo much of their active powers to the milk as will be fufficient to purge the infant. This at lead certainly holds with regard to fome cathartics j fiicn, for example, as the infufion of fenna, particular- iy it a very weak infufion be employed, and not ufed to fuch an extent as to operate as a purgative to the nurfe. As mod young children, if in health, naturally deep much, and pretty foundly, we may always be apt to fufpeft tiiat fomething is amifs when they begin to be fubjeef to watching and frights; fymptoms which fel- dom or never occur but either in confequence of fome prefent dilorder not perceived, or as the certain fore¬ runners of an approaching indifpofition. We diould immediately, therefore, endeavour to find out the caufe of watchfulnefs, that we may ufe every poffible means to remove or prevent it ; otherwife the want of natural red, which ;s fo very prejudicial to perfons of all ages, will fbon reduce the infant to a low and emaciated date, which may be followed by a heddic fever, diar¬ rhoea, and all the other confequences of weaknefs. I hefe fymptoms, being always the effedds of irritation and pain, may proceed, in very young infants, from crudities or other affeidions of the primer vice producing flatulencies or gripes j about the fixth or feventh month, they may be owing to that uneafinefs which commonly accompanies the breeding of the teeth ; and after a child is weaned, and begins to ufe a different kind of food, v/orms become frequently an additional caufe of watchings and didurbed deep. Hence, to give the ne¬ ceffary relief on thefe occafions, the original complaint mud fird be afeertained from the child’s age and other concomitant circumdances, and afterwards treated ac¬ cording to the nature of the cafe. Women and nurfes are too apt to have recourfe to opiates in the watchings of children, efpecially jvhen their own red happens to be much didurbed by their continual noife and cla¬ mour. But this practice is often prejudicial, and never ought to have place when the belly is in the lead ob- ftrudled. 1 here is no complaint more frequent among children than that of worms, the general fymptoms of which have been already enumerated ; but it mud be obferved, that all the fymptoms commonly attributed to worms, may be produced by a foulnefs of the bowels. Hence practitioners ought never to red fatisfied with adn;ini- C, 1 \ F~. . 477 deling to their patients luch medicine? as are poffeffed Difeafesof only of an anthelmintic quality, but to join them with Children, thofe which are particularly adapted for cleandng the —' pnm.e vice ; as it is uncertain whether a foulnefs of the bowels may not be the caufe of all the complaints. This piadhce is dill the more advifable, on account of vifeid humours in the intedines affording lodgement to the ova of worms ; which, without the convenience of fuch a receptacle, would be more fpeedily difeharged from the body. ihe difficulty of curing what is called a worm fever, arifes, according to Dr Mufgrave, from its being fre¬ quently attributed to worms, when the caufe of the diforder is of a quite different nature. He does not mean to deny that worms do fometimes abound in the human body, nor that the irritation caufed by them does fometimes produce a fever j but he apprehends thefe cafes to be much more uncommon than is gene¬ rally imagined, and that great mifehief is done by treat¬ ing fome of the diforders of children as worm cafes which really are not fo. Dr Hunter is of the fame opinion on this point. He has, we are told, diffeded great numbers of children who have been fuppofed to die of worm fevers, and whofe complaints w'ere of courfe tieated as proceeding from worms, in whom, however, there appeared, upon diflection, to be not only no worms, but evident proofs of the diforder’s having been of a very different nature. The fpurious worm fever, as Dr Mufgrave terms it, has, in all the initances he has feen of it, arifen evi¬ dently from the children having been indulged with too great quantities of fruit. Every fort of fruit eaten in excefs will probably produce it ; but an immoderate ufe of cherries feems to he the molt common caufe of it. The approach of this diforder has a different appear¬ ance, according as it arifes from a habit of eating fruit in rather too large quantities, or from an exceffive quantity eaten at one time. In the former cafe, the patient gradually grows weak and languid : his colour becomes pale and livid ; his belly fvvells and grows hard ; his appetite and digeflion are deflroyed ; his nights grow reftlefs, or ..at leaft his fleep is much di- fturbed with ftartings, and then the fever foon follows, in the progrefs of which, the patient grows comatofe, and at times convulfed ; in which date, when it takes place to a high degree, he often dies. The pulfe at the vvnlt, though quick, is never ftrong or hard ; the carotids, however, beat with great violence, and ele¬ vate the fidn fo as to be diflin^tly feen at a diftance. The heat is at times confiderable, efpecially in the trunk ; though at other times, when the brain is much epprefl’ed, it is little more than natural. It is fome¬ times accompanied by a violent pain of the epigaftric region, though more commonly the pain is flight, and terminates in a coma ; fome degree of pain, however,, feems to be infeparable from it, fo as clearly to diflin-^ guilh this diforder from other comatofe affeftions. When a large quantity of fruit has been eaten at once, the attack of the diforder is inftantaneous, and its progrefs rapid ; the patient often palling, in the fpace of a few hours, from apparently perfect health, to a ftupid, comatofe, and almolt dying Hate. The fyniptoms of the fever, when formed, are in both cafes nearly the fame •, except that, in this latter fort, a little purulent matter is fometimes difeharged, both by vo- v- mitt 4-S M E T) T Pifep.fesof rnlt and {lool, from tire very firfl day. The ftoo.s,^ in Children, both cafes, eKbibit fometiraes a kind of curd refembling curdled milk, at other times a floating fubitance is ob- (erved in them j and fometimes a numfrer ot little thteaoo and pellicles, and now and then a Angle worm. Strong purgatives, or purges frequently repeated, in this diforder, are greatly condemned by i)r Armilrong, as they in general not only aggravate the fymptoms al¬ ready prefent, but are fometimes the origin of convul- fjons". Bloodletting is not to be thought of in any ftage of the diforder. Although frequent purging, however, be not recom¬ mended, yet a Angle 'vomit and. purge are adviied in the beginning of the diforder, with a view to evacuate fuch indigefted matter and mucus as happens to remain in the llomach and bowels. Thefe having operated properly, there is feldom occafion for repeating them •, and it is fuflicient, if the oody be coftive, to throw up, every fecond or third day, a clyfter, compofed of fame grains of aloes, diffolved in five or fix ounces Oi infufion of chamomile. Xhe principal part of the cure, however, depends upon external applications to the bowels and flsmach j and as the cauie of the diforoer is of a cold natuie,. the applications muft be warm, cordial, and invigorating •, and their aflion muft be promoted by conftant actual heat. . When any nervous fymptotns come on, or remain al¬ ter the diforder is abated, they are eafily removed by giving a pill with a grain or two of afafoetida once or twice a day. The diagnoftics of worms are very uncertain ; but, even in real worm cafes, the treatment above recom¬ mended would, it is imagined, be much more e.hca- cious than the practice commonly had recourfe to. As worms either find the conftitution weakly, or very foon make it fo, the frequent repetition of purges, parcicu- larlv mercurials, cannot but have a pernicious eilect. Bear’s-foot is ftii! more exceptionable, being in truth to be ranked rather among poifons than medicines. Worm feed and bitters are too offenfive to the palate and ftomach to be long perfifled in, tnough fo met lines very ufeful. The powder of coralline creates cJifgult by its quantity ; and the infufion of pink root is well known to occafion now and then vertiginous complaints and fits. Fomenting the belly night and morning with a Prong deco6lion of rue and wormwood, is much re¬ commended. It is a perfeaiy lafe remedy, and, by invigorating the bowels, may thereby have iome in¬ fluence in ' rendering them capable of expelling fuch worms as they happen to contain. After the fomenta¬ tion, it is advifed to anoint the belly with a liniment, compofed of one part of eflential oil of rue, and two parts of a decoftion of rue in fweet oil. It is, however, ■a matter of great doubt whether thefe external, applica¬ tions, in confequence of the articles with which they are impregnated, exert any influence on tne worms themfelves. The diet of children difpofed to worms fhould be warm and nourifhing, confifting in part at leaft ot ani¬ mal food, which is not the worfe for being a little fea- fbned. The:. drink may be any kind of beer chat is well hopped, with now and then a fmall draught of 3 ' CINE. Appendix. porter or negus. A total abfiinence from butter is Vieri;, at ju- not fo neceffary, perhaps, as is generally imagined. Poor cheele mult by all means be avoided ; but Inch as is rich and pungent, in a moderate quantity, is par¬ ticularly ferviceable. In the fpurious worm fever, the patient flrould be fupported occafionally by Irnall quan¬ tities of broth ; and. at the clofe of it, when the appe¬ tite returns, the firft food given fhould be of the kinds above recommended. The diet here recommended will, perhaps, be thought extraordinary, as the general idea is at pre¬ fent, that, in the management of children, ^nothing is io much to be avoided as repletion and rich food. It is no doubt an error to reed children too well, or to indulge them with wine and rich fauces j but it is equally an error to confine them to too itridV 01 too poor a diet, which rveakens their digefiion, and ren¬ ders them much more fubjeft to diforders of every kind, but particularly to diforders cf the bowels. In regard to the fpurious worm fever, if it be true that acid fruits too plentifully eaten are the general cauie of it, it follows as a confequence, that a warm nutri¬ tious diet, moderately ufed, will moft effeaually coun¬ teract the miichief, and fooneft reft ore tnc natuial powers of the ftomach. Befides, if the diforder does not readily yield to the methods here direffed, as i.here are many examples of its terminating by an inflamma¬ tion and fuppuration of the navel, it is highly advife- able to keep this probability in view, and, by a mode¬ rate allowance of animal food, to fupport thole powers of nature, from which only iuch a happy enfts is to be expected. Befides thefe, many other difeafes might here be mentioned, which, if not peculiar to infants, are at Icaft peculiarly modified by the infant ftate. But into deta-ls refpedhng thefe w'e cannot propofe to enter. It is fufficient to fay, that cue regard being paid to age and conftitution, tne cure is to be conduced on the fame general principles as in the adult ftate. MEDICAL JURISPRUDENCE. 4n During the progrefs of fcience in Europe this fub- je<5t has not been altogether ueglecied. But we may fafely venture to affert, that even from many enlighten¬ ed governments it has hitherto claimed much lefs at¬ tention than its importance merits. At the Britifti univerfities this has been two much the caie. It is indeed true, that for near 20 years a few le&ures on this fubject have been delivered at the univerfity of Edinburgh, by the profeffor of the inftitutions of medi¬ cine. But he could by no means coniider the fubject on that extenfive fcale which its importance merited. And he bad often exprefftd his regret, that, as in fe- veral of the foreign univerfities, a profeffurlhip had not been inftituted for the exprefs purpofe of giving a courfe of lectures on medical jurifprudence. That deleft, however, in medical education at Edinburgh is now {Applied. When that able and upright ftatefman Lord Grenville, to whom every thing that regarded the laws of his country was an objeft of peculiar attention, was at the head of his majetty’s councils, a regius profeffor- fhip of juridical and political methane was eftatdiftied in the univerfity of Edinburgh by a royal warrant. Appendix. M E D I Medical Ju-And there is every reafon to hope, that this appoint- rifpnidence. ment will be attended with many effecls highly benefi- L " cial to the nation. A fliort view of the extent and importance of this fubjeft will, we prefume, not be unacceptable to the in¬ telligent reader. Whatever aid the fcience of medicine can contribute towards the good of the date, and the execution of its laws, has been by the Germans denominated State Me¬ dicine j a new, but not improper, appellation, for that branch of knowledge which many writers have termed Medical Jurifprudence. It comprehends both medical police and juridical medicine. The former conlifts of the medical precepts which may be of ufe to the legillature or to the magi- Itracy. The latter is the aggregate of all the informa¬ tion, afforded by the different branches of medicine, wduch is neceffary for elucidating doubtful queftions in courts of law. Although there are fome traces of juridical medicine in the Jultinian code; fuch as determining the real pe¬ riod of birth, with a view to prevent the impolition of fpurious children : it properly originated with the code of laws enacted by the emperor Charles V. under the name of Conjhtutio criminalis Carolitw; in which it is ordained, that the opinions of phyiiciaHs (hould be ta¬ ken, with regal'd to the danger of wounds, child mur¬ der, murder, poifoning, procured abortion, concealed pregnancy, &c. Thefe directions, and the impotiibili- ty which was found of determinating many queftions by limply legal means, induced fome legillators to en¬ join, that all tribunals and judges Ihould procure from Iworn phyficians, appointed to this office, their opi¬ nions concerning all the fubjeCts to be mentioned here¬ after. Since that time, it has been treated fyftematicaliy by many learned men 5 fuch as Fortunatus Fidelis, Zacchias, Alberti, Hebenftreit, Haller, Ludwig, Pienckj and laftly, in the moll mafterly manner, by Metzger. Numberlefs differtations have been v/ritten on all its parrs} and among thofe who contributed to its advancement, we may reckon Ambrofe Parry, Echo, Butener, Mor¬ gagni, Camper, and Gruner. Collections of cafes, il- lultrating its principles, have been made by Amman, Daniel, Bucholz, Pyl, Scherf and Metzger. Thefe are only a few of the principal writers, who have at¬ tended to this fcience : to enumerate more would be unneceffary. From its very nature, it is evident how neceffary a knowledge of this fcience mult be to every medical praCtitioner, who is liable to be called upon to illuftrate any queftion comprehended under it before a comt of juftice. On his anfwers, the fate of the accufed perfon mult often depend } both judge and jury regulating their decilion by his opinion. On the other hand, while he is delivering his fentiments, his own reputation is before the bar of the public. The acutenefs of the gentlemen of the law is univerfally acknowledged •, the verfatility of their genius, and the quicknefs of their ajaprchenlion, are rendered almolt inconceivable, by conftant exercife. It is their duty to make every pcflible exertion for the intereft of their client, and they feldom leave unnoticed any inaccurate or contradictory evidence. How cau- cious mult, then, a medical praCtitioner be, when ex¬ amined before fuch men, when it is their duty to expofe C I N E. . 479 his errors, and magnify his uncertainties, till his evi-Medical Ju- der.ee feern contradictory and abfurd ? How often mult rdprndence. he expofe himfelf to fuch fevere criticilm, if he be not , mailer of the fubjeCt on which he is giving evidence, and have not arranged his thoughts on it according to juli principles ? On the other hand, he may deferve and gain much credit, by fo public a difplay of judgement and profeffional knowledge. Some acquaintance with this part of medical fcience mult be ufeful at lealt, and fometimes neceffary, to judges and lawyers. They will thus be enabled to eftimate how much they may depend on the opinion of any phylician, and will know how to direCl their que¬ ftions, fo as to arrive at the truth, and avoid being mif. led by his partiality or favourite opinions. To the lawyer who conduCts the defence of an accufed perfon, in a criminal cafe, it is almoft indifpenfable 5 without it, he cannot do juftice to the caufe of his client. Before criminal courts, the queftions which occur molt generally are, refpehting 1. The caufe of death, as afeertained from the ex¬ amination of the body. 2. The fufficiency of the fuppofed caufe to have produced death. 3. Probable event of wounds, contulions, &c. 4. The importance of the part injured. 5. Suppofed child-murder j whether ftill-born or not. 6. Whether death accidental or intended. 7. Abortion *, its having occurred, 8. Spontaneouily, from habit} accidentally, from external violence or paffions of the mind ; or intentionally, from the introduction of a fharp inftrument, ufe of certain drugs, &.c. . Rape } its being attempted or confummated j recent or previous deftoration. 10. The refponfibiiity of the accufed for his aCtions. Before civil courts the queftions generally regard, 1. The Hate of mind} madnefs, melancholy, idio- tifrn. 2. Pregnancy ; concealed, pretended. 3. Parturition j concealed, pretended, retarded, pre/ mature. 4. The tirft-bern of twins. 5. Difeafes; concealed, pretended, imputed. 6. Age and duration of life. Before confiftorial courts, the fubjeCts inveftigated are, X. Impotence} general, relative, curable, incurable. 2. Sterility ; curable, relatively incurable, ablolute- ly incurable. 3. Uncertainty of fex } hermaphrodites. 4. Difeafes preventing cohabitation j venereal dif- eafe, leprofy, &.c. MEDICAL POLICE. 4'2 Of incomparably greater conlequence, and more widely extended influence, is the iecond divifion of this funject. It regards not merely the welfare of individu¬ als, but the profperity and fecurity of nations. It is perhaps the moft important branch of general police } for its influence is not confined to thofe whom acciden¬ tal circumftances bring within its fphere, but extends gver the whole population of the liate. 4S0 M E D I Medical Many of its principles have been long acknowledged, . Po^ce- and confidered as neceffary coniequences of medical and political truths •, and fome few of them have acquired the authority of laws. But it was referved for the phi¬ lanthropic Frank, to colleft the whole into one vaih and beneficent fyftem, and to feparate it from juridical medicine ; in the old fyftems of which, it was neglefl- ed, or mentioned only in a few fhort paragraphs. His enlarged mind perceived at once, and fully vindi¬ cated its importance. The very name of Medical Po¬ lice, is now fufficient to attra£l the attention of legisla¬ tors and of magillrates, and to make them defirous of becoming acquainted with its principles, and anxious to fee them carried into execution. In fa£l, its influence is already vifible in the countries where it is cultivated. If the principles of medical police were feparated from the profeffional part of medicine, and communicated in a form generally intelligible, in what country have we reafon to expert more beneficial effefls from its influ¬ ence than this ? Where is the fpirit of patriotifm and benevolence fo prevalent ? What nation is more gene¬ rous in its public inllitutions ? Where does the indivi¬ dual facrifice a part of his wealth fo willingly for the benefit of the community ? It feems only neceffary to prove that an undertaking will be of advantage to the ftate, to have it carried into inftant execution. But, can medical knowledge be more ufefully employed than in pointing out the means of preferving or improving health •, of fupplying healthy nourishment to the poor, efpecially in times of fcarcity *, of oppofing the intro- duflion of contagious difeafes, and of checking their progrefs ; of fecuring to the indigent the advantages in¬ tended by their benefaftorS •, of rearing the orphan to be the fupport of the nation which has adopted him ; and of diminishing the horrors of confinement to the poor maniac and the criminal ? Thefe good effefts are not to be promoted fo much by rigid laws, as by recommendation and example. Nor can it be reafon- ably objedled to a fyftem of medical police, that it is a pleafing dream, which flatters the imagination, but the execution of which is in reality imprafticable. As well might we entirely throw afide the rules of hu¬ manity, becaufe no one is able to obferve them all j , or live without laws, becaufe no exifting code is unex¬ ceptionable. Medical police may be defined,—The application of the principles deduced from the different branches of medical knowledge, for the promotion, prefervation and reftoration of general health. The effecfts to be expefted from it are the general welfare of the ftate, and increafe of healthy population j and are to be attained by means of public inftitutions, exprefs laws, and popular intiruftion. Inftrucfting the people, and convincing them of the propriety of certain precautions and attentions, in regard to their own and the general ftate of health, are neceffary to fecure the good effedts of our public inftitutions and regulations j to obtain refpedft and obedience in many things, to which no exprefs law can be adapted ; and, to induce them to forego what may be prejudicial to the fafety of the community, and of themfelves. Public medical inftitutions and laws, muft be adapted to the country for which they are intended. Many lo- pal circumftances, national charafter, habits of life, pre¬ valent cuftoms and profeflions, fituation, climate, &c, 4 C I N E. Appendix. make considerable varieties neceffary. And many in- Medical ftitutions, many a law which would be highly beneficial ^°^ce* , to the public health, in fome circumftances, •would be ufelefs, imprafficable, and even hurtful, in others. Thefe caufes and their effecls, muft, therefore, be par¬ ticularly attended to. The principal authors who have written on this fub- jeft, are Alberti, Heifter, Plaz, Frank, Huffty, Metz¬ ger, and Hebenftreit $ to whom we may add Howard and Rumford. The fubjedfs which it comprehends, cannot be claf- fed very regularly or fyftematically. Its views will be different, according to occasional and temporary caufes j and its interference may fometimes be advantageouSly extended beyond what may feem the ftricft limits of a branch of the medical profeflion. Medical Police relates to The Situation of places of Abode. Conftru&ion of houfes. Air. Means of counteracting its impurity—Its various impregnations. Water. Its neceflity and purity. Food. Its various kinds—Comparative quantities of nourishment afforded by them—Cheaper kinds, which may be fafely fubftituted in times of fcarcity—Bread—Animal food— Butcher meat—Fifti—Vegetables—Veflels —Cookery ; Healthy ; (Economical. / Drink. Beer—Ale—Porter — Cyder—Spirituous li¬ quors — Wine—Warm drinks—Adultera¬ tions of thefe liquors—Hurtful additions— Veffels. Fire and Light. Clothing. Cleanliness. Professions. Manufa£lurers — Mechanics —Soldiers Sailors—Men of letters. Healthy Propagation. Pregnant and Puerperal Women. New-born Infants. Regiiters of birth. Physical Education. Prevention of Accidents. From poifon—Hurtful Effluvia—Maniacs—Rabid animals. Restoration of the Apparently dead. Humane Societies—Care of the dying—Danger of too early—too late burial—Places of interment —manner of conducing it—Bills of mor¬ tality. Contagious and Epidemic Diseases. Plague—Pu¬ trid fever—Dyientery—Smallpox—Inocula¬ tion—Extirpation of them—Leprofy—Itch and pox—Precautions to be taken, to pre¬ vent their introduction, - to diminifli their violence, to deftroy their caufe, and to coun- teradl their effecls. Management of Public Institutions, in which many people are collected under the care of the public. Hofpitals for the Indigent ; 1. Lying-in Hofpitals. 2. Foundling ditto. 3. Orphan ditto. 4. Hofpitals for Education. 5. Aged. M Appendix. Means of preferving Health. * v Aged. 6. Elind. 7. Maimed. Military Hofpitals : Prifoners of War. Lazarettoes. Work-houfes. Prifons. E D Hofpitals for tlie Sick. Maniacs. Convalefcents. Incurables. I 4T3 Obfervaiions on the Means of preferring Health. Having new treated of all the moft important difeafes to which the human body is fubjedled, we fliall conclude the article Medicine, with a few obfervations on the means of preferving health, both for the general manage¬ ment of valetudinarians, and of thofe alfo who wifh to obtain long life and good health by avoiding the caufes of thofe difeafes which the human fpecies often bring upon themfelves. On this fubjetf much has been writ¬ ten at aim oft every period of medicine. And we may refer thofe readers who wifh for a full and extenfive view of this interefting fubjedt to a very elaborate work lately publifhed by Sir John Sinclair Bart, entitled the Code of Health and Longevity. Here we cannot propofe to give even an abridged view of this extenfive inquiry ; but muff content ourfelves with offering only a very few general obfervations. I. Rules for the Management 0/'Valetudinarians. That part of the medical fyftem which lays down rules for the prefervation of health, and prevention of dileafes, termed liygieina, is not to be ftridlly underftood as if it refpedded only thofe people who enjoy perfedt health, and who are under no apprehenftons of difeafe, for fuch feldom either defire or attend to medical ad¬ vice ; but is rather confidered as relating to valetudi¬ narians, or fuch as, though not adlually fick, may yet have fufficient reafon to fear that they will foon become fo : hence it is that the rules muff be applied to corredt morbific difpofitions, and to obviate various particulars which were fliown to be the remote or poffible caufes of difeafes. From the way in which the feveral temperaments are commonly mentioned by fyftematic writers, it fhould leem as if they meant that every particular conftitution might be referred to one or other of the four 5 but this is far from being the cafe, fince by much the greater number of people have temperaments fo indiftindfly marked, that it is hard to fay to which of the tempera¬ ments they belong. When we adlually meet with particular perfons who have evidently either, 1. Too much ftrength and rigidity of fibre, and too much fenfibility ; 2. Too little ftrength, and yet too much fenfibi- % 5 3. Too much ftrength, and but little fenfibility; vj I ^ 4. But little fenfibility joined to weaknefs ; we Ihould look on iuch perfons as more or lefs in tne Vol. XIII. Part II. CINE. 481 valetudinary ftate, who require that thefe morbific dif* Means of pofitions be particularly watched, left they fall into thofe difeafes which are connedted with the different y 1; temperaments. People of the firft mentioned temperament being liable to fuffer from continued fevers, efpecially of the inflammatory fpecies, their fcheme of preferving health fhould confift in temperate living, with refpedl both to diet and exercife j they flrould ftudioufly avoid immo¬ derate drinking, and be remarkably cautious left any of the natural difeharges be checked. Pepple of this habit bear evacuations well, efpecially bleeding : they ought not, however, to lofe blood but when they really require to have the quantity leffened j becauie too much of this evacuation would be apt to reduce the conftitution to. the fecond-mentioned temperament, in which ftrength is deficient, but fenfibility redundant. Perfons of the fecond temperament are remarkably prone to fuffer from painful and fpafmodic difeafes, and are ealily ruffled ; and thofe of the fofter fex who have this delicacy of habit, are very much difpofed to hyfte- rical complaints. The fcheme here fhould be, to ftrengthen the folids by moderate exercife, cold bath¬ ing, cinchona, and chalybeate waters 5 particular attention fhould conftantly be had to the ftate of the digeftive organs, to prevent them from being overloaded with any fpecies of iaburra which might engender fla¬ tus, or irritate the fenfible membranes of the ftomach and inteftines, from whence the diforder would foon be communicated to the whole nervous fyftem. Per¬ fons of this conftitution fhould never take any of the draftic purges, or ftrong emetics; neither fhould they lofe blood but in cafes of urgent neceflity. But a principal fhare of management, in thefe extremely ir¬ ritable conftitutions, confifts in avoiding all fudden changes of every fort, efpecially tnole with refpefl to diet and clothing, and in keeping the mind as much as poflible in a ftate of tranquillity : hence the great advantages which people of this frame derive from the ufe of medicinal waters drank on the fpot, on account of that freedom from care and ferious bufmefs of every kind, which generally obtains in all the places planned for the reception of valetudinarians. The third-mentioned temperament, where there is an excefs df flrength and but little fenfibility, does not feem remarkably prone to any diftrefling or dangerous fpecies of difeafe ; and therefore it can hardly be fup- pofed that perfons fo circum(lanced will either of them¬ felves think of any particular fcheme of management, or have recourfe to the faculty for their inftruflions: . fuch conftitutions, however, we may obferve, bear all kinds of evacuations well, and fometimes require them to prevent an over-fulnefs, which might end m an oppreflion of the brain or fome other organ of importance. But the fourth temperament, where we have weak¬ nefs joined to want of fenfibility, is exceedingly apt to fall into tedious and dangerous difeafes, arifing from a defefil of abforbent power in the proper fets of veffels, and from languor of the circulation in general ; whence corpulency, dropfy, jaundice, dnd different degrees of fcorbutic affedlion. In order to' prevent thefe, or any other fpecies of accumulation and depra¬ vation of the animal fluids, the people of this confti¬ tution fliould ufe a generous courfe of diet, with bnik 3 P exercife, 482 M E D I Means of exercife, and be careful that none of tbe fecretions be ^ *n>;t'rrupted, nor any of the natural difcharges fup- l ^— < preffed. Tbefe conftitutions bear pinging well, and of¬ ten require it 5 as alio the ufe of emetics, which are frequently found neceffary to fupply the place of ex¬ ercife, by agitating the abdominal vifcera, and are of fervice to prevent the ftagnation of bile, or the accu¬ mulation of mucous humours, which hinder digeftion, and clog the firft pafiages. The free ufe of mullard, borfe-radilh, and the like fort of ftimulating dietetics, is ferviceable in thefe torpid habits. When the general mafs of fluids is increafed be-, yond what is conducive to the perfection of health, there arifes what the writers term a plethora, which may prove the fource of different difeafes •, and therefore, when this overfulnefs begins to produce languor and oppreflion, care fhould be taken in time to reduce the body to a proper llandard, by abridging the food and increafing the natural difcharges, ufing more exercife, and indulging lefs in fleep. But in oppofite circumftances, where the fluids have been exhaufted, we are to attempt the prevention of further waite by the ufe of ftrengthening ftomachics, nourifhing diet, and indulgence from fatigue of body or mind. Vitiated fluids are to be confidered as tainted either with the different kinds of general acrimony, or as be¬ traying figns of fome of the fpecies of morbific matter which give rife to particular difeafes, fuch as calculus, fcurvy, &c. During the ftate of infancy, we may fometimes ob- ferve a remarkable acidity, which not only fhowrs itfelf in the firft paffages, but alfo feems to contaminate the general mafs of fluids. As it takes its rife, however, from weak bowels, our view's, when we mean to pre¬ vent the ill confequences, mufl be chiefly direded to ftrengthen the digeftive organs, as on their foundnefs the preparation of good chyle depends; and hence fmall dofes of rhubarb and chalybeates (either the na¬ tural chalybeate waters mixed wdth milk, or the murias amrrwmce et fern in dofes of a few grains, according to the age of the child), are to be adminiflered j and the diet is to be fo regulated as not to add to this acid tendency : brifk exercife is likewife to be enjoined, wdth fridtions on the ftomach, belly, and lower ex¬ tremities. Where the fluids tend to the putrefcent ftate, which fhows itfelf by fetid breath, fponginefs and bleeding of the gums, a bloated look and livid caft, the diet then fhould be chiefly of frefh vegetables and ripe fruits, with wine in moderation, due exercife, and ftrengthening bitters. Where acrimony fhows itfelf by itching eruptions, uncommon thirft, and flufhing heats, nothing will an- fwer better than fuch fulphureous waters as the Har- rowgate and Moffat, at the fame time ufing a courfe of diet that fhall be neither acrid nor heating. So far with refpe£t to thofe kinds of morbific mat¬ ter which do not invariably produce a particular fpe¬ cies of difeafe : but there are others of a fpecific nature, fome of which are generated in the body fpontaneouf- ly, and feem to arife from errors in diet, or other cir- cumflances of ill management with refpeft to the ani¬ mal economy j and hence it is fometimes poflible, to a certain degree if not altogether, to prevent the ill con- C IN E. Appendix. fequenccs. Thus, there are inflances where returns of .uca^of the gout have been prevented by adhering flridiy to a P^fti ving milk diet. Kealtli. The rheumatifm has alfo been fometimes warded off ” v " * by wearing a flannel Hurt, or by ufing the cold bath. without interruption. Calculus may be retarded in its progrefs, and pre¬ vented from creating much diftrefs, by the internal ul’e of foap and lime-water, by foap lees taken in milk or in veal-broth, or by the ufe of aerated alkaKne w'a- ter, which may perhaps be confidered as being both more fafe and more efficacious, and at the fame time more pleafant, than any of the other praftices. The fcurvy may be prevented by warm clothing and perfeverance in brifk exercife, by drinking wine or cyder, and eating freely of fuch vegetable fub- flances as can be had in thofe fituations where this difeafe is molt apt to fhow itfelf. In conftitutions where there is an hereditary difpo- fition to the fcrophula, if early precautions be taken to ftrengthen the folids by cold bathing, a nourifhing courfe of diet, and moderate ufe of wine, the con- ftitution which gives rife to the difeafe will probably be prevented from producing any very bad eftecfs. The other kinds of morbific matter, which are of the fpecific nature, are received into the body by in- fedtion or contagion. The infedlion of a putrid fever or dyfentery is beft: prevented by immediately taking an emetic on the firft attack of the ficknefs or fhivering ; and if that do not completely anfw’er, let a large blifter be applied be¬ tween the fhoulders : by this method the nurfes and other attendants on the lick in the naval hofpitals have often been preferved. As to other infedtious morbific matter, we muft refer to what hgs already been faid when treating of hydrophobia, poifons, gonorrhoea, Sec. The ill effedts ivhich may arife from the different 0 fpecies of faburra, are to be obviated, in general, * by the prudent adminiftration of emetics, and care¬ fully abftaining from fuch kinds of food as are known to caufe the accumulation of noxious matters in the firft paffages. Crude vegetables, milk, butter, and other oily fub- ftances, are to be avoided by perfons troubled with a fournefs in the ftomach ; brilk exercife, efpecially ri¬ ding, is to be ufed, and they are to refrain from fer¬ mented liquors : the common drink Ihould be pure water ; or water with a very little of fome ar¬ dent fpijit, fuch as rum or brandy. Seltzer and Pyr- mont waters are to be drunk medicinally; and aroma¬ tic bitters, infufions, or tindlures, acidulated with ful- phuric acid, will be found ferviceable, in order to ftrengthen the fibres of the ftomacb, and promote the expulfion of its contents, thereby preventing the too hafiy fermentation of the alimentary mixture. In or¬ der to procure immediate relief, magnefia alba, or creta preeparata, will beldam fail j the magnefia, as \vell as the chalk, may be made into lozenges, with a little fugar and mucilage •, and in that form may be carried about and taken occaiionally by people afflifted with the acid faburra. In conftitutiobs where there is an exuberance or flag- nation of bile, and a troubleforae bitternefs in the mouth, it is neceffary to keep the bowels always free, by taking occafionally fraali dofes of putt aloes, oleum ricini.^ Appendix. M E D I Means of ricini, fupertartrite of potafs, fome of the common pur- PHealth!S §inS faltS’ °r t,]e natural Purg;ng waters. 1 r— t - When there is a tendency to the empyreumatic and rancid faburra, people Ihould carefully avoid all the va¬ rious kinds of thofe oily and high-leafoned articles of diet generally termed made-dijhes, and eat fparingly of plain meat, without rich fauces or much gravy j and in thefe cafes the moft proper drink is pure water. 414 II. Rulesthofe who enjoy perfeB Health. There can be no doubt, that, in general, tempe¬ rance is the true foundation of health j and yet the ancient phyficians, as we may fee in the rules laid down by Celfus, did not fcruple to recommend in¬ dulgence now and then, and allowed people to ex¬ ceed both in eating and drinking : but it is fafer to proceed to excefs in drink than in meat; and if the debauch (hould create any extraordinary or diftreffing degree of pain or ficknefs, and a temporary fever {hould enfue, there are tw7o ways of fhaking it off, either to lie in bed and encourage perfpiration, or to get on horfe-back and by brilk exercife reftore the body to its natural Hate. The choice of thefe two methods mull always be determined by the peculiar circumftances of the parties concerned, and from the experience which they may before have had which agrees beft with them. If a perfon ftiould commit excefs in eating, efpe- cially of high-feafoned things, with rich fauces, a draught of cold water, acidulated with fulphuric acid, will take off the fenfe of weight at the ftomach, and aflift digeftion by moderating and keeping with¬ in bounds the alimentary fermentation, and thus pre¬ venting the generation of too much flatus. The lux¬ ury of ices m.iy be here of real fervice at the tables of the great, as producing fimilar effedls with the cold water acidulated. Perfons in thefe circumftances ought not to lay themfelves dowm to deep, but fhould keep up and ufe gentle exercife until they are fenftble that the ftomach is unloaded, and that they no longer feel any oppreffive wreight about the praecordia. If a man be obliged to faft, he ought, if poffible, during that time, to avoid laborious work : after fuffer- ing fevere hunger, people ought not at once to gorge and fill therofelves ; nor is it proper, after being over¬ filled, to enjoin an abfolute faft : neither is it fafe to indulge in a date of total reft immediately after exceflive labour, nor fuddenly fall hard to work after having been long without motion : in a wTord, all changes fhould be CINE. 483 made by gentle degrees; for though the conftitution of Means of the human body be fuch that it can bear many altera- Prei'erv‘n» tions and irregularities without much danger, yet, when Hei*Ith' . the tranfitions are extremely hidden, there is a great nfk of producing fome degree of diforder. It is alfo the advice of Celfus to vary the feenes of life, and not confine ourfelves to any fettled rules : but as inadlion renders the body weak and liillefs, and exer¬ cife gives vigour and ftrength, people fhould never long omit riding, w’alking, or going abroad in a carriage. Fencing, playing at tennis, dancing, or other fimilar engagements, which afford both exercife and amufement, as each ihall be found moft agreeable or convenient, are to be ufed in turn, according to the circumftances and tendency to any particular fpecies of difeafe. But when the w7eakneis of old age ftiall have rendered the body incapable of all thefe, then dry fridions with the flefti- brufh will be very requifite to preferve health, by accelerating the flow of humours through the fmallell orders of veffels, and preventing the fluids from ftagnat- ing too long in the cellular interilices of the flefhy parts. Sleep is the great reftorer of ftrength ; for, during this time, the nutritious particles appear to be chiefly applied to repair the wafte, and replace thofe that have been abraded and wafhed off by the labour and exercife of the day ; but too much indulgence in fleep has many inconveniencies, both with refped to body and mind, as it blunts the fenfes, and encourages the fluids to ftagnate in the cellular membrane $ w7hence corpulency, and its neceffary confequences languor and weaknefs. The proper time for fleep is the night, when darknefs and filence naturally bring it on : fleep in the day time, from noife and other circumftances, is in general not fo found or refrefhing j and to fome people is really diftrefs- ful, as creating an unufual giddinefs and languor, efpecially in perfons addidled to literary purfuits. Cuftom, how7ever, frequently renders fleep in the day neceflary $ and in thofe conftitutions where it is found to give real refrefhment, the propenfity to it ought to be indulged, particularly in very advanced age. With regard to the general regimen of diet, it has always been held as a rule, that the fofter and milder kinds of aliment are moft proper for children and younger fubjedfts : that grown perfons fhould eat w hat is more fubftantial j and old people leffen their quantity of folid food, and increafe that of their drink both of the diluent and cordial kind. INDEX. ■Adipsia, Gen. 108. Agedstia, Gen. 99. Amaurosis, Gen. 93. Amenorriioea, Gen. 126. Amentia, Gen. 65. Anaphrodisia, Gen. 109. Anasarca, Gen. 75. Anesthesia., Gen. 100. Anorexia, Gen. 107. N°375 376 Anosima, Gen. 98. 365 366 Aphonia, Gen. no. 379 360 Aphtha, Gen. 35. 233 402 Apoplexia, Gen. 42. 255 326 Arthrofuosis, Gen. 25. 216 377 Ascites, Gen. 79. 343 339 Asthma, Gen. 55. 292 366 Atrophia, Gen. 70. 333 Abortus, N* 247 Abfcefs of the lungs, 186 Acute rheumatifm, ■* 205 Acrimony of the blood, 103 Adynamia, 271 ^Egyptian phyficians, 2 JEfculapius, 4 JEtius, 43 Alexander, ' 44 3 P Amentia, -r 484. Amentia, Nc Amphimerina cardiaca, Amphimerina paludofa, Anaphrodijia, Angina pccloris, Animal fat, Anxiety, Apocenafes, Apoplexy, fanguineous, fe rous, hydrocephalic, Appearance of the venereal difeafe, Arabians, Arthrodynia, Afclepiades, Atonic gout, B. Bulima, Gen. 101. Bajlard pleurify, Bleeding at the nofe, Bloody flux, Branks, Buff-coloured crwft. on the blood, Burning fever, c. CalIgo, Gen. 92. Carbitis, Gen. 13. Catarrhus, Gen. 40. Chlorosis, Gen. 47. Cholera, Gen. 60. Chorea, Gen. 51. Colica, Gen. 59. Contractura, Gen. 115. Convulsio, Gen. 50. Cystitis, Gen. 20. Cynanche, Gen. 10. Cac/iexix, Canine appetite, xnadnefs, Cardiac fyncope, Catalepjis, Ca tar aid, Catarrh, from cold, from contagion, Caufes of afle£lions of the folids, Caufus, Ccifus, Cellular texture, Cephalalgia, Chemical analyfls of the animal folid, Chickenpox, Childbed fever, Children, difeafes of, Chincough, Cholera, fpontaneous, accidental, Chronic rheumatifm, Circulation, Coeliac paflion, College of Salernum, Confirmed phthins, Continued levers, Confiantine, C fumption, pulmonary, 326 *52 377 4°3 72 76 385 256 257 23 8 53 46 209 35 213 369 208 235 254 182 99 140 359 188 2tl 277 308 284 201 384 283 201 176 33° 369 322 273 263 359 251 253 70 140 40 71 4°5 68 226 404 410 299 308 3°9 310 209 95 3!5 48 239 164 49 237 MEDICINE. Convulfive tertian, N° 133 Corpulency, 335 Cofiivenefis, 108,393 Cough, 105 Cowpox, 224 Croup, 180 D. Diabetes, Gen. 62. * 318 Diarrhoea, Gen. 61. 311 Dysecoea, Gen. 96. 363 Dysenteria, Gen. 41. 254 Dysopia, Gen. 94. 361 Dyspepsia, Gen. 45. 275 Dyspermatismus, Gen. 125. 401 Dyspnoea, Gen. 56. 292 Dysuria, Gen. 124. 399 Deafinefis, 363 Debility, 91 Delirium, 84 Difficulty of difcharging unne, 399 Digejlion, 107 depraved, 275 Dificovery of the circulation, 55 Difieafies from accidents, 65 from paffions of the mind, 66 from age and fex, 63 from climate, 64 in the mufcular power, 87 DifihnShon of difeafes, 57 Divi/ion of the fundflions, 56 Double quartan, 156 tertian, 128 Bropfiy, ' 339 of the brain, 238 of the brsaft, 342 of the abdomen, 343 of the uterus, 344 of the fcrotum, 345 Dumbnefis, 380 Duplicated quartan, 154 tertian, 129 Dyficeflhefiu, 358 Dyficinefice, 378 Dyfientery, V 254 Dyforexia, 368 Dyfipermatifimus, 401 E. Elephantiasis, Gen. 87. 352 Enteritis, Gen. 16. 195 Enuresis, Gen. 120. 390 Ephidrosis, Gen. 117. 387 Epilepsia, Gen. 53. 286 Epiphora, Gen. 118. 388 Epistaxis, Gen. 36. 235 Erysipelas, Gen. 26. 218 Emphyfiema, 336 Empirics, 33 Empyema, 187 Epilepfiy, 286 Epifchefies. 392 Erafijlratus, 31 Eruptive tertian, 134 Erythema, 174 Exanthemata, 217 Exceffive perfpiration, 116 Exceffive third, Exciting caufe of difeafes, F. Framboesia, Gen. 89. Fainting, Falfie appetite, Febres, Feeling, depraved, Fever, continued, remittent, intermittent, fcarlet, childbed, Flooding, Fluor albus, Furor uterinus, G. Gastritis, Gen. 15. Gonorrhoea, Gen. 121. Galen, Gout, Greek phyficians, Green licknefs, Gutta ferena, H. Haemoptysis, Gen. 37. HiEMORRiiois, Gen. 38. Hepatitis, Gen. 17. Hydrocele, Gen. 81. Hydrocephalus, Gen. 76. Hydrometra, Gen. 80. Hydrophobia, Gen. 64. Hydrorachitis, Gen. 77. Hydrothorax, Gen. 78. Hypochondriasis, Gen. 46. Hysteria, Gen. 63. Hysteritis, Gen. 21. Htzmorrhagne, Hearing, depraved, Heartburn, Heclic fever, Hemiplegia, Hepatic flux, Hereditary difeafes, Herophilus, Hippocrates, Hoopingcough, Hydrocephalic apoplexy, I. Icterus, Gen. 91. Ischuria, Gen. 123. Idiotifm, Iliac paflion, Impetigines, Incipient phthifls, Incontinence of urine, Incubus, Inflammation of the bladder, of the brain, of the heart, of the inteflines, of the kidney, of the liver, Index. N°37o 60 354 272 371 74 367 64 *38 1 26 2^0 404 245 250 373 192 39* 41 211 3 277 360 236 240 198 345 34° 344 322 341 342 276 321 204 234 80 364 300 170 267 3i7 62 32 5 299 258 356 394 86, 326 1J3 348 238 120 329 2:1 176 188 J 95 2C O 198 Inflammation Index. Inflammation of the lungs. of the menientery, of the omentum, of the peritoneum, of the fpleen, of the fiomach, of the uterus, Infommatory tertian, Inoculation, Intermittentes, Intumefcentue, Irregular tertian, Itching, Jaundice, JeunJh phyficiahs, King's evil, K. L. Lepra, Gen. 88. Leucon lice a, Lientery, Locales, Lochial difcharge, immoderate, Locked jaw, Loofenefs, Lofs of voice, Lues venerea, Lumbago, M. . Mania, Gen. 67. Melancholia, Gen. 66. Menorrhagia, Gen. 39.' Miliaria, Gen. 31. Mutitas, Gen. 111. Madnefs, melancholy, furious, Malignant lore throat, Marcores, Mea/les, Melancholy and mama, Mehtne, Memory, ' Menfes, immoderate flow of, Methodical feci, M{[placed gout, Mobility, Moderns, Morbid thinnefs of the blood, thicknefs of the blood, Mumps, N. Nephritis, Gen. 19. Nostalgia, Gen. ioj>. Nymphomania, Gen. 105. Naufea, Kettle rafh, Nervous confumption, fever, Nightmare, Nirles, O. Obstipatio, Gen. 122. Odontalgia, Gen. 23. Oneirodynia, Gen. 68. N° 183 191 190 189 199 192 204 i35 225 125 334 127 77 356 34? 353 250 316 357 248 280 109 379. 3513 206 3 327 245 229 38° 327 3 2^ 179 331 227 85 409 83 246 36 215 88 54 ' 101 102 182 200 374 373 112 231 333 166 329 228 393 210 329 MEDICINE. Ophthalmia, Gen. 8. N° 174 Ohflrucled perfpiration, 1 15 Occafional fyncope, 274 Oefophagus, dangerous afLclion of, 406 Qribajius, 4 2 Origin of difeafes, P. Palpitatio, Gen. 54. Paracusis, Gen. 97. Paralysis, Gen. 43. Paraphonia, Gen. 112. Pemphigus, Gen. 34. Peritonitis, Gen. 14. Pertussis, Gen. 57. PESTIS, Gen. 27. Phlogosis, Gen. 7. Phrenitis, Gen. 9. Physconia, Gen. 82. Physometra, Gen. 74. Pica, Gen. 103. Pneumatosis, Gen. 72. Pneumonia, Gen. 11. Polydipsia, Gen. 102. Poeysarcia, Gen. 71. Profusio, Gen. xi6. PSEUDOBEEFSIS, Gen. 95. Psellismus, Gen. 113. Ptyalismus, Gen. 119. Pyrosis, Gen. 58. Pain, Palpitation, Palfy, from poifons, Paracelfus, Paraplegia, Paulus, Peripneumonia, P hlegniafue, Phlegmone, Phthijis, Piles, external, from a procidentia ani, running, blind, Plague, Plethora, Plica polonica, Pleuritis, Podagra, Poifons, Praxagoras, Predfponent caufe, Proximate caufe, Puerperal fever, Pulmonary confumption, Pulfation of the arteries, Putrid fever, Putrid fore throat, Pyr exicr, B &• Quartana, Gen. 2. Quotidiana, Gen. 3. 92 Qualities of the animal folids, Quartan with fymptoms of other eafes, complicated with other eafes, Quotidian, genuine, partial, remitting, ^Piotidiana deceptiva, Rachitis, Gen. 83. Raphania, Gen. 52. Rheumatismus, Gen. 22. Rubeola, Gen. 30. Regular gout, Remittent tertian, Remitting quartan, Refpiration, Retrocedent gout, Rheumatifm in the loins, in the hip-joint, in the thorax, Rhatnes, Rickets, Rules for preferving health,, for valetudinarians, S. Satyriasis, Gen. 104. Scarlatina, Gen. 32. Scorbutus, Gen. 86. Scrophula, Gen. 84^ Siphylis, Gen. 85. Splenitis, Gen. 18. Strabismus, Gen. 114. Syncope, Gen. 44. Synocha, Gen. 4. Synochus, Gen. 6. St Anthony's fire, St Vitus's dance, Sanguineous apoplexy, Salivation, Sciatica, Scirrhus, Scurvy, Sea feurvy, Semen, difficult emiffion of, Semi-tertian, Serapion, Serous apoplexy, Sight, Sleep, Sleepy tertian, Smallpox, diftindl, confluent, inoculated, Smell, Smelling, depraved, Sneezing, Soranus, Spafm, Spafmi, 153 Spafmodic colic, 160 tertian, N° 69 dif- dif- 62 290 364 263 381 23 2 189 299 221 171 175 346 33s 37r 336 184 37° 335 386 362 382 389 3°° 75 97 , 265 269 5 2 268 45 184 171 173 237 240 241 242 243 244 221 100 355 185 211 408 3° 59 61 404 237 96 167 179 124 158 159 161 162 163 347 285 205 227 212 138 160 104 214 206' 227 208 47 347 414 4i3 372 203 351 349 35° 199 383 272 163 ‘ 168 218 284 2 c6 389 207 122 35i 351 401 131 34 257 81 94 132 222 223 224 225 79 365 106 39 93 278 302 133 Spina 4^6 Spina bifida, Spitting of blood, Spurious tertian, Stone in the bladder Strangury, N* 3 41 236 127 400 119 State of medicine in the 15th and 16th centuries, in the 17th and 18th centuries,1 SuppreJJton of menfes, of urine, 117, Sweating ficknefs, Symptoms of difeafe, 50 54 402 394 51 58 Tabes, Gen. 69. Tertiana, Gen. 1. Tetanus, Gen. 48. Trichoma, Gen. 90. Trismus, Gen. 49. Tympanites, Gen. 73. Typhus, Gen. c. Tap, Tajling, depraved, Tenefmus, 332 126 279 355 280 337 164 78 366 211 medicine. Tertian complicated with other orders, varied from its origin, Themifon, TheJJalusy Thrujh, Toothach, Torpor, Tremor, Triple quartan, Triplicated quartan, Triple tertian, Tritceophya Americana, apodes, carotica, deceptiva, elodes, leipyria, fyncopalis, typhodes, vratiflavisnfis, U. Urticaria, Gen. 33. Urinary calculi, dif- N° 136 137 233 210 90 270 157 155 13© 148 144 145 147 J43 146 I39 142 141 231 121 V. Varicella, Gen. 29. Variola, Gen. 28. Viccine inoculation Variolodes, Venereal difeafe, Vertigo, Vefanite, Vigour, Vts medicatrix naturae, Vtpn depraved, Vital folids, Vomica, W- Want of appetite, of third, Wajling of the body, Water braili, in the head, Whites, Worms, Y. Yaws, Yellow fever, Index. N° 226 222 224 228 350 82 325 89 67 361 73 286 375 376 332 300 340 250 407 35+ 168 MED Medicis. MEDICIS, Co£MO DE, was born in the year 1389, ' and was in the prime o( life, at the death of his father, Giovanni. His condud was diilinguiihed for urbanity and kindnefs to the fuperior ranks of his fellow citizens, and by a conftant attention to the wants of the lower clafs, whom his munificence abundantly relieved. His prudence and moderation, however, could wot reprefs the ambitious defxgns of the ri-val families, the Florentines and Medici ; for in 1433, Rinaldo de A'bizi, at the head of a formidable party, carried the appointment of the magiftracy. On returning from his country feat he was feized upon by his adveriaries, and committed to prifon. The confpirators not agreeing as to the proper method of difpatching their prifoner, one Peruzzi re¬ commended poifon, which was heard by Cofmo, who refufed to take any other fuftenance than a fmall por¬ tion of bread. In this difrual iituation he remained four days, fhut up from all his kindred and friends, where he foon expe&ed to be numbered with the dead. But the man employed to take him off, unexpe&edly proved his friend. Malavolta, the keeper of the prifon, jrelented, and declared that he had no juft reafon to be alarmed, as he hefitated not to eat of every thing that was brought him. His brother Lorenzo, and bis coufin Averardo, railed a confiderable body of men in Romagna and other diftri&s *, and being joined by the commander of the republican forces, they marched to Florence to re¬ lieve him. A decree was obtained from the magi¬ ftracy, by which he was banilhed to Padua for ten years, his brother to Venice for five, and feveral of their relations ihared a fimilar fate. Padua was in the dominions of Venice, and he received a deputation from the fenate before he reached it, promiling him th§ir prote&ion and aftiftance in whatever he Ihould de- v 3 MED fire. He rather experienced the treatment of a prince Medicis. than of an exile, as they entertained the higheft ex- -y^J. pedations from his great commercial knowledge. From this period his life may be conlidered as one con¬ tinued feene of uninterrupted profperity, and his fa¬ mily received education equal to that of the greateft potentaies. In his public and private charities he was almoft unbounded, and perhaps poffeffed more wealth than any fingle individual in Europe at that period. In his promotion of fcience and encouragement of learn¬ ed men he was truly exemplary, and from this fource he acquired the greateft honour and efteem. His foftering hand proteded the arts as well as the fciences; and architedure, fculpture, and painting, all flourilhed under his powerful protedion. The coun¬ tenance he ftiewed to thefe arts was not fuch as their profefibrs generally receive from the great $ for the fums of money which he expended on pidures, ftatues, and public buddings, appear almoft incredible. When he approached the period of his mortal exiftence, his faculties were ftill unimpaired ; and 20 days before he died, he requefted Ficino to tranflate from the Greek the treatife of Xenocrates on death. He died on the iff of Anguft 1464, at the age of 75, and gave Uriel injundions, that his funeral ftiould be conduded with as much privacy as poflible. By public decree he was honoured with the title of Pater Patrue, an appellation which was inferibed on his tomb, and was declared by competent judges, to be founded in real merit. Medici, Lorenzo de, ftiled, with great propriety, the Magnificent, was the grandfon of Cofmo, and about 16 years of age at his deceafe. In 1469 Iris father died, and he fucceeded to his authority as if it had conllitut- ed a part of his fortune. In the year 1474, Lorenzo incurred the difpleafure of the pope for the oppofttion he med he made to fome of his encroachments on the petty ^ pnnces of Italy, and for this reafon he deprived^im of the office of treafurer of the Roman fee, which he conferred on one Pazzi, conneaed with a Florentine family the mtereft of which he thus fecured, and in! tended to facrifice Lorenzo and Juliano to his private revenge Their affaffination was fixed for Sunday April 26. 1478, and the cathedral was the place in which a moniter of an archbilhop had refolved to mur¬ der them by the mftigation of the pope. When the peopie faw one of their favourites (Juliano) expiring and the other (Lorenzo) covered with bloody their rale was not to be expreffed in language. The interference of the magnates was finally vidorious, who had the courage and virtue to hang the archbiffiop from one of the windows, arrayed in his pontifical robes, which made Florence refound with the acclamation—Medici Medici! down with their enemies ! Lorenzo was delivered from that part of the cathe¬ dral o which he had fled for refuge, and was trium¬ phantly carried home, where his wounds were attended to by men of ability. His friends in the mean time purlued the confpirators, and fpared none who happen¬ ed to fall in their way. In a word, the generality of them were either hanged or decapitated, and very few had good fortune to efcape their uncommon vigil- ance. Much to the honour of Lorenzo, he exerted all his influence to prevent the indifcriminate maffacre of his cruel enemies, and reftrain the juft indignation of the people, begging that they would truft the maoi- ftrates. with the puniffiment of the guilty 5 and the re- .ln .he was held had the moft afloniihinfr tion 10 reftraimng the vengeance of popular indigna- No fooner had hoftilities ceafed between Pope Sextus and the Florentine republic, then Lorenzo be^an to develope plans for fecuring the internal peace and tran¬ quillity of Italy,, by which the higheft honour has been conferred on his political life. But the life of this great man was again brought into imminent danger by the intrigues of Cardinal Riario, and fome Florentine exiles, who determined to affaffinate him in the church ot the Carmeli, on the feftival of the Afcenfion 1481 5 but the plot was happily difcovered, the confpirators were executed,, and after this Lorenzo very feldom W'ent aoroad without being furrounded by a number of friends in whom he could fecurely confide. When we attentively examine the charafter of Lo¬ renzo, it will not perhaps appear aftonifhing, that Italy, Chnftendom, and even the Mahometans themfelves, conferred upon him the moft flattering approbation. Even Prince Mirandola chofe Florence as the place of aio fidenCe em,rety uPon his account, and there end¬ ed his mortal career. To a moft engaging perfon Lo¬ renzo added almoft every other accompliffiment. He WTas the favourite of the ladies, the envy of his own fex, and the admiration of all. He was declared to be un¬ rivalled in chivalry, and one of the moft eminent ora¬ tors that the world in any age has produced. Accord¬ ing to the opinion of his contemporaries, he was even luperior to Julius Caefar himfelf, except as a general, yet wouM alfo have proved a moft confummate com¬ mander had not peace been always the darling of his foul. We recol’eft a memorable paffage in the Ram¬ bler, which may here -be appofitely introduced. A C 487 ] med great man condefeending to do little things, is like the fan m his weftern declination j he remits his fplendor, ut retains his magnitude, and pleafes more though he dazzles lefs. To fuch little things did Lorenzo fre- quentiy fubmit, often feeking plealure in his nurfery, ^iPnen|’ngl°UrS ^ in aI1 the frivolous pranks of d.ia^ diverfion. I he gravity of his life, if contraft- ed with its levity, mult make him appear as a compo- mon of two different perfons, incompatible, and, as it were, impoffible to be joined the one with the other. uch were the love and veneration of the citizens loi Lorenzo, that.the phyfician who attended him on his deathbed, terrified to return to Florence, left the houfe m a ftate of diftradion, and plunged himfelf into u- Thef *frdlnand kinS of Naples was inform¬ ed of his death, he cried out, “ This man has lived long enough for his own glory, but too fliort a time for Raiy. He died on the 8th of April 1492, amidft a number of bis weeping friends, who appeared deeply comcious of fuch an irreparable lofs. Medicis, yo/zn dey on account of his bravery and knowledge in military affairs, was furnamed the Invin- S . * was tbe r°n of John, otherwife called lour- dam, de Medicis. His only Ion Cofino I. ftyled the Grwt was chofen duke of Florence after the murder of Alexander de Medicis, A. D. 1537. He firft car- ned arms under Laurence de Medicis againft the duke ot Urbmo afterwards under Pope I.eo X. Upon the death of I.eo, he entered into the fervice of Francis I which he quitted to follow the fortune of Francis Sfor- za cuke of Milan. When Francis I. formed an alliance with the pope and the Venetians againft the emperor he returned to his fervice. He was wounded in the knee at Governola, a fmall town in the Mantuan ter- rnoiy, oy a mufket ball; and being carried to Mantua, lie cced the 29th of November 1526, aged 28. Bran- tome relates, that when his leg was to be cut off, and when he was informed that he needed fome perfon to iupport him, “ Proceed without fear (faid he), I need nobody .” and he held the candle himfelf during the operation. This anecdote is alfo mentioned by Varchi John de Medicis was above the middle flature, ftrong’ and nervous. His foldiers, to exprefs their affeiftion for him and their concern for his lofs, affumed a mournino- drels and ftandards, which gave the name of the black band to the 1 ufcan troops whom he commanded. Medicis, Ztfttreffce, or Laurenein de, was defeended ' from a brother of Cofmo the Great, and affe&ed the of popular In 1537, he killed Alexander de Medicis, whom Charles V. had made duke of Florence and who was believed to be the natural fon of Laurence de Medicis duke of Urbino. He was jea lous of Alexander’s power, and difguifed thisjealoufy under the fpecious pretext of love to his country. He loved men of learning, and cultivated literature. His works are, 1. Lamenti, Modena, izmo. 2. Acidofto tommedia, Florence 1595, izmo. He died without itiue. ,,]';.E?ICIS’ Hypofaus de, natural fon of Julian de Medicis and a lady of Urbino, was early remarkable for the brilliancy of his wit and the graces of his per- fon. Pope Clement VII. his coufin, made him car¬ dinal in 1529, and fent him as legate into Germany to the court of Charles V. When that prince went into Italy, Medicis, yielding to his warlike difpofition, , appeared -- ‘ Medicis. MED [ 488 ] M E D Medicis. appeared in tire drefs of an officer, and advanced be¬ fore the emperor, followed*, by feveral rebpeftable gen¬ tlemen of the court. Charles, natually fufpicious, and afraid that the legate intended to do him fome ill offices with the pope, fent after him and caufed him to be apprehended. But when he underflood that it was a mere fally of humour in the young cardinal, he fet him at liberty in a few days. The charaaer which Medicis obtained by the happy fuccefs of this ap¬ pointment was of efiential fervice to him. He was confidered as one of the fupports of the Holy See ; and a little before Clement’s death, when the corfair Barbaroffa made a defcent into Italy to the great terror of Rome, which was only defended by 200 of the pope’s guards, IVIedicis was defpatched to protect the coafts from the fury of the barbarians. On his arrival at the place of deflination, he. was fortunate enough to find that Barbaroffa had withdrawn, him- felf at that critical moment; which allowed him to claim the honour of the retreat without expofing his perfon or his army. W hen he returned to Rome, he was of great fervice in the eledlion of Paul III. wno neverthelefs refufed to make him legate to. Ancona, though that office had been promifed to him in the conclave. Enraged alfo that the pope had beflowed the principality of Florence on Alexander de Medicis, fuppofed to be the natural fon 01 Laurence duke of Urbino, he was prompted by his ambition to believe that he might fucceed to that dignity by the deflruc¬ tion of Alexander. He entered into a confpiracy again ft him, and determined to carry him off by a mine } but the plot was difcovered before he had ac- complifhed his purpofe. Oftavian Zanga, one oi his guards, was arrefted as his chief accomplice. Hy- politus de Medicis, apprehenfrve for his own fafety, retired to a caftle near Tivoli. On his road to Naples, he fell Tick at Itri in the territory of Fondi, and died Auguft 13. 1535, in his 24th year, not without fufpi- cion of being poifoned. His houfe was an afylutn for the unfortunate, and frequently for thofe who weie guilty of the blacked: crimes. It was open to men of all nations j and he was irequently addreffed in twenty different languages. He had a natural fon named /jf- drubal de Medicis, who w'as a knight of Malta. . .1 his anecdote proves that his manners were more military than ecclefiaftic. He wore a fword, and ncvei put on the habit of cardinal except on occaftons of public ceremony. He was wholly devoted to the theatre, hunting, and poetry. Medicis, Alexander de, firfl duke of Florence m 1 530, was natural fon of Laurence de Medicis fur- named the Younger, and nephew of Pope Clement VII. He owTed his elevation to the intrigues of his uncle and to the arms of Charles V. 1 his prince having made himfelf mafter of Florence after .an obftinate fiege, conferred the fovereignty of this city on Alex¬ ander, and afterwards gave him in marriage Margaret of Auftria his natural daughter. According to the terms of capitulation granted to the Florentines, the new duke was to be. only hereditary doge, and his authority was tempered by councils 5 which left them at leaft a ftiadow of their ancient liberty. But Alex¬ ander, who felt himfelf fopported by the emperor and the pope, was no fooner in poffeffion of his new di¬ gnity, than he began to govern like a tyrant •, being guided by no law but his own caprice, indulging the moft brutal paffions, and making light of di then our- — ing families, and of violating even the afylum of the cloifters to gratify his lull. Among the confidants of his debauchery was a relation of his own, Laurence de Medicis. This young man, who was only 22 years of age, at the inftigation of Philip Strozzi,.a zealous republican, conceived the defign of affaihnating Alex¬ ander, and thereby of delivering his countiy from op- preffion. From the moment when he firft became at¬ tached to him, he tried to gain his confidence, for no other realon but that he might the better have it. in his power to take awray his life. A confiderable time elapfed before he found fuch an opportunity as he de- fired. At length, under pretence of procuring the duke a the a tete with a lady of whom he was deeply enamoured, he brought him alone and unattended into his chamber, and put him under his bed. He went out, under pretence of introducing the object of hL paffion } and returned along with an affaffin by profef- fion, to whom alone he had entrufted his defign, only to ftnb him. This cruel feene happened on the night betwixt the 5th and 6th of January 1537' Alexander was only 26 years of age. The Florentines derived, no advantage from ,this crime of Laurence, for they failed in their attempt to recover their liberty. The party of the Medicis prevailed, and Alexander was fucceeded by Cofmo j whofe government, it muft be confeffed, was as juft and moderate, as that of nis piedeeenor had been violent and tyrannical. Lauience de Me¬ dicis fled to Venice, to feme of the leaders of the malecontents at Florence, who had taken refuge theiej but not thinking himfelf in fufficient fecurity, he went to Ccnflantinople, whence he returned fome time after to Venice. He was there affaffinated m ten years after the duke’s murder, by tw-o foldiers, one of whom had formerly been in Alexander’s guards: And thefe foldiers were generous enough to refufe a confiderable fum of money, which was the price put upon his head. . . Medicis, Cofmo de, grand duke ox Pufcany,. joined Charles V. againft the French, after trying , in vain to continue neutral. As a rew ard for his iervices, the emperor added to the duchy of Tufcany Piombino, the ifle of Elba, and other ftates. Cofmo loon after re¬ ceived from Pope Pius IV. the title of. grand duke; and had it not been oppoied by ail the princes of Italy, this pontiff, who was entirely devoted to Cofmo, be- caufe he had thought proper to acknowledge him to be of his houfe, would have conferred on him the title ot king. There never was a more zealous patron of learn¬ ing. Ambitious of imitating the Lcond Caefar, he like him, was fond of learned men, kept them near his perfon, and founded for them the umverfity of Pda. He died in 1574, at the age of 55, after governing with equal witdom and glory. In 1502 ne inlbtuted the military order of St Stephen. His ion, Francis Mary who died in 1587, was the father of Mary ot Medicis, the wife of Henry the Great &' d> ot Ferdinand I. who died in 1608. MEDIETAS LIKGU2E, in Law, figmfies a jury, or inquelt impanelled, of which the one hair are natives of this land and the other foreigners.. This jury is never ufed except where one of the parties in. a plea is a ftranger and the other a denizen. In petit trea'.on, 0 murder, Medicis, Medietas. MED Mcdimras murder and felony, foreigners are allowed this privi- Medina. e^e , not.ln treafon, becaufe an alien in that cate lhall be tried according to the rules of the com¬ mon law, and not by a medietas lingiuv. A grand jury ought not in any cafe to be of a medietas linguae; and the perfon that would have the advantage of a tiial in this way, is to pray the fame, otherwife it will not be permitted on a challenge of the iurors. MEDIMNUS, in Grecian antiquity, a meafure of capacity. See Measure. MEDINA-Talnari, a famous town of Arabia Petrsea, between Arabia Deferta and Arabia the Hap¬ py ; celebrated for being the burial-place of Maho¬ met. It Hands at a day’s journey from the port of lambo. It is of moderate fize, furrounded by wretch¬ ed walls, and fituated in the midft of a fandy plain. It belongs to the Icherif of Mecca, although it had of late times a particular fovereign of the family of Da- cn Barkad. At prefent, the government is confided by the fcherif to a vizir, who muft be taken from the family of the fovereign. Before Mahomet, this city was called lathreb; but it got the name of Medinet en Nebbi, “ the City of the Prophet,” after Maho¬ met, being driven from Mecca by the Koreifchites, had taken refuge there, and palled in it the reft of his days. The tomb of Mahomet at Medina is re- fpefted by Muflulmans, but they are ufider no obli¬ gation to vifit it for the purpofes of devotion. The caravans of Syria and Egypt alone, which on their return, from Mecca pafs near Medina, go a little out ol their way to fee the tomb. It ftands in a corner of the great fquare, whereas the Kaba is fituated in the middle of that at Mecca. That the people may not perform fome fuperftitious worfhip to the relics of the prophet, they are prevented from approaching the tomb by grates, through which they may look at it. It confifts of a piece of plain mafon work in the form of a cheft, without any other monument. The tomb is placed between two others, where the allies of the two firft caliphs repofe. Although it is not more mag¬ nificent than the tombs of the greater part of the founders of mofques, the building that covers it is de¬ corated with a piece of green filk fluff embroidered with gold, which the pacha of Damafcus renews every fcven years. It is guarded by 40 eunuchs, who watch the treafure faid to be depofited there. It is feated in a plain abounding with palm trees, in E. Long. 39.53. N. Lat. 25. See [Hijlory of) Arabia. Medina Celt, an ancient town of Spain, in Old Caflile, and capital of a confiderable duchy of the fame name *, feated near the river Xalon, in W. Long. 2. 9. N. Lat. 41. 15. Medina de-las-Torres, a very ancient town of Spain, in Eflremndura, with an old caftle, and the title of a duchy. It is feated on the confines of Andalufia, at the foot of a mountain near Bajadoz. MsDiNA del- Campo, a large, rich, and ancient town of Spain, in the kingdom of Leon. The great fquare is very fine, and adorned with a fuperb fountain. It is a trading place, enjoys great privileges, and is feated in a country abounding with corn and wine. W. Long. 4. 20. N. Lat. 41. 22. MEDiNA-del-rio-Secco, an ancient and rich towm of Spain, in the kingdom of Leon, with the title of a VouXIII. Part II. [ 489 ] MED duchy; feated on a plain, remarkable for its fine paftures. E. Long. 4. 33. N. Lat. 42. 8. MEDINA, Sir John, an eminent painter, was fon of Medina de I’Afturias, a Spanilh captain who fet¬ tled, at Bruffels, where the fon was born in 1660. He was in.ftrudled in painting by Du Chatel; under whofe direction he made great progrefs; and applying himfelf to.the ftudy of Rubens, made that eminent mafter his principal model. He painted both hiftcry and por¬ trait 5 and was held in extraordinary efteem by moft of the princes of Germany, who diftinguilhed his merit by feveral marks of honour. He married young, and came into England in 1686, where he drew portraits for feveral years with great reputation j as he painted thofe fubje£ls wdth remarkable freedom of touch, a de¬ licate management of tints, and ftrong refemblance of the perfons. Ihe earl of Leven encouraged him go to Scotland, and procured him a fubfcription of 50.0I. wmrth of bufinefs. He went, carrying a large number of bodies and poftures, to which he painted heads. He returned to England for a fhort time ; but went back to Scotland, where he died, and was buried in the churchyard of the Gray friars at Edinburgh in 17 it, aged 52. He painted moft of the Scotch nobility. I wo fmall hiftory pieces, and the portraits of the pro- felfors, in the Surgeons Hall at Edinburgh, were alfo painted by him. At Wentworth caftle is a large piece containing the firft duke of Argyll and his fons, the two late aukes John and Archibald, in Roman habits ; the ftyle Italian, and fupevior to moft modern perform¬ ers. The duke of Gordon prefented Sir John Medina’s head to the great duke of Tufcany for his colled on of portraits done by the painters themfelves 5 the duke of Gordon too was drawn by him, with his fon the mar¬ quis of Huntley and his daughter Lady Jane, in one piece. Medina was knighted by the duke of Queenf- berry,.lord high commiffioner ; and was the laft knight made in Scotland before the union. The prints in the odavo edition of Milton were defigned by him j and he compofed another fet for Ovid’s Metamorphofes, but they were never engraved. MEDINE, an Egyptian piece of money, of iron filvered over, and about the fize of a filver threepence. MEDIOLANUM, an ancient city, the capital of the Infubres, built by the Gauls on their fettlement in that part of Italy j a municipium, and a place of great ftrength j and a feat of the liberal arts; whence it had the nam,e of Novae Athenae. Now Milan, capital of the Milanefe, fituated on the rivers Olana and Lombro, E. Long. 9. 30. N. Lat. 45. 25. Mediolanum Anlercorum, in Ancient Geography^ a town of Gallia Celtica, which afterwards took the name of the Eburovicum Civitas (Antonine) j corrupted to Civitas Ebroicorum, and this laft to Ebroica ; whence the modern appellation Evreux, a city of Normandy. E. Long. 1. 12. N. Lat. 49. 21. Mediolanum Gugernorum, in Ancient Geography, a town of Gallia Belgica ; now the village Moyland, not far from Cologne. Mediolanum Ordovicum, in Ancient Geography, a town of Britain, now Llan Vethlin, a market town of Montgomeryfliire in Wales. Mediolanum Santonum, in Ancient Geography, which afterwards taking the name of the people, was 3 Q. called Medina II Mediola¬ num. MED [ 490 ] MED Medioma,- called $ anionic a Urbs; alfo Santoncs and Santoni: A trici town of Aquitaine. Now Saintes, capital of Saintonge Medium *n Guienne, on the river Charente. vJ—MEDIOMATRICI, anciently a territory of Bcl- gica. Now the diocefe of Metz. MEDITATION, an aft by which we confider any thing clofely, or wherein the foul is employed in the fearch or confideration of any truth. In our religion, it is ufed to fignify a confideration of the objefts and grand truths of the Chriitian faith. Myftic divines make a great difference between ?ve- ditation and contemplation : the former confifts in dif- curlive afts of the foul, confiderlng methodically and with attention the myfteries of faith and the precepts of morality \ and is performed by refleftions and rea- fonings, which leave behind them manifeft impreffions on the brain. The pure contemplative have no need of meditation, as feeing all things in God at a glance, and without any refleftion. When a man, therefore, has once quitted meditation, and is arrived at con¬ templation, he returns no more ; and, according to Al¬ varez, never refumes the oar of meditation, except when the wind of contemplation is too weak to fill his fails. PTEDITERR ANEAN, fomething enclofed within land ; or that is remote from the ocean. MEDITERRANEAN is more particularly ufed to fignify that large fea which flow's between the continents of Europe and Africa, entering by the flraits of Gibraltar, and reaching into Afia, as far as the Euxine fea and the Pains Maeotis. The Mediterranean was anciently called the Grecian fea and the Great fea. It is now cantoned out into fe- veral divifions, which bear feveral names. To the weft of Italy it is called the Ligufic or Tufcan fea ; near Venice, the Adriatic ; towards Greece, the Ionic and JE^ean; between the Hellefpont and the Bofphorus, the White fea, as being very fafe ; and beyond, the Black fea, its navigation being dangerous. The Britifti trade carried on by means of the Me¬ diterranean fea is of the laft confequence to Great Britain j and the permanent prefervation thereof de¬ pends on the poffefiion of the town and fortification of Gibraltar. The counterfeiting of Mediterranean paffes for fhips to the coaft of Barbary, See. or the feal of the admiral¬ ty office to fuch paffes, is felony without benefit of clergy. Stat. 4. Geo. II. c> 18. MEDITRINALIA, a Roman feftival in honour of the goddefs Meditrina, kept on the 3°^ Sep¬ tember. Both the deity and the feftival were fo called a medendo, becaufe on this day they began to drink new wine mixed with old by w’ay of medicine. The mix¬ ture of wines, on this feftival, wTas drank wTith much form and folemn ceremony. MEDITULLIUM, is ufed by anatomifts for that fpongy fubftance between the two plates of the cranium, and in the interftices of all laminated bones. See Ana¬ tomy, N° 1. 11. MEDIUM, in Logic, the mean or middle term of a fyllogifm, being an argument, reafon, or confideration, for which we affirm or deny any thing •, or, it is the caufe why the greater extreme is affirmed or denied of the lefs in thf conclufion. Medium, in Arithmetic, or arithmetical medium or mean, called in the fchools medium rei; that which is equally diftant from each extreme, or which exceeds the Mcd.tiru Idler extreme as much as it is exceeded by the greater, in refpeft of quantity, not of proportion $ thus 9 is a medium betwixt 6 and 1 2. Geometrical Medium, called in the fchools medium perfonee, is that where the fame ratio is preferved be¬ tween the firft and fecond as between the fecond and third terms; or that which exceeds in the fame ratio or quota of itfelf, as it is exceeded : thus 6 is a geome¬ trical medium between 4 and 9. Medium, in Philofophy, that fpace or region through v/hich a body in motion paffes to any point: thus aether is fuppofed to be the medium through which the heavenly bodies move ; air, the medium wherein bodies move near our earth j water, the medium where¬ in fifties live and move 5 and glafs is alfo a medium of light, as it affords it a free paffage. That denfity or confiftency in the parts of the medium, whereby the motion of bodies in it is retarded, is called the reff- ance of the medium ; which, together with the force of gravity, is the caufe of the ceilation of the motion of projeftiles. Subtle or JEtherial Medium. Sir Ifaac Newton conliders it probable, that, belide the particular aereal medium, wherein ive live and breathe, there is another more univerfal one, which he calls an cethereal medium ; vaftly more rare, fubtle, elaftic, and aftive, than air, and by that means freely permeating the pores and interftices of all other mediums, and diftufing itfelf through the whole creation ; and by the intervention hereof he thinks it is that moft of the great phenomena of nature are effefted. See ^Ether, Electricity, Fire, &c. Medium, in optics, any fubftance through which light is tranfmitted. MEDLAR, See Mespilus, Botany Index. MEDULLA ossium, or Marroit of the bones. See Anatomy, N° 5. Medulla cerebri and cerebelh, denotes the white foft part of the brain and cerebellum, covered on the outfide with the cortical fubftance, which is of a more dark or affiy colour. See Anatomy, N° 13i—133. Medulla oblongata, is the medullary part of the brain and cerebellum, joined in one } the fore part of it coming from the brain, and the hind part from the ce¬ rebellum. See Anatomy, N° 134. It lies on the bafts of the fkull, and is continued through the great perforation thereof into the hollow of the vertebrae of the neck, back, and loins $ though on¬ ly fo much of it retains the name oblongata as is included within the Ikull. After its exit thence it is diftinguiffi- ed by the name of medulla fpinalis. Ibid. N° 135- MEDUSA, in fabulous hiftory, one of the three Gorgons, daughter of Phorcys and Ceto. She was the only one of the. Gorgons who was iubjeft to mortality. She is celebrated for her perfonal charms and the beau¬ ty of her locks. Neptune became enamoured of her, and obtained her favours in the temple of Minerva. This violation of the fanftity of the temple provok¬ ed Minerva; and ffie changed the beautiful locks of Medufa, which had infpired Neptune’s love, intoferpents, the fight of which turned the beholders into ftonesbut Perfeus, armed with Mercury’s axe, with which he killed Argus, cut off Medufa’s head, from whofe blood fprang Pegafus and Chryfaor, together with the innumerable ferpents Medufa II Meeren. E t 49 The conqueror placed Me- M E ferpents that infeft Africa. -i-- , / , , r , dufa’s head on the aegis of Minerva, which he had uied in his expedition •, and the head ftill retained ttie fame petrifyng powers as before. . Medusa, a genus of vermes, belonging to the order of mollufca. See Helminthology Index. MEDWAY, a river of England, nfes in the W eald of Suffex, and entering Kent near Afhurft, runs by Tunbridge, and thence continues its courfe towards Maidstone. It is navigable for large (hips to Roche- ter bridge, and thence for veffels and barges to Maid- ftone, the tide flowing up to that town. Ihe diftance between the mouth of this river, where the fort at Sheernefs is erefted, and Rochefter budge, is between 16 and 18 miles. In this part of the river, the chan¬ nel is fo deep, the banks fo foft, and the reaches fo fbort, that it is one of the heft and fafeft harbours in the world •, and fhips of Bo guns ride afloat at low wa¬ ter within mufket (hot of Rochefter bridge^ Noi is there a Tingle inftance upon record, that any of the roya navy ever fuffered here by ftorms, except in the dreadful tempeft which happened in November 1703, when the Royal Catharine was funk and loft On the fhore o this river are two caftles, one at Upnor which guards two reaches of the river, and is fuppoled to defend all the (hips which ride above, between that and the bridge, on the other fide of the river is Gillingham caftle, ui for the fame purpofe, and weU furmthed with cannon which commands the river. Befides thefe there is a nlatform of guns at a place called the Swam, and a other at Cockhamwood. But the principal fortification on this river is the caftle at Sheerneis. MEEREN, or Meer, John Vander, caM the Old, an efteemed painter, was born m J6p- He cl o for his fubjefts fea-pieces, landfcapes, and v.ew o fea and its fhores; which he painted with grea. trut , as he had accuftomed himfelf to fketch every fcene after nature The fituations of his landfcapes are agreeao.y rhofen frequently they are folemn, and generally plea- fing The fortns7 of his trees are eafy and natural his diftances well obferved, and the whole ^ery ^ ftvle as'the^Jhowed good compofition, were touched Sh fPrlt, and had aV«t deal of tranfparence tu the C° mSe,”; mtZ >r cared ^ entinent ^fcape pa.n.er , fuppo^ « ha f cbolas Berghem, an admired maf- r”0 Tthe"^ of to “afler, he painted land- ter. In the ™an , his ufuai fubjeas are cottages, fcapes and catt , ■ ^ occupations and diverfions. with peafants at t H rarely introduced It is obferved of him, that hejery^ ^ cows, horfes, or anj ^ ^ P are fo highly fimih- goats and ftieep , the wool might be felt by ed, that one would imagine ^ the foftnefs of its appearance. ^ b un;ted> He ceptible, and yet the colours ar ^ yander died in 1688. ^en-Uinearcl are efteeraed even in Meer bear a very high price,.and are eiteeme Me gate 1! Me^ara. l 1 MEG Italy, where they are admitted into the beft collections; but the fcarcity of them has occalioned many moderate copies after his works to be paffed on the und.fceming for real originals. . _ ; j- -j jl, MEGALE foj.is, in Ancient Geography, dividedly (Ptolemy, Paufanius ) •, orconjunflly Mega/opolis {bm- bol • A town of Arcadia, built under the aufpices ot Epaminondas, after the battle of Leucftra •, many incon- fiderable towns being joined together in one great c*. y, the better to withftand the Spartans. It was the great- eft city of Arcadia, according to Strabo. MEGALESIA, and Megalenses Ludi, feafts and games in honour of Cybele or Rhea the mother of the gods, kept on the 12th of April by the Ro¬ mans, and famous for great rejoicings and d.yerhons of various forts. The Gall, earned the of goddefs along the city, with found of drums and othe. mutic, in imitation of the nolle they made to p e ent Saturn from hearing the cries of his infant fon Jupltc, when he was difpofed to devour him. . , MEGARA, Ancient Geography, a noble city, and the capital of the teritory of Megans,, which for many years carried on war with the Corinthians and Athenians. It had for fome time a fchooi of ph lo- fophers, called the Meganci, fucceffors of Eucl d t Socratic, a native of Megara. Their dialed! was the Doric- chanaed from the Attic, which it formerly had been, becaufe of Peloponnefian colomfts who fettle th Megara was fituated at a diftance from the fea. Its port las called Nifxa, from Nifus fon of Pandma the fecond, who obtained Megans for his portion, when the kingdom of Athens was divided mto four lots by his father. He founded the town, which was eighteen ftadia or ^ t^s^arrt.^ b/longwX It had a temple of Ceres. “ The roof (!ays Paufanias) may be ^ppo ed » . have^ ^ ^ J notco^ed S ™b^, among which are Kand-" ing fome ruinous churches. The place has been named > iL them Dode Ecdefais, “ The Twelve Churches bu, the number is reduced to Icven. nr citadel called alfo Hifin, was on a rock by the fea fide' ’Some pieces of the wall retna.n, and a mo¬ dern fot'trefi has been ereaed on it, and alfo on a leffer rOCThevn'lage Megara (continues the doaor) confift of low mean cottages pleafantly fituated on the flop of a brow or eminence indented in the middle- O each fide of this vale was an acropolis or citadel , one named Caria j the other from Alcathous, the builder of the wall They related, that he was aflifted by A- polL who laid his harp afide on a (tone, wh.ch, as Pa’uCanias teftifies, if ftruck with a pebble returned a mufical found. An angle of the wall, of one citadel is feen bv a windmill. The mafonry is of the ipecies called Incertum. In 1676 the city was "ot e”“ tirelv demoliflied, but comprehended the t^o. ium tots! on which me fome churches, 'V«h R port on of the plain toward the fopth. Ihe whole to. except the hills, was now green with com, R"d™*ed by 1 , r a c 1-V.P rollefted rubbiih of build- Z7 r'L itocripii'ons are found, with pedeftals fix¬ ed in the walls and inverted and alfo fome matmedm: Megara y . Megaris. meg mutilated flatties. One of the former ftftnHer°ASn andu-S °n,a pedeftal which Supported a , iatue e^eded to him when conful, A. D. 14? 'by the counal and people of Megara, in return for his bene- tadions and good will toward the city. Jn the plain behind the fummits on one of which was a temple of Minerva, is a^large bafm of water, with fcattered fra' had been killed by Meleager, fhe in the moment of re- fentment threw into the fire the fatal flick on which her fon’s life depended, and Meleager died as foon as it was confirmed. Homer does not mention the fire¬ brand j whence fome have imagined that this fable is pofterior to that poet’s age. But he lays, that the death of Toxeus and Plexippus lo irritated Althaea, that (he uttered the moft horrible curfes and impreca¬ tions upon her fon’s head. Meleager, a Greek poet, the fon of Eucrates, was born at Seleucia in Syria, and flourithed under the reign of Seleucus VI. the laft king of Syria. He was educated at Tyre •, and died in the ifland of Coos, anciently called Merope. He there compofed the Greek epigrams called by us the Anthologia. The dif- pofition of the epigrams in this colleclion w’as olten changed afterwards, and many additions have been made to them. The monk Planudes put them into the order they are in at prefent, in the year 1380. MELEAGRIS, the Turkey ; a genus of birds belonging to the' order of gallinse. See Ornitholo¬ gy Index. MELES, the Badger. See Ursus, Mammalia , Index. MELES, in Ancient Geography, a fine river running by the walls of Smyrna in Ionia, with a cave at its head, where Homer is faid to have written his poems. And from it Homer takes his original name Mc/efigenes, given him by his mother Critheis, as being born on its banks. (Plerodotus). MELETIANS, in ecclefiaftical hiftory, the name of a confiderable party wdio adhered to the caufe of Meletius bifhop of Lycopolis, in Upper Egypt, after he was depofed, about the year 306, by Peter bifhop of Alexandria, under the charge of h:s having facri- ficed to the gods, and having been guilty of other heinous crimes j though Epiphanius makes his only failing to have been an txceffive feverity againft the lapfed. This difpute, which was at firft a perfonal difference between Meletius and Peter, became a reli¬ gious rontroverfy \ arid the Meletian party fkbfifted in the fifth century, but was condemned by the firft council of Nice. MELIA, Azaderach, or the Bead tree, a genus of plants, belonging to the decandria clafs ; and in the natural method ranking under the 23d order Trihilatce. See Botany Index. MELIANTHUS, Honey flower, a genus of plants belonging to the didynamia clafs j and in the na¬ tural method ranking under the 24th order Corydales. See Botany Index. MELIBOEA, in Ancient Geography, an ifland of Syria, at the mouth of the Orontes ; which, before it falls into the fea, forms a fpreading lake round it. This ifland wras famous for its purple dye. Thought to be a colony of Theffalians •, and hence Lucretius’s epithet, Thejfalicus. MELIC A, ropegrass, a genus of the digynia or¬ der, belonging to the triandria clafs of plants 5 and in the natural method ranking under the 4th order Grami- na. See Botany Index. MELICERES, in Surgery, a kind of eneyfted tu¬ mour, MEL Melite. Melicerta mour, fo Called when their contents are of the con- fuknce of honey. See Tumour, Surgery Index. „ MELICERTA, Melicertes, or Melicertus, in fa¬ bulous hiftory, a fon of Athamas and Ino. He was faved by his mother from the fury of his father, who prepared to dafh him againft a wall as he had done his brother Learchus. The mother was fo terrified that (he threw herfelf into the fea with Melicerta in her arms. Neptune had ccmpafficn on the misfortunes of Ino and her fon. He changed them both into fea deities. Ino was called Lcucothoeav Matuta ; and Melicerta was known among the Greeks by the name of Palo-man, and among the Latins by that of Portnmnus. Some fuppofe that the Ifthmian games were hdlituted in honour of Melicerta. MELILL A, an ancient town of Africa, in the king¬ dom of Fez, and in the province of Caret. It was ta¬ ken by the Spaniards in 1469, but returned back to the Moors. W. Long. 2. 9. N. Lat. 35. 20. MELILOT. See Trifolium, Botany and Agri¬ culture Index. MELINDA, a kingdom on the eaft coaft of Africa, fituated, according to fome, between the third and fourth degree of fouth latitude ; though there is great difagreement among geographers as to its extent. It is allowed by all, however, that the coafts are very dangerous ; being full of rocks and fhelves, and the fea at fome feafons very liable to tempefls. The king¬ dom of Melinda is for the moil part rich and fertile ; producing almoft all the neceflaries of life except wheat and rice, both which are brought thither from Cam- baya and other parts ; &nd thofe who cannot purchafe them make ufe of potatoes in their head, which are here fine, large, and in great plenty. They likewife abound with great variety of fruit trees, roots, plants, and other efckents, and with melons of exquifite talle. They have alfo great plenty of venifon, game, oxen, fheep, hens, geefe, and other poultry, &c. and one breed of (beep whofe talk weigh between 30 and 40 pounds. The capital city is alfo called Melinda. MELINUM, in Natural Hi/lorij, the name of an earth famous in the earlieft ages of painting, being the only wdrite of the great painters of antiquity •, and, according to Pliny’s account, one of the three colours with w’hich alone they performed all their w’orks. From the defcription given of this earth it feems to be alu- •tninous, tolerably pure, and in a date of minute di- vifion. MELISSA, in fabulous hiftory, a daughter of Me- liflus king of Crete, who with her fifter Amalthaea fed Jupiter with the milk of goats. She firft found out the means of colle. C. He pretended that the nniverfe is infinite, immoveable, and without a vacuum. Themiftccles was among his pupils. MELITE, in Mncicnt Geography, an if!and refer¬ red to Africa by Scylax and Ptolemy ; but nearer Si¬ cily, and allotted to it by the Remans ! commended Vol. XIII. Part II. I 497 1 MEL Melli. kr its commodious harbours j for a city well built, Melite with artificers of every kind, efpecially weavers of fine hnen ; all owing to the Phoenicians, the firft colonifts. t Now Malta ; remarkable for St Paul’s ftiipwreck. See Malta. Melite, Mehta, or Melitina Infula; an iftand on the coaft of Illyricum in the Adriatic. The Catuli Me lit eel (Pliny) were famous. Now7 Alelede, the name of the ifland Samos. See Samos. Melite, in Ancient Geography, a town of Ionia,, ftruck out of the number of Ionian towns on account of the arrogance of the people, and Smyrna admitted in lieu of it. The fituation not faid. MEL I TENS! S terra, the Earth of Malta: an earth of which there are two very different kinds; the one of which is a bole, the other a marl. The latter is that known by medical authors under this name * the former is the Malta earth now in ufe ; but both being brought from the fame place, are confufedly cal¬ led by the fame name. The Maltefe marl, which is the terra Mehtenfis of medical authors, is a loofe, crumbly, and light earth, of an unequal and irregular texture 5 and, when expofed to the weather, foon falls into fine foft powder : but when preferred and dried i-t becomes a loofe, light mafs, of a dirty white colour* with a grayifh call: it is rough to the touch, adheres firmly to the tongue, is very eafily crumbled to pow¬ der between the fingers, and ftains the hands. Thrown into the water, it fwells, and afterwards moulders a- vvay into a fine powder. It ferments very violently with acids. Both kinds are found in great abundance in the ifland of Malta, and the latter has been much efteetned as a remedy againft the bites of venomous animals. The other has fupplied its place in the Ger¬ man (hops; and is ufed there as a cordial, fudorific, and aftringent. MELITO (canonized), bbhop of Sardis in Lydia, in the fecond century ; remarkable for the apology he prefented to the emperor Aurelius, in favour of the Cbriftians; on vyhich Eufebius and the other ancient ecclefiaftical writers bellow great praifes: but that apo¬ logy and all Melito’s other works are loft. MEL IT US, a Greek orator and poet, the accufer of Socrates. The Athenians, after the death of So¬ crates, difeovering the iniquity of the fentence they had paired againft that great philofopher, put Melitus to death, 400 B. C. MELLER, a lake of Sweden, 80 miles long, and 30 broad ; on which Hands the city of Stockholm. MELLI, with the country of the Mundingoes^ in Africa. The country formerly called Melli, new chief¬ ly inhabited by the Mundingoes, who ftill retain pretty much of the charadler aferibed to the people of Melli, lies to the fouth of the river Gambia ; on the weft it borders on the kingdom of Kabo ; on the fouth it has Mclli, properly fo called, and the mountains that part it from Guinea ; and on the eaft it extends to the king¬ dom of Gago. With a great part of this country we are little acquainted, as is thecafe witli regard to moft of the inland territories of Africa ; but towards the fea coaft this country is a little better known. The firft place of note we meet with is Kachao, a Portuguefe colony, fituated on the river of St Do¬ mingo, which falls into the fea about 26 leagues below this town.—About 26 leagues above Kachao, on th 3 R fame MEL [ 498 1 MEL Melli, Melmoth. fame fide, of the river, is another trading town called Ftirini, where, in the months of October and Novem¬ ber, one may trade for about half the quantity of wax and ivory which is traded for at Kachoa. Here are alfo fome (laves to be bought.—Bot is a village near the mouth of the river Gefves, where moft of the tra¬ ders buy rice ; which is in great plenty there, and very good.—Gefves is a village on a river of the fame name, on which the Portuguefe have a faclory. At Gefyes one may trade yearly for 250 (laves, 80 or too quin¬ tals of wax, and as many of ivory. Near the mouth of the river of Gefves is a village called Kurbah^ where there is a conliderable trade for fait y here are alio fome (laves and ivoiy. Rio Grande, or the Great River, runs about 10 or 12 leagues to the fouth of the river of Gelves. About 80 leagqes from the mouth of it is a nation of negroes, who are confiderable traders in ivory, rice, millet, and tome (laves. I ney are called Analons. Over againft the mouth of Rio Grande is a duller of illands called BiJJago IJles; the moft con fiderable of which is Caffagut, being about fix leagues long and two broad , its foil is very good, and produ¬ ces millet, rice, and all kinds of pulfe, befides orange and palm trees, and many others. This ifland, with thofe of Carache, Canabac, and La Gallina, are the only ones where the Europeans may trade with fome fecurity. They trade, however, fometimes at the other illands, but they muft be extremely cautious •, and yet after all their precautions, they will be robbed and murdered if they venture to go alhore. The river Nunho runs 16 leagues to the fouth of Rio Grande-, it is very confiderable, and comes from a vaft diftance inland. One may buy here 300 quintals of ivory and ico (laves a-year. Rice grows here admirably well, and is very cheap. There are everywhere fugar canes wdiich grow naturally 5 and plants of indigo, which might turn to good account. The trade is carried on here from March till Auguit. In the river of Sierra Leone, the late Royal African Company of England had, in the year 1728, two iflands; the one, called Tajfo, a large flat ifland, near three leagues in circum¬ ference, in which the company’s (laves had a good plantation ; the reft of the ifland is covered with wood, among which are (ilk cotton trees o( an unaccountable fize. The other ifland is Benfe, whereon ftood a re¬ gular fort. It was formerly the refidence of one of the Englilh chiefs. MELMOTH, William, Eso. a learned member of Lincoln’s Inn, was born in 1666. In conjunblion with Mr Peere Williams, Mr Melmoth was the publiflier of Vernon’s Reports, under an order of the court of chancery. He had once an intention of printing his own Reports \ and a flrort time before his death adver- tifed them at the end of thofe of his coadjutor Peere Williams, as then a&ually preparing for the prers. They have, however, not yet made their appearance. But the performance for which he juftly deferves to be held in perpetual remembrance is, “ '1 he Great Im¬ portance of a Religious Life concerning which it may be mentioned, to. the credit of the age, that not- withftanding many large editions had before been circu¬ lated, 42,OCO copies of this ufcful treatife have been fold in the laft 18 years. It is a fomewhat Angular circumftance, that the real author of this moft admirable Sareatife Pnould never before have been publicly known (it having been commonly attributed to the firft earl of Melmoth Egmont, and particularly by Mr Walpole in his Catalogue) 5 which is the more furprifing, as the author is plainly pointed out in the following fliort charafler prefixed to the book itfelf: “ It may add weight, per¬ haps, to the reflexions contained in the following pages, to inform the reader, that the author’s life was one unitorm exemplar of thole precepts which, with (o generous a zeal, and fuch an elegant and affecting (implicity of ftyle, he endeavours to recommend to general praXice. He left others to contend for modes of faith, and inflame themfelves and the world with endlefs controverfy : it was the wifer purpofe of his more ennobled aim, to aX up to thofe clear rules of conduX which revelation hath gracioufly prefcribed. He pofleif- ed by temper every moral virtue 5 by religion every Chriftian grace. He had a humanity that melted at every diftrefs ; a charity which not only thought no evil, but fufpeXed none. He exercifed his profeflion with a (kill and integrity which nothing could equal but the diiinterefted motive that animated his labours, or the amiable modefty which accompanied all his virtues. He employed his induftry, not to gratify his own defires; no man indulged himfelf lefs : not to accumulate ufe- lefs wealth ; no man more difdained fo unworthy a purfuit : it was for the decent advancement of his family, for the generous afliftance of his friends, for the ready relief of the indigent. How often did he exert his diftinguifhed abilities, yet refufe the reward of them, in defence of the widow, the fatherlefs, and him that had none to help him ! In a w-ord, few have ever paffed a more ufeful, not one a more blamelels life } and his whole time was employed either in doing good, or in meditating it. He died on the 6th day of April 1743, and lies buried under the cloifter of Lincoln’s Inn Chapel. MEM. PAT. OPT. MER fil. Die.” The fon, by whom this charaXer is drawn, is William Melmoth, Efq. the celebrated tranflator of Pliny and of Cicero’s Letters 5 and author of thofe which pals under the name of Sir Thomas Fit'zofborne. MELOCHIA, Jews mallow, a genus of plants belonging to the monodelphia clafs} and in the natural method ranking under the 37th order, Colut?iniferce^ See Botany Index. MELODUNUM, in Ancient Geography, a town of the Cenones in Gallia Celtica, above Lutetia now Melun, in the Ifle of France, on the Seine. MELODY, in mufic, a fucceflion of founds ranged in fuch a manner, according to the laws of rhythmus and modulation, that it may form a fentiment agreeable to the ear. Vocal melody is called f nging ; and that which is performed upon inftruments may be termed fymphonic melody. The idea of rhythmus neceflarily enters into that of melody. An air is not an air but in proportion as the laws of meafure and quantity are obferved. The fame fucceffion of founds is fufceptible of as many different charaXers, as many different kinds of melody, as the .various ways by which its emphatic notes, and the quantities of thofe which intervene, may be diverfified 5 and the change in duration of the notes alone, may difguife that very fucceflion in fuch a manner that it cannot be known ( bus, melody m itfelt is nothing 4 it is the rhythmus or meafure which determines it, and there can "be no air without time. If then we ahftraX Melody. MEL MJod}. tneafure from both, we cannot compare melody wuh “"v ' harmony j ior to the former it is effential, but not at all to the latter. Melody, according to the manner in which it is confidered, has a relation to two different principles. When regarded only as agreeable to the proportions of found and the rules of modulation, it has its principle in harmony ; fince it is a harmonical analyfis, which exhibits the different, gradations of the fcale, the chords peculiar to each mode, and the laws of modulation, which are the foie elen ents that ccmpofe an air. Ac¬ cording to this principle, the whole power of melody i» limited to that of pleafing the ear by agreeable ft unds, as the eye may be pleafed with an agreeable affemblage of fuitable colours. But when confidered as an imitative art, by which we may affedl the mind wi th various images, excite different emotions in the heart, inflame or foothe the paffions ; by which, in a- t-ord, we produce different effetffs upon our moral fa¬ culties, which are not to be effeftuated by the influ¬ ence of external fenfe alone, we muff explore another principle for melody : for in our w'hole internal frame there appears to be no power upon which either har¬ mony alone, or its neceffary refults, can feize, to affedt us in fuch a manner. What then is the fecond principle ? It is as much founded on nature as the firfl:; but, in order to difeover its foundation in nature, it will require a more ac¬ curate though fimpler obfervation, and a more ex’qui- lite degree of fenfibility in the obferver. This prin¬ ciple is the fame which varies the tone of the voice, when we fpeak; according as we are interefted in wfliat wTe fay, and according to the different emo¬ tions which we feel in expreffing it. It is the accent of languages which determines the melody of every nation ; it is the accent which determines us to em¬ ploy the emphafis of fpeaking while we ling, and to fpeak writh more er lefs energy according as the lan¬ guage which we ufe is more or lefs accented. That language whofe accents are the moft fenfible, ought to produce a more paffionate and more lively melody j that which has little accentuation, or none at all, can only produce a cold and languid melody, wflthout eba- radler and without expreflion. Thefe are the true principles : in proportion as we depart from them, when we fpeak of the power of mufic upon the human heart, we lhall become unintelligible to our- fel ves and others : our w^ords wall be without meaning. If mufic does not imprefs the foul with images but by melody, if from thence it obtains its w'hole power, it muff folknv, that all mufical founds which are not pleafing by themfelyes alone, however agreeable to harmony they may be, is not an intimative mufic ; and, being incapable, even wflth its moft beautiful chords, either to prefent the images of things, or to excite the finer feelings, very fonn c1oys the ear, and leaves al¬ ways the heart in cold indifference. It follow's like- wife, that notwithftanding the parts which harmony lias introduced, and which the prefent tafte of mufic fo wantonly abufes, wherever two different melodies are heard at the fame time, they counteradf each other, and deftroy the effeffs of both, however beautiful each may be when performed alone : from whence it may be judged with wdiat degree of tafte the French compofers have introduced in their operas the mifer- M E L able praftice of accompanying one air with another, as well in finging, which is the native expreflion of pa¬ thos and fentiment, as in inftrumental performances ; which is the fame thing as if whimfical orators ftiould take it in their heads to recite twm orations at the fame time, that the elegance of each might derive more force from the other. So much for Rouffeau. The tranflator, however, has reafon to fear, that the caufes by which national melody is diverfified and charadferized, arc more pro¬ found and permanent than the mere accentuation of language. This indeed may have great influence in determining the nature of the rhythmus, and the place of emphatic notes j but very little in regulating the nature of the emphafis and expreflion themfelves. If Rouffeau’s principle be true in its full extent, he^muft of neceflity acknowledge, that an air which was never fet or intended for words, however melodious, cannot be imitative ; he muft likewife confefs, that what is imitative in one nation cannot be fuch in another : nor can it be denied, upon his hypothefis, that the recita¬ tive, w'hich is formed upon the mode of fpeaking, is the moft forcible of all melodies j which is abfurd. His other obfervations are at once judicious and pro¬ found. Though it is impoflible to exhibit the beauty and variety of harmony by playing the fame melody at the fame time upon different keys, admitting thole keys to form among themfelves a perfect chord, wdiich wall of confequence preferve all the fubfequent notes in the fame intervals ; yet this perfect harmony would by no means be uniformly pleafing to the ear. We muft therefore of neceflity introduce lefs perfect chords to vary and increafe the pleafure, and thefe chords in any complex fyftem of mufic muft of neceflity produce diffonances. It then becomes the bufinefs of the com- pofer to be careful that thefe difeords may arife as na¬ turally from, and return as naturally to perfedl har¬ mony as poflible. All thefe caufes muft inevitably va¬ ry the melody of the different parts $ but ftill, amidft all thefe difficulties, the artift ought to be zealous in preferving the melody of each as homogeneous wdth the others as pcfiible, that the refult of the whole may be in lome meafure uniform. Othewife, by counter- adling each other, the patts will reciprocally deftroy the effedls one of another. MELOE, a genusof infeffsof the order of coleoptera. See Entomology Index. MELON, a fpecies of cucumis, in the Linnaean fy¬ ftem. See Botany and Gardening/Wex. Water Melon. See Anguria, Botany Index. MELOS, in Ancient Geography, an ifland between Crete and Peloponnefus, about 24 miles from Scyllaeum. It is about 60 miles in circumference, and of an oblong figure. It enjoyed its independence for about 700 years before the time of the Peloponnefian war. This ifland was originally peopled by a Lacedemonian colo¬ ny, 1 116 years before the Chriftian era. For this rea¬ fon the inhabitants refufed to join the reft of the ifland and the Athenians againft the Peloponnefians. This refufal w'as feverely "puniffied. The Athenians took Melos, and put to the fword all fuch as were able to bear arms. The wmmen and children wmre made flaves, and the iiland left defolate. An Athenian co¬ lony repeopled it, till Lyfander reconquered it and re tftablilhed the ori. inal inhabitants in their poffeffio .s. 3 R 2 MELOTHR1A, [ 499 1 M EL [ 5- MELOTHRI A, a genus of plants belonging to the triandria clafs •, and in the natural method ranking under the 34th order, Cucurbitacex. See Botany Index. MELPOMENE, in Fabulous Hi/loiy, one of the mufes, daughter of Jupiter and Mnemofyne. She pre¬ fixed over tragedy. Horace has addrefied the fined of Ms odes to her, as to the patronefs of lyric poetry. She was generally repreEnted as a young woman with a jerious countenance. Her garments were fplendid j tne wore a bufltin, and held a dagger in one hand and jn the other a feeptre and crown. MELROSE, a town of Scotland, in the coun¬ ty of Selkirk, and on the confines of Tweedale, feated pn the fouth fide of the river Tweed ; with an an¬ cient abbey, now in ruins. W. Long. 2. 32. N. Eat. 55m ^ * This abbey was founded by King David I. in 1 j 36. He peopled it with Ciitertians brought from Rivale abbey in York (hire, and dedicated it to the Virgin Mary. At the reformation James Douglas was appointed conimcndator, who took down much of the building, in order to furnith materials for a large hou'e to himfelf, which dill remains, and is dated I 590. Nothing is left of the abbey excepting a part of the rloifter1 walls elegantly carved j but the ruins of the church are of moft uncommon beauty. Part is at prefent ufed for divine fervice, the reft uncovered ; but every part does great honour to the architect.— Alexander II. was buried beneath the great altar, and it is alfo the place of interment of the Douglafes and other potent families.—Its fituation is extremely plea- lant. MELT of fishes. In the melt of a living cod there are facL numbers of thofe animalcules faid to be found in the femen of ail male animals, that in a drop of its juice no larger than a grain of fand, there are contained more than io,gco of them $ and confidering how many fuch quantities there are in the whole melt of one fuch fifti, it is not incredible, that there are more animals in one melt of it than there are living men at one time upon the face of the earth. H owever ftrange and romantic fuch a conjeclure jnuft appear, a ferious confideration and calculation will make it very evident. An hundred fuch grains of fand as thofe juft mentioned will make about an inch in length •, therefore in a cubic inch there \\i!l be a million of fuch fands; and if there be 10,000 animals in each of thofe quantities, there muft be in the whole i ip,coo millions, which is a number vaftly exceeding that of mankind, even fuppofing the whole as populous as Holland. MELTING cone, in efiaying, an hollow cone of brafs or caft iron, into which melted metalline fub- fiances are thrown, in order to bee them from their fcor 5EC. W hen a froall quantity of matter is melted, it will be fuffiejent to rub the infide of the cone with greafe ", but when the quantity is large, efpecially if it contains any thing fulphureous, this caution of tal¬ lowing the moulds is not fufficient. In this cafs the efiaver has recourfe to a lute reduced to thin pap with water, which effectually prevents any injury to the cone. PvIELTON Moubray, a town of Leicefterfliire, icB miles from London. It is a large well-built place, -in a fertile foil j with a market cn Tucfday, the moft O ] M E M confiderable for cattle of any in this part of the iftand. It is almoft encompaffed with a little river called the Eye, over which it has two fine bridges j and has a _ large handfome church, with a free fchool. Here are frequent horfe races, and three fairs in the year. ME EVIL, Sir James, defeended from an honour¬ able Scots family, being the third fon of the laird of Kaeth, was born about the middle of the 16th century. He went to France very young, in the capacity of page to Queen Mary, then married to the dauphin ; and on the death of her hufband, followed her to Scotland, where he was made gentleman of her cham¬ ber, and admitted a privy counfeilor. She employed him in her moft important concerns, till her unhappy confinement in Lochieven, all which he difeharged with the ulmoft fidelity ; and, from his own accounts, there is rcafon to conclude, that, had fne taken his advice, ftie might have avoided many of her misfor¬ tunes. When ftie was prifoner in England, fhe re¬ commended him ftrongly to her fon James 5 with whom he continued in favour and employment until the death of Queen Elizabeth : James would then have taken him to England ; but Melvil, now grown old, was defireus of retiring from bufinefs, and in his re¬ tirement he drew up the memoirs of his paft life for the ufe of his fon. Thefe Memoirs were accidentally found in Edinburgh caftle in the year 1660, though nobody knew how they came to be depofited there , and were publifhed in folio in 1683. MEMBERS, in sin atomy, the exterior parts, arifing from the trunk or body of an animal, like the boughs from the trunk of a tree. Member, in Architeclure, denotes any part of a building j as a frieze, cornice, or the like. Member is fometimes alfo ufed for moulding. Member, in Grammar, is applied to the parts of a period or feutence. Member, is alfo ufed to denote fbme particular or¬ der or rank in a Hate or government: thus we fay, “ member of a corporation, member of parliament, member of the council, &C.1’ MEMBRANE, Mkmbrana, in Anatomy, a fimiiar part of an animal body 5 being a thin, white, flexible, expanded ftftn, formed of fevetal forts of fibres inter- woven together, and ferving to cover or wrap up cer¬ tain parts of the body. See Anatomy pafflm. MEMEL, or Me MM EE ^ a town of Pruflia, fituat- ed on the northern extremity of the Curifche Haf, an inlet of the fea about 70 miles in length, which is here joined to the Baltic by a narrow ftrait.—It is an ill built town, with narrow dirty ftreets ; but re¬ markable for its extenfive commerce, being provided with the fineft harbour in the Baltic. In 1784, 996 ftfips, amongft which were 500 Englifti, arrived here. The imports chiefly are, fait, iron, and falted herrings •, the exports, which greatly exceed the imports, are am¬ ber, corn, hemp, flax, and particularly timber. An Eng- Hlh confu! refides here. The trade is daily increafing, on account of the high duties which the court of Ruf- fta has laid on the imports of Riga. MEM NON, in Fabulous Hijfory, a king of Ethio¬ pia, fon of Tithonus and Aurora. He came witb a body of 10,0 00 men to alii ft his uncle Priam, during the Trojan war. Pie behaved with great courage, and killed Antiloclius, Neftcr’s fon. The aged father chal¬ lenged Melvil 11 Memnon. MEM [ soi ] M E M Mernnon ienged the Ethiopian monarch 5 but Memnon refufed !! it on account of the venerable age of Neftor, and ac- ‘ £m"’^ cepted that of Achilles. He was killed in the com¬ bat, in the fight of the Grecian and Trojan armies. Aurora prayed Jupiter to grant her fon fuch honours as might diftinguifii him from other mortals. The god confented •, and immediately a numerous flight of birds ilTued from the burning pile on which the body was laid, and dividing themfelves into two feparate bo¬ dies, fought with fuch fury, that above half of them fell down in the fire as vicfims to appeafe the rnanes of Mem- non. Thefe birds were called Memnonides ; and it has been obferved by feme of the ancients, that they never failed to return yearly to the tomb of Memnon in Troas, and repeat the fame bloody engagement in ho¬ nour of the hero from whom they received their name. The Ethiopians or Egyptians, over whom Memnon reigned, erefled a celebrated ftatue to the honour of their monarch. This frame had the wonderful pro¬ perty of uttering a melodious found every day at fun- rifing, like that which is heard at the breaking of the firing of a harp when it is wound up. This was effedled by the rays of the fun when they fell upon it. At the fetting of the fun, and in the night, the found was lugubrious. This is fupported by the tefti- mony of the geographer Strabo, who conftfles him- felf ignorant whether it proceeded from the bails of the ftatue, or the people that were then around it. This celebrated ftatue was difmantled by order of Cambyfes when he conquered Egypt ; and its ruins {fill aftonilh modern travellers by their grandeur and beauty. Mfmi-'ok of Rhodes, one of the generals of Darius king of Perfia, advifed that prince to lay wafte the country, in order to deprive Alexander the Great’s army of fupport, and afterwards to attack Macedon 5 but this counfel was difapproved by Darius’s other generals. Memnon behaved at the paiTage of the Granicus like an experienced general. He after¬ wards defended the city of Miletum with great cou¬ rage ; feized the ifiands of Chio and Lefhos ; fpread terror throughout all Greece •, and would have put a flop to the conquefts of Alexander, if he had not been prevented* by death. Barfina, Memnon’s widow, was taken prifoner with Darius’s wife, ana Alexander bad a fon by her named Hercules. MEMOIRS, in matters of literature, a fpecies of j ifiorv, written by perfons who had feme fhare in the tranfaflions they relate ; anfwering to what the Ro¬ mans called Ccmmentarii.—The journals of the pro¬ ceedings of a literary fociety, or a collefiion of matters tranfafteri therein, are likewife called Memoirs. MEMORY, a faculty of the mind, which prefects to us ideas or notions of what is part, accompanied with a perfuafion that the things themfelves were for¬ merly real and prefent. What we diifincfly remember to have perceived, we as firmly believe to have happen¬ ed, as what is now prefent to our fenfes. The opinions of philofophers concerning the means by which the mind retains the ideas of paft objefls, and how thofe ideas carry with them evidence of. their objedls having been aflually perceived, fhall be laid be¬ fore cur readers in another place : (dee Metaphysics, Part I. chap, ii ) At prefent we fliall throw together feme obfervatiens on, the memory, which, being of a praclical rather than of a fpeculative nature, cannot Mcrocry. be admitted into the article where the nature of the faculty itfelf is difeufled. “ When we remember with little or no effort, it is called remembrance fimply, or memonj, and fometimes pafjlve memory When we endeavour to remember * Beattie’s what does not immediately (and as it were) of Hfments occur, it is called active memory, or recolleBion. A Aloml ready recolleffion of our knowledge, at the moment ' when we have occafion for it, is a talent of the great- eft importance. The man poffeffcd of it feldom fails to diftinguifh Ifimfelf in whatever fort of bufinefs he may be engaged.” It is indeed evident, that when the power of retention is weak, all attempts at eminence of knowledge muft be vain ; for “ memory is the pri¬ mary and fundamental power f, without which there f lulef, could be no other ivtelledlual operation. Judgement and ratiocination fuppofe fomething already known, and draw'their decifions only from experience. Ima¬ gination felebts ideas from the treafures of remem¬ brance, and produces novelty only by varied combina¬ tions. We do not even form conjedtures of diftant, or anticipations of future, events, but by concluding, what is poftible from what is paft.” Of a faculty fo important, many rules have been given for the regulation and improvement; of which the firft is, that he who withes to have a clear and di- ftincl remembrance, fhould be temperate with refpedt to eating, drinking, and fieep. The memory depends very much upon the Rate of the brain ; and therefore whatever is hurtful to the latter, muft be prejudicial to the former. Too much deep clouds the brain, and too little overheats it : therefore either of thefe ex¬ tremes muft of courfe hurt the memory, and ought carefully to be avoided. Intemperance of all kinds, and excels of paffion, have the fame ill eff els 5 fo that we rarely meet with an intemperate perfon whofe me¬ mory is at once clear and tenacious. “ The livelieft remembrance is not fo vivid as the fenfation that produced it J ; and ideas of memory do f Beattie’s- often, but not always, decay more and more, as the Elements, original fenfation becomes more and more remote in time. Thofe fenfations and thofe thoughts have a chance to be long remembered which are lively at firft ; arid thofe are likely to be moft lively which are moft attended to, or which are accompanied with pleafure or pain, with wonder, furprife, curiofity, mer¬ riment, and other lively paflions. The art of memo¬ ry, therefore, is little more than the art of attention. What we with to remember we fhould attend to, io as to underhand it perfeftly, fixing our view’ particu¬ larly upon its importance or lingular nature,'that it may raife within us fome of the paffions above men¬ tioned. We fhould alfo difengage our minds from all other things, that we may attend more effe<51ual!y to the objedl which we wifti to remember. No man will read with much advantage who is not able at pleaftire to evacuate bis mind, or who brings not to bis author an inteliett defecated and pure,, neither turbid with care, nor agitated with pleafure. If the repofitories- of thought are already full, what can they receive ? If the mind is employed on the paft or the future, the book will be held before the eyes in vain. “ It is the praftic? of many readers, to note in the f margin of their books the moft important paffages the. M E M f 502 1 ME M McfBery. t’ie ftrongeft arguments, or the bnghteA fentiments. u«^-.v Thus they load their minds with fupeifluous atten¬ tion, reprefs the vehemence of curiofity by ufelefs deli¬ beration, and by frequent interruption break the cur¬ rent of narration or the chain of reafon, and at laft clofe the volume and forget the paflages and the marks together. Others are firmly perfuaded, that nothing is certainly remembered but what is tran- fcribed and they, therefore, pafs weeks and months in transferring large quotations to a common place- book. Yet, why any part of a book which can be confulted at plea'ure (liould be copied, we are not able to difcover. The hand has no clofer correfpond- ence with the memory than the eye. The ad of writ¬ ing itfelf diltradts the thoughts; and what is read twice, is commonly better remembered than what is tranfcribed. This method, therefore, confumes time, without affilling the memory. But to write an a- bridgement of a good book may fometimes be a very profitable exercife. In general, w'hen we would pre- fcrve the doftrines, fentiments, or fads, that occur in reading, it will be prudent to lay the book aiide, and put them in writing in our own wmrds. This prac¬ tice will give accuracy to our knowledge, accuftom us to recolledion, improve us in the ufe of language, and enable us fo thoroughly to comprehend the thoughts of other men, as to make them in fome meafure our own.” “ Our thoughts have for the moft part a connec- ^ Idler. fi°n * j f° that the thought which is juft now’ in the mind, depenos partly upon that which went before, and partly ferves to introduce that which follow’s.— < Hence we remember beft thofe things of which the parts are methodically difpofed and mutually con- neded. A regular dilcourfe makes a more lafting im- prefiion upon the hearer than a parcel of detached fentences, and gives to his rational powers a more fa- lutary exercife : and this may fhow us the propriety of conduding our ftudies, and all our affairs, according to a regular plan or method. When this is not done, our thoughts and our bufmels, efpecially if in any de¬ gree complex, foon run into confufton.” As the mind is not at all times equally difnofed for the exercife of this faculty, fuch fea'ons fliould be made choice of as are moft proper for it. The mind is feldom fit for attention prefently after meals ; and to call off the fpirits at fuch times from their pro¬ per employment in digeftion, is apt to cloud the brain, and prejudice the health. Both the mind and body Ihould be eafy and undifturbed when w'e engage in this exercife, and therefore retirement is moft fit for it : and the evening, juft before w’e go to reft, is generally recommended as a very convenient feafon, both from the ftillnefs of the night, and becaufe the impreflions will then have a longer time to fettle be¬ fore they come to be diflurbed by the acceffion of others proceeding from external objedls ; and to call over in the morning what has been committed to the memory overnight, muft, for the fame reafon, be very ierviceable. For, to review thofe ideas while they continue frefh upon the mind, and unmixed with any others, muft neceffarily imprint them more deeply. Some ancient writers fpeak of an artificial me¬ mory, and lay down rules for attaining it. Simonides l tb-e poet is faid firft to have difcovered thh, or at leafl: Memory, to have given the occafion for it. The llory they "''' v ~ "" tell of him is this : Being once at a feaft, he recited a poem w’hich he had made in honour of the peA n who gave the entertainment. But having (as is ufu.il in poetry) made a large digreffion in praiie of Caftor and Pollux ; when he had repeated the whole poem, his patron would give him but half the ium he had promifed, telling h'm he muft get the other part from thofe deities who had an equal (hare in the honour of his performance, immediately after, Simonides was told that two young men w’ere without, and mutt needs fpeak with him. He had fcarcely got out of the houfe, when the room where the company was fell dowm, killed all the perfons in it, and fo mafhed the bodies, that, when the rubbifti was thrown off, they could not be known one from another : upon which Simonides recollefting the place where every one had fat, by that means diftinguiihed them. Hence it came to be obferved, that to fix a number of places in the mind in a certain order, was a help to the memory : As wre find by experience, that, upon re¬ turning to places once familiar to us, we not only re¬ member them, but likewife many things we both faid and did in them. This aclion therefore of Simonides was afterwards improved into an art; and the nature of it is this : They bid you form in your mind the idea of fome large place or building, which you may divide into a great number of diftintft parts, ranged and difpofed in a certain order. Thefe you are fre¬ quently to revolve in your thoughts, till you are able to run them over one after another without hefitation, beginning at any part. Then you are to imprefs upon your mind as many images of living creatures, or any other infenfible objeffs which are moft likely to affeft you, and be fooneft revived in your memory. Thefe, like charadlers in fhorthand, or hieroglyphics, muft ftand to denote an equal number of other words, which cannot fo eafily be remembered. When there¬ fore you have a number of things to commit to me¬ mory in a certain order, all that you have to do is, to place thefe images regularly in the feveral parts of your building. And thus they tell you, that, by go¬ ing over feveral parts of the building, the images placed in them will be revived in the mind ; which of courfe will give you the things or words themfelves in the order you defire to remember them. The ad¬ vantage of the images feems to be this ; that, as they are more like to affedf the imagination than the words for which they ftand, they will for that reafon be more eafily remembered. Thus, for inftance, if the image of a lion be made to fignify Jlrength, and this word Jlrength be one of thofe I am to remember, and is placed in the porch ; when, ingoing over the feveral parts of the building, I come to the porch, I ftiall foon- er be reminded of that image than of the wmrd Jlrengtlu Of this artificial memory, both Cicero and Quintilian fpeak; but we know not of any modern orator that has ever made ufe of it. It feems indeed to have been a laborious w:ay of improving the memory, if it ferves that end at all, and fitter for aflifting us to remember any number of unconnedled words than a continual dilcourfe, unlefs fo far as the remembrance of one word may enable us to recoiled! more. It is, however, in allufion to it, that we ftill call the parts of a diicourfe places M N E r ZZZ’ ar,d ray’ •"‘’•‘fi-J1 intheficond * "■ y— ijut, doubtlefs, the moft effectual way to gain a good memory, is by conftant and moderate exercife of it j for the memory, like other habits, is ftrengthened and improved by daily ufe. It is indeed hardly cre¬ dible, to what a degree both aftive and paffive remem. brance may be improved by long praftice. Scaliger re¬ ports of himlelf, that in his youth he could repeat above i oo verfes, having once read them j and Berthe- cus declares, that he wrote his Comment upon Clau- dW without con fulling the text. To hope, however, tor fuch degrees of memory as thefe, would be equally vam as to hope tor the (trength of Hercules, or the wiitnefs of Achilles* 44 But there are clergymen who * ^ler. can get a fermon by heart * in two hours, though their memory, when they began to exercile it, was rather ■weak than llrong : ^.nd pleaders, with other orators ■who peak in public and extempore, often difcover, in calling inflantly to mind all the knowledge neceffary on the prefent occafion, and every thing of importance that may have been advanced in the courfe of a long debate, fuch powers of retention and recolledion as, to the man who has never been obliged to exert him- felf in the_ fame manner, are altogether artonilhing. As habits, in order to be ftrong, mull be formed in ear¬ ly life, the memories of children Ihould, therefore, be conflantiy exercifed ; but to oblige them to commit to memory what they do not underhand, perverts their faculties, and gives them a diflike to learning.” In a word, thofe who have moft occafion for memory, as orators and public fpeakers, ftiould not fufter it to lie idle, but conftantly employ it in treafuring up and fre¬ quently reviving fuch things as may be of moft impor¬ tance to them ; for by thefe means it will be more at their command, and they may place greater confidence in it upon any emergency.” “ complain of nothing more frequently than \ -Elements of deficient memory -f : and indeed every one finds, Science^1 a^er eff:'vts> many of the ideas which he defired to retain have flipped irretrievably away ; that acquifitions of the mind are fometimes equally fugi¬ tive with the gifts of fortune ; and that a thort inter- million of attention more certainly leflens knowledge than impairs an efiate. To aflift this weaknefs of our nature, many methods befides thofe which we have mentioned have been propofed ; all of which may be juftly fufpefted of being ineffeiftual : for no art of me- mory, however its effe61s may have been boafted or admired, has been ever adopted into general ufe 5 nor have thofe who poffeffed it appeared to excel others in readinefs of recollection or multiplicity of attainments.” The reader who is defirous to try the effeCl of thofe helps, may have recourfe to a treati e entitled H new Method of Artifcial Memory; but the true method of memory is attention and exercife. MNEMONIC A, or the art of memory, as it was called by the ancients, has been lately revived and ftudied in Germany and France. In fome notices con¬ cerning this lubjjfi which we have feen, it is obferved th u tl is fcience is more intimately connected with the E yptiaq h eroglyphics than is generally thought, and that this connection may help to explain them. In Ger¬ many this art has been revived by M. Aretin j and a 5G3 1 M N E pupil of nis, M. Kaeftner has been permitted to teach Mnemoni- the new7 doCtrine at Leipfic, but on the exprefs condi- ca> Iron of not allowing his hearers to write down his lec- "~v “J lures. This leems to be a Angular, and we may add a filly prohibition. The following account is given of this art in a letter from Paris in the beginning of 1807. “ During my refidence, fays the writer, in this metro¬ polis I heard a great deal of a new method of mnemo- nique, or o^ a method to aflift and fix our memory, in¬ vented by Gregor de Feinaigle. Notwithftanding the fimplicity with w7hich he announced his ledlures in the papers, I could not determine myfelf to become a pupil of ins, as I thought to find a quack or mountebank, and to be laughed at by my friends for having thrown aw7ay my caih in fuch a foolilh manner. Perhaps I ftiould helitate to this moment about the utility of'this newly invented method to aflift our natural memory, had I not had the pleafure of dining at his excellency’s the Count of Metternich, the Auftrian ambaffador, who followed, with all his fecretaries, the whole courfe of leClures : they all fpoke very advantageoufly of it, likewife feveral other perfons of the firft rank I met there : in confequence of this I was inferted into the lift of pupils, and I follow, at this moment, the lec¬ tures. All I can tell you about this method is, it is a - very Ample one, and eafy to be learned, adapted to all ages and fexes : all difficulties in fuch fciences as re¬ quire an extraordinary good memory, for inftance, the names and epochs in hiftory, are at once overcome and obviated. There is not one branch of fcience to which this method cannot be applied. It is eafy to be per¬ ceived that fuch an invention cannot pafs without fome critique, and even farcafms, in the public prints : fome of them were very injurious, and plaufible enough to miflead the public, who, knowing nothing of the me¬ thod, are always more ready to condemn than to aflift. Mr Feinaigle, to anlvver all theie critics at once, adopt¬ ed a method not lefs public for Paris than the public papers, but lefs public for the reft of Europe : he gave, the 2 2d of laft month, a public exhibition to about 2000 lpe and drewr upon them juftly the difpleafure and - indignation of many. By afiording refuge at this time to the Beguins in their order, they became of- fenfive to the bilhops, and were hereby involved in difficulties and perplexities of various kinds. They loft their credit in the 16th century by their ruftic impudence, their ridiculous fuperftitions, their igno¬ rance, cruelty, and brutiffi manners. They difcover- ed the moft barbarous averfion to the arts and fciences, and cxpreffed a like abhorrence of certain eminent and learned men, who endeavoured to open the paths of fcience to the purfuits of the ftudious youth, recom¬ mended the culture of the mind, and attacked the barbarifm of the age in their writings and difcourfe. Their general charafter, together wuth other circum- ftances, concurred to render a reformation deftrable, and to accompliftr this happy event. Among the number of mendicants are alfo ranked the Capuchins, Recolle6ls, Minims, and others, who are branches or derivations from the formeiv Buchanan tells us, the mendicants in Scotland, un¬ der an appearance of beggary, lived a very luxurious life ; wffience one wittily called them, not Mendicant but Manducant friars. MENE, a Chaldean word, which fignifies “ he has numbered or counted being one of the three words that were written upon the wall by the hand that ap¬ peared to Bellhazzar, the laft king of Babylon, the night that he w’as put to death. See Belshazzar. MENECRATES, a phyfician of Syracufe, wffio flouriffied about 360 B. C. is famous for his {kill in Ins profeffion, but much more for his vanity. He would always be followed by fome of the patients he had cured, and with whom he previoufly ftipulated that they fhould follow him wherever he went. One appeared with the attributes of Hercules, another with thofe of Apollo, and others again with thofe of Mer¬ cury or AEfculapius ; while he, clad in a purple robe, with a golden crown on his head, and a fceptre in his hand, prefented himfelf, to the admiration of the pub¬ lic, under the name of Jitpiter, and travelled through different countries efcorted by thefe counterfeit dei¬ ties. He once wrote the following letter to the king of Macedon : Menecrates Jupiter to Philip, greeting. Thou reigneft in Macedonia, and I in medicine ; thou giveft death to thofe who are in good health, I reftore life to the fick ; thy guard is compofed ol Macedo¬ nians ; the gods themfelves conftitute mine.” Philip anfwered him in a word, that he wiftied him reftored to reafon. Learning fome time after that he wras in Macedon, Philip fent for him, and invited him to an entertainment. Menecrates and his companions were placed on rich and lofty couches j before which was an altar, covered with the firft fruits of the harveft ; and whilft an excellent repaft was ferved up to the other guefts, perfumes and libations only were offered to thefe new gods, who, unable to endure the affront, haftily left the palace, in which they never more made their appearance. MENEDEMUS, a Greek philofopher, born at Etythreum, was the fon of Califthenes, and one of Phedo’s followers. He was in the greateft efteem, and enjoyed feveral important pofts, in his owm country. He feveral times defended Erythreum with great bra- Menelaus very, and died of grief when Antigonus became mafter 1!. , ot it. A perlon one day faying to him, “ It is a great . < happinefs to have what wre delire,” he replied, “ It is a much greater to defire nothing but wffiat w7e have.” He flouriffied about 300 B. C. MENELAUS, the fon of Atreus, and the brother of Agamemnon, reigned at Sparta, when Paris de¬ prived him of his wife Plelen. This rape occafioned the famous wrar of Troy. See Helen. Menelaus, a mathematician in the reign of the emperor Trajan, wrote three books on the Sphere, which have been publifhed by Father Marfenne. MENES, born at This, a town of Thebais in Up¬ per Egypt, was the founder of the Egyptian empire. He had three fons, viz. Athotls, who ruled after him, at This and Thebes; Curudes, who in Lower Egypt founded the kirtgdom of Pleliopoli, which afterward was the kingdom of Diofpoli ; and Necherophes, who reigned at Memphis. It is thought this Menes reign¬ ed 11 y years after the birth of Phaleg, fon of Heber, which was the very .year of the difperlion of the people, throughout the whole earth. In building Memphis, he flopped the Nile near it, by the invention of a caufeway'100 furlongs broad, and caufed it to run through the mountains.1 MENIALS, domeftic or houfehold fervants, who live under their lord or mafter’s roof. MENINGES, or Menynges, in Anatomy, a name given to the dura and pia mater of the brain. See A- NATOMY, N° 129. MENINX, an iiland in the Mediterranean, to the weft of the Syrtis Minor. Suppofed by Strabo and Polybius to be Homer’s country of the Lotophagi j and hence Ptolemy and Eratofthenes denominate the ifland Lotopi:aphis, with a cognominal town Meninx. It w7as the country of Vibius Gallus the emperor, and of Volufianus. Now7 called Gerbi and Zarbi. MENIPPUS, a cynic philofopher of Phoenicia. He was originally a {lave, but obtained his liberty with a fum of money, and became one of the greateft ufurers at Thebes. He grew fo defperate from the continual reproaches and infults to w'hich he was daily expofed on account of his meannefs, that he deftroy- %d himfelf. He wuote 13 books of fatires, which have been loft. MEN1PPEAN (fatira Mkkippea), a kind of fa- tire confifting of profe and verfe ihtermixed. It is thus called from Menippus a cynic philofopher who delighted in compefing fatirical letters, &c. In imi¬ tation of him, Varro alfo wrote fatires under the title of Satires Me nip pc as expofed, and the fnares that were daily laid for his ruin, took him with certain of his aflbciates into his protedion, and gave him an afylum. The writings of Menno, which are almoft all compofed in the Dutch language, where publiffied in folio at Amfterdam in the year 1651. About the year 1637, Menno was earnelily folicited by many of the fed with which he cpnneded himfelf, to alTume among them the rank and fundions of a public teacher ; and as he looked upon the perfons who made this propofal to be exempt from the fana¬ tical phrenfy of their brethren at Manlier (though according to other accounts they were originally of the fame (lamp, only rendered fomewhat wifer by their bufferings), he yielded to their entreaties. From this period to the end of his life, he travelled from one country to another with his wife and children, exer- cifing his miniltry, under preffures and calamities of various kinds, that fucceeded each other without in¬ terruption, and conllantly expofed to the danger of falling a vidim to the feverity of the laws. Eall and Well Frielland, together with the province of Gro- ningen, were firit vilited by this zealous apoltle of the Anabaptills 5 from whence he direded his courfe into Holland, Guelderland, Brabant, and Wellphalia, con¬ tinued it through the German provinces that lie on the coalts of the Baltic fea, and penetrated as far as Livonia. In all thebe places his minilterial labours were attended with remarkable fuccefs, and added to his fed a p'rodigious number of followers. Hence he is defervedly confidered as the common chief of almoll all the Anabaptifts, and the parent of the fed that Hill fublifls under that denomination. Menno wTas a man of genius, undireded by a very found judgement; he poffeffed a natural and perfualive eloquence, and fuch a. degree of learning as made him pafs for an oracle in the ellimation of the multitude. He appears, more- -over, to have been a man of probity, of a meek and tradtable fpirit, gentle in his manners, pliable and ob- iequious in his commerce with perfons of all ranks and charaders, and extremely zealous in promoting prac¬ tical religion and virtue, which he recommended by his example as well as By his precepts. The plan of dodrine and difcipline drawn up by Menno was of a SQUch more mild and moderate nature than that of the [ 508 ] MEN furious and fanatical Anabaptists, whofe tumultuous proceedings have been recited under that article, but fomewhat more fevere, though more clear and con¬ fident, than the dodrine of the w’ifer branches of that fed, who aimed at nothing more than the reiloration of the Chrillian church to its primitive purity. Ac¬ cordingly he condemned the plan of ecclefiailical dif¬ cipline that was founded on the profped of a new kingdom, to be miraculsufly eftabliffied by Jefus Chrift on the ruins ot civil government and the deftrudion ot human rulers, and which had been the fatal and pefiiiential fource of fuch dreadful commotions, liich execrable rebellions, and fuch enormous crimes. He declared publicly his diflike of that dodrine, which pointed out the approach of a marvellous reformation in the church by the means of a new and extraordi¬ nary effufion of the Holy Spirit. He expreffed his abhorrence of the licentious tenets, which feveral of the Anabaptifts had maintained, with refped to the lawffiulnefs of polygamy and divorce 5 and finally, con¬ fidered as unworthy of toleration thofe fanatics who were of opinion that the Holy Ghoft continued to defcend into the minds of many choien believers, in as extraordinary a manner as he did at the firft efta- bliffiment of the Chriftian churchy and that he teftified this peculiar prefence to feveral of the faithful by mi¬ racles, predidions, dreams, and vifions of various kinds. He retained indeed the dodrines commonly received among the Anabaptifts, in relation to the baptifm of infants, the millennium, or 1000 years reign of Chrift upon earth, the exclufion of magiftrates from the Chriftian church, the abolition of wrar, and the pro¬ hibition of oaths enjoined by our Saviour, and the vanity as well as the pernicious effeds of human fcience. But while Menno retained thefe dodrines in a gene¬ ral fenfe, he explained and modified them in fucb a manner as made them refemble the religious tenets that were univerfally received in the Proteftant churches ; and this rendered them agreeable to many, and made them appear inoffenfive even to numbers who had no inclination to embrace them. It however fo happened, that the nature of the dodrines confidered in them- felves, the eloquence of Menno which fet them off to fuch advantage, and the circumftances of the times, gave a high degree of credit to the religious fyftem of this famous teacher among the Anabaptifts, fo that it made a rapid progrefs in that fed. And thus it was in conffequence of the miniftry of Menno, that the different forts of Anabaptifts agreed together in ex¬ cluding from their communion the fanatics that dif- honoured it, and in renouncing all tenets that were detrimental to the authority of civil government, and by an unexpeded coalition formed themfelves into one community. Though the Mennonites ufually pafs for a fed of Anabaptifts, yet M. Herman Schyn, a Mennonite minifter, who has publiffied their hiftory and apology, maintains, that they are not Anabaptifts either in principle or by origin. However, nothing can be more certain than this fad, viz. that the firft Men¬ nonite congregations were compofed of the different forts of Anabaptifts, of thole who had been always inoffenfive and upright, and of thofe who, before their converfion by the miniftry of Menno, had been fedi- tious fanatics; befides, it is alleged, that the Menno¬ nites 9> MEN [ 5°9 ] MEN Mennc- nites do actually retain, at this day, fome of thole rites. opinions and doftrines, which led the fediiious and turbulent Anabaptifts of old to the commiffion of fo many and fuch enormous crimes : luch particularly is the dottrine concerning the nature of Chrift’s king¬ dom, or of the church of the New Teftament, though modified in fuch a manner as to have loft its noxious qualities, and to be no longer pernicious in its influ¬ ence. The Mennonites are fubdivided into feveral fefts j whereof the two principal are the Flandrians or Fleming!ans, and the Waterlandians. rIhe opi¬ nions, fays Moflieim, that are held in common by the Mennonites, feem to be all derived from this fundamen¬ tal principle, that the kingdom which Chrift edabliih- ed upon earth is a vifible church or community, into which the holy and juft alone are to be admitted, and which is confequently exempt from all thoie inflitu- tions and rules of difcipline that have been invented by human wifdom, for the correction and reformation of the wicked. This principle, indeed, was avowed by the ancient Mennonites, but it is now almoft whol¬ ly renounced : neverthelefs, from this ancient doftrine, many of the religious opinions that diftinguilh the Mennonites from all other Chriftian communities, feem to be derived : in confequence of this doftrine, they admit none to the facrament of baptifm but perfons that are come to the full ufe of their reafon j they neither admit civil rulers into their communion, nor allow any of their members to perform the func¬ tions of magiftracy 5 they deny the lawfulnefs of re¬ pelling force by force, and confider war, in all its fhapes, as unchriftian and unjuft j they entertain the utmoft averfion to the execution of juftice, and more efpecially to capital punifhments \ and they alfo refufe to confirm their teftimony by an oath. The particu¬ lar fentiments that divided the more confiderable. fo- cieties of the Mennonites are the followingThe rigid Mennonites, called the Flemingians, maintain with va¬ rious degrees of rigour, the opinions of their founder Menno, as to the human nature of Chrift, alleging that it was produced in the womb of the \ irgin by the creating powTer of the Holy Ghoft j the obligation that binds us to waftr the feet of ftrangers, in confe- quence of our Saviour’s command j the neceffity of excommunicating and avoiding, as one would do the plague, not only avowed finners, but alfo all thofe who depart, even in fome light inftances pertaining to drefs, &c. from the fimplicity of their anceftors j the contempt due to human learning, and other matters of lefs moment. However this auftere fyftem declines, and the rigid Mennonites are gradually approaching towards the opinions and difcipline of the more mode¬ rate or Waterlardians. The firft fettlement of the Mennonites, in the U- Metiology nited Provinces, was granted them by William prince of Orange, towards the clofe of the 16th century \ 1 C_l^° but it was not before the following century that their liberty and tranquillity were fixed upon folid founda¬ tions, when, by a confefiion of faith publiflied in the year 1626, they cleared themfelves from the imputa¬ tions of thofe pernicious and detellable errors that had been laid to their charge* In order to appeafe their inteftine difeords, a conliderable part of the Anabap- tifts of Flanders, Germany, and Friefland, concluded their debates in a conference held at Amfterdam, in the year 1630, and entered into the bonds of fraternal communion, each relerving to themfelves a liberty of retaining: certain opinions. This affociation was re- newed and confirmed by new refolutions, m the year 1649 j in confequence of which the rigorous laws of Menno and his fucceffors were, in various refpefts, mitigated and corre£led. MENOLOGY, Menologium, (from jttux, month, and Asy«s, difeourfe), is much the fame as martyrology, or calendar, in the Latin. The Greek menologium is divided into the feveral months in the year j and contains an abridgment of the lives of the faints, wdth a bare enumeration of the names of fuch whofe lives were never written. Ihe Greeks have various menologies j and the Romans tax them with inferting divers heretics in their menologies as faints.—Baillet treats of them at large. MENSA, in law books, a term that includes in it all patrimony, and neceffaries for livelihood. MENSALS, Mensalia, in church hiftory, fuch livings as were formerly united to the tables of religi¬ ous houfes, and hence called tnenfal benefices. See the article Benefice. MENSES, Catamenia, in Medicine, the monthly evacuations from the uterus of women not with child or not giving fuck. They are fo called from menfs “ month,” the period wherein they return. They are al¬ fo calledy7o-u;^rj-,m/r/ej, &c. By the Jewifti lawa woman wras unclean while the menftrual blood flowed 5 and the man who touched her, or the moveables (he had touch¬ ed, was declared unclean.—Lev. xv. See Midwifery and Medicine. MENSORES> among the Romans, were harbin¬ gers, whofe bufinefs it w7as to go before the emperor, and fix upon lodgings for him when he travelled into any of the provinces. T. hey alfo marked out encamp¬ ments, and afligned every regiment its poft._ Menfores were alfo land-furveyors, architects, or ap- praifers of houfes and public buildings. The diftri- butors of provifions in the army were called menfores frumentarii. And menfores was alfo an appellation given to fervants who waited at table. MENSURATION. EVERY branch of the mathematics w'hieh has for its objeft the comparifon of geometrical quantities, and the determination of their proportions to each other, may be comprehended under the general name Menfu- ration. So that, taking the term in its moft extenfive fenfe, whatever is delivered in this work under the titles* Geometry, Trigonometry, Conic Sections, part of Algebra, and a very confiderable portion of Fluxions, may be confidered as conftituting particular branches of this general theory. 510 Tables of Me a i'u res. mensuration. :ej"I n''«!raMiGn however, is alfo frequently to Square Chains u.ta n a lefs extenfive fenfe, and is applied to a fyftera of rules and methods by which numerical meafures of geometrical quantities are obtained. And it is to this limited view of the fubjeft that we propofe to confine our attention in the prefent treatife. In general, it wall only be neceffary to give the praaical rules, as we have already explained their foundation when treat- n.g of Geometry, Conic Sections, and Fluxions j but, m addition to the rules, in a few inlknces, we (hall or 100,000 Square Links 640 Square Acres Note. Fhe Scots ioooco to 78694. } = Acre. Square Mile, acre is to the Engliflr acre as Of Right Lines ?.r:4 Angles. Tab/e of Solid Meafut -es. give their demondrations. xsi all practical applications of mathematics it is ne- celfary to exprefs magnitudes of every kind by num- lor this purpofe a line of fome determinate length, as one inch, one foot, &c. is afiumed as the mcaluring unit of lines, and the number expreffing how oiten this unit is contained in any line, is the numerical value or meafure of that line. . ^ rurffce °f fome determinate figure and magnitude is aflumed as the meafuring unit of furfaces, and the number of units contained in any furface is the nume¬ rical meafure of that furface, and is called its area. It Is u{ual to aijume, as the meafuring unit of furfaces a jcjuare, whole fide is the meafuring unit of lines. ... ^ of a determinate figure and magnitude is in hke mariner affumed as the meafuring unit of folids, and the number of units contained in any {olid is its folidity or content. The unit of folids is a cube, each of whofe edges is the meafuring unit^ of lines, and confequently each of its faces the meafuring unit of furfaces. A right angle is conceived to be divided into 00 equiii angles ; and one of thele, called an angle of one degree, is aflumed as the meafuring unit of angles. The meafures generally employed in the application cn memuration to the common affairs of life, and their proportions to each other, are expreffed in the follow¬ ing tables. Table of Lineal Meafures. Foot. Yard. Fathom. Pole, Rod, or Perch. Furlong. Mile. League. Degree. 1 2 Inches 3 Feet 6 Feet Si Yards 40 Poles 8 Furlongs 3 Miles 69^ Miles nearly 360 degrees Note. corns in length 4 Inches — 1 Hand, or handsbreadth. 5 beet = 1 Geometrical Pace. 4 Poles or 66 Feet 1 100 links each 7^ inches j — 1 EngHfli chain. 74 Feet ~ 1 Scots chain. Table of Square Meafures. I he earth’s circumference. An inch is fuppofed equal to three barley- 144 Square Inches 9 Square Feet 30{- Square Yards 40 Square Poles 4 Roods or j 60 Square Poles Foot fquare. Yard. Pole. Rood. Acre. 1728 Cubic Inches — 27 Cubic Feet z= Note. 282 Cubic inches make 231 2150.42 105 Cubic inches 1 Cubic Foot. 1 Cubic Yard. 1 Ale Gallon. 1 Wine Gallon, a Winchefter Bulhel. 1 Scots Pint. Ibe Wheat Firlot contains 21^ Scots Pints. The parley Firlot 31 Scots Pints. SECTION I. OF THE MENSURATION OF RIGHT LINES AND ANGLES. Fhe rules by which certain of the fides or angles of a triangle are to be found, when other fides and angles are given, might be confidered as belonging to this part of menfuration. But as thefe are fully invefti- gated and explained in the article Plane Trigono- metry, it is not neceffary to deliver them alfo here. Referring therefore to that article, we ffiall employ the remainder of this fedion in the application of trigono¬ metry to the menfuration of heights and diftances.° Menfuration of Heights and Difances. By the application of geometry the meafurement of lines, widen, on account of their pofition or other cir- cumftances, are inacceflible, is reduced to the determi¬ nation of angles, and of other lines which are accef- fible, and admit of being meafured by methods fuffi- ciently obvious. A line confidered as traced on the ground may be meafured with rods or a Gunter’s chain of 66 feet; but more expeditiouffy with meafuring tapes of 50 or 100 feet. . By thefe, if the ground be tolerably even, and the direction of the line be traced pretty corredly, a diftance may, by ufing proper care, be meafured with¬ in about 3 inches of the truth in every 50 feet, fo that the error may not exceed the 200th part of the whole line. Vertical angles may be meafured with a quadrant PjaV furnilhed with a plummet and fights in the manner in-cccxxxm. dicated by fig. 1. and fig. 2. If an angle of elevation is to be meafured, as the angle contained by a horizontal line AC, and a line drawn from A to B the top of a tower, hill, or other eminence ; or to a celeffial body, as a liar, &c. ; the centrejof the quadrant muff be fixed’ at A, and the inffrument moved about A, in the ver¬ tical plane, till to an eye placed at G the objea B be feen through the two fights D, d. Then will the arch EF, cut off by the plumb-line AF, be the meafure of the angle CAB. An ang]e of depreffion CAB (fig. 2.) is to be mea- iured exadly in the fame manner, except that here the eye 3 M E N S U R A T I O N, Of Right" eye is to be placed at A the centre of the inftrument, L/ nSles ans* t^ie mea^ure the angle is the arch EF. But the moft convenient inftrument of any for ob- ferving angles, whether vertical or horizontal, is the Theodolite. This inftrument is varioufty eonftructed, fo as to admit of being fold at a higher or lower price, ac¬ cording to the degree of accuracy the purchafer may wifh to attain in his obfervations with it. An inftru¬ ment of this kind is reprefented in fig. 3. Its principal parts are, 1. A telefcope and its level C C, D. 2. The vertical arc BB. 3. The horizontal limb and compafs AA. The limb is generally about 7 inches in diame¬ ter. 4. The ftaff with its parallel plates E. 1 he telefcope CC in the belt inftruments is general¬ ly of the achromatic kind, in order to obtain a larger field and greater magnifying power. In the focus of the eye glafs are two very fine hairs or wires, at right angles to each other, whofe interfeclion is in the plane of the vertical arc. The objedt glafs may be moved to different diftances from the eye glafs by turning the milled nut a, and thus may be accommodated to the eye of the obferver and diftance of the objedi. The fcrews for moving and adjufting the crofs hairs, are funk a little within the eye tube. On the cutfide of the telefcope are two metal rings which are ground per- fedlly true. Thefe are to lie on the fupporters e, e, call¬ ed Y’s, which are fixed to the vertical arc. The ver¬ tical arc BB is firmly fixed to a long axis which is at right angles to the plane of the arc. This axis is fuf- tained by, and moveable on, the twm fupporters, which are fixed firmly to the horizontal plate. On the upper part of the vertical arc are the two Y’s for holding the telefcope ; the inner fides of thefe are fo framed as to be tangents to the cylindric rings of the telefcope, and therefore bear only on one part. The telefcope is con¬ fined to the Y’s by twm loops w'hich turn on a joint, &nd may therefore be readily opened and turned back when the tw7o pins are taken out. One fide of the vertical arc is graduated to half de¬ grees, which are fubdivided to every minute of a de¬ gree by a nonius. It is numbered each way from the middle from o to 90° ; towards the eye end for angles of altitude, and tow-ards the objebl end for angles of de- prcffion. On the other fide of the vertical arc are twro ranges of divifions, one for taking the upright height of timber in 100th parts of the diftance between the in¬ ftrument and tree whofe height is to be meafured 5 and the other for reducing hypothenufal lines to fuch as are horizontal. The vertical arc is cut with teeth or a rack, and may be moved regularly, and with eafe, by turning the milled nut b. The compafs is fixed to the upper horizontal plate, its ring is divided into 360°, and the bottom of the box is divided into four parts or quadrants, each of W'hich is fubdivided into io°. The magnetic needle is fupported in the middle of the box upon a fteel pin finely pointed, and there is a wire trigger for throwing the needle off the point'when not in ufe. The horizontal limb A A confifts of two plates, one moveable on the other, the outermoft edge of the up¬ per plate is chamfered to ferve as an index to the de¬ grees on the lower. The upper plate, together with the cqnapafs, vertical arc, and tclefcope, are eafily turned round by a pinion fixed to the fcrew c; r/ is a nut for fixing the index to any part of the limb, and Of Right thereby rendering it fecure, while the inftrument is Lines and moved from one ftation to another. The horizontal An^es- limb is divided into half degrees, and numbered from the right hand towards the left j the divifions are fub- divided by the nonius icale to every minute of a de- gree. _ On the upper plate, towards the nonius, are a few divifions fimilar to thofe on the vertical arc, giving the 1 ooth parts, for meafuring the diameter of trees, build¬ ings, &c. The whole inftrument fits on the conical ferril of a ftrong brafs-headed ftaff, with three fubftantial wooden legs. The top or head of the ftaff confifts of two brafs plates E, parallel to each other : four fcrews pafs through the upper plate and reft on the lower plats ; by the affion of thefe the horizontal limb may be fet truly level, and for this purpofe a ftrong pin is fixed to the outfide of the plate, and connedtcd with a hall that fits into a focket in the lower plate \ the axis of the pin and ball are fo framed as to be perpendicular to the plate, and confequently to the horizontal limb. There are three adjuftments neceffary before the in¬ ftrument is applied to the menfuration of angles. In the firft place, care mult be taken that the line of colli- mation (that is, the line of vifion palling through the crofs hairs) .be exacftly in the centre of the cylindric rings round the telefeope ; in the next place, that the level be parallel to this line j and, laftly, the horizon¬ tal limb muft be fo fet, that when the vertical arc is at izcrc, and the upper part moved round, the bubble of the level will remain in the middle of the open fpace. When thefe adjuftments are made, and the inftru¬ ment is to be applied to practice, the lower plate of the horizontal limb AA being fuppofed to remain unmoved and parallel to the horizon, the telefcope is to be di¬ rected fucceffively to the different objeCts, whofe angu¬ lar pofitions are to be determined, by means of the pi¬ nions at c and b ; (the former of which turns the upper part of the inftrument round in a horizontal plane, and the latter turns the arc BB in a vertical plane). Then, the angle which a line palling through the axis of the telefcope and any objeft makes w'ith the horizon, will be indicated by the arc of the vertical circle between o° and the index engraved on the nonius fcale H fixed to the upper plate of the horizontal limb of the initru- ment. Alfo, the horizontal angle contained by two vertical planes conceived to pals through any two ob- jeCls and the centre of the inftrument, will be {hewn by the arc of the lower plate of the horizontal limb over W'hich the index engraved on the upper plate has palled by the direftion of the telefcope being changed from the one objeft to the other. ’ Having thus explained fhortly the nature of the in¬ ftruments by which accefiible lines and angles are to be meafured, and the manner of applying them, we Ihall.novv ftiew, by a few examples, how to find from thefe other lines which cannot be determined by a di- re£t meafurement. Example 1. Having meafured AE, a diftance of ^g- •f- “ 2CD feet in a direCI horizontal line from the bottom of a tower, the angle BCD, contained by the horizontal line CD : and a line drawm from C to the top of the tower, „ MENSURATION. 512 Of Right tower, was meafuretl by a quadrant, or theodolite pla- “ ced at C, and found to be 470 gc/. The centre C of ■ ‘ ■ t^ie inftrument was five feet above the line AE at its extremity E. It is required hence to determine AB the height of the tower. In the right-angled triangle CBD we have given the fide CD = 200 feet, and the angle C = 470 30'. And fince by the rules of Plane Trigonometry, rad : tan. BCD :: DC : DB j By employing the logarithmic tables (fee Loga¬ rithms), and proceeding as is taught in Plane Tri¬ gonometry, we fhall find DB = 218.3 feet. To which add DA=rEC=5 feet, the height of the inftru- ment, and we have AB = 223.3 ^eet;> the height of the tower. Fig. 5. Ex. 2. Suppofe a cloud, or balloon C, is feen at the fame time by two obfervers at A and B, and that thefe ftations are in the fame vertical plane with the objedt C, and on the fame fide of it. Alfo, fuppofe that its angles of elevation, viz. the angles A and B, are 350 and 64*, and that AB, the diilance between the ob¬ fervers, is 880 feet. It is required hence to determine CD the height of the objedt, alfo AC, BC its diftances from the two obfervers. In the triangle CAB, there are given the outward angle CBD=:64#, and one of the inward angles A = 35* 5 hence the other inward angle ACB, which is their difference, is given, and 64°— Now in the triangle CAB Sin. ACB : fin. A :: AB : BC, and fin. ACB : fin. B :: AB : AC. From thefe proportions, by adtual calculation, BC will be found =r 1041 feet, and AC = 1631 feet. Again, in the right-angled triangle BCD rad. : fin. B :: BC : CD, Hence CD will be found 936 feet. Ex. 4. At B the top of a tower, w hich flood on Of Right a hill near th^fea fhore, the angle of depreflion of a Lines and fliip at anchor (viz. the angle HBS), was 40 yz'j and at R, the bottom of the tower, its depreflion (namely, fig. ^ the angle NRS) was 40 2'. Required AS the hori¬ zontal diftancc of the veffel $ and alfo R A, the height of the bottom of the tower above the level of the fea, fuppofing RB the height of the tower itfelf to be 54 feet. From the angle BSA = HBS =: 40 52' fubtradt the angle RSA — NRS — 40 2', and there remains the angle BSRrryo'. Allb, from the angle HBA = 90° fubtradt HBS=r4* 52', and there'remains SBR=85° 8'. In the triangle SBR, Sin. BSR : fin. SBR :: BR : SR j Hence SR is found. Again, in the triangle SRA, rad. : fin. RSA :: SR : AR, and rad. : cof. RSA :: SR : AS. From the firft of thefe proportions we find AR rr 260 feet j and from the fecond, ASr^bpo feet. Ex. 5. To meafure the height of an obelilk CD, Fig.J. ftanding on the top of a declivity, two ftations at A and B were taken, one at the diftance of 40, and the other at the diftance of 100 feet from the centre of its bafe, which was in a ftraight line with the ftations. At the nearer ftation A, a line drawm from it to the top of the obelifk was found to make an angle of 410 with the plane of the declivity j and at B, the more re¬ mote ftation, the like angle was found to be 230 45'. Hence it is required to find the height of the obe¬ lilk. From the angle CAD — 410, fubtradl the angle B — 230 45', and there remains the angle BCA — I7° *5'- In the triangle BCA, Sin. BCA: fin. B :: AB:AC. Hence AC=r81.49 feet; And in the triangle ACD, Ex. 3. Wanting to know the breadth CD of a river, and alfo the diftance of an objedt A clofe by its fide from another objedt C on its oppofite fide, a bafe AB of 400 yards was meafured along the bank. Then, by means of a theodolite, the angles CBA and CAB were meafured, and found to be 370 40' and 59* 15' refpedtively. It is required thence to determine the breadth CD, and the diftance AC between the objedts A and C. This example differs from the laft only by the given angles, and diftances required, lying in a horizontal in- ftead of a vertical plane. In the triangle ABC we have the bafe AB, alfo the angles A and B, and confequently the angle C given. And by Plane Trigonometry, Sin. ACB : fin. B :: AB : AC. Hence AC is found to be 246.2 yards. Alfo, in the right-angled triangle ACD, rad. : fin. A :: AC : CD. JJence CD is found to be 211.6 yards^ AC-fAD:AC—AD:: tan.4(D-{-C) :tan4(D—C). Hence 4 (D—C) = 420 24'^, which, fubtradted from 4 (D-j-C), gives the angle ACD = 270 5'4- Laftly, in the triangle ACD, Sin. ACD : fin. A :: AD : DC. Hence DC, the height required, will be found to be 37.62 feet. Ex. 6. Wanting to know the diftance between two Fig. g. inaccefiible objedls H and M, a bafe AB of 670 yards was meafured in the fame plane with the objedts, and the following angles were taken at its extremities. At A | BAM=40° 16' MAH=57 40 ABH=r42° 22' HBM=7i 7 Hence it is required to detfermind HM, the diftance be¬ tween the objedts. In the triangle HAB we have the angle HBA == 42* 22', the angle HAB (=: HAM -f- MAB) = / 97° 4 Right $7* andl tlierefore tlie remaining angle AHB =r ^AnX 39° 42'- We have a!fo the flde AB = 670 yards. . _ ' , Hence, by this proportion, Sin. AHB : fin. HBA :: AB : AH mensuration. 5r3 202, the angle ADC (=ADB-f-BDC) =43® 20', OfRi^ht the angle DCA (=:DEA) =75° 15' 2^ Hence we L'nes and get DC—256.97 fathoms, which is the remaining dif-, Angles- „ tance fought. * J we find AH—706.8 yards. Again, in the triangle MAB we have the angle MAB—40° 16', the angle ABM (=ABH-f HBM) =r 113° 29', and therefore the angle AMB =: 26° 15'. Hence, from the proportion, Sin. AMB : fin. ABM :: AB : AM we get In the triangle HAM, befides the angle HAM = 57° 40' we have now the fides AH = 706.8, and AM = I3^9*4 yards, to find the remaining fide HM. Therefore, proceeding according to the rules of trigo¬ nometry, we Hate this proportion, AM-f AH : AM—AH :: tan. HAHM + AMH") : tan. ^(AHM—AMH). Hence we find half the difference of the angles AHM and AMH to be 30° 36', which taken from 6i° io', half the fum, leaves 30° 34' for AMH the leaft of the two angles. Laftly, from the proportion Sin. HMA : fin. HAM :: HA : HM, we get HM =1174 yards, the anfwer to the quef- tion. Ex. 7. There are three objefls A, B, C, whofe dif- tances afunder are known to be as follows ; namely, from A to B 106^-, from A to C 202, and from B to C 131 fathoms. Now to determine the diftance of D a fourth objeft, or ftation, from each of the other three, the angle ADB was meafured with a theodolite, or other fuitable inftrumenf, and found to be 13° 30', and the angle CDB was found 290 50'. Hence it is re¬ quired to determine the diftances DA, DB and DC, iiippofing DB the leaft of the three. Let a circle be defcribed about the points A, D and C ; and let DB be produced to meet the circle again in E, and draw AE, CE. In the triangle ALC there are given the fide ACrr 202 fathoms, the angle ACE (rzADE, Geom. Seo. Ex. 3. Required the area of a parallelogram KLMN, whofe length KL is 37 feet, and perpendicular breadth NO is 5^ or 5.25 feet. In this example the area is 37 X :I94-25 ^luare feet, or 21.583 fquare yards. Rule II. As radius, To the fine of any angle of the parallelogram, So is the produdt of the tides including the angle, To the area of the parallelogram. To fee the reafon of this rule it is only neceffary to obferve, that in the parallelogram KLMN, the per¬ pendicular breadth NO is a fourth proportional to ra¬ dius, fine of the angle K, and the oblique line KN, (Trigonometry), and is therefore equal . fin- K X KN ; therefore the area of the figure is ~~~Y ~ X KN X KL, which exprefiion is the fame as the refult obtained by the above rule. Ex. Suppofe the tides KL and KN are 36 feet, and 25.5 feet, and the angle K is 58°, required the area. Here it will be convenient to employ the table of lo¬ garithms given at the end of the article Logarithms. The operation may Hand thus, loc. rad. 10.00000 log. fin. 58° 9.92842 log. (36 X 25-5 ) =log- 36+log* 25-5 2.96284 log. of area 289126 area =778.5 fquare feet. Problem II. Having given any two Tides of a right-angled tri¬ angle, to find the remaining fide. Rule. 1. When the fides about the right argle are given, to find the hypothenufe.. Add together the fquares of the fides about the right Or'Plane angle, and the fquare root of the fum will be the hypo- I'Lpues- thenufe. ' v 2. W hen the hypothenufe and one of the fides about the right angle is given, to find the other fide. From the fquare of the hypothenufe fubtracl the fquare of the given fide, and the fquare root of the re¬ mainder will be the other fide. This rule is deduced from Theor. 13. Seel. IV. Geo¬ metry. Example 1. In a right-angled triangle ABC, thep-^ fides AB and AC, about the right angle, are 33 r feet and 56 feet} what is the length of the hypothe- nufe BC ? Hcre 33i+562=3i364-io89=:4225, • and f (4225) —65 feet, r= the hypothenufe BC. Ex. 2. Suppofe the hypothenufe BC to be 65 feet, and AB one of the fides about the right angle to be 33 feet; what is the length of AC the other fide ? Here 65’—332=4225—1089=3136 i and \/(33 i6)=5<5 feet = the fide iVC. Problem III. To find the area of a triangle. Rule I. Multiply any one of its fides by the perpendicular let fall upon it from the oppofite angle, and half the produdl will be the area. The truth of this rule is proved in Geometry, Seft. IV. Theor. 6. Example. What is the area of a triangle ABC, whofe bafe AC is 40, and perpendicular BD is 14.52 chains. The produa of the bafe by the perpendicular, or iS 40 X is 580.8 fquare chains, the half of which, i’' or 290.qTy. ac. o r. 6.4 po. is the area of the triangle. Rule II. As radius, To the fine of any angle of a triangle, So is the produa of the fides including the angle, To twice the area of the triangle. This rule follows immediately from the fecond rule of Prob. I. by confidering that the triangle KNL (fig. 16) is half the parallelogram KNML. Example. What is the area of a triangle ABC, F)-g lSa whofe two fides AB and AC are 30. and 40, and the included angle A is 28° 57' ? log. rad. Operation by Logarithms. log. (30 X 4o)=log. 30 + log. 40 log. lin. 28° 57' log. of twice area twice area = 580.85 area 290.42 10.00000 3.07918 9.68489 2.76407 Rule MENSURATION. 5i5 Of Plane Figures. Rule III. W ben tbe three fides are given, add together the three Tides, and take half the Turn. Next, fubtradf each fide feverally from the faid half fum, thus obtain¬ ing three remainders. Lnftly, multiply the faid half fum, and thofe three remainders all together, and ex¬ tract the fquare root of the laft produd for the area of the triangle. This pradical rule is deduced from the following geometrical theorem. The area of a triangle is a mean proportional between two reBangles, one of which is contained by half the perimeter of the triangle, and the excefs of half the perimeter above any one of its fides ; and the other is contained by the excejfes of half the perimeter above each of the other two fides. As this theorem is not only remarkable, but alfo of great utili¬ ty in menfuration, we (hall here give its dernonllra- tion. Let ABC then be any triangle •, produce AB, any !g' one of its fides, and take BD, and B d, each equal to BC } join CD and C d, and through A draw a line pa¬ rallel to BC, meeting CD and C d produced in E and e \ thus the angle AED will be equal to the angle BCD, (Geometry, Sed. I. Theor. 21.), that is, to the angle BDC or ADC, (Sed. I. Lheor. 11.) j and hence AE= AD (Sed. I. Theor. 12.) ; and in like manner, becaufe the angle A e is equal to the angle BC d, that is, to the angle B dC, ox Kde, therefore A ezz. A d. On A as a centre, at the diflance AD or AE, de- feribe a circle meeting AC in F and G j and on the fame centre, with the diilance A or A ^ deferibe an¬ other circle meeting AC in f and g, and draw BH and B h perpendicular to CD and Q^d. Then, becaufe BD, BC, B d are equal, the point C is in the circum¬ ference of a circle, of which D^/is the diameter, there¬ fore CD and Cd are bifeded at H and h (Sed. II. Theor. 6.) and the angle DCd' is a right angle, (Sed. II. Theor. 17.), and hence the figure CHB/& is a red¬ angle, fo that B /£ — CH— CD, and BH — C ^ — \ C d. Join BE, and Be, then the triangle BAC is equal to each of the triangles BEC, Bf C(Sed. IV. dheor. 2. Cor. 2) ", but the triangle BEC is equal to 4 EC X BH (Sed. IV. Theor. .2.), that is to | ECxC^Z; and in like manner the triangle B e C is equal to \ eC X B h, that is to ^ e C X CD, therefore the triangle ABC is equal to ^ EC X C and alfo to ^ ^ C x CD. Nowr fince CD : Cd :: CE X CD : CE x Cr/ C Sed. IV. and alfo CD : Cd :: C e X^B : C e X C^Theor.g. Therefore CE X CD : CE xC d C eX CD : Ce X Cd; that is, becaule CE X CDrrFC X CG, andCex C _ fCxCg (Sed. IV. Corollaries to Theor. 28 and 29.). FCxCG : CExC // l——v t~—± xBZ»' (Geometry, Seft. IV. Theor. 7.) AH+a'b' — ! y,2r»b ; and m lute manner the area 01 the 2 trapezoid CB b' D is —— b! — a b >< 2B £ ; therefore the area of the figure A a a’ b' H is nearly and Geometry, Sey) = 17-6363 5^9 , AB-f-fl'^' -T) 7 , . 7 T) 7 T x L x 2B^4-f X abY,2&b 2 r=:y(AB+4fl/'-j-fl,^/) xBZf. The figure HIDM ~ 103.2762Xt~68.8508 to which adding Fill, confidered as a portion of a pa¬ rabola, we have 75.245 for the area of the hyperbola. In the very fame way it may be (hewn that the area of the figure a' a" a'" b"' b' is nearly 4(fl' b' + ^a" b" + a'" £"0xB£, and that the area of the figure a’" a'y Pf)^'7 is nearly Z/1T + PQ) X Bin Therefore, the area of the whole figure bounded by the curve line AP, and the ftraight lines AB, BQ^QP, is nearly equal to the fum of thefe three expreflions, namely to r ABJ-P& iB£x -! +4(rti'-M''£"+«iv^iv) (.+2 (s' b'+a’" b'") 5 as was to be demonilrated. Example r. Let it be required to find the area of the quadrant ABC, whereof the radius AC~ 1. Let AC be bifeaed by the perpendicular DE, and let CD be divided into four equal parts by the perpen¬ diculars inn, pq-, T.r. Now becaufe CA~t, theiefore CDb=i, Cr=:|, Cp = ■£, Cm — \. Hence DE = EC2—CD1 )—\l(1-—0—3j_and in like manner PE=^lS^ rnn=\\l6^. Therefore F-TL=i+4I.8660 4E=4\/5_5_+ W 63 = 7.6767 2R=4-v/i5. — 1-9365 The fum 11.4792 Multiply by -f- D = vV The produdl is '47^3 Subtract the triangle CDE = *2165 There remains the fe£Ior CBE — ^ .2618 The triple of which is the quadrant ABC = .7854 Fig. 2S. Ex. 2. To find the area of the hyperbola FDM, of which the abfeifs FM=io, the femiordinate MD=i2, and femitranfverfe CF=I5. Let FM be divided into five equal parts by the femi- rrdinates HI, m n, p q, r s. Thus CH= 17, C m=j 9, Zb—2\ Cr=23, CM—2$. Now, fince from the rature of the curve, —CF2) : MD :: y/(6'Hj —CF1) : HI (Conic Sections, Part III. Prop. 19. Of LAND SURVEYING. The inftruments mod commonly employed in land furveying are the Chain, the Plane Table, and Crofs. A ilatute acre of land being 160 fquare poles, the chain is made 4 poles or 66 feet in length, that 10 fquare chains, (or 100,000 fquare links) may be equal to an acre. Hence each link is 7.92 inches in length. The plane table is ufed for drawing a plan of a field, and taking fuch angles as are neceffary to calculate its area. It is of a reblangular form, and is furrounded by a moveable frame, by means of which a fneet of paper may be fixed to its furface. It is furnifhed with an index by which a line may be drawn on the paper in the direclion of any object in the field, and with feales of equal parts by which finch lines rosy be made proportional to the - difiances of the objects from the plane table when meafured by the chain, and its frame is divided into degrees for obferving angles. The crois confills of two pair of fights fet at right angles to each other upon a fiaff having a pike at the bottom to Hick into the ground. Its ufe is to deter¬ mine the pgints where a perpendicular drawn from any object to a line will meet that line ; and this is effected by finding by trials a point in the line, fuch that the crofs being fixed over it fo that one pair of the fights may be in the direction of the line, the object from which the perpendicular is to be drawn may be feea through the other pair j then the point thus found will be the bottom of the perpendicular, as is evident. A theodolite may alfo be applied with great ad¬ vantage to land-furveying, more efpecially when the ground to be meafured is of great extent. In addition to thefe, there are other inftruments em¬ ployed in furveying, as the perambulator, which is ufed for meafuring roads and other great diftances.^ Levels, with telefcopic or other fights, which are ufed to de¬ termine how much one place is higher or lower than another. An ofsett-fiaff for meafuring the ofsetts and other fiiort difiances. Ten fmall arrows, or rods of iron or wood, which are ufed to mark the end of every chain length. Pickets or ftaves with flags to be fet up as marks or objeCls of direftion j and Lilly, feales, compafles, &c. for protradling and meafuiing the plan upon paper. > " The obfervations and meafurements are to be regu¬ larly entered as they are taken, in a book which is call¬ ed the Field-book, and which ferves as a regiller of all that is done or occurs in the courfe of the furvey . Tq or Soit^s. 52© Of Plane Figures. Fig. 29. %• 3°* Fjg. 31. MENSURATION. To Meafure a Field btj the Chain, Let A tv BCD q rsprefent a field to be meafured. Let it be refoived into the triangles A m B, ABD, BCD, A q D. Let all the fides of the large triangles ABD, BCD, and the perpendiculars of the fmall ones A w B, A y D from their vertices w, q be meafur¬ ed by the chain, and the areas calculated by the rules delivered in this fe6tion, and their amount is the area of the whole. But if, on account of the curvature of its fides the field cannot be wholly refoived into tri¬ angles, then, either a ftraight line may be drawn over the curve fide, fo that the parts cut oft' from the field, and thofe added to it, may be nearly equal. Or, with¬ out going beyonds the bounds of the field, the curvi- lineal fpaces may be meafured by the rule given in Prob. XV. of this fedlion. To Meafure a Field ivith the Plane Table. Let the plane table be fixed at F, about the middle of the field ABCDE, and its diftances FA, FB. FC, &c. from the feveral corners of the field meafured by the chain. Let the index be dire£led from any point sffumed on the paper to the points A, B, C, D, &c. fucceffively, and the lines F tf, F F c, drawn in thefe directions. Let the angles contained by thefe lines be obferved, and the lines themfelves made pro- jrortional to the diftances meafured. Then their ex¬ tremities being joined, there will be formed a figure abode fimilar to that of the field j and the area of the field may be found by calculating the areas of the feveral triangles of which it confifts. To Plan a Field from a given Bafe Line. Let two ftations A, B be taken within the field, but not in the fame ftraight line with any of its corners j and let their diftance be meafured. Then the plane table being fixed at A, and the point a affumed on its furface direftly above A, let its index be dircCled to B, and the ftraight line a b drawn along the fide of it to reprefent AB. Alfo, let the index be direfled from a to an objeCt at the corner C, and an indefinite flraight line drawn in that dire&ion, and fo of every other corner fuccefiively. Next, let the plane table be fet at B, fo that b may be diredly over B, and bam the fame dire&ion with BA, and let a ftraight line be drawn from b in the direftion BC. The interfeClion of this line with the former, it is evident, will determine the point C, and the triangle a b c on the paper will be fimilar to ABC in the field. In this manner all the other points are to be determined, and thefe being joined there will be an exact reprefentation of the field. If the angles at both ftations wrere obferved, as the iiftance between them is given, the area of the field might be calculated from thefe data, but the operation is too tedious for praftice. It is ufual therefore to meafure each lines in the figure that has been conftruCt- ed as will render the calculation eafy. SECTION III. MENSURATION OF SOLIDS. Problem I. Tb find the ftirface of a right prifm, or cylinder, 3 Rule. '—'~e~ Multiply the perimeter of the end by the length or height of the folid, and the produd will be the furface of all its fides ; to which add alfo the area of the two ends of the prifm when required. The truth of this rule will be evident, if it be con- fidered that the fides of a right prifm are redangles, whofe common length is the fame as the length of the folid, and their breadths taken all together make up the perimeter of the ends of the prifm. And as a cy¬ linder may be confidered as the limit of all the prifms which can be inferibed in or circumfcribed about its bafe ; fo the furface of the cylinder will be the limit of the furfaces of thefe prifms, and the exprefiion for that limit is evidently the produd of the circular bafe by its height. Or a cylinder may be coniidcred as a prifm of an indefinitely great number of fidcs. Ex. 1. What is the furface of a cube, the length of Fig. 35. its fide AB being 20 feet ? Here 4X20= 80 the perim. of end. And 80x20=: 1600 the four fides. And 2 X 20 x 20=: 800 the top and bottom. The fum 2400 = the area or furface. Ex. 2. What is the convex furface of a cylinder whofe length AB is 20 feet, and the circumference of ^ J its bafe 3 feet ? Here 3 X 2oxr6o feet, the anfwer. Problem II. To find the furface of a right pyramid or cone. Rule. Multiply the perimeter of the bafe by the flant height or length of the fide, and half the produd will evidently be the furiace of the fides, or the fum of the areas of ail the triangles which form it. To which add the area of the end or bafe, if required. Note. Here a cone is confidered as a cylinder of an-pj^ , indefinitely great number of fides. h Ex. 1. What is the upright furface of a triangular pyramid, A BCD, the flant height, AE, being 2® feet, and each fide of the bafe 3 feet ? Here 3X3X20 2=90 feet, the furface* Ex. 2. Required the convex furface of a cone, the pig. re. flant height AB being 50 feet, and the diameter of its ' * ' bafe 85 leet. Here 8.5x3.1416=1 circum. of bafe. And ?-?-*T4'6^=667.;9, the anW. Problem Of Solids. MENSURATION. Problem III. To find the furface of the fruftum of a right py¬ ramid or cone, being the lower part, when the top is cut off by a plane parallel to the bafe. ' Rule. Add together the perimeters of the two ends, and multiply their fum by the flant height, and take half the product for the anfwer. The truth of this rule will be evident if it be con- fidered that the fides of the fruftum are trapezoids, whofe parallel fides bound its top and bafe, and whofe common breadth is its flant height. Fig. 36. Example. How many fquare feet are in the furface of a fruftum AG of a 1’quare pyramid, whofe flant height AE is 10 feet; alio each fide of the greater end AC is 3 feet 4 inches, and each fide of the leffer end EG 2 feet 2 inches. Here 3-} X4=i3-f the per. of gr. end. And 2-g- X 4= 8-f- the per. of lefs end. And their fum is 22 feet. 2,2 X J O Therefore =ziio feet, is the anfwer. 2 Problem IV. To find the folid content of any prifm or cylin¬ der. Rule. Find the area of the bafe or end of the figure, and multiply it by the height or length, and the produft will be the area. This rule follows immediately from Theor 11. Seft. VIII. and Theor 2. Se6t IX. Geometry. Fig. 32. Ex. 1. What is the folid content of a cube AG, the length of whofe fide is 24 inches ? Here 24'X 24=576 fq. inches, the area of the end. And 576X 24=13824 cub. inches is the folidity. Fig. 33. Ex. 2. Required the content of a triangular prifm, a- whofe length AD is 20 feet, and the fides of its trian¬ gular bafe ABC are 3, 4, and 5 feet. Firft, the area of the triangular bafe is found by Rule 3. of Prob. 3. Seft. II. to be V ( ' X 2 X 2 X 1) =6 fq. feet. Therefore 6 X 20 = 120 cub. feet the folidity. Ex. 3. The Winchefter bufhel is a cylinder 1 Sc¬ inches in diameter, and eight inches deep. How many cubic inches does it contain ? By Prob. 10. of Seft. II. the area of its bafe is .7854X 18.52r= 268.803 fq. inches 5 Therefor^ 268.803 X 8=2150.424 is the folid content. Vol. XIII. Part II. Problem V. 521 Of Solids. To find the folid content of any pyramid or cone. Rule. Find the area of the bafe, and multiply that area by the height, and one-third of the product will be the content of the folid. This rule is demonftrated in Theor. 16. Sect. VIII. and Theor. 3. Se£t. IX. Geometry. Ex. I. What is the content of a triangular pyramid Fig. 34, ABCD, whofe perpendicular height AF is 30 feet, 6 ° ' and each fide of its bafe BCD is three feet. Firft, the area of the bafe, as found by Rule 2. of Pxob. 3. Sedt. II. is v/ (4.5 X 1.5 X 1.5 X 1.5) =3.89711. Therefore ^221121i^=38.97x 1 cub. feet is the fo* lid content. . Ex. 2. What is the folid content of a cone, the ra- Fig. 35. dius BC of its bafe being nine inches, and its height AC 15 feet. 8 Here .7854 X ^=1.76715 is the area of the bafe in fquare feet. I.767 T C V I C And *-=8.8357 cub. feet is the folxd con¬ tent. Problem VI. To find the folidity of the fruftum of a cone or py¬ ramid. Rule. ‘ ^ Add into one fum the areas of the two ends, and the mean proportional between them, that is, the fquare root of their produdl, and one-third of that fum will be a mean area, which being multiplied by the perpen¬ dicular height or length of the fruftum will give the content. Demonjlration. Let PABCD be any pyramid, and pjg AG a fruftum of it contained between ABCD its bafe, and EFGH a plane parallel to the bafe. Put a for the fide of a fquare equal to AC the bafe of the fruf¬ tum •, b for the fide of a fquare equal to EG its top j ^ for LM the height of the fruftum, and c for PL the height of the part of the pyramid above the fruftum. Then a* is the area of the bafe of the ffuftum $ b1 is the area of its top ; a' is the folid content of the whole pyramid; (Geom. Seft. VIII. Theor. 16.) c is the content of its upper part; and therefore y^a* (^+c)—b*c^ is the folid content of the fruftum itfelf. No v the bafe and top of the fruftum being fimilar figures, ( Se£t. VI11. 3 U Theor. 522 Of Solids. MENSURATION. Theor. 33.) their areas are to cne another as the fquares of AB and EF their homologous fide';, (Se la be adlually divided by its denominator, and we lliall •obtain for the area of the fruftum this more fimple ex- preflion, which formula, when expreffed in words, is the rule. And as a cone may be confidered as the limit of all the pyramids that can be inferibed in it, when the number of fides is conceived indefinitely increafed, it is evident that the rule will apply alike to the cone and pyramid. Ex. 1. Required the folidxty of the fruftum of a hexagonal pyramid, the fide of whofe greater end is four feet, and that of its leffer end is three feet, and its height nine feet. Firft, by Prob. 7. Se£l. II. the area of the bafe of the fruftum is found to be 41.369, and the area of its leffer end 23.383 fquare feet. And the mean propor¬ tional between thefe is V (41.569x23.383) -31.177. . Hence the mean area is t (23-383+4i-569+3I-I77) =32-043- And the folid content of the fruftum is 32.043x9=288.387 cubic feet. Ex. 2, What is the folidity of the fruftum of a cone, the diameter of the greater end being five feet, that of the leffer end three feet, and the altitude nine feet. Here the area of the greater end is (by Prob. 10. Seel. II.) 5jX'7854i and the area of the leffer end is 3* X .7854, and the mean proportional between them is s/ (5J x_3* x •7854i) —5 x 3 X .7854; therefore the .mean area is •7854 X (5a+3*-f* 5X3)—i2.8282.,' •And the content of the fruftum 12.8282x9= 115-4538 cub. feet. Problem VII. To find the furface of a fphere* or of any feg- rnent or zone of it. Rule, ,of^nuVy Multiply the circumference of the fpherc by the height of the part required, and the produft will be the curve furface, whether it be a fegment, a zone, or the whole fphere. Note. Ihe height of the whole fphere is its dia¬ meter. I he truth of this rule has been already fhown in the article Fluxions, §. 165. It may however be deduced from principles more elementary, by reafonino- as follows. Let PCQbe a femicircle, and ABODE fe- Fftl- 37' veral fucceftive fides of a regular polygon inferibed in it. Conceive the fenucircle to revolve about the diameter PQ^as an axis, then the arch ABODE will generate a portion of the furface of a fphere, and the chords AB, BO, CD, &c. will generate the furfaces of fruftums of cones j and it is eafy to fee that the- number of chords may be fo great that the furface which' they generate ftiall difter from the furface generated by the arch ACE by a quantity which is lefs than any aftigned quantity. Bifed AB in L, and draw AF, LM, BG, CH, &c. perpendicular to PQ. For the fake of brevity, let circ. AF denote the circumference of a circle whole radius is AF. Then becaufe AF, BG, LM, are to- each other refpeftively as circ. AF, circ. EG, circ. LM (Geom. Seed. VI. Prop. 4.J), and becaufe 4(AE -j-BG)— LM, therefore 4 {circ. AY-{-circ. BG) = circ. LM. Now the area of the furface generated by the chord AB is 4 {circ. AY-{-circ. BG( X AB, (Prob. 3.) therefore the fame area is alfo equal to {circ. LM) X AB. Draw AO parallel to FG, and draw7 LN to the centre of the circle. Then the tri¬ angles AOB, LMN are manifeftly fimilar; therefore AB : AO :: NL : LM :: circ. NL : circ. LM ; and hence AO X circ. NL=r AR X circ. LM. But this haft quantity has been proved equal to the furface genera¬ ted by AB, therefore the fame furface is equal to AO X circ. NL, or to YGxdrc. NL, that is, to the rectan¬ gle contained by FG and the circumference of a circle inferibed in the polygon. In the fame way it may be ftiovvn that the furfaces generated by EC, CD, DE, are refpeftively equal to GHxcirc. LN, HI X circ. LN, IK Xcirc. LN. Therefore the whole furface generat¬ ed by the chords AB, BC, CD, DE, &c. is equal to (FG -f-Gfl-f-HI~f- IK) x circ., LN—FK X circ. LN. Conceive now the number of chords between A and E to be indefinitely ir.ereafed ; then, obferving that the limit of the furface generated by the chords is the fur¬ face generated by the arch ABCDE, and that the li¬ mit of NL is NP, the radius of the generating circle, it follow's that the fpherical futface or zone generat¬ ed by the arch ACE is equal to the produff of the circumference of the fphere by FK the height of the zone. E.x. 1. What is the fuperficies of a globe whofe dia¬ meter is 1 7 inches r Firft i 7 X3-1416=53.4072 inches—the circum. Then53.407: X 17=907.922444. inches—6 305fquare feet the ar.fwer. Ex. 2. What is the convex futface of a fegment 8 inches in height cut off from the fame globe { Here M E N S U wsohi. H«. r3.40?8X8=4j7.Ji75 f<1. i„ciles=:2.967 f v — icet the anfwer. ^ ^ Problem VIII. To find the folidity of a fpherc. Rule I. Multiply the area of a great circle of the fphere by its diameter, and take y of the product for the content. Rule II. Multiply the cube of the diameter by the decimal .5236 for the content. The firfl of thefe rules is demonflrated in Geometry ^e&r lX-,Theor- 61 And the fecoqd is deduced from U^e firft, thus: put e/ for the diameter of the fphere, then ^X.7854 is the area of a great circle of the fphere and by the firli rule X'5236 is its content. J Example. What is the content of a fphere whofe diameter is 6 feet. > Anfwer 63 X •523^—-1 cub. feet. Problem IX. RATION. 52S the radius DG, is equal to the fum of the circles de- Of Solids. icnbed with the radii DH, DB j that is, the fedion of * t„e cylinder at any altitude, is equal to the correfpond- ing iections of the fphere and cone taken together. Gonlequently by the foregoing axiom, the cylinder is equa to the hemifphere and cone taken together, and a S tTxe/egment of the cylinde1' between the planes l ^ V c 1S CqUal t0 ths fum of the figments of the uerniiphere and cone contained between the fame planes. ars2 c a- 2A^,’ t^e diafneter of the circle, =d, and AD, the height of the fphericai fegment, —/5. Then ACzrl dand 2CA—lADmzCDr^/—2 L Let n de* note the number .7854. Then the area of the hafe com- mon to the come fruftum AH, and cylinder AG, is « (oca. II. Prob. 10.),and the area of the top ofthefru- mm is n (V—2 3)*, and the mean proportional between * e_e aceas is n (, or to ~ (3d—2 h) h\ which expreffion, if it be confidered that — or 3 3 is equal to .5236, is evidently the fame as that given by the rule. Example. In a fphere whofe diameter is 2r, what is the folidity of a fegment whofe height is 4.5 inches ? Firft 3 x 21—2X4*5:=54• Then 54 X 4.5 X 4.5 X -5236=572.5566 inches, the fo¬ lidity required. Problem X. To find the folid content of a paraboloid, or fo¬ lid, produced by the rotation of a parabola a- bout its axis. Rule. Multiply the area of the bafe by the height, and take half the produdl for the content. To demonfirate this rule, let AGC and BHD be two Kg, 39. equal iemi-parabolas lying in contrary directions, and having their vertices afthe extremity of the line AB. Let AD, BC be ordinates to the curves. Complete the rectangle A BCD, and conceive it to revolve about AB as an axis ; then the redtangle will generate a cy¬ linder, the radius of whofe bafe will be AD, and the two. femi-parabolas will generate two equal paraboloids ^ having the fame bafe and altitude as the cylinder.. Let a plane be drawn perpendicular to the axis, and let FHGE be the common fetftion of this plane and the 3 U 2 generating / 524 Of Solids. renaming figure, axis. Then lince M F. N S U R A T I 0 N. L?t P denote the parameter of the Problem XI. Of Solids. To find the folid content of a parabolic fpindle pjg 40 or folid generated by the rotation of AEB an arc of a parabola, about AB an ordinate to the axis. EG*=Px AE, and EH2=rPxEB, EG* -f EH*— P x AB=C B*. Hence it appears, as in the demonftration of the pre¬ ceding rule, that of the folids defcribed by ADCB, ACB, ADB between the fame parallel planes, the fec- tion of the cylinder at any altitude is equal to the cor- refponding fedions of the paraboloids taken together. Confequently (by the Axiom) the cylinder is equal to both the paraboloids taken together j hence each is half a cylinder of the fame bafe and altitude agreeing with the rule. The fame thing is alfo proved in Fluxions, §. 163. Example. If the diameter of the bafe of a para¬ boloid be 10 and its height 1 2 feet j what is its con¬ tent ? Here 10 X •7854=7.854 the area of the bafe. And 4-X7.854X 12=47.124 cub. feet is the folidity. Rule. Multiply the area of the middle fe&ion by the length, and take ^ of the produd for the content of the folid. For the inveftigation of this rule we mull refer the reader to Fluxions, § 163. Ex. 2. Example. The length of the parabolic fpindle AEB^A is 60, and the middle diameter E ^ 34 ; what is the folidity ? Here 34* X-7854 is area of the middle fedion. Therefore 341 X.7854 X 60Xtt= 29°53-5i68 is the folidity required. Problem XII. Problem X. To find the folid content of a fruftum of a para¬ boloid. Rule. Add together the areas of the circular ends, then multiply that fum by the height of the fruftum, and take half the produd for its folid content. To prove this rule put A and a for the greater and leffer ends of the fruftum, and h for its height; alfo let c denote the height of the portion cut off from the com¬ plete paraboloid, fo as to form the fruftum. Then, by the laft problem, the content of the complete parabo¬ loid is 4-A (/£-j-c), and the content of the part cut off is ^ ac, therefore the content of the fruftum is 4|A(^-fc)—a c) = t{A>5-Pc(A—c)^- But from the nature of the parabola, c w a : A > hence A.c~ah-\-a.c and c —— —. A—a Let this value of c be fubftituted inftead of it in the above expreflion for the content of the fruftum, and it becomes i(A h-\-a /$)—-^(A-j-tf), and hence is derived the rule. Example. Required the fblidity of the fruftum of a paraboloid, the diameter of the greater end being 58, and that of the leffer end 30, and the height 18. Firft, (by Prob. 10. Sed. II.) we find the areas of the ends to be 58* X *7854, and 30* X .7854 •, therefore their fum is (58* -f- 30*) x .7854 = 4264 x .7854- And the content of the figure is -§• X 4264 X-7854 X 18=30140.5104, the anfwer. To find the folid content of the fruflum of a parabolic fpindle, one of the ends of the fru- (turn pafling through the centre of the fpindle. Rule. Add into one fum eight times the fquare of the dia¬ meter of the greater end, and three times the fquare of the leffer end, and four times the produd of the diame¬ ters ; multiply the fum by the length, and the produd multiplied by .05236, or of .7854, wrill be the con¬ tent. For, referring the reader to Fluxions, § 163. Ex. 2. as before, and fubftituting h for ACrr^ but, in other refpeds, retaining the figure and notation, we have this general expreflion for the fegment AP />, which, when x~h gives - for the value of the fe- 15 a* mi-fpindle. From this quantity let the former be fub- traded, and there wall remain 8 7T ll* •X X^ 15 a1 a* for the content of the fruftum. In this expreflion let % be put inftead of h—x or CD, and, denoting CE the h* radius of the greater end of the fpindle by the content. Ex. What is the folid content of an oblate fpheroid, or folid generated by the rotation of an ellipfe about its lefler axis, the two axes being as before. Here 30 X 50* X .5236:=39270 the anfwer- Problem XIV. To find the folid content of the fruftum of a fphe¬ roid, its ends being perpendicular to the fixed axis, and one of them palling through the centre. Rule. To the area of the lefs end add twice that of the greater, multiply the fum by the altitude of the fru¬ ftum, and y of the product will be the content. Elote. This rule will alfo apply to the fphere. Demonjlration. Let ABE be a quadrant of an el- Of Solids. lip;e, C its centre, CAFE its circuinfcribed reftangle, and CF its diagonal. Draw any ftraight line DG pa¬ rallel to CE, meeting AC, CF, ABE and EF in D, H, B, and G. Then by Conic Sections, Part II. Prop. 11. CE2 or AF2 : DB* :: CA : CA2—CD2, and by fim. tr. AF* : DH2 :: CA* : CD2. Therefore (Geometry, Sett. III. Theor. 8 ), AF2 : DB2 + DH2 :: CA* : CA*; Hence DB* + DH2 = AF2 = DG2. • Conceive now the figure to revolve about AC as an axis, fo that the elliptic quadrant may generate the half of a fpheroid, the rettangle AE a cylinder, and the triangle ACF a cone •, then it is evident (as was fhown in the cafe of the fphere in Prob. 9O that every fettion of the firft of thefe folids by a plane perpendicu¬ lar to the axis is equal to the difference of the fettions of the other two, and confequently that the fruftum of the fpheroid between CE and DG is equal to the difference between the cylinder having DG or CE for the radius of its bafe, and CD for its altitude, and the cone having DH for the radius of its bafe, and DC for its altitude. Put//for the number 3.1416, then (Prob. 4.) the content of the cylinder is 4 «xDG2xCD, and (Prob. 5.) the content of the cone is 4 w X DH* X CD, and therefore the content of the iruftum of the Tphe*- roid is 4 «XCD (DG*—\ DH*). But it was Ihewn that DH*~DG*—DB“ j there* fore the content of the fruftum is alfo equal to- 4 7?xCD (2 CE*+DB*), and hence is derived the rule. Ex. Suppofe the greater end of the fruftum to be‘ 15, the lefs end 9, and the length 10 inches, required the content ? The area of the greater end is i5*X-7854j anc3 area of the lefs 9* X -7854, therefore the content is .7854 ( 9*4-2Xij*) X-Lr = I39°-I5S cubic inches* Problem XV. To find the folid content of a hyperboloid, or folid generated by the rotation of a hyperbola about its tranfverfe axis. • Rule. As the fum of the tranfverfe axis and the height of the folid is to the fum of the faid tranfverfe axis and j of the height, fo is half the cylinder of the fame bafe and altitude to the folidity of the hyperboloid. Demonjlration. Let BA ^ be a hyperbola, A <7 its 4> tranfverfe axis, C its centre, CF,C/ its afymptotes, FA/ a tangent at its vertex. Draw FE parallel to C A, and draw’ any ftraight line parallel to F/ meeting the ’afymptotes in H and h, the curve in B and the axis in D, and the line T E in G. I hen, becaufe AF —BHx^B (Conic Section?, Part III. Prop it.) v and M E N S U R ^ HE X ;,B= DH*— DB> (Geometry, Sefl. IV IJieon 12.), therefore AF^DH2—DHS and DR’ — FJD3—DG’. Hence it appears, that if the figure be concaved to revolve about CA as an axis, fo that the hyperbolic arc AB may generate a hyperboloid, the triangle BCH a cone, and the reftangle DAFG a cylinder, any feaion of the firft of thefe folids by a b‘an perpendicular to the axis, will be equal to the difference of the fecdions of the other two by the fame plane. I herefore the hyperboloid BAb is equal to the difference between the conic fruftum FH // /and /e c} J,nder FG gf. Let A a the tranfverfe axis be cenoted by />, lf = its conjugate axis by AD the ^eight of the fohd by A, B b its bafe by b. Then becaufe by fimilar triangles, &c, ’ A T I O N. things falling under the cognizance of the officers ofOfGau the excite, and it has received its name from a gauge ^ or rod uted by the practitioners of the art. From the way m which calks are conllruaed, they are evidently folids of no determinate geometrical fi¬ gure. It is, however, ufual to confider them as havino- one or otner of the tour following forms: 1. The middle fruftum of a fpheroid. 2. I he middle fruftum of a parabolic fpindle, 3- ^ he two equal fruftums of a paraboloid. 4- he two equal fruftums of a cone. CA : CD:: Ff: HA therefore F/X H X Fy: F/a: F/xH/i, Ct/> + //y =r+ Now F/-/, andH^ (=B ^ + F/’)r^ +^there¬ fore putt.ng « for .7854, we have (by Prob. 6.) the content of the conic fruftum FH hf equal to nh (?•+*•+?*+?■+ 2 A , -r 0 i- £) P A 3 \”‘ 1 p from this fubtraft n hq\ the expreffion for the content of the cylinder FG^/, and there will remain 3V ^ p for the content of the hyperboloid, lure of the hyperbola A«* : Fp :: AD X Da that is/1 : f :: (p + A) A : 2 A q* p b ~p~ ~~ But from the na- BD1 ■therefore We have already given rules by which the content of each of theie folds may be found in cubic feet, inches, . But as Jc is ufual to exprefs the contents of calks- in g a Lons, we lhall give the rules again in a form itnted to that mode of eftimating capacity. Obfervincr tnat in each cafe the lineal dimenfions of the calk ara luppoied to be taken in inches. Problem. I. To find the content of a calk of the firft, or fph+^J of the hyperboloid is alio equal to d hence the content ioohesinan ale gallon )gives (2 B’-J-H1) L X *00928371, or (2Bj + FP)x X L, for the content in ale 71 A ~3 (/.» + p b* )J= n A b* p + \A 2(p + A)) 2 x p + A Now if it be confidered that the quantity n A b* is the exprelljon for the content of a cylinder whofe bafe is b and height A, it will appear evident, that this laft for¬ mula is the lame as would refult from the foregoing E*. Suppofe the height of the hyperboloid to be 10, the radius of its bafe 12, and its tranfverfe axis ,0! What is its content ? ^ % * zBeCoUfe 3 cyhnder of the fame bafe and altitude JS 24 x -7054 X 10, therefore, we have the proportion, I077-J 57 gallons. And being divided by 231, (the cubic inches m a wine gallon) gives (aB’-f-H1) X-coi 13333 L> or (2B1ff- H1) X gg2 XL, for the content in wine gallons. 40 . lif .. ?4* X-7854X 10 3 2 24-X-/8?4 X 10 x x 10 4° X 3 X 2 —2°73'45^> fbe content the folid as required. Of GAUGING. Gauging treats of the meafuring of calks, and other Ex. Suppofe the bung and head diameters to be 22 and 24, and the length 40 inches. Required the con¬ tent ? Here (2 X32* + H*) X 4° X .00091=97.44 ale gallons, is the content required. And (2 X322 + 24j) X40 X *001 r|=:ii 8.93 wine gal¬ lons is the fame content. Problem II. To find the content of a calk of the fecond, or pa¬ rabolic fpindle form. r Rule. To the fquare of the head diameter add double that of the bung diameter, and from the fum take f, or T% oi MENSURATION. ^27 l‘Jie fq^.re °;the d^erence of the faid diameters. For by Problem 6. the content m inches is |(B4 Of Gauging Fi.en multiply the remainder by the length, and the +BH+H1) X .7854 L which expreffion is equivalent' produff mu.tiphed, or divided by the lame numbers as to * in the rule to laff problem, will give the content. r ^ " ’ " " ' {3(B+H)-+(B_H)q x lc — > Now -- 12 i 7 o 1 or oy Problem x 2. the content in inches is X.7854L5 L. divided by 2^2 gives .00023205 and this formula may be othenvife expreffed thus, {aB’+H1—}(B—H)4 x ’—^XL, and hence is derived the rule, the multipliers or diviiors being evidently die fame as in laft problem. Ex. 1 he dimenGons of a calk being the fame as in laft problem 5 required the content. Anfwer. (2 X 32* + 242 — tX81) X 40 x .00094 = 96.49 the content in ale gallons. And 10393.6x.00111=117.79 the content in wine gallons. Problem III. To find the content of a calk of the third or pa raboloidal variety. Rui.e. To the fquare of the bung diameter add the fquare of the head diameter, and multiply the fum by the length; then, if the produft be multiplied by.0014, or divided by 718, the refult will be the content in ale gallons ; or if it be multiplied by .0017, or divided by 588, the refult will be the content in wine gallons. For by Problem 10. the content in inches is 4(BS 4-HJ) X .7854 L ; and this expreffion being divided by 282 gives (B24-Hj) X .00139255 L or (B1 -j-H2) X 7TT105 X ^ f°r t,iC contcnt ]*n ale gallons; and divided by 231 gives (B’ + H2) X .0017 L or (B2 X H2) X -=5 for the content in wine gallons. 588.233 ^ Ex. Suppofe tlie dimenfions of a calk, as before • re¬ quired the content. Anfwer. (322-f 242) X4°X.oci4=89.i the content in ale gallons. A'^d 64000 X-OOl 7 = 108.8 the content in wine eal- lons. Problem IV. To find the content of a calk of die fourth or conical variety. Rui.e. To three times the fquare of the fum of the diame¬ ters add the fquare of the difference of the diameters; multiply the fum by the length ; and multiply the rer fult by .000233- or divide it by 4308 for the content in ^le gallons; or multiply the refult by .0028', or divide it by 3 5 29, for the content in wine gallons. — 4^08 628 t^e mu‘t’P^er ^or ale gallons, and divided b7 23 1 gives .00028333= the multiplier for 3529.42 r wine gallons. Ex.' Suppofing the dimenfions of a calls, as before*. What is its content ? Anfwer, (3 x 562+8*5 X 40 X .000231=87.93,^6 con¬ tent in ale gallons, And 378880 X .00028-] = 107.35, is the content in wine gallons. As thefe four forms of calks are merely hypotheti¬ cal, it may reafonahly be expetted that lome degree of uncertainty will attend the application of the rules to actual meafurement. The following rule, however, given by Dr Hutton in his excellent treatife on men- furation will apply equally to any calk whatever. And as the ingenious author obferves, that its truth has been proved by feveral calks which have been aftually filled vsitn a true gallon-meafure after their contents were' computed by it, we prefume that it is more to be de¬ pended upon in practice than the others. Rule. . -Add into one fum 39 times the fquare of the bung diameter, 25 times the fquare of the head diameter, and 26 times the produdl of the diameters; multiply the fum by the length, and the produdf by .00034 ; then tile laid product divided by 9 will give the wine o-al- lons, and divided by 11 will give the ale gallons. ° In in veil!gating this rule the ingenious author af- fumed as a hypothefis, that one-third of a caik at each end is nearly the fruftum of a cone, and that the mid¬ dle part may be taken as the middle fruftum of a para¬ bolic fpindle. . This being fuppofed, let AB and CD be the two right-lined parts, and BC the parabolic part ; produce AB and DC to meet in E, and draw lines as in the figure. Let L, B, and H denote the fame as before. Then, fince AB has the fame direc¬ tion as EB at A, ABE will be a tangent to a parabo¬ la BF, and therefore FI = 4EI. But BI=|AK, and hence, by fim. triangles EI=|EK ; confeqpently FI =^EI= jEK=J-FK=t,5(B—H) ; fo that the com¬ mon diameter BL=FG—2FI=B—|(B—= -j-bf )> which call c. Now by the rules for parabolic fpin- dies and conic fruftums we obtain (putting n for .ySA) 8B2-f-4B"-f- 3C2 L ti 328B2 -f- 44BH 4- 3 H2 M 3 — 25X45 ' ' cj+CH--I7s xL« for the parabolic or middle part; and — 1—~ X 2L/;_ i6oB*-j-28oBH4-3ioH2 25 X 45 X B« for the two ends, Fio 44- 0 c ^1 28 MENSURATION*-. Spends, and the Turn of thefe two gives after proper re- .0^34 wUl be the multi?Xkt for ak gallons as in the°iS^j duflion (jpB8-]-26BH-f* 25H*) x—-•» nearly, for ru]e> n '-8c4 ^x‘ Suppbfe a calk to have the fame dimenfions as the content in inches. And the quantity —or ——- in the four former rules 5 required the content. 90 90 Here (39VX 3 22 + 26 X 3 ? X 24 + 25 X-’42) X 4Q being divided by 231 gives the multiplier for X'0°034—1010.5 ; which being divided by 9 and by 9 11 we obtain 112.3 wine gallons or 9^9 ale gallons wine gallons} and fince 231 is to 282 as 9 to 11 nearly, for the content required. * MEN Menftrual MENSTRUAL, or MenstRuous, in Physiology, l! -is .applied to the blood which flows from women in their * ordinary monthly purgations. See Midwifery and JYIedicine Index. MENSTRUUM, in Chemijlry, any body which in a fluid or fubtilized ftate is capable of interpofing its fmall parts betwixt the fmall parts of other bodies, fo as to divide them fubtly, and form a new uniform compound of the two. MENTHA, mint, a genus of plants belonging to the didynamia clafs, and in the natural method ranking under the 42d order Verticillatce. See Botany In¬ dex. MENTOR, in fabulous hiftory, a faithful friend of Ulyfles} a fon of Hercules; a king of Sidonia, who revolted againft Artaxerxes Ochus, and afterwards was reflored to favour by his treachery to his allies, &c. Diod. 16. An excellent artift in polifhing cups and engraving flowers on them. Phn. 33. c. 11.—Mart. 9. ep. 60. v. 16. MENTZ, an archbilhopric and electorate in Ger many. It lies on the banks of the river Maine, between the deflorate of Triers on the weft, the Palatinate on the fouth, Franconia on the eaft, and the Wetterau -on the north. It is about 60 miles in length from north-eaft to fouth-weft, and about 50 in breadth. A confiderable part of the elector’s revenue arifes from the toll on the Rhine and Maine, and from the "tax on the excellent wanes produced in this country. The chief towns of any trade are, 1. Mentz ; (fee the next article.) In its neighbourhood is Plock- heim, fo celebrated for good wines, that the beft Rhenifh is from thence called old hock. It is a pretty village, containing about 300 families } and belongs to the chapter of Mentz, the dean of which enjoys the revenue of it : in a good year he makes from twelve to fifteen thoufand guilders of his wine. He and the Auguftins of Mentz and Francfort have the exclufive enjoyment of the beft Hockheimer wine, of which, in good years, a piece, confifting of 100 mea- fures, fells for from 900 to 1000 guilders from the prefs. “ This (fays the Baron Rieflaeck) is cer¬ tainly one of the deareft wines in the world. Having a defire to tafte it on the fpot, we were obliged to pay a rixdollar} it wras, however, of the beft vintage in this century, viz. that of 1766. Nor ftiould we have had it, but for an advocate of Mentz, to whom the hoftefs meant to (hew favour. This wras the firft Ger¬ man wine I had met with which was entirely without MEN any four tafte : it was quite a perfume to the tongue ; Mentz. whereas the other wine o- Hockheim, let it be as good v~“ as it may, is not quite clear of vinegar } though for this alfo, if it has any age, you are forced to pay a guilder and a half.” 2. Bingen is a pleafant town, which (lands in the diftrift called Rhinegau. This town, which, together with the toll on the Rhine, is worth about 30,0:0 guilders, belongs to the chapter of Mentz, is extremely beautiful, and contains about 4500 inhabitants. A great part of the corn which •is carried into the Rhinegau from the neighbouring Palatinate, comes through this place, which, on the other hand, fupplies the Palatinate with drugs, and va¬ rious foreign commodities. This traffic alone would make the place very lively } but, befides this, it has very fruitful vineyards. The hill, at the foot of which it lies, and one fide of which is made by the gullet through which the Nahe runs into the Rhine, forms another deep rock behind this gullet parallel to the Rhine and the golden Rudefheimer mountain} it there¬ fore enjoys the fame (un as this does, which makes the Budeftieimer wine that grows on it little inferior to the Rudetheimer. See RuDESHEIM. The riling grounds about it produce wines that are efteemed preferable to thofe of Baccharac, fo much in vogue heretofore.— 3. Elfeld, five miles weft from Mentz, is a ftrong for¬ tified town, on the north fide of the Rhine, and the chief of the Rhinegau.—Here is Rudelheim, a place noted for the growth of the beft wines in thefe parts. 4. Weilhaden lies between fix and feven leagues from Francfort, and about five or fix miles north of Mentz } it is the metropolis of a country belonging to the branch of Naffau-Saarbrak, and is famous for its mi¬ neral waters. According to Riefbeck, the fee of Mentz is indebted for its increafe of riches to St Boniface, who may be called, with great juftice, the apoftle of the Germans. It was this man, an Engliihman by birth, who in the time of Charlemagne baptized Witikind and the other brave Saxons who had fo long refifted baptifm with their fwords, and fpread the empire of the vicar of Jefus Chriil as far as the northern and eaftern feas. He it was who introduced the Roman liturgy into Germany, and made the favage inhabitants abftain from eating horfe’s fielli. He railed the papal power to a higher pitch than it had been raifed in any other country in Chriftendom } and, in recompence of his fervices, the pone made all the new founded bilhoprics in the north of Germany fubjeft to the lee of Mentz, which Boni- D- t • / / f / / M 'E N . ; [ 5 Mentz. face had chofen for Ins refidencc. The provinces, the ^' moil: confiderable in the whole papal dominions, all Suabia, Franconia, Bohemia, and almoft all Saxonv, with a part of Switzerland, Bavaria, and the Upper Rhine, belong to this diocefe. Though the reforma¬ tion, and revenge of the kings of Bohemia, have leffen- * ed it one-third, it ftill contains the archbifliopric of Sprengel, and eleven bifhoprics, moft of which are the moll conlideftble of Germany, as Wurzburg, Pader- laorn, Hildelheim, Auglburg, &c. When the build¬ ing of the papal monarchy was completed by Gregory VII. the archbilhops of Mentz became powerful enough to be at the head of the empire. In the 13th and 14th centuries, they wrere fo eminent as to be able to make emperors without any foreign affiftance $ and it was to one of them that the houle of Haplburg was indebted for its firft elevation. Since the boundaries of the two powers have been more acurately afcertained, and the temporal has fo much got the better of the fpiritual, the power and influence of the archbilhops of this place have of courfe been much reduced $ Hill, however, they are pofleffed of very important prerogatives, which they might exert with much more efficacy than they do, were it not that various circumltances have rendered them too dependent on the emperors. They are ftill the fpeakers in the electoral college, have the appoint¬ ment of the diets under the emperors, and may order a re-examination of the proceedings of the imperial courts. Thefe high privileges are, however, too much fubjedl to the controul of the houie of Auftiia j nor are their fpiritual powers any longer what they once were. Their fuffragan biffiops have taken it into their heads that all biffiops are alike as to power, and that the title of archbiffiop only entitles its poffeflbr to the firft place amongft brothers who are equal. The temporals, how¬ ever, which are ftill annexed to this chair, make him who fits in it rich amends for the diminution of his fpiritual and political fplendor. Though he does not abfolutely peffefs the largeft, yet he certainly has the richeft and moft peopled domain of any ecclefiaftical potentate in Germany. The country, it is true, does not contain more than i 25 German miles fquare, whereas the archbiffiopric of Saltzburg contains 240 j but then Saltzburg has only 250,000 inhabitants, whereas Mentz has 320,000. The natural riches of the territory of Mentz, and its advantageous fituation, make a fubjeft of Mentz much richer than one of Saltzburg, the greateft part of which is only inhabited by herdfmen. In the territory of Mentz there are 40 cities ; in that of Saltz¬ burg only feven. The tax on veffels wffiich go down the Rhine of itfelf produces 60,000 guilders, or 6000I. a-year, which is nearly as much as all the mines of Saltzburg put together, excepting only the fait mine at Halle. The tax on wine, here and in the country round, produces the court above 100,000 guilders, or io,oool. a-year, in which fum we do not reckon the cuftoms of the countries which lie at a greater diftance. Upon the whole, the income of the prefent archbiffiop may be valued at 1,700,000 guilders, or 170,000!. If the lands of the elector lay all together, they would produce a fufficiency of corn and all the prime necef- faries of life •, but as feveral parts of them lie wTide afunder, the people are compelled to pnrchafe a great deal from foreigners- The capital itfelf, as well as VOL. XIII. Part II. 29 1 M E N the adjacent Rhinegau, depends on the Palatinate for its corn, notwithftanding the great abundance of that and every other Ipecies of grain in its owm pofleffions in Wetterau. The noblett production of the elector’s teiritory on the Rhine is the wine, which is almoft the only true Rhenifh. Connoilfeurs, indeed, allow the wines of Neirftein, Baccarach, and a very few other places out of this country, to be true Rheniih : but they do not give this naitte to the 'wines of the Palatinate, of Bardon, and of Alfatia. There is a great deal of wane made in the countries which lie on the fouth and weft of the Rhine, at Laubenheim, Eodenheim, Budeftieim, and Bingen ; but the true Rheniffi, that which infpires fo many who are and fo many who are not poets, comes only from the Rhine¬ gau, which lies on the northern banks of the Rhine. See Rhinegau. The civil lift of the archbiftiop (according to Baron Rieffieck), is by much too immoderate and expenfive. “ He has his minifters, his counfel- lors of ftate, and eighty or ninety privy counfel- lors of various denominations. The expence of this eftabliffiment is very difproportionate to the revenue of the ftate. rJLhis is owing to the large number of poor nobility, who can only accept of employments of this kind. Ignorance of the true principles of go¬ vernment are the caufes of this evil. The confequen- ces are, that a great number of perfons, who might be ufefully employed, live in idlenefs. Even the mi¬ litary eftabliffiment of the country appears to me more calculated for the purpofe of feeding a hungry nobi¬ lity than for real ufe. At the acceffion of the prefent eleClor, though the whole army only confifted of 2200 men, there were fix generals. The regular eftabliffi¬ ment paid for and fupported by the country is 8000 men j but though there are only 2000 men kept up, the money expended for their fupport, particularly that given to nuinberlefs ufelefs officers, might be made ufe of more for the benefit of the country. The army of the archbiffiop confifts of a German guard of 50 men and 25 horfes, a Swifs guard, a fquadron of huffars of 130 men (the moft ufeful troops, as they purge the land of robbers and murderers), a corps of artillery of 104 men, three regiments of infantry of 600 men each, and fome companies belonging to the armies of Franconia and the Upper Palatinate. Of the fortifications of the capital we may fay much the fame as of the army. Were they, indeed, improved and kept up as they ought to be, they would vie with Luxemburg, and be the moft powerful of all the barriers againft France. It is true, that the nature of the ground does not allow of a regular plan j but for fingle parts, I have feen no place of the fame capabi¬ lities, where greater advantages have been taken of the ground for the ereClion of the feveral works. The beauty, as well as fize of them, is indeed an objeCt of great wonder $ but though the circle of the Upper Rhine, and even the empire in general, has laid out great fums on the building thefe fortifications, parts of them are not finiffied, and parts of them are ready to fall to pieces. Their extent, indeed, would require a great army to man them. But this, as well as the maintaining and keeping them up, is evidently beyond the power of this court, or indeed of the whole circle 3 X of Mentz. V— MEN f 5 or the Upper Rhine united. They are, therefore, alfo to be looked upon as one of the things which ferve more for magnificence than real ufe,” Mentz, a confiderable town of Germany, in the circle of the Lower Rhine, and capital of the eledto- rate ot the fame name, is fituated on the Rhine near its confluence with the Maine, 20 miles north weft of Worms, 15 weft of Francfort, and 75 eart of Triers, in E. Long. 8. 20. N. Lat. 40. 51. This city claims a right to the invention of the art of printing : (fee Hi/lory of Printing). Here is a very beautiful quay along the river, defended by feveral works well forti¬ fied with cannon. That part of the city which ex¬ tends towards the river is moft populous. The belt vineyards for Rhenilh wine being in this neighbour¬ hood, Mentz has a flourifliing trade in that commodi¬ ty more particularly ; and its commerce is the brilker, by reafon that all the jnerchandife which paffes up and down the Rhine Hops in its harbour to change bot¬ toms. _ The northern part of the city, in which the arch- bifhop refides, is full of very regular buildings. Here are three regular ftreets, called the Blcrchen, wThich run parallel to each other from the banks of the Rhine to 600 yards within the city, and are cut almoft regularly by very pretty crofs ftreets. The archbifliop’s"palace has a moft commanding view of thefe ftreets, the Rhine, and the Rfeinegau. Phere are alfo fome good build¬ ings in the old part of the city. The market of beafts is extremely well worth feeing; and you here and there meet with other agreeable fpots. The market in the middle of the town, though not regular, is one of the prettieft places in Germany. The cathedral is well worth notice. It is an immenfe large old Go¬ thic building, the fpire of which was ftruck with light¬ ning. about 20 years ago, and entirely laid in allies. As it was made of a toreft of wood, it burned 14 hours before it was entirely confumed. To prevent thefe accidents for the future, the chapter had the pre- fent one built to the fame height in ftone, an under¬ taking which coft them 40,000 guilders or 4000I. It is a great pity (Baron Riefbeck obferves) that it is Overloaded with fmall ornaments: and a Hill greater, that this wonderful edifice is fo choked up with (hops and houfes as to be hardly more than half vifible. As, however, houfes and (hops are very dear in this part of the town, one cannot be very angry with the chap¬ ter for choofing rather to make the moft of its ground, than to ftiow off the church to the beft advantage. The rent of a fhop and a fingle room to live in is 150 guil¬ ders or 15I. per annum in this part of the town. There is hardly another church in Germany of the height and length of this cathedral; and the infide of it is decorated with feveral magnificent monuments of princes and other great perlonages. Befides the ca¬ thedral, the city of Mentz contains feveral other churches in the modern ftyle, very well worth feeing. St Peter’s, and the Jefuits church, though both too much loaded with ornament, are among this number. The church of the Auguftins, of which the inhabi¬ tants of Mentz are fo proud, is a mafterpiece of bad tafte ; but that of Ignatius, though little is faid about it, would be a model of the antique, if here likewife there had not been too much ornament laviihed. Upon 30 ] MEN the w'hple, the palaces of the nobleffe wrant that ndble Merits fimpUcity which alone conftitutes true beauty and —— magnificence. In another century the externals of the city will be quite changed. The late prince built a great deal, and the prelent has a tafte for the fame fort of expence. I he monks and governors of hof- pitals alfo have been forced to rebuild their houfes ; fo that when a few more ftreets are made broader and ftraighter, the whole will have no bad appearance. The inhabitants, who together with the garrifon a- mount to 30,000, are a good kind of people, and, like all the catholics of Germany, make great account of a good table.. Their faces are interefting, and they are not deficient either in wit or adivity. I here are few cities in Germany befides Vienna which contain fo rich and numerous a nobility as this does : there are fome houfes here which have eftates of 100,000 guilders, or 10,cool, a-year. The counts of Baflenheim, Schonborn, Stadion, Ingelheim, Elz, Oftein, and Walderdorf, and the lords ef Dahlberg, Breitenbach, with fome others, have incomes of from 30,000 to 100,000 guilders. Sixteen or eighteen houfes have from 15,000 to 30,000 guilders annual revenue.—• The nobility of this place are faid to be fome of the oldeft and mod untainted in Germany. There are amongft them many perfons of extraordinary merit, who join uncommon knowledge to all the duties of aflive life. Upon the whole, they are far fuperior to the greater part of the German nobility. Their education, however, is ftill too ftiff. P'he firft minifter of the court was refufed admittance into their affemblies for not being fufficiently noble ; and they think they degrade themfelves by keeping company with bourgeois. The clergy of this place are the richeft in Germany. A canonry brings in 3500 Rhenifh guilders in a mo¬ derate year. The canonry of the provoft brings him in 40,000 guilders a-year ; and each of the deaneries is wrorth 2600 guilders. The income of the chapter al¬ together amounts to 300,000 guilders. Though it is forbidden by the canons of the church for any one to have more than a fingle prebend, there is not an ec- clefiaftic in this place who has net three or four ; fo that there is hardly a man amongft them who has not at leaft 8000 guilders a-year. The laft provoft, a count of Elz, had prebends enough to procure him an in¬ come of 75,000 guilders. Exclulive of the cathedral, there are feveral other choirs in which the canonries bring in from 1200 to 1500 guilders a-year. To give an idea of the riches of the monafteries of this place, Baron Riefbeck informs us, that at the deftruflion of the Jefuits, their wine, which was reckoned to fell extremely cheap, produced 120,000 rixdollars. A little while ago the eledlor abolilhed one Carthufian convent and two nunneries, in the holy cellars of which there was found wine for at leaft 500,000 rixdollars. “ Notwithftanding this great wealth (continues our author), there is not a more regular clergy in all Germany. There is no diocefe, in which the regula¬ tions made by the council of Trent have been more ftrhftly adhered to than they have here; the archbi- fhops having made a particular point of it both at the time of the reformation and ever lince. One thing which greatly contributes to keep up difeipline is the not fuffering any prieft to remain in. the country who men t 531 ] Men Ment2 wlio has not fixed and ftated duties, and a revenue an- nexed to them. Moft of the irregularities in Bavaria, r cnu^ 11‘15, Auftria, and other countries, ariie from abbes who are obliged to fubfiit by their daily induftry and any mafles which they can pick up. Thefe creatures are entirely unknown here. The theological tenets of this court are alfo much purer than thole of any other ec- lefiaftical prince in Germany. I was plcafed to fee the Bible in the hands of fo many common people, efpe- eially in the country, I was told that the reading of it was not forbidden in any part of the diocefe ; only perfons were enjoined not to read it through, with¬ out the advice of their confefiors. For a long time fuperftition has been hunted through its utmoft recef- fes $ and though it is not quite poflible to get entire¬ ly clear of pilgrimages and wonder-working images, you will meet with no prieft bold enough to exorcife or to preach fuch nonfenfe as w’e hear in the pulpits of ether German churches.” Though the trade of this place has been conllantly on the increafe for thefe 18 or 20 years paft, yet it is by no means wdiat it ought to be from the fituation »nd ether advantages. The perfons here who call themfelves merchants, and who make any confiderable figure, are in fa& only brokers, who procure their livelihood at the expence of the country or territory round, or wrho aft for the merchants of Fraucfort, A few toy-lhops, five or fix druggifts, and four or five manufafturers of tobacco, are all that can polfibly be called traders. There is not a banker in the whole towm ; and yet this country enjoys the ilaple privilege, and commands by means of the Maine, Necker, and Rhine, all the ex¬ ports and imports of Alfatia, the Palatinate, Franconia, und a part of Suabia and Heffe, as far as the Nether¬ lands. The port too is conftantly filled with fhips, but few of them contain any merchandife belonging to the inhabitants of the place. The French took it by fur- prife in Oftober 1792; it furrendered to the king of Pruffia in 1793*, the French made a fruitlefs attack upon it in 1795 ; it was relieved from a blockade by the Auftrians in 1796, and the French got poffeffion of it in Oftober 1797. MENTZEL, Christian, born at Fruftenwall in the Mittel-mark, is celebrated for his Ikill in medicine and botany, in purfuit of which he travelled through many countries. He had correfpondents in the moft cliftant parts of the world. He died A. D. 1701, about the 79th year of his age. He was a member of the academy des Curicux de la Nature. His works are, 1. Index nominum plantarum, printed at Berlin in folio, 1696 ; and reprinted wdth additions in 1715, under the title of Lexicon plantarum polyglotton univerfa/e. 2. A Chronology of China, in German, printed at Berlin 3696 in 4to. The following manuferipts of his com- pofition are preferved in the royal library at Berlin. I. Sur /’ Hifloire Naturelle du Brafil, in four volumes fo¬ lio. 2. Sur lex Fleurs et les Plantes du Japan, with co¬ loured plates, two vols folio. MENUS, in /Indent Geography, a river of Ger¬ many : now the Maine, rifing in Franconia, and run¬ ning from eaft to weft into the Rhine at Mentz. MENUTHIAS, in Ancient Geography^ an ifiand adjoining to the north-eaft of the promontory Prafum of Ethiopia beyond Egypt. Some take it to be Mada- Jgctfcar) ox the ifiand St Laurence. Ifaac Veffius will h^ve it to be ’Zutns&ibar; Madagafcar being at a greater Menyan diftance from the continent than the ancients ever failed thes’ to, w'hereas Menuthias was nearer : yet though Zan- .^cn^l^°^ zibar be nearer the continent, it is however nearer the equator than Ptolemy’s Menuthias, placed in fouth la-** titude 1 2i degrees. MENYANTHES, Marsh-trefoil, or Bogbean ; a genus of plants belonging to the pentandria clafs j and in the natural method ranking under the 21ft order, Precis. See Botany Index. MENZIKOFF, Alexander, W'as originally an ap¬ prentice to a paftry-coek near the palace of Mofcow ; but by a fortunate circumftance was drawn from that fituation in early life, and placed in the houfehold of Peter the Great. Having made himfelf mafter of fe- veral languages, and being formed for war and for bu- finefs, he firft rendered himfelf agreeable, and after¬ wards became neceflary, to his mafter. He aftifted Peter in all his projefts 5 and was rewarded for his fer- vices with the government of ingria, the rank of prince, and the title of major-general. Pie fignalized himfelf in Poland in 1708 and 1709 j but in 1713 he wras accufed of embezzling the public money, and fined in 300,000 crowns. The czar remitted the fine ; and having reftored him to favour, gave him the command of an army in the Ukraine in 1719, and fent him as his ambafiador into Poland in 1722. Conftantly employed about the means of preferving his influence after the death of his mafter, who was then evidently on the decline, Menzikoff difeovered the perfbn to whom the czar intended to leave the fucceflion. The emperor was highly offended, and his penetration coft him the principality of Plefcoff, Under the czarina Catherine, however, he was high¬ er in favour than ever 5 becaufe, on the death of the czar in 1725, he was aftive in bringing different par¬ ties in Ruftia to agree to her fucceffion. This prin- cefs was not ungrateful. In appointing her fon-in¬ law' Peter II. to be her fucceffor, (he commanded him to marry the daughter of Menzikoff, and gave the czar’s fifter to his fon. The parties were aftually be¬ trothed : and Menzikoff was made duke of Cczel and grand ftew’ard to the czar. But this fummit of eleva¬ tion was the prelude to his fall. The Dolgoroukis, favourites of the czar, had influence enough to pro¬ cure his banifhment, together with that or his family, to cne of his owm eftates at the diftance of 250 leagues from Mofcow. He had the imprudence to leave the- capital with the fplendor and magnificence of a go¬ vernor going to take poffeffion of his province. His enemies took advantage of this circumftance to in¬ flame the indignation of the czar. At fome diftance from Mofcow he was overtaken by a detachment of foldiers. The officer who commanded them made him alight from his chariot, which he fent back to Mol- cowr j and placed him and his whole family in covered waggons, to be condufted into Siberia, in the habit of peafants. When he arrived at the place of his del- tination, he was prefented with cows and fiieep big with young, and poultry, without knowing from whom he received the favour. His houfe was a fimple cottage j and his employment was to cultivate the ground, or to fuperintend its cultivation. New caufes of forrow wrere added to the feverities of exile. His wife died in the journey ; he had the misfortune to lofe 3X2 one ' / M E Q [53 Menzini one of liis daughters by the Imallpox ; and his ether Mequinez tl'° c^*^ren were Seized with the fame difeafe, hut re- covered. He funk under his misfortunes, Novem¬ ber 2. 1729 ; and was buned befide his daughter, in a little chapel which he had built. His misfortunes had infpired him with fentiments of devotion, which, amid the fplendor of his former fituation, he had altogether neglefled. His two furviving children enjoyed greater liberty after the death of their father.' The officer permitted them to attend public worffiip on Sundays by turns. One day when his daughter w7as returning from the village, ffie heard herfelf accofted by a peafant from the window of a cottage, and, to her great fur- prife, recognifed in this peafant the perfecutor of her family, Dolgorouki ; who, in his turn, had fallen a - facrifice to the intrigues of the court. She communica¬ ted this intelligence to her brother, who could not be¬ hold, without emotion, this new inflance of the vanity and inftability of honours and power. Young Menzi- koff and his fitter were foon after recalled to Mofcow by the czarina Ann ; and left Dolgorouki in pofleffion of their cottage. He was made captain of the guards, and received the fifth part of his father’s poffeffions. His fitter w7as appointed maid of honour to the emprefs, and afterwards married to great advantage. MENZINI, Benedict, a celebrated Italian poet, born at Florence, was profeffor of eloquence at the college Della Sapienza at Rome, where he died in 1704. He wrrote, 1. The art of poetry. 2. Satires, elegies, hymns, and the Lamentations of Jeremiah. 3- Sieadcmia Tufculana, a work in verfe and profe, ■which paffes for his mafterpiece. MEOT1S, or Palus Meotis, a fea of Turkey, which divides Europe from Afia $ extending from Crim Tartary to the mouth of the river Don or Ta- nais. MEPHITIC, a name exprefling any kind of noxi¬ ous vapour ; but generally applied to that fpecies of vapour calledSee Carbonic Acid, Chemi¬ stry Index. MEPHII IS Fanum, a temple eredled to the god- defs Mephitis, near Lacus Amfanfti; who was wor- Ihipped alfo at Cremona. Figuratively, Mephitis de¬ notes a noifome or pettilential exhalation, (Virgil). MEQUINEZ, or Miquinez, the northern capital of the Morocco empire, ftands at the extremity of the province of Beni Haflen, 80 leagues north from the city of Morocco (which is the fouthern imperial city), and 20 to the eaft of Sallee and the ocean. Maknaffa, its founder, built it firft at the bottom of a valley j but Muley Ifmael extended it confiderably over the plain that lies to the weft of the valley. It is furrounded with well cultivated fields and hills, adorned writh gar¬ dens and olive plantations, and abundantly watered with rivulets. Accordingly, fruits and kitchen fluffs thrive here exceedingly, and even the fuperior urbanity of the inhabitants announces the temperature of the climate. The winter indeed is very inconvenient, on account of the dirtinefs of the town, the flreets not being paved, and the foil being flimy. Mequinez is furrounded with walls *, the palace itfelf is fortified with tw’o bafiions, on which formerly fome fmall guns were mounted. Muley Ifmael, and Muley Abdallah, often in this city refitted the efforts of the Brebes, the fworn enemies of their tyranny. To the 2 ] M E R weft are feen fome walls of circumvallation, fix feet in Meqmnez height, which were probably mere intrenchments for II the infantry j the attacks of the Brebes being only Mercator- ludden and momentary inroads, which did not require a long defence. There is at Mequinez, as well as at ' Morocco, a walled and guarded fuburb for the Jew's. The houfes are neater here than at Morocco. The Jews here are more numerous; and they can turn their induftry to greater account, becaufe the Moors in this city are more pohlhed, and (being nearer to Europe) more vilited, than thofe in the fouthern parts. Near the Jew'ry, there is another enclofed and feparate quar¬ ter, called the Negro town. It w as built by Muley If¬ mael, for the accommodation of thofe black families which compofed his foldiery. This town is now' unin¬ habited, as are all thofe deftined for the fame ufe through the reft of the empire. At the fouth-eaftr extremity of the city ftands the palace of the emperor, which w'as built by Muley If- ; mael. The fpace occupied by this palace is very great; it includes feveral gardens, elegantly difpofed, ’ and w'ell watered. There is a large garden in the centre, furrounded by a vaft and pretty regular gal¬ lery, retting on columns, which communicates with the apartments. Thofe of the women are very fpaci- ous, and have a communication with a large chamber w'hich looks into the garden. As you pals from one apartment to another, you find at intervals regular courts paved wdth fquare pieces of black and white marble ; in the middle of thefe courts is a marble bafin, from the centre of which rifes a jet d'eau, and the water falls dowm into this bafin. Thefe fountains are numerous in the palace ; they are ufeful for domeftic purpofes, and they ferve for the ablutions, which the fcruples of the— Mahometans have exceedingly multiplied. The palaces of the Mooriffi kings are large, becaufe they are com- pefed only of one range of apartments ; thefe are long and narrow, from 18 to 20 feet high ; they have few ornaments, and receive the light by two large folding doors, w'hich are opened more or lefs as occafion re¬ quires. The rooms are always lighted from a fquare court in the centre, which is generally encompalfed with a colonnade. The Moors here are more courteous than thofe in the fouthern parts; they are civil to ftrangers, and in¬ vite them into their gardens, which are very neat. The w'omen in this part of the'empire are beautiful ; they have a fair complexion, with fine black eyes, and W’hite teeth. I have fometimes feen them taking the air on the terraces ; they do not hide tfiemfelves from Europeans, but retire very quickly on the appearance of a Moor. MERA-DE-Asta, formerly a large torvn of An- dalufia, feated on the river Guadaleta, between Arcos and Xeres de la Frontera ; but nowr only a large heap of ruins. Here the Arabs conquered Roderick the laft king of the Goths, and by that victory became mailers of Spain in 713. MERCATOR, GerArj), one of the moft cele¬ brated geographers of his time, was born at Rure- monde in 1512. He applied himfelf with fuch in¬ duftry to geography and mathematics, that he is faid to have frequently forgot to eat and drink. The em¬ peror Charles V. had a particular efteem for him, and the duke of Juliers made him his cofmographer. He compofed M E R [ 533 ] M E R Mercator compofed a chronology, fome geographical tables, an R atlas, &c' engraving and colouring the maps him- Merchant. jj;e ;n i His method of laying down charts is ftill ufed, and bears the name of Mercator's charts. Mercator, Nicholas, an eminent mathematician in the 17th century, was born at Holftein in Denmark ; and came to England about the time of the reftoration, where he lived many years. He was fellow of the • Royal Society; and endeavoured to reduce aftrology to rational principles, as appeared from a MS. of his in the polTellion of William Jones, Efq. He publifhed fe- veral works, particularly Cofmogcaphia. He gave the quadrature of the hyperbole by an infinite feries; which was the firft appearance in the learned world of a feries of this fort drawn from the particular nature of the curve, and that in a manner very new and ab* ftratted. Mmrcator's Sailing, that performed by Mercator’s chart. See Navigation.* MERCATORUM festum, was a feftival kept by the Roman merchants on the 15th of May, in ho¬ nour of Mercury, who prefided over merchandife. A fow was facrificed on the occafion, and the people prefent fprinkled themfelves with water fetched from the fountain called aqua Mercurii; the whole conclud¬ ing with prayers to the god for the profperity of trade. MERCHANT, a perfon who buys and fells com¬ modities in grofs, or deals in exchanges ; or that traf¬ fics in the way of commerce, either by importation or exportation. Formerly every one who was a buyer or feller in the retail way was called a merchant, as they ftill are both in France and Holland ; but here Ihop- keepers, or thofe who attend fairs or markets, have loft that appellation^ Previous to a perfon’s engaging in a general trade, ~ and becoming an univerfal dealer, he ought to treafore up fuch a fund of ufeful knowledge as will enable him to carry it on with eafe to himfelf, and without rifk- ing fuch Ioffes as great ill-concerted undertakings w7ould naturally expofe him to. A merchant Ihould therefore be acquainted with the following parts of commercial learning : 1. He fhould write properly and correctly. 2. Underftand all the -rules of arithmetic that have any relation to commerce. 3. Know how to keep books of double and fingle entry, as journals, a leger, &c. 4. Be expert in the forms of invoices, accounts of fales, policies of infurance, charter par¬ ties, bills of lading, and bills of exchange. 5. Know the agreement between the money, weights, and mea- fures of all parts. 6. If he deal in filk, woollen, linen, or hair manufaftures, he ought to know the places where thefe different forts of merchandifes are manufaflured, in what manner they are made, what are the materials of which they are compofed, and from whence they come, the preparations of thefe materials before working up, and the places to which they are fent after their fabrication. 7. He ought to know the lengths and breadths ■which filk, woollen, or hair fluffs, linen, cottons, fuftians, &c, ought to have according to the feveral flatutes and regulations of the places where they are manufadtured, with their different prices, according to the times and feafons; and if he can add 1© his knowledge, the different dyes and ingredients which form the various colours, it will not be ufelefs. Merchant. 8. If he confines his trade to that of oils, wines, &c. v he ought to inform himfelf particularly of the appear¬ ances of the fucceeding crops, in order to regulate his difpofing of w'hat he has on hand; and to learn as ex¬ actly as he can what they have produced when got in, for his diredtion in making the neceffary purchafes and engagements. 9. He ought to be acquainted with the forts of merchandife found more in one country than another', thofe wThich are fcarce, their different fpecies and qualities, and the propereft method for bringing them to a good market either by land or fea. 10. To know which are the merchandifes permitted or prohi¬ bited, as well on entering as going out of the king¬ doms or ftates where they are made. 11. To be ac¬ quainted with the price of exchange, according to the courfe of different places, and w'hat is the caufe of its rife and fall. 1 2. To know the cuftoms due on im¬ portation or exportation of merchandifes, according to the ufage, the tariffs, and regulations, of the places to which he trades. 13. Tb know the beft manner of folding up, embaling, or tunning, the merchandifes for their prefervation. 14. To underftand the price and condition of freighting and infuring fliips and mer¬ chandife. 15. To be acquainted with the goodnefs and value of all neceffaries for the conftrudtion and re¬ pairs of dripping, the different manner of their build¬ ing; what the wood, the mails, cordage, cannons, fails, and all requifites, may coft. 16. To know the wages commonly given to the captains, officers, and failors, and the manner of engaging with them. 17. He ought to underftand the foreign languages, or at leaft as many of them as he can attain to; thefe may be reduced to four, viz. the Spaniih, which is ufed not only in Spain but on the coaft of Africa, from the Canaries to the Cape of Good Hope : the Italian, which is underftood on all the coafts of the Mediterranean, and in many parts of the Levant : the German, which is underftood in almoft all the northern countries; and the French, which is now become al¬ moft univerfally current. 18. He ought to be ac¬ quainted with the confular jurifdi&ion, with the laws, cuftoms, and ufages of the different countries he does or may trade to; and in general all the ordinances and regulations both at home and abroad that have any relation to commerce. 19. Though it is not ne¬ ceffary for a merchant to be very learned, it is proper that he Ihould know fomething of hiftory, particularly that of his own country ; geography, hydrography, or the fcience of navigation ; and that he be acquainted writh the dilcoveries of the countries in which trade is eftablilhed, in what manner it is fettled, of the compa¬ nies formed to fupport thofe eftabliihments, and of the colonies they have fent out. All thefe branches of knowdedge are of great fer-- vice to a merchant who carries on an extenfive com¬ merce ; but if his trade and his views are more limited, his learning and knowledge may be fo too: but a material requiiite for forming a merchant is, his having on all occafions a ftrifl regard to truth, and his avoid¬ ing fraud and deceit as corroding cankers that muft inevitably deftroy his reputation and fortune. Trade is a thing of fo univerfal a nature, that it is impoffible for the latvs of Britain, or of any other na-- tioR, to determine all the affairs relating to it; there-. fore Mt'rcluf:, Mercia M E R [ 534 ] fore all nations, as well as Great Britain, iliow a parti- dominions, cular regard to the law-merchant, which is a law made by the merchants among themfelves : however, mer¬ chants and other Grangers are fabjed to the laws of the country in which they refide. Foreign merchants are 1o fell their merchandtfe at the port where they land, in grofs, and not by retail ; and they are allowed to be paid in gold or diver bullion, in foreign coin or jewels, which may be exported. If a difference arifes between tne king and any foreign ftate, the merchants of that ftate are allowed fix months time to fell their effects and leave the kingdom ; during which time they are to remain free and unmolefted in their perfons and goods. See the articles COMMERCE, and Mercantile Law. MERCHE-T (Merchetum), a fine or compofition paid by inferior tenants to the lord, for liberty to dif- pofe of their daughters in marriage. No baron, or mi¬ litary tenant, could marry his foie daughter and heir, without fuch leave purchafed from the king, pro mari- ianda Jilia. And many of our fervile tenants could neither fend their fons to fchool, nor give their daugh¬ ters in marriage, without exprefs leave from the fuperior lord. See Rennet’s Gloffary in Maritagium. See alfo Marchet, under which word it is ftated, and very generally underftood, that this was a right claimed by the lord of the manor in the time of the feudal fyllem of paffmg the firft night after marriage with his female villain. According to Mr Afile, the mercheta was a compaft between the lord and his vaffal for the re¬ demption of an offence committed by the vaffal’s unmar- iled daughter ; and alfo a fine paid by a fokeman or a villain to his lord for permiflion to marry his daughter to a free man \ and in cafes where the vaffal gave away his daughter without having obtained this licenfe, he fubjeQed himfelf to a heavier fine. MERCIA, the name of one of the feven kingdoms founded in England by the Saxons. Though the lateft formed, it was the largeft of them all, and grew by degrees to be by far the molt powerful. On the north it was bounded by the Humber and the Merfey, which feparated it from the kingdom of Northumber¬ land ; on the eaft by the fea, and the territories of the Eaft Angles and Saxons ; on the fouth by the ri¬ ver lhames \ and on the weft by the rivers Severn and Dee. . It comprehended well nigh 17 of our modern counties, being equal in fize to the province of Lan¬ guedoc in France) very little, if at all, lefs than the kingdom of Arragon in Spain j and fuperior in fize to that of Bohemia in Germany. < Penda is regarded as its firft monarch •, and the kingdom is thought to derive its name from the Saxon word were, which fignifies “ a march, bound, or li¬ mit,” becaufe the other kingdoms bordered upon it on every fide ; and not from the river Merfey, as fome would perfuade us. Penda affumed the regal title A. D. 626, and was of the age of 50 at the time of his accefiion ; after which he reigned near 30 years. He was of a moft furious and turbulent temper, break¬ ing at different times with almoft all his neighbours, calling in the Britons to his afllftance, and {bedding more Saxon blood than had been hitherto fpilled in all their inteftine quarrels. He killed two kings of Northumberland, three of the Eaft Angles, and com¬ pelled Ken wall king of the Weft Saxons to quit his 3 He was at length M E R ... . . O— flain, with moft of the princes or his family, and a multitude of his fubje&s in a battle fought not far from Leeds, by Ofwy ‘king of Northumberland. This battle, which the Saxoh chronicle tells us was fought at Winwidfield, A. D. 655, made a great change m the Saxon affairs, which the Unbridled fury of Penda had thrown into great confunon. He had the year before killed Anna king of the Eaft Angles in battle, whofe brother Ethelred not with ftanding took part with Penda. On the other hand, Penda the eldeft fon of Penda, to whom his lather had given the ancient kingdom of the Mid Angles, had two years before married the natural daughter of King Ofwy, and had been baptized at his court. At that time it fhould feem that Ofwy ,and Penda were upon good terms; but after the lat¬ ter had conquered the Eaft Angles, he refolved to turn his arms againft the kingdom of Northumberland. Omy by no means had provoked tins rupture ; on the conti ary, Bede tells us that he offered large fums of money, and jewels of great value, to purchafe peace: thefe offers being reje£led, he wras reduced to the ne- ceffity of deciding the quarrel by the fword. The river near which the battle was fought overflowing, there were more drowned than killed. Amongft thefe, as the Saxon chronicle fays, there were 33 princes of the royal line, fome of whom bore the title of kings i and alfo Ethelred king of the Eaft Angles who lought on the fide of Penda againft his family and country. His fon Penda, who married the daughter of that conqueror, became a Chritfian* and was not long after murdeied, as is faid, by the malice of his mother. His brother Wolf her becoming king of Mercia, embraced ofpel, and proved and is, with no in procefs of time the faith of the a very viclorious and potent monarc.. , vvlllJ JiU fewer than feven of his immediate fucceffors, commonly ftyled king of the Anglo-Saxons, though* none of them are owned in that quality by the Saxon chronicle. But hough poffibly none of them might enjoy this ho- nour, they wTere undoubtedly very puiffant princes maintaining great wars, and obtaining many advan- tages. over the fovereigns of other Saxon ftates, and Specially the Eaft Angles, whom they reduced. The extent of the Mercian territories was fo ample as to admit,, and fo fituated as to require, the conftituting fubordinate rulers in feveral provinces ; to whom, efpe- cially if they were of the royal line, they gave the title of kings ; which occafions fome confufion in their hif- tory. Befides the eftablifhing epifcopal fees and con¬ vents, the Saxon monarchs took other methods for improving and adorning their dominions 5 and as Mer¬ cia was the largeft, fo thefe methods were moft con- fpicuous therein. Coventry, as being fttuated in the centre, was ufually, but not always, the royal refi- dence. Penda, who was almoft continually in a ftate of w'ar, lived as his military operations dire&ed, in fome great town on the frontiers. Wolf her bui’lt a caftle or fortified palace for his own refidence, which bore his name—Offa kept his court at Sutton Walls near Hereford. In each of the provinces there refided a chief magi- ftrate ; and if he was of the royal blood, had ufually the title of king. Penda, at the time he married Of¬ wy’s daughter* had the title of king of Lcicef/er. Ethclred M E R [ 5 Mercurial. Etlielred made his brother Merowald king of Here- Mercury ford ; 'vho» d>1B? without iffue, bequeathed it to his k*—y—younger brother Mercelm. The like honours were fometimes conferred upon the princeffes j and hence, in Mercia efpecially, we occaiionally read of vice- queens. By thefe means the laws werp better executed, the obedience of the fubjefts more effeaually fecured’ and the fplendor of thefe refidences conflantly kept up and augmented. i At length, the crown devolving fometimes on mi¬ nors and fometimes on weak princes, inteftine fac¬ tions alfo prevailing, the force of this hitherto mighty kingdom began fenfibly to decline. This falling out in the days of Egbert, the mod: prudent as well as the mod potent monarch of the Wed Saxons, he took advantage of thefe circumdances; and having encouraged the Ead Angles to make an attempt for the recovery of their independence, he, in a conjunc¬ ture every way favourable to his defign, broke with the Mercians, and after a Ihort war obliged them to fubmit. But this was not an abfolute conqued, the kings of Mercia being allowed by him and his fuc- ceifors to retain their titles and dominions, till the inyafion of the Danes put an end to their rule, when this kingdom had fubfided above 250 years ; and when the Danes were afterwards expelled by the Wed Saxons, it funk into a province, or rather was divided into many. f MERCURIAL, fomething confiding of, or relat- l,ng to, mercury. MERCURIALIS, dogs MERCURY ; a genus of plants belonging to the dioecia clafs 5 and in the natu¬ ral method ranking under the 38th order, Tricoccce. See Botany Index. MERCURIFICATION, in metallurgic chemidry, the obtaining the mercury from metallic minerals in its fluid form. See Chemistry and Mineralogy Index. MERCURY, or Quicksilver. See Chemistry and Mineralogy Index. Mercury, in the heathen mythology. See Her¬ mes. Mod of the affions and inventions of the Egyptian Mercury have likewife been afcribed to the Grecian, who was faid to be the fon of Jupiter and Maia, the daughter of Atlas. No one of all the heathen divini¬ ties had fo many functions allotted to him as this god : he had condant employment both day and night, hav¬ ing been the common minider and meffenger ef the whole Pantheon $ particularly of his father Jupiter, w’hom he ferved with indefatigable labour, and fome¬ times, indeed, in a capacity of no very honourable kind. Lucian is very pleafant upon the multitude of his avocations j and, according to the confeffion of the emperor Julian, Mercury was no hero, but rather one who infpired mankind with wit, learning, and the or¬ namental arts of life, than with courage. The pious emperor, however, omits fome of his attributes ; for this god was not only the patron of trade, but alfo ©f theft and fraud. Amphion is faid, by Paufanias, to have been the fird that eredled an altar to this god ; who, in return, in- veded him with fuch extraordinary powers of mufic (and mafonry), as to enable him to fortify the city of Thebes in Boeotia, by the mere found of his lyre. 35 J M E R Horace gives us the bed part of his chara&er : Thou god of wit, from Atlas fprung, Who by perfuafive pow’r of tongue, And graceful exercife, refin’d The favage race of human kind, Hail ! winged meflenger of Jove, And all th’ immortal pow’rs above. Sweet parent of the bending lyre, Thy praife ihall all its founds infpire. Artful and cunning to conceal Whate’er in fportive theft you deal, When from the god who gilds the pole, E’en yet a boy, his herds you dole j With angry voice the threat’ning power Bade thee thy fraudful prey redore 5 But of his quiver too beguil’d, Pleas’d with the theft, Apollo fmil’d. You were the wealthy Priam’s guide, When fafe from Agamemnon’s pride, Through hodile camps, which round him fpread Their watchful fires, his way he fped. Unfpotted fpirits you confign To blifsful feats and joys divine ; And, pow’rful, with thy golden wTand, The light, unbodied crowd command j Thus grateful does thy office prove To gods below, and gods above. Francis, Merdrrv. This ode contains the fubdance of a very long hymn to Mercury, attributed to Homer. Almod all the an¬ cient poets relate the manner in which the Grecian Mercury difeovered the lyre ; and tell us that it was an indrument with feven firings; a circumdance which makes it effentially different from that faid to have been invented by the Egyptian Mercury, which had but three. However, there have been many claimants- befides Mercury to the feven-dringed lyre. See Lyre. His mod magnificent temple was on Mount Cylene, in Arcadia. He is deferibed by the poets as a fair beardlefs youth, with flaxen hair, lively blue eyes, and a finding countenance. He has wings fixed to his cap and fandals, and holds the caduceus (or flaflf furround- ed with ferpents, with two wdngs on the top), in his hand ; and is frequently reprefented with a purfe, to fliow that he was the god of gain. The animals fa- cred to him, were the dog, the goat, and the cock. In all the facrifices offered to him, the tongues cf the vi&ims were burnt; and thofe who efcaped im¬ minent danger facrificed to him a calf with milk and- honey. Mercury, 5? hi AJlronomy. See Astronomy Index. This planet is brighted between his elongations and fuperior canjumdion, very near to wffiich lad he can generally be feen. He becomes invifible foon after he has found his elongation, going tow’ards his inferior conjun61i©n j and becomes vifible again a few days be¬ fore his next elongation. The brightnefs of this pla¬ net alters fometimes very confiderably in 24, hours. It has been obferved wffien lefs than three degrees diflant from the fun, and may, perhaps, fometimes be feen even in conjuntdion with it. Mercury and Venus appear brighted apd mod beau¬ tiful in the oppofite parts of their orbits ; the fird, be- tweeiL M £ R [ 536 ] M E R Mercury twesn his elongations and fuperior conjundlion ; and ^ ^ the other, between her elongations and inferior con- junftion. Therefore, Venus is leen in great perfeftion — v as a crefcent, particularly in her inferior conjunftion, whilft Mercury is feldora feen in fuch periedl: phafes. Mercury Qrould be always obferved on or near the me¬ ridian. When fartheft from the fun, he always appears ■with a very faint light j and when he has a great —fouth declination, or the atmofphere is not perfectly clear, he feldom can be leen in thofe parts of his or¬ bit, where he only begitis to recover his brightnefs, or where it is much diminilhed. He has frequently been feen on the meridian even with a fmall telefcope and fmall power ; and it appears from the above ftatement that he may be obfcured in a clear day rather more than half his orbit, or near one hundred and fourfcore days in the year. Mercury, \r\ Heraldry, a term ufed in blazoning by planets, for the purple colour ufed in the arms of fo- vereign princes. MERCY, a virtue that infpires us with compaflion for our brethren, and which inclines us to give them affiflance in their neceflities. Mercy is alfo taken for thofe favours and benefits that we receive either from God or man, particularly in the way of forgivenefs of injuries or of debts. Nothing can be more beautiful than the defcription of mercy given us by Shakefpeare, in the pleading between Portia and the Jew : For. Then muft the Jew be merciful. Shy. On what compulfion muft I ? tell me that. For. The quality of mercy is not drain’d j It droppeth as the gentle rain from heav’n Upon the place beneath. It is twice blefs’d : It bleffeth him that gives, and him that takes. ’Tis mightieft in the mightieft ; it becomes The throned monarch better than his crown : The fceptre (hows the force of temporal power, The attribute to awe and majefty, Wherein doth fit the dread and fear of kings j But mercy is above this fcepter’d fway, It is enthroned in the hearts of kings j It is an attribute to God himfelf, And earthly power doth then fhow* liked God’s, When mercy feafons judice. Therefore, Jew, Though judice be thy plea, confider this, That in the courfe of judice none of us Should fee falvation. We do pray for mercy ; And that fame prayer doth teach us all to render The deeds of mercy. Merchant of Venice, aft iv. MERCY-SEAT, or Propitiatory, in lewifh an¬ tiquity, the covering of the ark of the covenant.—The Hebrew name of this cover, which we tranfiate mercy- feat, is Capporeth (Exod. xxv. 17, 22.), from Cappor, which fignifies to cover, to Jhut up, to expiate, to pay. This cover was of gold, and at its two ends were fixed the two cherubims of the fame metal, which by their wings extended forwards, feemed to form a throne for the majedy of God, who in fcripture is reprefented to us as fitting between the cherubims, and the ark it- felf was as it were his footdool. It w’as from hence that God gave his oracles to Mofes, or to the high pried that confulted him, Exod. xxv. 22. Numb. vii. '89.) MERETRIX, among the Romans, differed from Meretn's the projhbuta. The projhbulee wore common courte- IJ fans, with bills over their doors, fignifying their profef- Mer‘(^ r1, lion, and were ready at all times to entertain cullom- ers; whereas the meretrices entertained none but at night.— The meretrices differed in their drefs from the matrons; the former wore the toga and fhort tunics, like thofe of the men : the latter wore the palla and the Jlola of fuch a length as to reach to their feet. MERGANSER. See Mergus. MERGES, a genus of birds of the order of anferes. See Ornithology Index. MERIAN, Maria Sibylla, a celebrated paint- refs, born at Frankfort in 1647, was the daughter of Matthias Merian, a noted engraver and geographer.— As die fhowed a very early fondnefs for painting, die was in drafted by Abrahartr Mignon ; from whom die learned great neatnefs of handling and delicacy of co¬ lour. Her genius particularly led her to paint reptiles, dowers, and infefts, which die defigned after nature, and dudied every objeft with a mod curious and in- quifitive obfervation j fo that her works rofe every day more and more into reputation. Frequently die paint¬ ed her fubjefts in water colours on vellum, and finifh- ed an adonifhing number of defigns, as die was equally indefatigable in her wrork and in her inquiries into the curiofities of nature. She drew the dies and caterpil¬ lars in all the variety of changes and forms in which they fuccedively appear from their quiefcent date till they become butterdies j and alfo drew frogs, toads, fer- pents, ants, and fpiders, after nature, with extraordinary exaftnefs and truth. She even undertook a voyage to Surinam, to paint thofe infefts and reptiles which were peculiar to that climate j and at her return to her own country publidied two volumes of engravings after her defigns, which are well known to the curious. She died in 1717. Her daughter Dorothea Henrietta Graff, who painted in the fame dyle, and had accompanied her mo¬ ther to Surinam, publidied a third volume collefted from the defigns of Sibylla ; which complete work has been always admired by the learned, as well as by the pro- feffors of painting. MERIDA, a drong town of Spain, in Edremadura, built by the Romans before the birth of Chrid. Here are fome fine remains of antiquity, particularly a triumi phal arch, but which is confiderably decayed. It is feated in an extenfive and fertile plain, 47 miles ead of Elva, and 4 c fouth by ead of Alcantara. W. Lonsf. 6. 4. N. Lat. 38. 42. Merida, a town of North America, in New Spain, and capital of the province of Yucatan, where the bidiop and the governor of the province refide. It is inhabited by Spaniards and native Americans; is 30 miles fouth of the fea, and 120 north-eadof Campeachy. W. Long. 89. 25. N. Lat. 20. 15. Merida, a town of South America, in the kingdom of New Granada, feated in a country abounding with all kinds of fruits, 130 miles north-ead of Pampeluna. W. Long. 71. o. N. Lat. 8. 30. MERIDEN, or Mireden, a town of Warwick- fhire, 97 miles from London on the London road, near Coventry. It is pleafantly fituated, though in a wet clayey fituation, and is not ill built. The church dands on an elevated fpot, and contains fome good monuments. There is an inn here, about half way I M E R [5 Merkllan from St Clement’s forefl: to Coventry, one of tlie fined 0 in this part of Engand, beintj built like a nobleman’s Merlon, 1 0^0 MERIDIAN, in Geography, a great circle fuppofed to be drawn through any part on the furface of the earth, and the two poles 5 and to which the fun is always perpendicular at noon. See Geography. In adronomy, this circle is fuppofed to be in the heavens, and exa&ly perpendicular to the terredrial one. See Astronomy. MERIDIANI, in antiquity, a name which the Romans gave to a kind of gladiators who entered the arena about noon after the bediarii (who fought in fire morning againd beads) had finidied. They were thus called from meridies, i. e. noon, the time when they exhibited their diows. The meridiani were a fort of artlefs combatants, who fought man with man, fword in hand. Hence Seneca takes occafion to obferve, that the combats of the morning were full of humanity compared with thofe which followed. MERIDIONAL distance, in Navigation, the fame with departure, or calling and weding; being the dif¬ ference of longitude between the meridian under which the fhip now is, and any other meridian which Ihe was under before. Meridional parts, miles, or minutes, in Naviga¬ tion, are the parts by which the meridians in a Mer¬ cator’s chart do increafe, as the parallels of latitude de- creafe. MERIONETHSHIRE, a county of North Wales, is bounded on the north by Caernarvonlhire and Den- bighlhire ; on the ead by Montgomerylhire ; on the well by St George’s channel, or the Inlh fea •, and on the fouth by the river Dyffl, which parts it from Car- diganfhire •, extending 40 miles in length and 36 in breadth. It is divided into fix hundreds, in which are four market towns, 37 parilhes, about 5787 houfes, and 29,506 inhabitants in 1801. It lies in the diocefe of Ban¬ gor, and fends one member to parliament. The air is very lharp in winter, on account of its many high barren mountains j and the foil is as bad as any in Wales, it being very rocky and mountainous. However, this county feeds large flocks of Iheep, many goats, and large herds of horned cattle, which find pretty good paflure in the valleys. Befides thefe, among their other com¬ modities may be reckoned Welch cotton, deer, fowl, filh, and efpecially herrings, which are often taken on this coalt in great plenty. MERIT, fignifies defert. This term is more par¬ ticularly applied to fignify th@ moral goodnefs of the adlions of men, and the rewards to which thofe a&ions entitle them. MERLIN, Ambrose, a famous Englilh poet and reputed prophet, flouriihed at the end of the 5th cen¬ tury, Many furprifing and ridiculous things are related of him. Several Englilh authors have reprefented him as the fon of an incubus, and as tranfporting from Ire¬ land to England the great ftones which form Stone¬ henge on Salifbury plain. Extravagant prophecies and other works are alfo attributed to him, on which fome authors have even written commentaries. Merlin. See Falco, Ornithology Index. MERLON, in Fortification, is that part of a para¬ pet which is terminated by two embrafures of a battery. VOL. XIJI. Part II. ;7... ] ME R MERLUCIUS, the Hake. See Gadus, Ichthy- Mcrkcms, OLOGY Index. Mermaid. MERMAID, or Merman, a fea-creature fre- ^ quently talked of, fuppofed half human and half a filh. However naturalifts may doubt of the reality of mer¬ men or mermaids, we have teftimony enough to ellablilh it •, though, how far thefe teltimonies may be authen¬ tic, we cannot take Upon us to fay. In the year 1187, as Lary informs us, fuch a monfler was fiftied up in the county of Suffolk, and kept by the governor for fix months. It bore fo near a conformity with man, that nothing feemed wanting to it but fpeech. One day it took the opportunity of making its efc«.pe •, and plun¬ ging into the fea, was never more heard of. IIfi. de An- glelerre, P. I. p. 403. In the year 1430, after a huge tempefl, which broke down the dikes in Holland, and made way for the fea into the meadows, &c. fome girls of the town of Edam in Weft Friefland, going in a boat to milk their cows, perceived a mermaid embarraffed in the mud, with a very little water. They took it into their boat, and brought it with them to Edam, drefled it in woman’s apparel, and taught it to fpin. It fed like one of them, but could never be brought to offer at fpeech. Some time afterwards it was brought to Haerlera, where it lived for fome years, though ftill Ihowing an inclination to the water. Parival relates, that they had given it fome notion of a Deity, and that it made its reverences very devoutly whenever it paffed by a crucifix. De- lices de Hollande. In the year 1560, near the ifland of Manaar, on the weftern coaft of the ifland of Ceylon, fome filhermen brought up, at one draught of a net, feven mermen and mermaids ; of which feveral Jefuits, and among the reft F. Hen. Henriques and Dimas Bofquez, pbyficians to the viceroy of Goa, were witneffes. The phyfician, who examined them with a great deal of care, and made diffetftion thereof, afferts, that all the parts both internal and external were found perfe£tly conformable to thofe of men. See the Hfi. de la compagnie de Je- fus, P. II. T. iv. N° 276. where the relation is giveij at length. We have another account of a merman, feen near the great rock called Diamond, on the coaft of Martinico. The perfons who faw it, gave in a precife deferip- tion of it before a notary. They affirmed that they faw it wipe its hand over its face, and eveai heard it blow its nofe. Another creature of the fame fpecies was caught in the Baltic in the year 1531, and fent as a prefent to Sigifmund king of Poland, with whom it lived three days, and was feen by all the court. Another very young one was taken near Rocca de Sintra, as related by Damian Goes. The king of Portugal and the grand mafter of the order of St James, are faid to have had a fuit at law to determine which party thefe raon- fters belong to. In Pontopidan’s Natural Hiftory of Norway, alfo, we have accounts of mermaids ; but not more remark¬ able or any way better attefted than the above, to which we have given a place, merely to (hew how far the folly and extravagance of credulity "have been carried by weak minds, 7 3 Y MERNS, M E R Morns II Meroe. MF.RNS, Mearns, or Kincardineshire, a county of Scotland. See Kincardineshire. MERODACH was an ancient king of Babylon, who was placed among the gods, and worfhipped by the Babylonians. Jeremiah (chap. 1. 2.), fpeaking of the ruin of Babylon, fays, “ Babylon is taken, Bel is confounded, Merodach is broken in pieces ; her idols are confounded, her images are broken in pieces.” We find certain kings of Babylon, in whofe names that of Merc^ach is contained : for example, Evil-me- rodach and Merodach baladan. Evikmerodach was the fon of Nebuchadnezzar the Great, and had for his fuc- ceffor the wicked Bellhazzar. Merodach-baladan, fon ot Baladan kung of Babylon, having heard that Heze- kiah had been cured miraculoully (Ifa. xxxix.), and that the fun had gone backwards to give him an af- iurarice of his recovery, fent him prefents, and made him compliments upon the recovery of his health. Ptolemy calls him Mar doc cmfiadus; and fays, that he began to reign at Babylon 26 years after \he begin- rdng of the era of Nabonaffar, that is, in the year of the world 2283. _ MEROE, in Ancient Geography, an ifland of Ethio¬ pia beyond Egypt, in the Nile} with a cognominal town, the metropolis of the Ethiopians. The Jefuits have endeavoured to prove, that the pro¬ vince of Gojam in Abyffinia is the Meroe of the an¬ cients} but this is ftrongly contefted by Mr Bruce, who is of opinion, that it muft be looked for fomewhere between the fource of the Nile and its union with the Atbara. The latter, he thinks, is very plainly the Atlaboras of the ancients j and Pliny fays, that this dream enclofes the left fide of Meroe as the Nile does the right, in which cafe we mud fuppofe him looking fouthward from Alexandria, otherwife the words would not apply. We are told by Diodorus Siculus, that Meroe had its name from a fider of Cambyfcs king of Perfia, who died there in the expedition undertaken by that prince againd the Ethiopians. His army perilhed with hun¬ ger and third in the defects beyond Meroe, which could not have happened if they had reached Gojam, the latter being one of the mod plentiful countries in the world. A farther proof that Gojam cannot be the ancient Meroe is, that the latter was enclofed be¬ tween the rivers Nile and Adaboras, while Gojam is almod entirely furrounded by the Nile. If the an¬ cients were acquainted with Gojam, they mud alfo have been acquainted with the fountains of the Nile, which we certainly know they were not. Pliny fays that Meroe, the mod confidtrable of all the iflands of the Nile, was called djlaboras, from the name of its left channel, which cannot be fuppofed any other than the junction of the Nile and Atbara. He informs us moreover, that the fun was vertical twice in the year, viz. when proceeding northward he entered the 18th degree of Taurus, and when returning he came to the 14th degree of Leo; but this could never be the cafe with Gojam, wEich lies inabout to degrees north latitude. Again, the poet Lucan defcribes Meroe by two cir- cumdances which cannot apply to any other than the peninfula of Atbara. One is, that the inhabitants were black; which was the cafe with the Gvmnofo- phids and fird inhabitants, and which has been the cafe with all the red down to the Saracen conqued : [ S38 ] M E R but the inhabitants of Gojam, as well as the other Abyfiinians, are fair, at lead greatly different in com¬ plexion from the blacks 5 they are alfo longhaired,' and nobody imagined that they ever had philofophers or fcience among them, which was eminently the cafe with the ancient inhabitants of IVIeroe. rl he other cir- cumdance is, that the ebony tree grew’ in the ifland of Meroe, which at this day grows plentifully in the pen¬ infula of Atbara, and part of the province of Kuara, but not in Gojam, where the tree could not fubiifl on account of the violent rains which take place during fix. months of the year. Mr Bruce mentions another cir- cumdance quoted from the poet Lucan, which like- wife tends to prove the identity of Meroe and Atbara } viz. that though there are many trees in it, they afford no fliade. This our traveller found by experience, when returning from Abyffinia through Atbara. “ The country (fays he) is flat, and has very little water. The foreds, though thick,‘afforded no fort of fliade, the hunters for the fake of their fport, and the Arabs forde- droying the flies, having fet fire to all the dry grafs and ffrubs} which palling with great rapidity in the direc¬ tion of the wind from ead to wed, though it had not time to dedroy the trees, did yet wither, and occafioa every leaf that was upon them to fall, unlefs in thofe fpaces where villages had been, and where water was. In fuch fpots a number of large fpreading trees remain¬ ed full of foliage } which, from their great height and being cleared of underw’ood, continued in full verdure loaded with large, projefting, and exuberant branches! But even here the pleafure that their fliade afforded was very temporary, fo as to allow' us no time for enjoyment. The fun, fo near the zenith, changed his azimuth fp rapidly, that every few minutes I was obliged to change the carpet on which I lay, round the trunk of the tree to which I had fled for Ihelter; and though I lay down to fleep perfectly fcreened by the trunk or branches, I was prelently awakened by the violent rays of a fcorch- ing fun, the fliade having paffed beyond me. In all other places, though we had travelled conflantly in a foreft, we never met with a tree that could fliade us for a moment, thg fire having deprived them of all their leaves.” The heat of Atbara is exceffive, the thermo¬ meter having been obferved at np^-0 : two of Mr Bruce’s company died of thirff, or at lead of the confe- quences of drinking after extreme third. The inhabitants live in the greateft mifery, and are continually in danger from the neighbouring Arabs, who, by deftroying and burning their corn, are able to reduce them to a flarving condition. Notwithftanding all their difydvantages, how- cver, they have a manufacture of coarlh cotton towels, of a fize jufl. fufficient to go round the w’aift, which pals current as money throughout the whole country. MEROM, in -/Indent Geography. The wraters of Merom, at which place Jabin and the other confederate kings met to fight Joffua (xi. 5.), are generally fup¬ pofed by the learned to be the lake Semechcn, which lies between the head of the river Jordan and the lake Gennefareth ; fince it is agreed on all hands, that the city Hazor, where Jabin reigned, was fituated upon this lake. But others think, that the waters of Merom or Merome were fomewEere about the brook Kiflion, fince there is a place of that name mentioned in the account of the battle againft Sifera (Judg. v. 21.) And it is more rational to think, that the confederate kings advanced Meroe, M c roni. Merfa. M E R [5 Merope advanced as far as the brock Kifhon, and to a pafs which led into the country, to hinder Jofhua from pe- ^ netrating it, or even to attack him in the country where he himfelf lay encamped, than to imagine that they waited for him in the midtl of their own coun¬ try ; leaving all Galilee at his mercy, and the whole traft from the brook Kilhon to the lake Semechon. MEROPE, in Fabulous Hijlory, one of the Atlan- tides. She married Sifyphus the fon of iEolus, and like her fillers was changed into a conftellation after death. It is faid that in the conftellation of the Pleiades the liar of Merope appears more dim and obfcure than the reft, becaufe Ihe, as the poets obferve, married a mor¬ tal, while her fillers married fome of the gods or their defendants. MEROPS, in Fabulous Hijlory, a king of the ifland of Cos, who married Clymene, one of the Oceanides. He was changed into an eagle, and placed among the conftellations. Alfo a celebrated foothfayer of Percofus in Troas, who foretold the death of his Ions Adraftus and Amphius, who were engaged in the Trojan war. They flighted their father’s advice, and were killed by Diomedes. Merops, a genus of birds belonging to the order of picae. See Ornithology Index. MEROVINGIAN character, derives its name from Merotiee, the firft king of France of that race, which reigned 333 years, from Pharamond to Charles Martel. This race is faid by fome to have terminat¬ ed in Childeric III. A. D. 751. There are many MSS. in the French libraries ftill extant in this cha- radler. MEROZ, in Ancient Geography, a place in the neighbourhood of the brook Kilhon, whofe inhabitants refufing to come to the aftiftance of their brethren when they fought with Sifera, were put under an anathema (Judges v. 23.) “ Curfe ye Meroz, fays the angel of the Lord •, curfe ye bitterly the inhabitants thereof: be¬ caufe,” &c. Some have thought that Meroz is the fame as Merus or Merom; and this F. Calmet thinks the rr oft. probable opinion in this matter. Others will have it, that Meroz was a mighty man, who dwelt near the JCifhon, and not caring to come to the affiftance of Ba¬ rak and Deborah, was excommunicated by the angel of the Lord by the found of 400 trumpets. The angel of the Lord, according to fome, was Barak, the gene¬ ral of the Lord’s army but according to others he was the high prieft for the time being, or a prophet. MERSA, a town of Barbary, pleafantly fituated about 11 miles from the city of Tunis, and two from Melcha the fite of ancient Carthage. The bey has here two country houfes, one of them very coftly work, built by Haffan Bey furnamed the Good. From thefe are orange gardens reaching almoft to the lea- Ihore } on the edge of which is a famous well of fweet water, efteemed the beft and lighte/l in the kingdom- Clofe to this is a coffeehoufe, whither numbers _ of people from the neighbouring places refort to drink coffee, and a glafs of this natural luxury fo peculiarly enjoyed in the eaftern countries. In the middle o the court is a large mulberry tree, under the (hade of which they fit and fmoke and play at chefs j ^inha¬ ling the comfortable fea breeze that refrelhes this de¬ lightful foot. The water is drawn up by a camel with the Perhan wheel. , 39 1 ME r There are the remains of an ancient port, or cothon, (fuppofed to be an artificial one), built by the Cartha¬ ginians after Scipio had blocked up the old port, no , thing but the turret or lighthoufe being left. MERS or Merse, a county of Scotland, called alfo Berwickjbire. This laft name it derives from the town of Berwick, which was the head of the thire before it fell into the hands of the Englilh, and obtained the appellation of Mers or March, becaufe it was one of the borders towards England. See Berwick, County of. MERSENNE, Marin, in Latin Merfennus, alearn- ed French author, born at Oyie, in the province of Maine, anno 1588. Pie ftudied at La Fleche at the fame time with Des Cartes ; with whom he contradled a ftricl friendfhip, which lafted till death. He after¬ wards went to Paris, and ftudied at the Sorbonne $ and in 1611 entered himfelf among the Minims. He became well {killed in Hebrew, philofophy, and mathematics. He was of a tranquil, fincere, and engaging temper ; and was univerfally efteemed by perfons illuftrious for their birth, their dignity, and their learning. He taught philofophy and divinity in the convent of Nevers, and at length became fuperior of the convent ; but being willing to apply himfelf to ftudy with more free¬ dom, he refigned all the polls he enjoyed in his order, and travelled into Germany, Italy, and the Netherlands. He wrote a great number of excellent works j the prin¬ cipal of which are, 1. ^uejliones celeberrimie in Genejim. 2. Harmonicorum libn. 3. He fonorum natura, caufs, et cfeclibus. 4. Cogitata phyfico-mathematica. 5 La •vente des Sciences. 6. Les quejhons monies. He died at Paris in 1648. He had the reputation of being one of the beft men of his age. No perfon was more curious in penetrating into the fecrets of nature, and carrying all the arts and fciences to their utmoft perfedlion. He was in a manner the centre of all the men of learning, by the mutual correfpondence which he managed between them. He omitted no means to engage them to publilh their works 5 and the world is obliged to him for leveral excellent difeoveries, which, had it not been for him, would perhaps have been loft. MERSY, a river of England, which runs through the counties of Lancafter, York, and Chefter, and empties itfelf into the Irifti fea at Liverpool. By means of inland navigation, it has communication with the rivers Dee, Ribble, Oufe, Trent, Darwent, Severn, Humber Thames, Avon, &c.; which navigation, including its windings, extends above 500 miles, in the counties of Lincoln, Nottingham, York, Lancafter, Weftmorland Chefter, Stafford, Warwick, Leicefter, Oxford, Wor- cefter, &c. Mersey If and, an ifland of Effex, at the mouth of the Coin, fouth of Colchefter. It was feized by the Danes in the reign of King Alfred, for their winter quarters. It had eight parifties, now reduced to two, viz. Eaft and Weft Merfey. There was formerly a block- houfe on the ifland. Merula, or Blackbird. See Turdus, Ornitho- logy Index. MERUS, in Ancient Geography, a mountain of the Hither India, hanging over the city Nyffa, built by Bacchus, and fituated between the rivers Cophen and Indus. The name, denoting the thigh, gvit rife to the fable of Bacchus being inferted into Jupiter’s thigh, and 3 Y 2 being Mers Merus. M E S Mefaraic being born twice •, becaufe in this mountain he and his army are faid to have been preferved, when difeafe and peftilence raged in the plains below. MESARAIC vessels, in the general fenfe, are the fame-with Mesenteric. In common.ufe, mefaraic is more frequently applied to the veins, and melenteric to the arteries, of the me- fentery. See Anatomy. MESCHED, a confiderable town of Perfia, and in the province of Choraffan ; fortified with feveral towers, and famous for the magnificent fepulchre of Iman Rifa, of the family of Ali, to whom the Per- fians pay great devotion. It is feated on a mountain near this town, in which are fine turquoife Hones j in E. Long. 99. 2y N. Lat. 37. o. MESEMBRYANTHEMUM, Fig marigold, a genus of plants, belonging to the icofandria clafs •, and in the natural method ranking under the 13th order, Succulents. See Botany Index. MESENTERIC, or Mesaraic, an epithet giv¬ en to two arteries arilrng from the defcending aorta, and proceeding to the mexentery. See Mesente¬ ry. MESENTERITIS, ox Inflammation of the Mesen¬ tery. See Medicine- Index. • MESENTERY, Mesenterium, (formed of middle, and sm§«v, intcfline'), in anatomy,- a fatty mem¬ branous body, thus called as being placed in the mid¬ dle of the inteftines, which it connects to one another. See Anatomy, N° 94. MESHES of Nets, the openings or interftices be¬ tween the threads. MESN, or Mesne, a term in law, fignifying him who is lord of a manor, and fo hath tenants holding of him j yet he himfelf holds of a fuperior lord. The word is properly derived from maifne, quaji mi¬ nor natu ; becaufe his tenure is derived from another, from whom he holds. Mesn alfo denotes a writ, which lieth where there is lord mefn and tenant ; and the tenant is diftrained for fervices due from the mefn to the fuperior lord. This is in the nature of a writ of right; and in this cafe the tenant {hall have judgement to he acquitted or indemnified by the mefne lord j and if he makes de¬ fault therein, or does not appear originally to the te¬ nant’s writ, he {hall be forejudged of his mefnalty, and the tenant fliall hold immediately of the lord para¬ mount himfelf. MESOCHRI, were muficians among the ancients, who prended in concerts, and by beating a wooden deik regularly with their feet, dire&ed the meafure of the rnulic. For the purpofe of beating time, they wore wooden clogs, called by the ancients crupet&ia, which occafioned the found to be better heard. MESOCOLON, in Anatomy, that part of the me- fentery, which, having reached the extremity of the ileum, contrafts and changes its name. See Ana¬ tomy, N° 94. MESOLOGARITHMS, according to Kepler, are the logarithms of the co-fines and cotangents; the former of which were called by Baron Napier anti-loga¬ rithms, and the latter differentials. MESOPOTAMIA, the ancient name of the pro¬ vince of Diarbeck, in Turkey in Alia. It is fituated [ 540 ] M E S between the rivers Euphrates and Tigris ; having Af- fyria on the eail, Armenia on the north, Syria on the wed, and Arabia Deierta with Babylonia on the (outh. 1 he Hebrews called it Padan aram, (Gen. xxviii. 2. &c.), and Aram A a liar aim (title of Pial. lx. j or Aram oj tliQ two rivers, becauie it was firft peopled bv Aram father ot the Syrians, and is fituated between the two rivers already mentioned. , This country is much cele¬ brated in Scripture, as being the firit dwelling of men both before and after the deluge ; and becauie it gave birth to Phaleg, Heber, Terah, Abraham, Nahor, Sarah, Rebekah, Rachel, Leah, and to the Tons of Jacob. Babylon was in the ancient Mefopotamia, till, by vail labour and induilry, the two rivers of the Ti¬ gris and Euphrates were united into one channel. 1 he plains of Shinar were in the fame country. Qf- ten.. they gave it the name of Meiopotamia (Deut. xxiii. 4. &c.) and fometimes that of Syria, (Hofea xn. 12.). Balaam fon of Beor was of Mefopotamia, Deut. xxiii. 4. Chufinan-rilhathaim king of Mefopo¬ tamia kept the Hebrews in fubje&ion feme time after the death of Joflrua, Judg. iii. 8. MESOP1ERYG1US, a term applied to fuch fiilres as have only one back fin, which is fituated in the middle of the back. MESPILUS, the Medlar, a genus of plants be¬ longing to the icotanoria clafs; and in the natural me¬ thod ranking under the 36th order, Pomaces. See Botany Index. . MESS, in. a military fenfe, implies a number of fol- diers, who, by laying away a certain proportion of their pay towards provifions, mefs together: fix or eight is generally tne number of each mels. Experience proves that nothing contributes more to the health of a fol- dier, than a regular and well chofen diet, and his be- mg obliged every day to boil the pot : it corrects drun- kennefs, and in a great meaiure prevents gaming, and thereby defertion. MESSALINA, Valeria, a daughter of Meflala Barbatus. She married the emperor Claudius, and difgraced berfelf by her cruelties and incontinence. Her hufband’s palace was not the only feat of her laf- civioufnefs, but flic proftituted herfelf in the public ftreets, and few men there were at Rome who could not boaft of having enjoyed the favours of the impure Meffalma. Her extravagances at laft irritated her hufiiand, who commanded her to appear and anfwer all the accufations which were brought againil her : up¬ on which flie attempted to deftroy" herfelf; and when her courage failed, one of the tribunes who had been lent to her defpatched her with his fword. It is in {peaking of her debaucheries and lewdnefs that Juve¬ nal lays, Et lajfata viris, necdum fatiata, receffit. Her name has become a common appellation to denote a woman of fiiamelefs and inordinate lull. MESSANA, in Ancient Geography, the fir ft town of Sicily on croffing over from Italy,' fituated on the ftrait now called the Faro, (Italicus). Anciently call¬ ed Zanc/e, according to Diodorus Siculus, from King Zanclus; or, according to others, from the Sicilian term Zanclon, denoting a fickle, alluding to the cur- vity of the coaft ; a name appropriated by the poets;, and hence Zanclsi, the people, (Herodotus, Paufanias). The Mefoptery- gius li Me (ran?.. Metier, a H . Meflenia. field M E S [ 541 ] The other name Me Jan a is from the Meflinii of Pelo- city of ponnefus, (Strabo). Thucydides arcribes its origin to , Anaxilas the Meffenian, tyrant of Rhegium, who re¬ ceived all cfcmers, calling the town after the name of his country. The Greeks always call it Meffcne ; the Romans Meffena condantly, to didinguilh it from McJJ'ene of Peloponnefus. Now Messina, lately ruin¬ ed by earthquakes. MESSENA, or Messene, an inland town, and the capital of Meffenia, a country of Peloponnefus ; erroneoully replaced by Ptolemy on the coaft. It was built by Epaminondas, who called all the Meffenian exiles, and gave the town the name of Meffcne. A place vying in point of ftrength and fituation with Corinth, according to Strabo; and therefore Demetrius Phalereus advifed Philip, father of Perfeus, that if he wanted to have Peloponnefus in his power, he fhould make him- felf mader of thefe two towns, as thus he would have the ox by both horns. MESSENGERS, are certain officers chiefly em¬ ployed under the diredtion of the fecretaries of flate, and always in readinefs to be fent with all kinds of defpatches foreign and domeftic. By virtue of the fe¬ cretaries warrants, they alfo take up perfons for high treafon, or other offences againft the rtate. The pri- foners they apprehend are ufualiy kept at their own houfes, for each of which they are allowed 6s. 8d. per day by the government : and when they are fent abroad, they have a ftated allowance for their journey, viz. 30I. for going to Paris, Edinburgh, or Dublin ; 25I. for going to Holland ; and to other places in the fame proportion ; part of which money is advanced for the expence of their journey. Their Handing falary is 45I. per annum ; and their pofls, if purchafed, are efteemed worth 300I. But thefe fums have now probably been increafed. The meffengers wait 20 at a time, monthly, and are diftributed as follows, viz. four at court, five at one fecretary’s office, five at ano¬ ther, two at the third for North Britain, three at the council office, and one at the lord chamberlain’s of the houfehold. Messengers, in Scotland. See Law, Part III. ME.$$f.NGER$ of the Exchequer, are four officers who attend the exchequer, in the nature of purfuivants, and carry the lord treafurer’s letters, precepts, &c. Messenger of the Prefs, a perfon who, by order of the court, fearches printing-houfes, bookfellers fltops, &c. in order to difcover the printers or publilhers of' feditious books, pamphlets, &c. MESSENIA, a country in the fouth of Pelopon¬ nefus, moflly maritime, tituated between Elea to the weft, and Laconia to the eaft. Anciently a part of Laconia under Menelaus, and called Meffcne by Ho¬ mer ; interpreted by the fcholiaft, Meffencea Regia. Meffenii, the people, reduced to a flate of flavery and fubjedtion by the Spartans; Meffenius, tiie epithet. This country is famous in hiftory, on account of the refiflance made by the Meffenian;'. againft the Spartans, and the exploits of their hero Ariftomenes. The firft hoftiiities commenced about the year 652 B. C,. on what occafion is uncertain. 1 hough the Meffenians were inferior in the knowledge of the art of war to the Spartans ; yet, by keeping for fome time on the defenfive, they improved fo much, that in three years time they found themfelves in a capa- M E S giving battle to their enemies in the open nor did they appear to be in any degree infe¬ rior either in courage or condudl: the war was there¬ fore protradled, with various fuccefs, on botli fides. At laft, both conmlted the oracle at Delphi ; and re¬ ceived for anfwer, “ that whoever fhould firft dedicate 100 tripods in the temple of Jupiter at Ithome, a ftrong hold of the Meffenians, (hould be mafters of the country.” . The inhabitants of Meffenia, on hear¬ ing this, having no money to make the tripods of brafs, fell to cutting them out in wood ; but before this could be accompliflied, a Spartan having got into the city by ftratagem, dedicated loo little tripods of clay : which threw the Meffenians into fuch defpair, that they at laft fubmitted to the Spartan*. The new fubjedfs of Sparta were treated with the utmoft barbarity by thefe cruel tyrants ; fo that a new war commenced under Ariftomenes, a man of uncon¬ querable valour, and enthufiaftically fond of liberty. He perceived that the Argives and Arcadians, who were called the a//ies of the Lacedaemonians, adhered to them only through fear of their power ; but that in reality they hated them, and wifhed to revenge the in¬ juries they had done them. To thefe Ariftomenes ap¬ plied ; and receiving an anfvver conformable to his wifhes, he engaged his countrymen unanimotftly to take up arms. About a year after the revolt began, and before either party had received any auxiliaries, the Spartans and Meffenians met at a village called Derce, where an obftinate engagement enfued. Ariftomenes was conceived to have performed more than mortal achievements: in gratitude therefore, refpeft being alfo had to his royal defeent, his countrymen un- animoufly faluted him king; which title be modeft- ly waved, alleging, that he took up arms to fet them free, and not to make himfelf great : he confented, however, to accept the title of general, with a power of doing what Coe ver he thought requifite for the fervice of the public. Knowing well the fuperfti- tion of the age in which he lived, he refolved to in¬ timidate the Spartans, by fhowing them what he was fure they would take for an ill omen. Difguiftng himfelf therefore, he went privately to the city, wlfere, in the night, he hung up a fliield on the wall of the temple of Minerva, with this infeription : Ari/lomenes dedicates this, out of the f(toils of the Spartans, to the god- defs. It was eaftly perceived that this war would be both long and bloody ; the Lacedaemonians therefore fent deputies to Delphi, to inquire of the oracle con¬ cerning its event : the anfwer they received was, That it behoved the Spartans to feek a leader from Athens. The Athenians naturally envious of the Spartans, granted their requeft indeed, but in fuch a manner as manifeft- ed their fpite ; for they fent them for a general Tyrtae- us, a fchoolmafter and poet, lame of one foot, and who was fufpeeied to be a little out of his wits. But here their fkill failed them ; for this captain, notwithftand- ing his defpicable appearance, proved of great confe- quence to Sparta, teaching them how to ufe good, and how to bear up under ill fortune. In the mean time, Ariftomenes had drawn together a mighty army, the Elean?, Argives, Sicyonians, and Arcadians, having fent troops to his affiftance; the Spartans in this, as in the former war, having no ally but Corinth. The Spartan kings, according to the cuftom ^vleflema, M E S [54 ^MtBenia, cuftom of tbeir city, no fooner took the field, than, "~~'J notwithftanding their inferiority in number, they of¬ fered the enemy battle, which Ariilomenes readily ac¬ cepted. It was long, obftinate, and bloody ; but in the end the Meffenians were vi&orious, and the Lace¬ daemonians put to flight with a great daughter. It is fcarce to be conceived how much the Spartans were lli'uck with this defeat : they grew weary of the w7ar, diffatisfied with their kings, diffident of their own power, and in a word funk into a date of general uneafinefs and w’ant of fpirit. It was now that the Athenian general convinced them, that he w-as ca- i pable of fulfilling all the promifes of the oracle; he encouraged them by his poems, diredled them by his couniels, and recruited their broken armies with cho- ien men from among the Helotes. Ariftomenes, on the other hand, adled with no lefs prudence and vi¬ gour. He thought it not enough to rellore the repu¬ tation of the MeiTenians, if he did not alfo reftore 'their wealth and power : he therefore taught them to aft effenfively againft their enemies; and, entering the territories of Sparta, he took and plundered Phaiae, a confiderable borough in Laconia, putting all 1'uch as made any refiftance to the fword, carrying off at the lame time an immenfe booty. IThis, however, was an injury which the Spartans could not brook with patience j they therefore fent immediately a body of forces to overtake the Meffenians, which accordingly they did : but Ariftomenes routed thefe purfuers, and continued to make a mighty (laughter of them, till fuch time as he wTas difabled by having a fpear thruft in his fide, which occafioned his being carried out of the battle. His cure, wffiich took up lome time, be- ing finiffied, he refolved to carry the war even to the gates of Sparta j and to that purpofe railed a very great army : but, whether he found his defign im- prafticable, or was really diverted by fome dream, he gave out, that Caftor and Pollux, with their filler Helena, had appeared to him, and commanded him to defill. A Ihort time after this retreat, going with a imall party to make an incurfion, and attempting to take prifoners fome women who were celebrating re¬ ligious rites near Egila, a village in Laconia, thofe zealous matrons fell upon him and his foldiers with fuch fury, that they put them to flight, and took him prifoner: however, he foon afterwards made his efcape, and rejoined his forces. In the third year of the war, the. Spartans with a great force entered Meffenia, ivhither Arillocrates king of Arcadia was come, with a great body of troops, to the affillance of his allies : Ariilomenes therefore made no difficulty of fighting when the Spartans approached 5 but they entering privately into a negociation with Arillocrates, engaged him with bribes and promifes to betray his confederates. When the battle began, the deceitful Arcadian repre- fented to the forces under his command the mighty danger they were in, and the great difficulty there would be of retreating into their own country, in cafe "the battle Ihould be loll : he then pretended, that the lacrifices were ominous ; and, having terrified his Ar¬ cadians into the difpofition of mind fitted to ferve his purpofe, he not only drew them off from both wings, but, in his flight, forced through the Mefi'enian ranks’ and put them too in confufion. Ariftomenes and his •troops, however, drew themfelves into clofe order, that 2 2 ] M E S they might defend themfelves the bell they could: and Me [Tenia. indeed they had need of all their valour and Ikiil; for ' the Lacedaemonians, who expected this event, immedi¬ ately attacked and iurrounded them on all lides. For¬ tune was, on this occafion, too powerful either for the courage or the conduft of the Meffeniaus; fly that, not¬ withftanding their utmoft efforts, moft of their army were cut to pieces, and amongft thetn the chief of their nobility. Ariftomenes, with the poor remains of his (battered forces, retired as well as he could ; and, per¬ ceiving that it was now impoflible to maintain the war againft the Lacedaemonians upon equal terms, he ex¬ horted his countrymen to fortify Mount Era, and to make the bell dilpofitions poflible tor a long defence. He likewiie placed garrifons in Pylus and*" Methone on the lea coafts j and to theie three places he fa¬ thered all the inhabitants, leaving the reft ot M-ffenia to the mercy of the Spartans. They, on the other hand, looked on the war as now in a manner finiftied $ for which reafon they divided the lands among their citizens, and caufed them to be carefully cultivated, while they befteged Era. But Ariftomenes quickly convinced them that the war was far from being over : he chofe out of all the Meffenians 300 men, with whom he ravaged all the adjacent country : carried off a prodigious booty 5 and, when Meffenia could no longer . (apply the wants of his garrifon, penetrated into Laconia, and bore away corn, wine, cattle, and whatever elfe was neceffary to the fubfiftence of his countrymen {hut up in Era : fo that at laft the Spar¬ tans were conftrained to iffue a proclamation, forbid- ding the cultivation, not only of the Meffenian terri¬ tory in their hands, but alfo of Laconia in its vici¬ nity j whereby they diflreffed themfelves more than their enemies, inducing at laft a famine in Sparta it- felf, which brought with it its ufual attendant, fedi- tion. Here again all things had gone wrong, if the wifdom of the poet Tyrtaeus had not fupported the Spartan courage ; nor was it without much difficulty that he influenced them to continue the blockade of Era, and to maintain a flying camp for the fecunty of the country. .Ariilomenes, in fpite of all thefe precautions, com¬ mitted terrible depredations with his fmall corps of 300 men. Amongft other places wffiich he plundered, the city of Amyclae was one j from whence he carried not only a great quantity of riches, but alfo many carriages laden, with provilions. The kings of Sparta lying with their troops in its neighbourhood, as loon as they heard of this expedition, marched after Arifto¬ menes with the utmoft diligence; and, as the Meffe¬ nians were encumbered with their booty, came up with them before they could reach Era. In this fituation of things, Ariftomenes, prompted rather by defpair than prudence, difpofed his troops in order of battle ; and, not with (landing they Were fo few, made a long and vigorous refiftance again!! the whole Lacedaemonian army. At length, however, numbers, prevailed : the greateft. part of the Meffenians were (lain on the fpot j and Ariftomenes, with about 50 of his men who fur- vived the (laughter, were taken prifoners 5 that chief having received fo many wounds, that he was fenfelefs when they earned him away. I he Lacedaemonians expr.effed the loudeft joy at the fight of this illuftrious captive ) who for fo many years, by his fingle abilities, ha,d M E s ' [ 543 Mefiema. had enabled his exhaufled country to defend itfelf he v ^ againft the vvhole force of Sparta. When he was recovered of his wounds, they decreed him and all his fellow prisoners to be thrown together into a deep ca¬ vern, which was the common punilhment of the low- elf kind of ofienders. ^ nis judgement was executed with the utmoft feverity, excepting that Arillomenes had leave to put on his armour. Three days he con¬ tinued in this difmal place, lying upon and covered over with dead bodies. The third day, he was al- mall familhed through want of food, and almolt poi- foned with the flench of corrupted carcafes, when he heard a fox gnawing a body near him. Upon this he uncovered his face, and perceiving the fox juft by him, be with one hand feized one of its hind legs, and with the other defended his face, by catching hold of its jaw when it attempted to bite him. Following as well as he could his ftruggling guide, the fox at laft thruft his head into a little hole ; and AriOomenes then let- ting go his leg, he foon forced his way through, and opened a palfage to the welcome rays of light, from v Inch the noble IVIellenian had been fo lonp* debarred. Feeble as be was, Ariftomenes wrought °himfe]f an outlet with his nails ; and travelling by night with all the expedition he could, at length arrived fafe at Era, to the great joy and amazement of his countrymen. W hen this news was firft blazed abroad, the Spartans would have had it pals for a fidlion ; but Ariftomenes foon put the truth of it out of doubt, by falling on the polls of the Corinthians, who, as allies of the Spar¬ tans, had a confiderable body of troops before Era. Moll of their officers, with a multitude of private men, he flew ; pillaged their camp ; and, in Ihort, did fo much mifchief, that the Spartans, under the pretence of an approaching feftival, agreed to a ceffation of arms for 40 days, that they might have time to bury their dead. On this occafion, Arillomenes for the fecond time celebrated the hecatomphotria, or the facrilice ap¬ pointed for thofe who had killed 100 of the enemy with their own hands. He had performed the fame before and after his fecond battle ; and he. lived to do it a third time : which mull appear wonderful to the reader, wdten he is informed, that, notwithftanding this truce, certain Cretan archers in the fervice of the Spar¬ tans feized Ariftomenes as he was walking without the walls, and carried him away a prifoner. There were nine of them in all; two of them immediately Hew with the news to Sparta, and feven remained to guard their prize, whom they bound, and conduefed to a lone cottage inhabited only by a widow and her daughter. It fo fell out, that the young woman dreamt the night before, that fhe faw a lion without claws, bound, and dragged along by rvolves j and that Ihe having loofed his bonds, and given him claws, he im¬ mediately tore the wolves to pieces. As foon as Ari¬ ftomenes came into the cottage, and her mother, who knew him, had told her who he was, Ihe inftantly con¬ cluded that her dream was fulfilled j and therefore plied the Cretans with drink, and, when they were alleep, took a poniard from one of them, cut the thongs with , which Ariftomenes was bound, and then put it into his hands. Fie prefently verified her vilion, by putting all his guards to death •, and then ^carried her and her mother to Krv, where, as a reward for her fervice, ] me s married the young woman to his fon Gorrus, then Meii about 18 years of age. < , ^vr^len ^ra out near eleven years, it fell into the hands of Sparta by an accident: the fervant ot one Empiramus, a Spartan commander, driving- his mailer’s cattle to drink at the river Neda. rmt frequently with the wife of a Meffenian, whom he " engaged in an amour. This woman gave him notice that her huffiand’s houfe was without the wall : fo that he could come to it without danger, when the good man was abroad j and ftie likewife gave him in¬ telligence when her hufband was upon duty in the garrifon. The Spartan failed not to come at the time appointed ; but they had not been long in bed before the huffiand returned, which put the houfe into great confufion : the woman, however, fecured her gallant • and then let in her huffiand, whom fiie received in appearance with great joy, inquiring again and again by what excels of good fortune (he was bleffed with his return. The innocent Meffenian told her, that- Ariftomenes being detained in his bed by a wound," the foldiers knowing that he could not walk the rounds, had a grant to retire to the'r houfes, to avoid the inclemency of the feafon. The Spartan no fooner heard this, than he crept foftly out of doors, and haftened away to carry the news to his mailer. It fo happened, that the kings were at this time abfent from the camp, and Empiramus had the chief commend of the army. . As foon as he received this information, he ordered his army to begin its march, though it rained exceffively, and there was no moon light. The fellow guided them to the ford, and managed matters fo well that they feized all the Meffenian polls: yet, after all, they were afraid to engage j darkneis, and high wind, heavy rain, together with the dread of Ariftomenes, keeping them quiet in the places they had feized. As foon as it was light, the attack be¬ gan ; and Era had been quickly taken, if only the men had defended it j but the women fought with fuch fury, and by their mingling in the fray, brought fuch an acceffion of numbers, as made the event doubt¬ ful. Three days and two nights this defperate en¬ gagement lafted : at laft, all hopes of preferving the city being loft, Ariftomenes drew off his wearied troops. Early in the fourth morning, he difpofed the women and children in the centre, the Meffenian youth in the front and rear, the lefs able men in the main, body : himfelf commanded the van ; the rear-guard was brought up by Gorgus and Manticlus, the for¬ mer the fon of Ariftomenes, the latter of Theocles, a Meffenian of great merit, who fell with much glory- in this attack, fighting valiantly in the caufe of his country. When all things were ready, Ariftomenes caufed the laft barrier to be thrown open ; and, bran- dilhing his fpear, marched diredlly towards the Spar¬ tan troops, in order to force a paffage. Empiramus, perceiving his intent, ordered his men to open to the right and left, and fairly gave them a paffage ; fo that Arillomenes marched off in triumph, as it were, to Arcadia. The Arcadians, when they heard that Era was taken, were very defirous of fuccouring their old con¬ federates in this deep diftrefs: they therefore en¬ treated their king Ariftocrates to lead them into Meffenia-, „ Meffenia, Mefli h. ftandinj who, t M E S [ 544 ] Meffenia. But he, corrupted by tiie Lacedaemonians, royal unclion perfuaded them that it was too late ; that the Meffe- nians were all cut oft' j and that fuch a ftep would only expofe them to the fury of the conquerors. When the thing appeared to be otherwife, and it was known that Ariftomenes was on the frontiers of Arcadia, they went in crowds to carry him provifions, and to teftify their readinefs to afford him and thofe under his command all the afliftance in their power. Ari- ftomenes deftred to be beard before a general affembly which being accordingly convoked, he there opened one of the boldeft and bell laid fchemes recorded in hiftory : he faid, that he had yet 500 undaunted foldiers, who, at his command, would undertake any thing ; that it was very probable moll of the Spar¬ tans were employed in pillaging Era, and that there¬ fore he determined to march and Turprife Sparta 5 which appeared fo fenlible, that all the affembly loud¬ ly commended his great capacity and unlhaken cour¬ age. Ariftocrates, however, took care to betray him •, having, by various pretences, retarded the exe¬ cution of the projefl. The Arcadians, who began to fufpeft him, waited for and furprifed the meftengers as they came back. They took the letters from them, and read them openly in the affembly. The purport of them was, that they acknowledged his great kind- nefs both now and in the battle ; and promifed, that the Lacedemonians wrould be grateful. As foon as the letters wrere read, the Arcadians fell to Honing their king, frequently calling upon the Meffenians to aflift them ; which, however, they did not, waiting for Ariftomenes’s orders •, who, far from triumphing in this fpeclacle, flood ftill, with his eyes fixed on the ground, which he wet with his tears, his foul pierced with forrow to fee a crowned head fo (hame- fully and fo defervedly put to death. The Arcadians afterwards ere6led a monument over him, with an in- ffription to perpetuate his infamy. As for the Mef¬ fenians under the command of Gorgus and Manticlus, they paffed over into Sicily; where they founded the city of Meffene, one of the moll famous in the ifland. Ariftomenes remained, however, in Greece $ where he married all his daughters, except the youngeft, to perfons of great rank. A prince of Rhodes, inquiring of the oracle at Delphi whom he ftiould efpoufe, that his fubje&s might be happy under his pofterity, was dire£led to marry the daughter of the moft worthy of the Greeks j which anfwer was immediately under- ftood to point at the virgin daughter of Ariftomenes. Her therefore he demanded, and received •, Ariftome¬ nes accompanying him back to his dominions, where M E S Aaron and his fons received the faeer- dotal, and Elifhah the difciple of Elijah received the v prophetic umflion.—The name Messiah, Anointed or Chrijl (Xg