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Printed by FLEURY MESPLET, m. bcc. lxxxvi. /■'" i> ■•! « .A *■■' • u ^^i'-> ».^ , TP Cj t|Vi Mc : "-■ liHtgi-Wl^irBWili « , TP HIS EXCELLENCY the right Honorable GUY LORD DORCHESTER, Captain-General and Governor in Chief OF BRITISH AMERICA, I^ViCE Admiral of the same, and General AND Commander in Chief of his Majesty's Forces, &c. &c. &c. 7he following REMARKS, Are mojl refpeSlfully infcribed, BY Hib LORDSHIP'S— Most Obedient, AND MOST DEVOTED HUMBLE SERVANT* ]5^ontrcal, 25 iVbv, 1786. THE AUTHORi sAXj, Z~..u'' ■W'-fW ifpp^r ERRATA pa^e 9, line 17, for which, r^ji which. • line 22, for dffcring, read differing. Ptfg-^ 1 1 , //«^ 3d, forpolmtcd, r^^^ polluted. ■ — line 22, for Exrerfienfes, read Excrefcences, '^^^ 24, for frepuently, r^'j^ frequently, and for Lmibs, read Limbs Tage 13, CASE I. //>;,- 3d. for the the f/a^ the. v^; X - I ^V"***,. "^mmm *\l. *••■.*•*] 1 #«,j ••j^»*j '*, • ' t« • ti ' '.;; ■■-. J I i ( JDVERTISEMENT, HEARING that Government bad ferioiif- ly undertaken fome Flan for the Re- rnoval of a Dlfeafe which has long infefted [this Province^ alarming in its Progrefsy and [deftrudive in its Effe^ ; I have ventured to mublifh fome Remarks on the Subje6t ; extrac- ted from Notes I have collected during fome [years paft. As it is a duty every Man owes to Society I to contribute all in his Power to a purpofc |likc this, I hope my profeffional fellow-ci- tizens and others, will think my attempt juftified by this Motive alone; and although my long Reftdence in this Country, and my Situation for fome years under Mr. Huntley have afforded me at leaji an equal opportunity with others of obferving this Dileafe, yet I have often wifhed that lomc Gentlemen of the Faculty more qualified than myfelf, would dignify a fubjedl with his Pen which lays a I double Claim to his Attention, as a citizen, ni^ ^ Prof ejfwnal man. i>iiiiii .Lr i!^ i ' < i i'Xl ,. >V — '- ^ ■j^Sj tf i ' f- .^^"'" .'..I1 l! • Tc luch I have only endeavoured to explain my Meaning-— It is the Gentlemen of landed Property and others refiding in the country whom I \vi(h to inform, for their Ufe I write, and for that purpofe I have avoided as much as pofible, every technical term^ or profeffio- nal Phrafe, As for myfelf if what I can fay may tend to refcue one poor wretch from Dijeafe, or ftimulate one rich man to Pity, and Bene- volence, I (hall be more proud of my Endea- vours, than if they were rewarded wih aca- demical Honors. i I i; ..J******"* " ( ' ) 'i* DESCRIPTION OP THE , ; ^ ,. MOLBAr DIJEASE THIS InfeAious Diforder which was firft difco- vercd in the Parifh of Molbay below Quebec, has pervaded almoftthe whole Province of Canada with fuch aftoniihing and deftrudtive Rapidity, that from the C(Ps wafte; :en rave- carious, lead and increafes :e of the e in all; titution ; bit, the efs more n men. ing the whole ( 9 1 whole courfe of the Difeale, is aftonifhing as I have fijicn the Velum Pendulum, and Uvula «:ntifely diT- troyed with nothing more of Pain than a flight pric* king felt by the Patient. — In regard to the Cana- dians this is.a moft unfortunate circumdance : re- gardlcfs of Danger where Bodily fcnfation aftbrda no Monitor to alarm them, and where the dread iof expence confirms their Indolence, they fcldom apply fof medical alfiftance till the Difeafc has made fuch Havock that it is fometimes Incurable; and fcven where it then admits of a Cure it too often leaves the wretched Patient to languifh the remain- der of Life under the united miferics of an injured ^conftitution, and a mutilated Frame. HA /ING thus endeavoured with as much accu- racy as I can, to defcribe the Symptoms, and Pro- grefs, of this dangerous Malady, which has by fome been confounded with the Venereal Difeafe^ and by othei-s pronounced to be only a LonHrmed FoXy i ihallneit attempt to difcriminatethefe two Dilbrders^ and to prove what I myfelf beleive that they are dif- tin(ft, and feparate Dileafes, dffering materially from each other, in their cauf6, mode of infection, and method of Cure ; happy if in the attempt I dravv forth the Powers of fome abler Hand, to confirm what I advance or proving it groundlefs toeftablifh a rational opinion by more Judicious objeivauonsoi his own. ^C affciftsd B iia irT.r::>- ' ■i. i ( 10 ) .1^;. ■*- J ; . >« COMPARATIVE STATE !;;: -J OF THE MoLBAY AND Venereal Diseases. , . . .- r*. - ,;,- -v- --'-••--- - • ' • . ' "■ IN drawing a comparative State of the Venereal Difeafe with that which is now fo incidental to this Climatt, in tracing the Difference^ or Sim'tlarity of their appearance as well as of their Mode of /»- fSion and Cure, it will be neceffary to give fome acc<^unt of the former. THE Venereal Defeafe made its firft appearance in Europe in the year 14939 being imparted into Spain by the Ihips crt- w of ColumbuSi who contra^ed it among the Savages of America, on tht Ifland of Hitpaniola, which they haddifcovered, andbroi^ht it from thence to thtir native Country, from whence it \% now fpread oyer mpft parts of the iLiiown world. ' "■"':' ^'T"';... ', .^ ^''t,.. ••' .;. ■ THE firft writers on the fubjeft as well as tholc of our time, differ anKing each other, in the ac- count of its Origin and th^ means by which it was fiift contraftcd; fome-affirmihg it to have been a Diiorder peculiar to the Savages of America when difcovcred ; others that it was generated by the Briraiity of the Spaniards, a number of whom Tvuuid fatiate their Cruelty and Luft on the Body of fuj m col fu 1 lat wl l^ani Tl fi< Fc M Efesi?^^ ATE ;:;.:• ;/ -J 5 Venereal cidental ro ' Simiiarity nde of In- jive fome ppearancc arted into :antradecl Ifland of d brought m whence known Q as tho(e the ac- t it was 'c been a 'tea when by the )f whom .he Body , . ( II ) of one unhappy female Savage, and produce by fuch repeated Violence an infe^ious matter in the genital Parts of thfe polutted Victim; which by communicating itfelf to the Ravifhers in fome mea- fure puniflied their crime. THE laft opinion feems moft probable, as in later times the fame caufe has produced a Gottonh^a I when it was proved that neither the woman nor jany of the men labored under the Difeafc befoxc.-r- , There are two fpecies of the Venereal Difeafe, the fimple Gonorrhea or Clap and the confirmed Lues or Pox — b')th contraded by Cqii'm wkh an li^feQed THE firft IS Local proceeding fomctimes from an Ulcer in the Urethra, foi>eiimes from a difeafed Relaxation of the Glandular Parts, and attended with adifcharge, mucous, purulent, or Bloody, this is generally cured by cooling Purges combined with Duiretics, and often by Topical applications alone^> injedted into the Urethra, THE other is a general Infeftion of th€ Mafs of Blood, producing fometimes UUers and Excerfcences in the genital Parts, ibmetimes in the Throat, and frepuently in both, with pains in the Lmibs, Szc» when thefe fymptoms are perceived the Patient is fai4 to be afHidted with a confirmed Lues or Pox-^foT this State of the Difeale^ Mercury is a general fpecific ad miniftered in various Do/^j, Siud FormSt propor- tioned to the age, ftrength, and conftitution or the Patient ; and to the Firulence and Duration of the Difeafe. THE Ulcerations m the Throat are alike mci- «■• . r r hi i: ^ ft? r u ) . dent to this and to the Molbay Difeafc ; which is I bcleive the chief Rcafon that they are fo often con- founded together, and when in the latter any acci- dental ulcers appear on the Scrotum or Penis it cor.firms this opinion ; but Shankers or warty Excref- cences which are a very conimoij complaint in Poxes 1 have never once feen in the Molhay Dtfeafe, anotherj Reafon for this opinion is that mercury which is a well known fpccific for the Pox, is alfo fucccfsful in the other Difeafe, but Mercury has been found equally efficacious, in Gutta Serena, Strumous TumorSy 6fr Difeafes very diifFerent from any thing venereal. BUT the moft unequivocal proof that the Pox and Molbay Difeafe are not the famic, is that the for- mer is always imbibed by impure venerea! cohabitation (although ir is alfo poflible to contraft it by the con- tad of an Ulceration in a difealed Perfon with an excoriation inafoundone) but th? latter will fre- quently remain unimparted by the Commercs of the Sexes, through the whole ftage of the Difeafc, ir the laft of ^hich a woman will bear infedted children to a hufband who remains free from any particle of the piflemper, while the innocent Offspring perifh, the Loathfome TiS/wj of their n:iothers misfortune ; in the fame manner a man will die of the Difeafe, while his wife furvivine will feel no fymptom of it, altho perhaps others living in the fame houfe may noc ^{cz'^t tht InfeRion.' TO this it r ay be objefted thaj ajfertiqn is not proof, a Pofttion too incontcftible to be denied, and although 1 beieive that every Gentleman of the Faculty who has had an opportunity of obferving. n< th ie 1 P m ar 4.1. ■i- 111 la t & t\ n % ■,^„ •*»«— ". .♦ >-♦■ ■♦ ••^»--> < ^3 ) . atid a defire of remarking, the Dlfeafe in queftion if not mifled by prejudice, will concur in what i have faid, yet to obviate this objection, I have fubjoiqed three out of many cafes that have fallen wirhin my obfervation, in fuppprt of the non-injetiiou's quality of the Molbaj Difeafe by the commerce of the Se^^es. , f'^f . :»..rit *.v UVA CASE I. ^h'^itiirr.'Ayi Mf^ \ — Sicard aged 35 wife of Sicard of the Par ifli of Sault de Recolet, was attacked iiTthccoin- mon way by the the Molbay Difeafe, fhe did not* apply for affiftance untill the Uviila, and part of the Velum Pendulum, were deftroyed and. niajiy large fceted Ulctrs appeared on the Tonfils, Tongue &c. there were alfo feverallivid fpotsbri the Nofe that indicated an approaching mortification ; and ihe complained of a conftant pain in the Head; in this fituation ihe applied to Mr. Huntley who im- mediatley ordered her on a courle of Mercury by Undtion, rubbing in two Drams of Mercurial Oint- ment, every night and purging it off as it afTe^ed the mouth ; in about three weeks the Ulcers in the Throat difappeared, and the pain in the head' went; off, the fkin of the Nofe alfa refumed its natural Color, and the Patient was difmifTed as Cur^d. • In fix weeks all the fymptoms returned with re- doubled Violence,and one fide of the Nofe appeared' black, fhe was then ordered to take a Pill every night Qt two grains of Calomel and four grains of Extradt 'i ii:. :'.■ -aS:: : ^ f i 1 V I r 14 ) of Hemlock, and a Powder compofed of twenty* five grains of Jalap,snd twenty grains of Nitre ,every fourth morning, in about a week the greater part of the Cartilaginous Subftance of the Nofe ilougned aWay, but the wound appearing clean and the Throat getting better, the Medecines were con- tinued and in a month fhe was perfectly cured. During the whole procefs of the cure, this wo- mans hufoand cohabited with her and yet remained uninfected, nor ever betrayed any fymptom of the Difeafe. «»««•» CASE II. < '^ ^_..i,. •.;• ,, :• Marie Oilette aged 37 years wife of Gabriel Oilette Pari0i of St. Martin lile Jiefus, applied to me in the winter 1784 being infected with the ]Molbay Difeafe, on Examination I found her Throat and Tongue covered with fmall Ulcers, the Gums were very Spongy and the Uvula ahnoft deftroyed, theCttaoaeniaw^re irregular^ (a fymptom common in thit Otfeafe) but excepting fometimes a ilight Head^acby fhe felt no pain* I immediately put her on a Courfe of Calomel and Nitre, giving her a Powder twice a day compofed of one grain Calomel and fix of^Jitre intimately mixed and purging it off every fourth or fifth morning with Glauber Salts, ordering tier at t^ lame time to drink plentifully of the Decodion d Sarfaparilla — In four weeks the Ulcers Were quite healed, and part of the Uvula a in ml to 'V, I '% I If ere con- Lired. this wo- emained m of the Gabriel pplitd to vith the T Throat le Gums cftroycd, common ( a flight ' put her )g her a Calomel ng it off Salts, ifuUy of :eks the Uvula :r ilowghed away, the pain in the head werrt off, the Catamenia returned, and the woman has continued in perfrdt health, durind this time her hulband re-^ mained uninfefted nor has he ever felt any fymp- tomofthe Difeafe. ,* > » ,»'<■ CASE III. .« •} Therefe Guenaud aged 25 years wife of Jofcph Guenaud Parilh of Laprairie, applied to me in the eighth month of her Pregnancy, being infedcd with the Molbay Difeafe. She had feveral Ulcers on tho Tonfils and Velum Pendulum with Chaps on the Lips, and Noftrels, Eruptions on the Body, and Ltmbs, lofs of ftrength, and inability to ileep ; on account of her lltuation I advifed her to defer attemp- ting the Cure till after Delivery — ^^In a month ihe was delivered of a male Infant that bore evident marks of the Infe^ion^ the Throat and Fauces were covered with Ulcerations, the Breathing by the N oftrils quite reftrifted, and the Lips fwelled lo a$ to render it almoU unable to fuck, this unhappy ob- je^ languilhed a week and died of the Difcalc ; the mother was then put on a courfe of Calomel aitd Nitre, purging it off as ufual and in a month the Cure was com pleated ; her hufbaiKl was with her and remained found nor has ever complained of the Diforder. - \ . In the th r. . Patients abovemcntioncd as in ttioll others the Parts of Generation were never in any manner affc« often by neither.-Letfpeculative Theorifts employ their time and talents in tracing its Origin and invei^igating its Caufej after a year fpent in the fuccefllels fearch, they may perhaps own, that th y "Would have been better employed in releiving one unhappy objedt than in enquiring how five hundred became Dileafed* METHOD OF CURE . r. 4 J S', MERCURY is the only fpeeific hitherto dif- covercd for the Molbay I 'ifeafe and I believe it never fails, except when the Diftemper is com- bined with others^ and fo advanced in its progrefs, or the Patients fo aged or weakly as to render it impo- iible to adminifter Medecines-But we (hould beware lead in exhibiting this dangerous Drug we materially injure the Patients constitution; and leave him cured ofone Diftetiiperi at the expence of inheriting a long fucceffion of others. The moft common way of adminiflering Mercury is in the form of an Ointment compounded of equal Weights of Quickfiivcr, and Hogs Lard, rubbed together j ■ J ■ '- ri. ■>.-:i:. - ( «7 )':■■■ gether in a mortar till they are pcrfeif^ly united nd no trace of the Quickfilver is vifible, of this he Patient rubs from one to two Drams on the roins every night till it is imbibed into the fkin i ,the Unftion is difcontinued, when it affedts the outh or Gums, and a Dofe of Salts or Jabp iven the next day, recommencing the Undtion he night following and fo continuing, untill the jcure is compleated; during this Proce(s the Patient uft abilain from Spirituous Liquors, and falted meat, he may be allowed to go abroad and ufe moderate cxercife, keeping himfelf warm, and his *eet dry. , ^ . , : » . , «;■, .•«-/,# ^ <• j'<' • In young and, robufl: Habits this is a fafe and 'certain method of Cure for the Molbay Difeafe; buc in old or delicate, Conftitutions, particularly in women or, children,, the Introdudtion of Mercury into the Habit may be dangerous, from its tendency to diflblve the Blood, and from the difficulty that |arifes in expelling it. again. Calomel pombmed vvitH Nitre, feems therefore the mod fafe and pleafant Remedy to extirpate this Dileafe ; one Grain of Calomel intimately mixed with five or fix Grains of Nitre, and admi- Tiiftered twice or thrice a day in a fpoonfull of warm water, drinking after it a Draught of fome diluting Liquid and purging it off every fourth or fift h morni ng, with Glauber Salts will generally effedt a Cure ; the Calomel in torm of a Pill is more apt to purge the Patient, without mixing with the Blood, com- bined with Nitre it docs not fall fo readily on the iowels; but if the Nitre excites a Pain in the Stomach (a thing not uncommon) five or fix Drops G V^'i" ^': u ( '8 ^) . of Liquid Laudaneum mixed with cath Dofe will gcnierally remove this complaint. — A fpoonfuH of! Vinegar mixed with a pint of the Decod^ion of common Kofe Leaves and ufed as a Gargle, will cleart the Ulcers in the Throat, and if they arc very foul two Grains of Cotnfi'Oe Sublimate diflbl- ved in the Gargle will greatly affift— The Decoc- tion of Sarfapartila which grows Spontaneoujfy through- out Canada, made ft"r"*ng, Ihould be drank in the quantity of two or th ,c Quarts per day by the Patient, t v7'-?r'^ ^^j.- ■,-;^}m •. t y'*' '""'' ^' ^.l\ Bathing the Feet in warm water is very ufe- ful, and if the Patient cattlies cold during the Cure, his whole Body ihould be immerfed in warm water. For children often dr twelve years, the fame Medecines adminiftered in half the Quantity is lufficient, and fo oA in Proportion. When the Difeafe is very obftinate, a Pill made of three or four grains of Extjradt of Hemlock and taken with the Caloniel, is oft^n very Beneficial. Thefe Medecines might be purchafcd cheiaply by every Gentleman who poffefles a Seignory, anvl adminiftered by himfelf wirhin his own circle where a Surgeon is not a^ hand, to the difeafed Poor, •"- ''^ •»•!%. ■■'^' -vf'^j"' ''■^■'■- »^ "^'r^ u-vv .!<..:-■■- The Gentlemen of the French Clergy in like planner tpight affift. their own Pariflies: and fure their time and trouble would be Well repaid, they would be doing the work of their Mafter Je/us^ Chrilly in imitation of his Example they Ihould rot only preach, but perform Charity^ clfe how can they hope for the Eifedi of Piety, in wretches who pre taught to undervalue Spiritual Conjolation becaufe fhey find it offered, when Corpore4 AJJiJlance is dj- 1 ^ ' % ( ^9 ) nied ; at a time when their diftrefled fituation perhaps requires the one more than the other. The Gentlemen of landed Property alfo would find a trifling expence amply reimburfed, if not by the Gratitude even by the Health ot their Tenants ; more able to Labor, they would alio, be more able to pay — I hope there are many to whom this Argument will be fuperfluous. But when the caufe of Hun^anity is joined to that of intereft, who will not be charitable ? ye therefore who are blefled with Health and Riches, will ye not aflift thofe fuffering wretches who are dcf- titutc of Both ! it is from their Labour you derive the one, and it will be ferving Him from whofe Bounty you enjoy the other. By this means Government will be greatly af- fifted in their Endeavour to extirpate the Difeafe, without the concurrence of the Priefts and Seigneurs, the expence muft be enormous and the inconvenience great ; by their mutual endeavours without any- great Expence, or any extenfive Profejfional aflif- tance the Country may yet be recovered from a Cla- lamity more diftrudtive than fVar or Famine ; the fword even when moft fatal, deftroys Life without the horrors ot Lingering m Pain and Poverty, and bounteous nature generally repays a year of Famine, with a fucceeding one of Plenty, But difeafe renders the poor Inhabitant unable to guard againft the one or take advantage of the other ; by flopping its ruinous Career, this Province under his Aufpices who formerly long governed it with Honor will again be the moft flouriftiing in the world; and the Citizens who perceive, and the Peafantry who feel the Advantage will beftow additional blcflTings on the Mamcof Carleton. f I N I S. i^:.<^ mHiKmM n '-'■■"■'" ■ < ""FT ' """"•^VmpiVMifpHMqp p!^ H I S ■ It • . i4l 'it 'V .'J • ,. i- t.. 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