IMAGE EVALUATION TEST TARGET (MT-3) 4p & {./ ./. I/.. U.. 10 I.I 2.5 2.2 I >- lllll££ 1.8 1121 IIIU 111.6 V] <^ //, ^> ^ .V l^^v '■^ f y/ Sciences Corporation 23 WEST MAIN STREiT WEBSTER, N.Y. 14580 (716)872-4503 ^ V ^\ V ^ \ I yA^ .* ^-^.^ n^^ 4 4-. 1^ <^ ^ ■«^. \ CIHM Microfiche Series (l\/lonographs) ICIVIH Collection de microfiches (monographles) Canadian Institute for Historical Microroproduetions / Institut Canadian de microraproductions historiquas Technical and Bibliographic Notei / Notes techniques et bibliographiques The Institute hds at«empted to obtain the best original copy available for filming. Features of this copy which may be bibliographically unique, which may alter any of the images in the reproduction, or which may significantly change the usual method of filming, are checked below. Coloured covers/ Couverture de couleur D I I Covers damaged/ D Couverture andommagte Covers restored and/or laminated/ Couverture restaur^ et/ou pellicula □ Cover title Le titre de missing/ couverture manque □ Coloured maps/ Cai n n D n tes g^ographiques en couleur Coloured ink (i.e. other than blue or black)/ Encre de couleur (i.e. autre que bleue ou noira) Coloured plates and/or illustrations/ Planches et/ou illustrations en couleur Bound with other material/ Relie avec d'autres documents Tight binding may cause shadows or distortion along interior margin/ La reliure serree peut causer de I'ombre ou de la distorsion le long de la marge interieure Blank leaves added during restoration may appear within the text. Whenever possible, these have been omitted from filming/ II se peut que certaines pages blanches ajout^ lors d'une restauration apparaissent dans le texte, mais, lorsque cela etait possible, ces pages n'ont pas ete filmees. Additional comments:/ Commentaires supplementaires: L'Institut a microfilm^ le meilleur exemplaire qu'il lui a M possible de se procurer. Les details de cet exemplaire qui sont peut-4tre uniques du point de vue bibliographique. qui peuvent modifier une image reproduite. ou qui peuvent exiger une modification dans la mithode normale de f ilmage sont indiquis ci-dessous. □ Coloured pages/ Pages de couleur I y\ Pages damaged/ Pages endommag^ □ Pages restored and/or laminated/ Pages restaurees et/ou pellicul*es Pages discoloured, stained or foxed/ Pages dteolories. tacheties ou piquees [ZZ, detached/ Pages detaches I y I Showthrough/ Transparence •| Quality of print varies/ __I Qualite inegale de I'impression □ Continuous pagination/ Pagmation continue □ Includes index(et)/ Comprend un (des) index Title on header taken from:/ Le titre de I'entCte provient: □ Title page of issue Page de titre de la □ Caption of issue/ Titre de depart de la li D livraison vraison Masthead/ Generique (periodiques) de la livraison This Item is filmed at the reduction ratio checked below/ Ce document est filme au taux de reduction indique ci-dessous. ^OX 14X 18X 12X 16X 20X 22X ?6X viv 24 X 28X n 32 X The copy filmed here has been reproduced thanks to the gerkarosity of: National Library of Canada L'exemplaire film6 fut rc,-roduit grAce h la g6n6ro8it6 de: Bibliothdque nationale du Canada The images appearing here are the best quality possible considering th j condition and legibility of th J original copy and in keeping with the filming contract specifications. Original copies in print&d paper covers are filmed beginning with the front cover and ending on the last page with a printed or illustrated impres- sion, or the back cover when appropriate. All other original copies are filmed beginning on the first page with a printed or illustrated impres- sion, and ending on the last page with a printed or illustrated impression. The last recorded frame or* each microfiche shall contain the symbol — ^> (meaning "CON- TINUED"), or the symbol V (meaning "END"), whichever applies. Maps, plates, charts, etc., may be filmed at different reduction ratios. Those too large to be entirely included in one exposure are filmed beginning in the upper left hand corner, left to right and top to bottom, as many frames as required. The following diagrams illustrate the method: Les images suivantes ont 6t6 reproduites avec le plus grand soin, compte tenu de la coridition et de la nettete de I'exemplaire film6, et en conformity avec les conditions du contrat de filmage. Les exemplaires originaux dont la couverture en papier est imprimie sont filmds en commenpant par le premier plat et en terminant soit par la derniire page qui comporta une empreinte d'impression ou d'iiiustration. soit par le second plat, salon le cas. Tous les autres e.templaires originaux sont fiim6s en commenpant par la premiere page qui comports une emprainte d'impression ou d'iiiustration et en terminant par la dernidre page qui comporte une telle empreinte. Un des symboles suivants apparaitra sur la dernidre image de cheque microfiche, selon le cas: le symbole — ^ signifie "A SUIVRE ". le symbols V signifie "FIN". Les cartes, planches, tableaux, etc., peuvent dtre film6s d des taux de reduction diffdrents. Lorsque le document est trop grand pour dtre reproduit en un seul cliche, il est film6 d partir de Tangle sup6rieur gauche, de gauche d droite, et de haut en bas, en prenant ie nombre d'images n6cessaire. Les diagrammed suivants illustrent la m^thode. 1 2 3 1 2 3 4 5 6 f' if J J|Hi ISTIC PHYSICIAN! AND LLER'S MEDICAL COMPANION : A OOMTIUD nOM TUB PIUOTICB Ot THE MOST EMINENT PHYSICIANS AND SUtiGEONS, viz: Sm ASTLEY COOPER, SIR HENRY FIALFORD, DRS. BAILLIE. LATHAM, HEBEUDEN, SAUNDERS, BABINGTON, BIRCBECK, &■:. &c. For Paredti and Heads of Families, for conductors of large Establishments, for Travellers, &e. 8T A PBYSXOZAN. SECOND CANADIAN, FROM FIFTH LONDON EDITION, / WITH NOTES AMD AN APPENDIX, Ctitttining advie« to per9on» removing to tropical eUmatei; to tho$e attacked rfter drinking cold water, «fe. ST AN AMBBIOAVf PCAOTITIONBB. TORONTO: rOBLISHCD M C. F. PAYNE, AT HIS LITERART DEPOT, Wo. *, WBLLINOTON BUILDINGS, KINO STREET. 1845. m (] \Ai- «S A -. '"•■--^m i IIIFACE. encral instruction, in the discrimi- pf diseases, does not admit of a ,.„ ta, individuals tlie means of pre- *^M**^^ °^ tliemselves and fami- ^fijo blessing for their ^fimesioidnded for this KJ-lhujky and expensive, and so 'Sfeiis, as to perplex the reader r .Ahis little work is therefore .L4s%nfoining within a very small m as liiay be often wanted in the ^ilarlyiii ti.e country, where the be- mCt^is often obtained with consi- ,.,.»— ^j. »4e vMue of this knowledge will be ItTfeiilttmany scenet^ tjf 4oiH|gdfl^-^i||cultles, or L.^ciki. .^^...^^Htiw^ii^iu j<^l*l^ litafHtoints out .foment Of alarm; a pilot that directs J^ease with^.arCrye^STmpUcity ; a beacon Rvs tWshoals Upiin which health may be wreck- a frMd that removes the doubtful anxiety of _ fee, by explaining the prcscm, and showing the ^probabilities of the future. Londoih March 8, 1825\^ ^' " ass J V, 4 It ^■. •i k X ^i^^v ■n ^, ~;.a nur ij E Can i — w CONTENTS. "Kmcmm; Abortion, Acidity in the ttonnuh. of Children, Acuta Rtieamatiim, Afler.paint, Ague, Aniauro„i8, > prp'vxy, after doliTery, Aipliyzia, AHthinii, Atrophy. Bitus anil ^tingti, liile ol n mad ling, of a Viper, of Bugs ail J Floan, CatbaduoB Leg, Bearing down afte> delivery, Bilious complaints, c>)iic, — — — vomitina; and purging or Cholera Mrrlius, Bleeding from the nose, from the liloddor, from the liinga, - from the stomach, ■' — from wounds, '~ • from leech bilea, Blmtera of Infant*, Bloody Flux, — — Urine, (gee bleeding from _ bladder, Boli, -— of Infants, Bronchocele, BruiscB, Bubo, Burns and Scalds. Cancer, of the breast, -' ■ ■ of the womb, • of the tongue, ■ of the oyc, ■ — of the lipg, — — — of the nose, ■ of tha face, ^"^ of tho privates, r, .' of chimney eweepefi, <-wme appeiite, r ~" madness, Carbuncle, 67, Page 9 lU vo 13 101 13 M 17 18 94 19 20 91 Sl2 3:2 SS 22 56 93 7ii 3a the S6 23 21 2t> 26 1(10 26 Citslepiy, Cataract, C'atairh, Cessntion of the meniM, Chanciep, Chalk stones, C'hicken pox, Chilbliiins, ChiJcra morbua, Chonlflo, Chronic Rheumatism, CInp, Colds, (see Cutarrh) Colic, . during picgnrncy, after delivery, Constipation, (see Co*tiven«ta) Consumption, C< ntagion, Convultiions, - oflnfantf, — of Pregnanf ^Vcmea,45, — after delivery, 23 27 100 27 28 2fl 29 29 29 30 30 3) Sfl 30 30 30 3J 3! 31 31 Corns, C( rpulcnce, CiietivonosB, during pregnancy, after delivery. Cough, during pregnancy, of old persons. —of infants, Cow Pox, Inoculolion, Cramp, — in the stomach, —in the leg. Croup, Cutiitio' us affections cf childrm, Dcafne.'s, Dec ir:e, (see Consumpticn) Delirium alter dniivery, nonlifiiin, (see Teething) Dii. betes, Diarrhoea, (see Furfting) - - of children. Difficulty of breathing, (see Asthma; 29 of milking water, 5S - - in pregnancy, 99 Diechnrgn of water iJuring pregnB.ney 91 "f blood during iireirna,^ ', 9l Dropsy, ' " • «j 'sr 39 33 33 31 34 M ai u lot tt ft At 41 43 44 4S 9S 9S 41 •41 47 SI 94 47 91 48 4i 4t 4» 4t 41 5ft 5(1 .99 51 41 94 MS f>% 96 S7 \f^ t)tj b«ll7-a«)M, (■•• If •rToui Colic) DjMMetj, bar-ache, Lnlariroment of th« Ttini during prof^nanoy, Elephiiritiaaia, Epilepsy, EiygipelaM, (tie St. Anthony*! of Infanti, 39 96 S'J % Fruption, Ezcotaiva aweating, • af.or delivery, Ezcuriatione, Fainting, ■ during pregnancy. Falling of the funiluinont, Falling sicknoin, (aeo Epilepsy) FiiUe paini, Fover. iluring pregniney, Filma in the eye, Fistula of the anua, ■ of tlie tear duct. Flatulence, 37, Flatulent colic, Flooiling during pregn&ucy, ■— after Uulivery, 91 56 56 )t06 100 57 93 53 58 9l 93 5(i 9j 59 91 51) 59 60 60 37 91 93 114 60 61 61 Freokleo, Frost-bitten, Funii;;ation, Gall -atoneti, (Sailing of Infants, (see EzcoriationB)58 G tngrcne, (see Mortitioation) (ilddinesB, Gioet. Gonorrhaa, (ie« Clap) Goutr Gravel, Gnei aic!(neii, Guttii cerena, Head ache, - during pregn&ncy. Ilenrt-burn, (luring pregnancy, 81 61 63 37 63 64 6r. 17 66 91 67 90 Heat anl pain of urine during preg- nancy, 90 Hectic fover, 67 lletnin, (&ee Rupture) 105 Herpes, li)4 Hiccups 67 Hoopin|».cougb, 67 ilyitri'ph^biii, (aea Canine Mtdneis) 31 lly! locale, 56 flyjinchonc'riaaia, 68 liyetericB, 68 during pregnancy, 9l MvHtefio Colic, 38 Iliac passion, » 9 linpotoncy, 69 hi lijjsjitiun, ?'> lnr,i.;ti m, ,;h''p ('ontagi'>n) 411 Infltmmation, of the eve, ot the blajtlrr, -— of ihn kiilneyi, of thi' biiiin, , • after rdivary, —— of tho luri£rn, if Iho I... 'art, of tiie iitoinnch. — of tlio boweN, •- of the \vi>inb, " <'f ttin livor, -—^—— of tli« broaat, — - nllor t'Oliveiy, "~ of the ikin, inflainmatorv sore throat. Influenza, (Heo Cutairh) Inoculation for the Cow Pox, _ fuj i(,o ym^jj p^j^ Insanity, Intermittent fever, Introsusceptiin of the bowels, Iliac passion) irregular menstruation, Ilfch, Jaundice, (see ■during pregnancy, in infilnts. T» 73 74 71 75 yi 75 78 76 76 95 76 94 94 77 78 3;! 49 1)3 79 14 69 8t> 79 80 9U 81 110 81 16 81 9i King's Evil or Scrofula. Lieprosy. Lethargy, (see Apoplexv) Lock Jaw, Lniiging in prejrnant women. Looseness of th»! bowol.s,(8ee Purcing)9j Loss of appetite, (see Indigestion) 7.» Lumbago, MaJness, (see Insanity) after delivery, Ma ignant or putrid fover, iore throat, Measles, Mesenteric DiftaN!, Miliary Fever, VI ilk Fever. Milk Dlotohei, Miscarriage or Abortion, .Vlortiiication, Mumps, Nervous colic. Nervous fever, (see Typhua fevet) Nettle rash, Nightmare, Nocturnal emistiiona, Obstruction of the Menseo, 1(i9 79 98 97 99 81 H,'t 83 91 100 10 84 84 39 117 8r> 85 Hil 86 of the bowalf, (see Colic) .17 Ofienaive discharge aftm delivery, 93 Opthalmia. iiee laflammation of tho ere) 73 Pain in the ttomaeh daring prognanrySi' Palpitation of the heart, bti Dn during pregnancy, 91 1 yt f' I J f aiiiAil monwtruili'in, ''. Faini during ptvgnhaoj, P«Uy. Pectoral Angina, Pilof, — (luring piogntBcji Poifona, Pregnanoy. Prolapa« of the boweb, Prolapue of the womb, ProAii« menatruation, Puaiperal diiordarsi Puer|)eral fever, Purging, durin(( pregntaeji mm of children, after delivery, Putrid fever, Putrid acre thrott, Raahes, Red Gum, Kemiltent fever. Do of Infaata, Roatleianeai, Rheuniatism, Ricketa, Ring-worm, Roeeola, Rupture, St. Anthony's Fire, St. Vitua'a Dance, Scald Head, Scarlet Fevpr, Sciatica and Lumbago, Scorbutic Eruptione. Scrofula, or King't^Evil, Scurvy, Shingles, Shivering during pregnuej. Sickness during prefMBaji Simple Fever, S]un.bound, 16 itore Nipplee, 9fl Starting of the navel during preg. 87 nancy, 87 Stiagaof Bees, 8S ratings of Gnats, to Stings of Wasps, 88 Stings of Hornets, 90 Stoppage of the discharge after deli 99 vorv, 93 Small Poz, 9i Stone in the Kidney, 93 Stone in the bladder, 96 Stranguary, 96 Swelling of the feet during preg. 90 nancy, 97 3walling of the bretaU during preg 94 nancy, 97 Swelled legs after delivery, 99 Swelled testicle, 99 Styes, 99 ISun-burni, 100 Teething, 101 Tetters, 93 Tonic and digestive Wtaai, 101 Thrash, 104 Tic Doloureaz, 104 Teoth-aohe, 100 Tympany, 105 Typhus FaTor, 106 Ulcerated Sore Tbrnat, 107 Ulceri, 108 Varicose Veins, 109 Warts, 109 Watery head, 111 Water.bruah, 1 10 Weaning, 111 Whites, 111 WhiUow, 92 Worms, 90 Notes, 111 App: ^i«. 100 91 ,91 33 ft M 39 93 113 US 113 114 91 SI 99 lift 114 114 lis lift 199 lis IIS lit ItT IIT tw lit Its US lis IIS ISS las 1st ISI Its IIT "^^^^^CJ^ "V'''-«i r V i n 'T x^. X '- '^%, ^^. -THE .-^. - :,^ . ^'.JMISCESWES; ifS'^JTi*^ *iite"^'''^^'''°®*^ by a collection of niattei in a circum £ th^Tatrr rauor i ToI^dC^^ 'ThVll';".-^™*" hole occasioned large the cavity, which is as quSy fii ed by rtZ .Irl^T't *°.'"" until the tumour, in son.o instLceaAcare^ an eS^rmn rh^flJ^ V^'' part of tho iHWyJs liable to absces. eJn U.e brairtut th« n'r ^."V •cesses are usually found in tho liver It iron! J ■"„* }^ .'"f^est ab- that we can apply a local remedr • in thr, L ., ^ 'uperficial absccBsc* arc the principal apphcation?^VhcntlLc^?' "'"'"' '*?d ^oi^turo swelling intimates 'that rnabsccsri,fo;mn J T " P"'"'^"'' '^^'obbing or of alcocion of PoppyteXl?o5rb7„VU:Tt"rVaI'^ moved, which should ^otnXeVrlt^l^ 'ILZ""m^^^^ ^ " ''' tion is finished, a soft uoultice of nnJLi ® ? ". ''^"*'' ^''° fomenta- and milk (tho former i^rmosf iT« '^^'"nd water, or of bread warm. and\he .hole ZlredTiuTpLH^^^^^^^^^^^^ 'P^'-^ the warmth and moisture by provcntinrr,/n^r..^ ' V^°u P.'«=ervei irom the abscess occasion's aTtIeSc:;eToV'f:;erisl Z^TZ body, tho followmg medic ne will bo found to I*.«.i,„ • i . . *'** els, and cool and Tranquilize the faehngs : P*""' ''^" ^^"^ »'*^' Take Spirit of AlinJororui Epsom Salts Laudanum Water Antimonial Wine 4 ounces ; 1 ounce ; 1 drachm ; 2 ouncoe ; 1 drachm : *'f Jhe l''c:LTa:t:rs?otand7;r'^"^- '■•'^""• as it son.etimes does, in weak n" s'ctf o'""l"Ei;l^ TcT' T^'^'' without coming to ahead, then it will h« ' '^'^'*'^' ®"** "'""^Ji" as required in"the former '0!':? to gi e'urk°Sadf ^^ "' * 1"-^ ''''^ generous diet ; applying stimulatinrremed=es fo th' LT'"^"I!^ "'^ make u of a proper coniTer^ t I'Sic^J Z^tf^!^ i - •»-V >! •«>" 10 > .! DOMESTIC PnTSICIAN. All these rpphcations quicken the formation of matter in abscesses, nnd expedite their breaking. Nothing is here said of opening these tu: mours, ns this la rarely safe to bo done by any than a surgeon, but the applicBtJcns above rcco.nine.ir'r.d should be used till they break, after which they generally hoiil without much trouble. In thij account we have endeavored to give a succinct history, both of the ongm and treatncnt of abcesses ; but as they are sometimes very Jarge, form instructuiss of groat importance, and may be confound- ed with other diseases, it will be advisable, in such cases, to consult b surgeon. jlbohtion, or miscaheiage. If a child be born before the seventh month of pregnancy, it is called a miscarriage ; but between this period and the end of the ninth month it is termed premature labour. Women suffer miscarriage at ail times of pregnancy, but more generally between the twelth and sixteenth week, At this period the womb is more liable to have its functions in- terrupted, and we must be vigilant in guardins against the causes that occasion miscarriage. Symptoms of Miscarriage.-'Misc&ttiage usually comes on, especially if beyond the third or fourth month, with bearing down, some degree of sickness and faintness ; then succeeds pain in the loins and bottom of the belly, especially about the navel ; sensation of coldness or of heat, and perhaps both, constituting ftsver ; then a sli;Tht discharge of clotted blood appears ; or, ns sometimes happens, it gushes almost in a tream, stop- ping and returning at inteivals, until the child is oxpelled. The discharge ie not always preceeded by any of these symptoms, but occurs suddenly and without any previous notice, especially where the miscarriage has been produced by an accidental cause. Causes of Miscarriage. — Voluptuous women of full habits are most liable to abortion ; so ore irritable women. Women who i^re either very thin, or very corpulent, are also disposed more than others to this acci- dent. The most frequent exciting causes arc too great exertions, such as lifting heavy weights ; the fatiguing and debilitating dissipations of fh.shionable life ; over reaching ; fatiguing walks particularly up hill ; riding on horseback or in a rough carriage ; frights ; relaxed bowels ; strong purgatiyo medicines ; too much blood jn the system ,- injudicious bleeding by the lancet ; disease of the womb ; fear, grief or any sudden and violent impression on' the mind ; sitting up late at night, or indulging too long in bed in a morning ; small pox or other acute fevers ; and any thing that injures the constitution of the mother, or produces the death of the child ; and, also, certain provocatives that are taken by the un- natural mother for the purpose of destroying her offspring. Prevention of Mtscarrittge. — Those who have once miscarried, or have been threatened with it, are very lialile to a recurrence of it in eve- ry future pregnancy ; and it is singular that every subsequent miscar- riage generally takes place at much the same period as the previous one. This increased tendency in miscarria''e is easi!" accounted for : abors tion is a process decidedly opposed to nature ; violence is oifered to the organs, and the womb which could have endured the greater pains and '-•'fe; OOmsTIC PUY8ICIAN. U perils of child-bearing, becomes debilitated and loses the power of re- suming its proper functions. A female subject to abortion should endea- vour to ascertamthe cause, and, if possible, avoid it in future prcgnan, cies. If she be of a full habit, she should live on a spare diet, drink no fermented liquors, and lose a little blood from the arm about a week orten days befoie the time at which abortion has usually taken place. But if she be of a weak, low habit, she must eat moderately of animal food ; sho must avoid porter and ale, and all other fermented liquors ; they cause flatulence, and thereby occasion a constant irritation of the bowels, injurious to the patient. She must take two wine-glassesful of Port or Madeira wine ; and one of the following pills, twice a day • Extractor Gentian Extract of of Hop - of each Sulphate of Iron Carbonate of Soda 1 draclim, 1 scruple, S scruples. Mix, and divide into 24 pills. In both cases the patient should use the gentlest exercise, aviding all exertions, and emotions of the mind, keeping the bowels perfectly open with a gentle aperient, such as a tea-spoonful of lenitive electuary every morning ; if the bowels are relaxed a wine-glassful of chalk julep with five drops of laudanum, may be taken after ench relaxed motion. When the period draws near at which abortion is to be expected, she should confine herself entirely to the house, anil remain constantly in a lyiinr posture upon a sofa or couch ; and should the miscariage not take place at this period, she should as a matter of precaution remain confined an- other fortnight before she venturea off the sofa. It is of much conse- quence also that women liable to miscarriage should, during their preg- nancies, keep a separate bed. A miscarriage becomes serious in pro- portion to the length of time that the female has gone : the farther the pregnancy is advanced, so is the danger increased. It is proper to check the circulation in lusty women, subject to habitual abortion : in addition to slightly bleeding, half a grain of powdered digitalis twice or thrice a day, and continued until after the period of miscarriage, will be found useful. Bleeding must not be suffered in delicate, weak women. If there be much sickness about the period of abortion, apply an opium plaster, or a bhster to the stomach. Managetnentof Miscarriage.— When any of the symptoms arrise that denote the approach of miscarriage, the woman should retire io bed • lio with her hips elevated rather higher than her head abstain from all solid food, taking no other nourishment than gruel, sago, arrow root, or other Similar vegetable jeUies. She should sip froqently a little lemonade, or sonr.e other cold liquid acidulated with some grateful acid She is to be •overed lightly with clothes, so as to be kept cbol ; and the room should be ventilated, so as to be airy and light, without, however, CMdangering ^he patient. She should not be allowed to talk or exert herself by sitting up or moving. If thn bowels be confined, the common domeslic glystef should be administered ; and if she be florid and full of blond, ten or twelve ounces may bb taken from the arm. This, however, cannot b^ Jt OOMSSTIC TUrnciA3(. fh^rtfiTri^rST'®!^ uoless the medical attendant does it; it must therefore, rest entirely on his judgment. If the attendant painrba rngform?' "^'"'" "*""* ^" •administered ; it may be given iStlfefofloi! 7>ko InfuEion of Rosea • Salt Pet re Iiaudanum 6 ounces ; 3 drachms ; 1 drachm; in- t^itiL rV"^ ''•■'P''°"^"''' *° ^^ ^"^•n' «^ery three hours. The inL — 1!!"""'° " *° ^"^y P*'"' ^"'^ to "^^acuate the bladder. without tiSflnL "o* ^'«'y severe, the above mixture should be taken Siuld b. fnnn rr^- '"^'^ "'*'"'■•. .°'' *'1"=^' P^^'^ of vinegar and water Ind h«n»T h ^y^'PP'ng a napkin in it, and putting Uon the belly Is itSe/nrilJ'i'"" the discharge issues ; reneiing this lotion as often thiX toH T " •• ^^f f PPl»calion of this lotion to the inside of the higha and the loins is useful ; and so is ice, applied to the thiahs and ieSd i°/'J:.'''"^- J^'l^^''' "•"*'««" aveJfmiscarriagoi/properly Ell i r^;„"L"!^ ^-^ff^y "^^*^ «^°"'d it ^ven be unluccLsful il ScC aLd^S- ' ? '''* '^"7 *'"'«' •^t'^« ^o™^" '^on'PJ'^in of much Sv VnH w„r ^"^' ^^ -r T^. '"^^ * ''"'^ ^'°^' '" ^ ^m^'i quantity of K^ fift ' ' f"*^ '^"^^ ''^^° "^™P Of spasms of the stomach Jnd bowels, fifteen or twenty drops of laudanum may be taken in i to .hoii aTt7cked «-tS\' ;ea»Poonful or two of ti'ncture of valerian, ff If the discharge have a flesh-coloured flakey substance in it then mis- carnage may be deemed inevitable, and nature should beTef' ,ofi" the expulsion of the contents of the womb. Miscarriage having taken place, the woman should remain in bed three or four days, livin^upon ! simple diet ; after which lime, if she has no fever, a litUe H Ea* food, with a glass or>o of wine, maybe taken daily, and fifteen Zni of ehx,r of vitriol in a wine-glassful of the decoction of bark, adminisieTed twice or three times a day. Proper precaution must be adonted thh respect to the breasts of. the patient/ If the miscarriage ocTur at aS advanced stage of pregnancy, milk is liable to be forraed!aS5 it is Ver? essential to guard against the fever that occurs under tha circumstanc/ L«w diet, therefore, as far as is consistent, is requisite "'*'"'"^'*°*^«- 4hfhf«Hy^""'A^^*''-^""^'®'*°""^^'"*°° ""«'» "'ine to collect in She bladder ; if the patient cannot expel it, it must be drawn off. " ACIDITY m TUB STOMACB Of INFANTS. ,il?^^ 'y^'^ ''*^'f *° ''^*'°'"® '"'''^ '" tf^e Stomach Of children, occa- Bioning hiccups, sickness, purging, griping, wind, green stools soSt breath, and sonietimes even convulsions.^ This acidify is occasioned bv alse a natural tendency to acidity in the stomachs of dl children .«//«« r'I'r® ".'''^ '"*"®'' •^•o"^^ fi"t be carried off, either by a ,poonfUrortwoofantimonialwine,orbyfour or five grains ofrhnbarb? RZJ'^ tziar asms nr m&nn/^ttiA. .. .».! x_ . ^ ..'^ — ' -'s r.3dth*ss!H* ofmagneiia; and to prevent any farthw accumulation; t y ' ;"r>-'.rj ■.- ai^ i^^Mi^k I u- «*lfSSTlJ PHT8ICIAK. IS times* jr'^"' °^ *^* following mwturo ehould be giren tfareo or f«ur Toko of Chalk Julep Spirit of Caraways and Tincture of Co'umba, of each Salt of Tartar 9 onncei ; S draclimi ; 10 grains ; Mix. Take of Barley water Olive Oil Oil of Aniseed Mix and if the infant be very much griped, add Of Tincture of Opium 4 ounces : 2 drachms; 5 er 8 drope 8 or 10 drops. its'kneeJ'^^ml ^f.''^^^^^^. '^''.^ ^''^^ent gripings, screams much, draw, up' nl^ ' °,'^"*'^^ mdncates considerable pain, one or twodroDaof iunt""oT Zln'j'ff '° "^-^ ^'^^ ' °^- ^^'^''^ ' '^ preferllJr half «n ounce 01 syrup of white poppies to the mixture. castor nil u""^ *'°'*''®' ^^^y ^''^"•'^ ^« •■elie^ed by a tea-spooiiful o£ rnn nP i'"?' ^y manna dissolved iu water to the consistence of sy- dered Talf n L\f TV'^ ''" * ''""'"S ' °'' '^'^"^ °' four grains of pow- mixed n«P^ '"' half a tea-spoonful of compound tincture of senna.' epeateS Uvic'eor^r"".^"' °^ *^'" ';'^'" ' '^''^ purgatires should b« repeated twice or three times a week, if requisite. AFTEH PAINS. Women rarely suffer much from after-pains with the first child h..t in succeeding lyings-in, they are often so much troubled bft he ma. to U?.mt".r^ « """'^ *."'""'y °f '««'• We must take care not to cSiVoInd J^em with .nflammation, which may be known by the accomplnyTng ten^ et ^""1"*"*!—^ napkin, folded to nearly « quarter of a yard in hnnAth should be pmnedtighlj round the bolly. or a linen roUer p^utl i.em to keep up as much pressure as can conveniently be borne -his SI on oTthr''- " "^ ^r 1T^' «"^ °f «°""° '««««"« theTegr'ee and 3ur?. Uon of the pains. Tho following modecine will assist likewise in Subduing Take Pennyroyal Water Laudanum Tincture of Castor 3 table-spoonfuls ; B drops ; 1 toa-spoonful ; Ii!^!!!d •4^,>"n""'^«"°f »° «hirty drops. Hot fomentations are of fir.af -»8, ,na raajr be applied three or four limes a day. BS ■,f u DOMESTIC FIIYSICfAN'. AQVE, OR INTERMITTENT FEVEB. Ague is a fever that has Mree regular stages, which run their cotirs^ within six or eight hours, and then leave the patient nearly in his usual state. The attack of this fever is called the ague fit or paroxysm, and consists in the cold, the hot, and the sweating stages, succeeding each other. When the fil comes every day, it is called Quotidian Ague ; i I when it returns every other day, it is called Ter^mn Ague ; and when it occurs only on the fourth day, it is Quartan Ague. It is sometimes knofrn to keep off still longer, and then is called according to the num- ber of days between the fits such as Quintans, Sexians, Septans, Octans, •S'c. ; other divisions are a o known, arising from a complication of two different kinds of ague in the same persons, but of ihis it is unnecessary to speak. Symptoms. — The ague fi^t commences with a feeling of weakness : aver, sion t9 move ; stretching of the limbs and yawning ; the face becomes pale and dejected, and the features shrink ; the hands and feet cold and blue ■ next, a general sense of coldness over the whole body, producing that appearJ ance on the surface which we call goose-skin, accompanied with occasional shudders, increasing in frequency, until they end in universal and violent shivering. The cold stage having continued a certain time, the heat gradually returns in transient flushing, beginning in the face and neck, succeeded by chilla.; but at length the ohills entirely subside, and the whole body becomes violently hot and dry. accompanied with great restlessness, thirst, and violent head-ache. At length, moisture is observed on the face end neck> which gradually extends over the whole surface, and increases to a general and profuse sweat, which abates the burning heat, and cools the skin by degrees down to its natural temperature : and thus terminates the oguent. Treatment — The aguish paroxysm may be interrupted by taking, an hour before the cold fit comes on, an emetic of two or three grains of tartarised antimony, dissolved in water ; or two tea-spoonfuls of antimonial wine maybe 'aken every ten minutes till vomiting ensues. If the patient be very weak or delicate, this practice ought not to be pursued. Another method of stopping the fit is, to take opium, or some active stimulant, before the cold state comes on. Fifty or sixty drops of laudanum may be taken in a little warm ale , the following stimulant is also recommend- ed : — Take Subcarbonate of Ammonia Good Cayenne Pepper 5 grains ; 1 tea-apooniul ; Mix, and make into a bolus, with a sufScient quantity of the confection of opium. There is a popular custom of taking large quantities of spirit- uous liquors to prevent the cokl fit from coming on ; a man has been known to drink nearly a pint of gin at one or two draughts, but such an inordinate quantity ia highly dangerous to be taken, as instances have been known, where it has proved instantly fatal. In fact though stimu- lating articles, taken just before the approach of the cold stage, are often known to cure a^ue, it is not, upon the whole, a safe plar, as the disease is sometimes driven by such means into a codtinued and dangerous fever/ j»2 •^ ItOMISTIC PnVSICIAN, 1« f i'lunging into cold water, just before the otld fit would have come on, has Often put a stop to ague ; but in trying this, the person must bo very cau« tious to do it before the cold stage commences, otherwise it might be a fatal experiment. When the cold stage is on, it should be lessened in violence, and shortened in duration, by external and internal warmth. The person should go into the warm bath, or put his feet and legs into hot water ; he should drink copiously of warm liquids, and may take a little hot brandy and water, or a leanpoonful of giass ful of infusion of cascarilla, taken during the sweating stage, will provont the great debility that folIoVrs i:. ^ . Such is the management of the difTerent stages of the paroxysms, now remains to describe tho means of removmg the disease altogether. Outof the great number of remedies recommended to cure ague, Peruvi- an bark has proved to be the most certain and useful. Previously to the administration of bark, the stomach and boif els , should be thoroughly cleared, either by on emetic of 20 grains of ipecacuanha with a gram of tartarised antimony or by a brisk, purgative, composed of three grains of calomel with fifteen grains of rhubarb, and the same quantity of jalap, to bo worked oflT, if necessary^ with a cup of senna tea, made by infusing a drachm of the leaves in a tea-cupful of boili.nj water until cold. , The bark can only be adminislered in the absence of the fever, and should therefore bo taken as quickly and in as larga quautities as tlio eto« mach will bear. As soon as the sweating btago has subsided, the patient may take a drachm of the yellow bark in very fine powder, with as powdered ginger as will tie upon a six-pence. This dose may ID a decoction of hquorice-root, or in a little milk, and may be every kour, if the stomach will bear it without sickness. If the ague should a£[aia return at the usual time, the administration of bark niuet "b# tauch be taken repeated ■Idiiiik-*--. mr—y "SVsX^ II fioxsiTio rsTnciAK. mterraptcd until the paioxyBin is terminited, when the remedf it to be again resumed. As soon as the ague fit is discovered to be stopped, the bark may be continued only every two hours, and on the following day eve- ry four hours ; after which it may be continued three times a day for three or four days, and then diminished to half a drachm at a dose for three or four days more, when the course may be completed by its h. -ng continued night and morning, for a fortninght longer, Ifthe the powdered bark dooa not sit comfortably on the stomach, the following draught may be tried : Taho Decoction of Bark Tincture of Orange-peel Extract of Dark 3 table-spoonfulf ; 1 tea spoonful ; 15 grains ; Mix for a draught. It may be taken as a general rule, that if the bark produces purging. laudanum should be added, m the quantity of ton or twelve drops, three limes a-day ; if costiveness, a few grains of rhubarb with each dose ; and It sickneas or nausea, cinnamon, ginger, Cayenne pepper, or some othet BplCO* But if the bark cannot be taken in any of these ways, the extract may be mixed with water m the quantity of a drachm to a quarter of a pint, with CJUen drops of laudanum, and may be uied as a glyster five or six times at-day : for children this plan is particularly eligible, but the quantity of laudanum must not exceed four drops. The bark sometimes fails in success: It IS then proper to combine wiih it some other medicine, and theorem parations oT iron seem to be most eligible Take Peruvian fiark, powdered { ounce ; Rust of Iron 2 drachms • Syrup of Gingef, a sufficient quantity to form an electuary, * of which the size oif a nutmeg may be taken eery four hours, washing if down with a wine-glassful of decoction of Virginian snak root. A new preparation of bark has been discovered, whicli seems to be free from the unpleasant effects of large doses of this substance, end cures the disease in a very few doses -. it is called the Sdlphate of Quinine : the dose is two grains four times a-day. In the treatment of ague, it must be kept ift mind that inany important organs are liable to be affected ; and bark, in such cases, except properly regulated, aggravates the complaint. If the countenance be yellow and boated, with a tenderness under the ribs of the right side, the liver i^ affected, and a dose of half a drachm of jalap, with three grains of calomel, should be taken every third day, and five grains of the blue pill every night av bed-time. If the tongue be dry or furred, the bark must not bo taken until this is removed by taking two drachms of Epsom salts, with twenty drops of antimonial wine in a glass of water three timea aday. Arsenic is another useful medicine in curing ague, and in general is a much more certain remedy than Peruvian bark ; but its poisonous nature renders it a dangerous substance if injudiciously employed. A prepara* fion is sold, called Dr. Fowler's solution of arsenic^ ei"ht a-: ten dron- of which may be taken in a little water three times a'^day -, and, should it y mm >»^ ~s. BftXBITIO rnTSICIAK. 17 hot disagree with the stomach and bowols, wemaj gradualljr incrcaae the dose to Tourteen or sixteen. Ihis is what has obtained so much celebrity under the title of the ague drops. It is at all tifiics prudent to give the bark a trial first, and if itdnea not succeed, then the aoluliori of arsenic may he taken ; whicli, if Buccesnful, uiay in a few days be diminiahcd in dose, by being combined with bark in the following manner : Take Solution of Arsenic Decoction of Dark Tincturn of Bark Laudanum 5 dropH; 1 wino glaisful ; 2 tea-ipounfuU ; S dropi ; Mix fur a draught to be taken three times a -day. Whatever medicine is used in the cure of ague. It must blf Ccintlnuod * fortnight after the disease hasaubsided. ilMAUllOSIS, OR OUTTA SEREITA. Amaurosis is a speoies of blindness, in which no visible change or «ii' ■ease of the eye exists, but is owing to some defect in the optic nerve. Symptoms.— The sight is dim, or obstructed by dark bodies floating be- fore the eyest such as spotted cobwebs, flies, dust, and specks of diffe- rent sizes and shades. Curling snaky figures obstruct the vision, and ob- jects appear as though they were viewed through a gauzo ; and these symp- toms continue to increase ;tntil the sight is utterly lust. When one eye Id affected, it is rare that the other eyo escapes any long time. Treatment. — This kind of blindness is almost a hopeless disease ; and 6ven in the beginning of it, before the sense of vision is lost, there is but a po'ir chanceof arresting its course. A seton, or a perpetual blister to the nape of the neck, should be had recourse to, and the system may be kept under the slight efTeCta of mercury by the administration of a grain of calomel every nigh! at bed-time, until the gums become red and swelled. The stomach should be preserved in a healthy state, and the hands and feet kept warm. Eight grains of Cayenne pepper may be put into half a pint of cold water, and steeped for three hours, then filtered through blot- ting-paper: two or three diops of this fluid should bo put into the eyei twice a-day. Electricity may niro bo tried, and galvanism. Professor Kichter has succeeded, in many cases, in curing this disease by the fol- lowing; medicitio : — Tako Gvim Ammoniac, Gum Asafoetida, Root of Valerian .dered Tops of Leopard's Bane, powdered, and Venice Soap, of each Emetic Tartar Syrup, a sufficient quantity to form a mass, S drachms ; 18 graiui; ivhich IS to be divided into pills, weighing five grains each : three to b» taken twice a-day. Persevering for some time in medicines which excit* iiaaaea, has been a luccessful plan in many casei. I '^M^,. '^ 18 DOMEflTIC rilVSXtlAi*. • Apoflexy i«a auddcn privation of iho eenses nnd of voluntary motion — It more asualjy attacita those advanced ia years than the youn<», and those are the most liable to it who have short necks, aro of a corpulent hnbit who pass an indolent life, live on a luJI diet, and indulge in fermented liquors, particularly ale and porter. A't/m/j/oni5 -The patient falls down senseless, his faco ia rod; the rjiouih open, and sometimes drawn to one aide ; he snores as if in a pro- found sleep, and bis breathing is slow, labouring, and irrrgular. The attack, though oftentimes occurring without any previous notice, is usually preceded by giddiness, fulness, weight and nin in tho Load. Meed- ing at the nose, redness of tho eyes, dimness of 8ii»ht, atammaring in 8peech, noise in the ears, numbness and pricking sensations in the arms and legs, impaired memory, drowsiness after eating, disturbed bh op, flush- ings ofthe face, with fequent appearance orflashes of light in the eyes, Treataient.—Cuppmg oii the back of the neck, or, if that cannot im- mediately be done, bleeding from one of 'he veins in the arm to the quan- tity of sixteen or eighteen ounces. Blisters should be applied to the in- side of the legs, and poultices to the soles of the feet, composed of mustard and vinegar, the head should be shaved, and the wJioio of tho scalp covered with a blister. Tho bowels should be quickly unloaded by one of the following glysters : Take Water Gruel Epsom Salts Sweet Oil Aloes Salt 1 pint, 3 ounces, 1 ounce; i drachm 2 table-spocnfUIi ; Dissolre the four last articles in the hot gruel, and use it moderately warm; or Take Senna Leaves fioiling water i ounce I 1 pint i Let them stand half an hour in a covered vessel, and to the strained li- quor add Cast )r Oil Glauber's Salts, of each ounce To be used as an injection. All compression about the neck should be removed, and the patient kept as much in an upright position as possible. If the stomach pump used by Mr. Scott at St. Thomas's Hospital, be in the possession of any medical gentleman in the neighborho d, he should be requested to pass the tube into the patient's stomach, and inject the following purgative mixture : Take Infusion of Senna Gum Gamboge Tincturfl of Jalnj> £psom Salts 3 ounces ; 3 grains ; 1 dr^clini : § ounce ; I SOMBSTIC PIIVeiOIAN. it Mix. If these meanB fail to diminish the disease, and restore the patient t* his 8cr.?3C3 and powers of motion, bleedin;» Bhould again be resorted to, and nothing but extreme debility should deter a repetition of it, until some decisive good effects arc observable from ilie loss of blood. If a person has any forewarnings of apoplexy, he should puiird against it by living upon a smaller quantity of food, which should In- qnito plain ; ho should cut but of one dish, and avoid suppers : the rcorciso shouhl be rnodcrUe, sufTirioiit to support periipiration, but not to heat the body violently. All lerment i^d liquorj should bo avoid d, as much na is consistent with the hoailh of the constitution, as dependent upon former liabits ; tlio fectshoulfi be kept warm by wearing flannel or fleecy hoaicry socks ; the bowcla should be kept open by the occasional use of au aloetic purgative, of wliich the pill cocliioi is a very good form. A seton or an ipsue should be woin in tncneck, and all occupations avoided atr- tendfcd by stooping down the head. It is necessary to remark, that in the apoplexy of old persons, or drop- sical subjects, the elfusion on the brain is not blood but water, and the lancet must bo used with great caution, as it would be dangerous to les- sen (he strength of the systetti by the injudicious abstraction of blood. An excellent mode of purging it is to give five grains of jalap with five grains of subcarbonate of ammonia 6very four hours till it operates, ASPHYXIA. This word literally implies the want of pulse, and is usu-iUy applied to' designate the situation of those persons who are in a slate of suspended animation from inhahng noxit s gases, from poisons, or from drowning; but as these will be separately discussed in their respective places, we shall proceed here only to consider the asphyxia of nevi' born infants. When n child is born under an apparent cessation of life, having been known to ha\'e been alive immediately previous to its birth, or if it sinks as soon as it is born, or shortly after, uicthods should be taken to rei^ store life and animution. If the infant, when born, is deprived of motion and respiration, or is so weak and faint as to show little si^n of life, the navel string should not be immediately divided, but the child should be enveloped in hot ilannels, its temples and nostrils stimulated with hartshorn, nnd its belly and chest rubbed with brandy, a tea-spoonful of which may be poured into the throat. If these fail, separate the child, plunge it into a tub or pan of warm water, and endeavour to excite respiration by inflating the chest by forcibly .blowing into the lungs, pres- sing the chest with the hand after each attempt, contiiiuing the inflatien and pressure with the hand, alternately, in imitation of inspiration and expiration, which the continuance ot such eflfortsmay at last artificially excite ; or, if a surgeon can be obtained, he will bo more likely to effect the inflation of the lungs, by introducing a silver catheter through the mouth into the windpipe. Electricity or galvanism may be also' tried. ■"^t I, H n oownTic p«v«icia:.. AJTIIJIA. Th.sdiseaae is of two km.ls, the humoral and tho dru • ll.o firm Lcng attended with expectoration, and the latter iut Tuf/ « " consisJsin an unhealthy irritability of the niembraiTL f?h« J i •^"*'"" a.r celU ; between which and the re«, ira"ory mu" cles a Zh''T" '"'^ pathy is cstal.I.shed. tl.at creates an undLTr vl iL* . ^"'- '^"'^ latter, whenever the former is excited ,? irrhatio; nd"hirsr '.'I ''•'" spasmodic action constitutes the disease ^vli^^^.^L v^I^"^ 11.0 structure of tho air cells broken down ha h oL LT '''"^"'' wh.rethoro ought to bo many : wldchTcci for tl e iv Sn»"'''^'; wheezing, as the air i, never thoroughly expelled '''^ '^'"P'^'" ^^ Sympio,„s. - A dmcMhy of broatliing, attended wi h wheezing • nn.Vl, Bhort .hort respiration, with consid'lrablo efforts of the Xulder, ! tighness across tho chest, and couph. s'louiuera ; All these symptoms are increased by lyini; down, esDeciallv if .l.« i „ 4 and chest be very low. This is the ordiLJy rituatioi o?asS ictr on, but the disease occurs m pa-oxysms, duriim which all th« «„.„? ' ' violently increased Thesl attacks a're niort frequent d„g{l"ehrats"f summer, and the fogs and cold winds of winter/ Tho paroxysm usuall5 begining with a sense of tightness across the breast. imDedinif^rlTn: r ^ the difficulty of breathing increases, attended with a iXtSf eSnor'- the cheeks become red ; the eyes prominent ; tho fealing of 'XaUon BO great that speech becomes very difilcult : a prospensitv tn nn !? oS/t"' ™"'^'^- "^ "^'^^ '^"^'^ n-tterisapitupTa'nd e' Jatientt obliged to remain in an erect posture, labouring for breath with h ! neck and forehead covered with a copious sweat. Se svmn torn, generally continue till the morning when they gradually cea-e anTS an expectoration of mucus, the patient falls Jslcep ^ ' "^ ''"®' T/ea^menf.— Bleeding, though sometimes necessary ift full anrl nl« " thoric young persons, is nevertheless to be used with great cautbn • it 18 more prudent to moderate the fit by cuppin? on the chest -nnpnin!! Uj^bowej, by an emollient injection'corlLfd with asaSda.Ts iSJ^ fake of Thin Gruel dissolve in it Gum Atafcetida and add Castor Oil i pint ; 8 drachms i I ounce i The patient should inhale warm steam from the spout of An inhaler or tea-pot, into which a boiling hot decoction of white poppy heads with a tea.spoonful or two of aither has been put ; the legs may be fomented with hot water, and the head rubbed with salvolalile. A cup or two of coffee should be drunk, made with the mocho berry,) an ounce to each cup,) without either milk or sugar. The following medicine mav uo t&Ken I Take Ammoniacum Mixture OxymelofSquilli Antimonia! Wins Vinejar 4 ounces ; 3 drachms ; i drachm ; i ounce ; >r^. lb It^^i I 'fc ^'■'y fV. bOMirno riiT*iciA:t. ?* Mix» and take two lablo-tpoonfiil!) every now and tlien. In the absence of the fit, the bowels biiould bo ke[)t open bj tli* following pills : Take Compound Colooynth Pill Calomel 1 draeha ; 6 graina ; Mix.and divide into fifteen pilhi ; tliroo to bo taken twice a week, if requir. ed. The etramoiiiun, or a mixture uf equal part-i of dried hopu and hedge hyasop, may be si. Acd twico or liiroc times a liay. A geiitio emetic should sometimes bo taken at night, composed of fifteen grains of ipecacuanha, four grains of white vitriol, two drachms of oxymel of squills, and one ounce of pcpperinitit water : tho diet should be liijht and easy of digestion ; vegetables, spirituous liquors, tea, and wine nvuid- ed. The tone of the stomach should bo kept up by taking occasionally a wineglassful of decoction of bark, an infusion of gentian root, or quasia chips, twice or thrice daily ; and if th. re is any heartburn, a tea-spoonful of magnesia with each dose. A burgundy pilch plaster to be worn on the chest, flannel next the skin, an i-.sue in tho arm ; and the irritabilility of the lungs to bo subdued by taking occasionally a table-spoonful of the oxymel of hedge hyssop. Garlic is very beneficial to asthmatic persons. ATROPHY. Symptoms.— A gradual wasting of the body, without fever, diflficulty of breathing or cough ; but accompanied by paleness of the contenance ; flushing of the face ; loss of appetite ; impaired digestion ; depression of spirits, fretfulness ; thirst; and general debility. It is caused by a poor diet ; unwholesome air ; excessive sexual indulgence ; the whites in females; the flux, or any long-continued and violent evacuation ; too long suckling ; worms ; and enlargement of the glands of the bowels. Treatment. — The disease must be traced to its cause ; if from poor diet, tho living must be improved ; if from unwholesome air, the per- son must be removed to another situation ; if from sexual indulgence, the passion must be restrained ; if from the whites, the flux, worms, or enlarged glands, tho remedies recommended in these diseases must be had recourse to ; and if from too long suckhng tho child must be wean- ed, and the mother live on milk, strong broths, jellies, eggs, and animal food ; with good ale or beer, and a little port wine ; taking also th^ following medecine : Take Columba Hoot Boiling Water i ounce ; i pint ; let them stand in a covered vessel for three hours ; and to the strained liquid add— ^ Compound Tincture of Cinnamon Sabcarbonate of Soda I ounce; i drachm ; Three table- spoonfuls io be taken twice or three times a day.— But the best plan in all theie weaknesses ip,to take a spoonful of the decoctioii ■Hi ii I m I .; DOMMTfC PHU .n. Of b.tk(»ci4»l«««d w.fJi sulphuric acid, ,/uho morning, and a course of ho French r*««dy the Tonic and Digest.vo Wine ; ,nd ,ho mZJr of wine-glass every day, « ^ 'i lutlo rr-ngnr and a biscuu at II o'clock >Ve are not fond of i'au ,t medicine;; but this i. nn c"-rD.ion and SLrhopr'^""'''" "''""'"'• ''"*" •^^'-"attliepSMi' DITES AND STIXOS. lo Jng :** ^'''^ ''^^"'''' ''"«'• ""P'' ^''^•' ''°"'«'«' •^<'' '^PPly »he ful- Take Opium Olive Oil dracha ounce ] For the bite of av,por, the following directions are given bv Mr Scott .1 tl "uu^nf ^ "'"' "'^''*''- u '^'"^ fi"' ««^P '« be^taken afte 'receiv-' .mb t ntZaZ'^"' "\'° ''!: "^ ''""^''Se very ti^ht around the wounded verSv od niJtu '";" ,["■■'• ^ «"^%/» g^n^r^'ly «' '-and, and makes a rSt 1 -.W. .u °' '^" ^"'•Pos^ J I'e wound should bo immediately !£u K ^ '"/^^ nower the mouth is capable of oxc:;;^'^, aid thesaUva he "^'ounV" Trnrent t T/' '"^ 1''"* '""^ ^-^'' outlire poison ?rZ ine wound. 1 he patient need be under no apprehension of ihe effect of the poision upon the mouth, for. that, it will only produce a L!lr^^^^^^ inconvenience and often none at ail. If the bite be i. flic ted upoTa nar^ upon which a ligaturo cannot be put, the wounded panouldbe^m S±era'tron th"* ' ''"' ''^"'^l^ "^ ?'§«''" '^^ P^""" ^« «» hand to perform this operation, the wound shoula bo cauterized without delay, ether bv a redhof iron, the lunar caustic, or the pure potash. If these shoukl hi objected .to. or canr:ot be readily procured, a little butter of antimony! 1 of vitriol, nitric ao, ., or spirit of salt., may be poured into the wo3 or corrosive sublimate, or powdered cantharides may be rubbed intSit' An efficacious caustic may be speedily made by mixing together ouick h..e and soft .oap ; this is to be spread upon a piece of^hiadSerranS plied o the inj^ired part. It has often been a practice to lay n. npowder upon the part and explode it, and it has been done with the\? Effects' themternal remedies should be those that excite pt-rspiratio" fifteen or twenty drops of .a/ volaiile may be taken every two hous" in a cSp of warm white-wme wh.y. the patient remaining in bed, warmlJ covered and every means taken t. .reduce and encourage perspiratSn^'-(Voi: rollo7.:ng should be practised : — Cut 5 nc( fo safe, pcrape a piece of lunar pvuil. and pa~^p it to (ho bottom ofevery Fol- the b?te of a mad do,M out the part instantly, or m) caustic or pure potash to ?^. yrouud made by the ann >-3«/C jmiudmade by the anrrvn.l . -oab. No c. .er plan is of anvune For the treatment of the Oi^tase, :iee Hydrophobia. > ' 5^ •! v>: D0MI8TIC rUYSIClAN II ' BtSEDi::iU FROM THE NOSB. Thia complaint is of no consequence in young pcrsi .s, but in thoie farther advanced in years, it often hecomos so profuse, and returns iq quickly, as to bo serious in its efU'cts. ^V^aOnt-nt.— Insome discoFos, us giddiness, headaclic, pleurisy, apo- plexy, fever, and otl\rr innammatory disrasos, bleeding at the nose often proves n salutary 'rinia ; when it procf f-da from an ovcrlondod state of the vessels ol the head, or the system in general, a little blood may ho drawn from tht' ir;. . and a doso of Kpsom salts tuken. One of the following pojvders may bo repeated three times a day : Take Cream of Taitar Nitro Emetic I'artar 1) ounne ; n drachinit ; 9 grains ; ]NJix, and divide into twelve powders. But if notwithstanding tiicse means, the bleeding continues, or returns frequently, it will be proper, espncinlly elderly persons, to restrain the hemorrhage, by p{u«iMi rr' ^ f'Jirr ■ ! / DOMBSTIC PHysrciAN. «^ lit* ^°''''^'^ ""'* ^^^'P*"*''* ''y *" astringent, acidulated aedicme, as fol- Take f nflision of Roses Epsom Salts 6 ounces ; 1^ ounce ; ^Hru '^^^^ * wine-glassful every two or three hours. VVhen the bowela have been opened by the above, let one of the fol- lowing pwders be taken evsry three hours .• Take Cream of Tartar Nitre Emetic Tartar i ounce ; S drachms 2 grains; Mix, and divide into twelve powders. The person should be kept very still in a cool r.;ora, and not allowed to talkor use any bodily exertion ; he should sip frequently a little cold lemonade ; cat nothing but vegetables and fruit ; and all liquids (which ought to be of the most simple kind) should be taken cool. If the hemorrhage continues, and should obstinately presist in re- turning at intervals, than it will be proper to try the effects of digitalis, which may be taken in the following manner : • Take DrieJ Fox-Glovo Leaves Boiling Water drachm pint; Ui it Stand two hours, and strain ; tak. two table spoonfuls every lix Jiours. bhould this not succeed in stopping the flow of blood, etyptic medicines must be tried, as follows : Take Sugar of Lead Opium 2 grains \ i grain ; beat them into a pill with crumbs of bread moistened with rose water, and take It three times a day. While the patient is taking these pills ho must avoid all acids except vinegar. r . « Fox-glove and sugar of lead may be taken in combination, and pre- Swhi^° remedy as can be consistently ventured upon as thft Take Infusion of Fox.Glove Sugar of Lead Laudanum 6 ounces ; 10 grains ; 40 drops ; Mix ; and take two table-spoonfuls every six hours. A table-spoonful or two of common table salt, eaten dry, has often been very ethcacious in this complaint. When the bleeding has been stopped by these means, let the person Keep Himself cool and quiet ; his bowels open, using moderate and easy exercise ; fiubduing cough by small doses of nitre and laudanum : fre- quently putting his legs into warm water ; losing a little blood, if his pulse become full and he has pain in tho chest ; and have an isssjc opcncc*- I'n the arm, or a perpetual blister betw«en the shoulders. " "' ■-■ '■>=!!»»-• ■-■-ril^''^^^: i '•XS.: Si BIBEDIKG FJtOM THB iTOMACH. -C yomiting Of blood ia distinguished from the preceding disease br * of twentr to thirfv Hmn- ^1 I r ^ ^ "'*^"'y recommended, in doses . i.l u^ totnirty drops m a cup of cold water, every hour or two un- tilthe b eeding ceases. It £ypnpr«Ht, „,;„„- r /u """^ ""^ '^°> ""• mntn^ u,.^»^tn.^^A ^ •• S«"®'^a"y arises from the suppress on of some accustomed evacuation, which must of course be restored. BLEEDING FROM THE WOUNDS. Lay a bit ofllnt upon the wound, ond put a narrow roller or bandace under he name of siranp ntr cut info nfrino uJm- . • u • j "' "gg'si ». five or six inches long.^'^ " "^ ° ""P" ^"'^ '" '"«'' '"^^' '"•'^ f'>»' «' BLEEDING FROM tEECH-BITtS. Scrape a bit of lunar caustic to a point, and pass it to the bottom of the vound for an mstant only, and the hemorrhage will cease! BLOODY FLUX, OR DVSENTERY. wiI^h!nn/!!"'"^'"V'^""''^?''i'y' ""*=°"'' '"'">'• 0^ 'eatery motions mixed Uri boil. I? 'T^ inflammation of the inner mJmbrane of the bJ fh« Xi^nfl u I °'=5"'-«'" »"»"™n. and is occasioned probably by the effect of cold and moisture succeeding heat, or by the influence ofsome unknown principle or state of the atmo«phe e. When iraUacks fleets or armies, it is highly contagions. aiiacks %n'/>'o»i«— Frequent evacuations of slimy, mucous, frothy orflatii lent scanty motions mixed with blood, accompanied with grS pat?.* frequent inclination to go to stool, while scarcely any or very littTe.; voided ; great bearing down, and severe irritation of the anus 7ria*'>'J g^^d"""^ Incorporate wiib It hall a pmt ofiime water ; then add of Laudanum ^n a Compound Tincture of Cinnamon i ounce'- feg^eJe?^^^^^^^^^^^^^ ^»y-' taking in a*ddition 'the fpl. Extract of Henbane 3 ll^nV- Mix ; and divide into three pills tojbe taken at bed time. ' BOILS. Foment thero with the decoction of popny heads and LflAr* Hi««» covered with a soft bre.d and milk poultice. ^Vcnth«'">'i'h^« » S'"' ^'ll"S^,''^'^^^^yoon asihej^re soft, and squeeza out tSe core I^L«n" ?"!°'^ '''^P*'"' ^^'^ P''""^'^ t'^^'' healing. The compord with smalldoses of Lpgom salts, or cream of tartar and jalap made into^an it m^if/' \^hT- ^•'"y hardness remains after the Llis Ced" whXamirt ;'" ""!,? ^ • '''. J'''^ '^' ^''""^ mercurial ointment, to Which camphor has been added m the proport on of two drachma to an BRONCHOCELE, OR BERBVSHIRE KECK. Thisis a tumour on the fore part of the neck, upon the windoioe m»tr at that part called Adam's apple ; it is thought to b^ comLner in o'erC rVaZl? °Th'; P"\«f E"fir,'°".'^ ''^'''' women oZer than mt^n irea^mcn/.— The treatment that has been generally used is the follow- iDg: rub the tumour with the hand for hVan hL" ?wiie a dav o have slight electrical shocks sent through it. Put one of he fuZ^.nl lozejjges under the tongue every night^nd morlg:^.^' U 'ITouI Take Burnt Sponse « j , Powdered olm Arabic \ d?^Z'- ' Powdered Ginger / dra ?n •' Simple Syrup, a sufficient quantity to form the mass, "" ' ' * which is to be cut i.ito 12 lozenges. The mass must be well be aien. and the lozenges dried on a plate before the fire '' The following efficacious re.nedy has been receut'.y discovered : Take Pure Iodine Liqnorico PowJer Treacle a sufficient quantity to form a mass. 13 grains;: i dracltm ; bo divided into 24 pills.of which one is to be taken every ni{;<,« 4- morning; 1* I- tr 28 BOMBSTIO PHTSIOIAW. or fifteen or twenty drops of the tincture of iodine may be taken three tjmesaday; ' As an external application, the following ointment, in the bulk of a filbert, must be rubbed upon the swelling night and raornin«time and wnrfc :# ««• -.u ounce of salts thp next morning ; repeat it eve'/^ d:;'if ^1" r/" If matter forms, the suppuration should be encouraged bj I^S^TI'a the tumour opened early. These abscesses are somctiS^sTer^S^"? healing, and require to be injected four or five ixmlT^A-^l^^ ' *'" ^ ->^iS "V ■^\ DOMBSTIC PHTSIOIAir. tt necesfldrv ; and the patient should go into the care of an experienced Burgeon. BURNS AND SCALD. Plungo the part into cold water the instant tho accident has happened, or cover it with clotiies dipped in water, and removed frequently or as soon as they begin to get warm. Persevere in this application until tho pam no more returns upon discontinuing it, which will or never exceed 24 hours. A dose of laudanum, in a little brandy and water, should be taken immediately after the accident ; a child may lake ton drops ; a grown person, forty. Do n^ w pull away or open the 'Dlisters, and tako caro that the water be brought fresh and cold, and applied so sedulously ns not to allow the pain to return for an instant. But should the accident be very e.xtensive, the shock given to the constitution would be increased, were we to begin vvith cold applications ; and it will be advisable to use Gou- lard water, milk-warm, for two or three hours, after which we may gradu-. ally decrease the temperature till it ia quite cold. When the irritation has been thus removed by these applications, they may be changed for a mix-, ture of milk and lime-water, and as soon as the part begins to form matter, the surface should be covered with finely-powdered chalk, which should be sprinkled on from time to time, so as to absorb the moioture as fast as it IS formed; And now it is necessary to take a purgative, and the diet, which hag hitherto been of tho low kind, must be allowed more freely ; light ani , mal food and a little wine will support the strength and render the discharge healthy ; and should it be pio.'uso, a wine-gla?sful of the decoction of bark must be taken three time* a day. Should proud flesh arise, wash it with blue vitriol water (two drichms to half a pint of water,) or strong alum water, and dress it with yellow hasilicon, making r. tolerable pressure upon It with a bandage. If the accident has happened near the bend of a joint, keep the joint straight till it is healed ; or should it be upon the neck and breast, keep the head back : this prevents contraction. CANCER. Cancer affects various parta of the body, as enumerated in the following detail : * Cancer of the Breast commences by a small, hard, anal irregular knoh, with darting pains, but without any alteration in tho colour of tho skin I's increase ib not uniform, but taked place at intervals, an;l is attended witii a lancinating pain, as though a siiarp instrument wore passing into it ; in this stage it is called a sciiirrous tumour. At length the akin becomes puckered, Rnd shortly after red, neU a shining purple, and lastly jlcorat- ed ; and this constitutes thf> cancerous strgo. r»ea;/;u?7i/.— Very litilo isto behoped for in the treatment of this di- sease more than to alleviate tho pain, and a little retard the progress of the tumour. At every recurrence of pain, leeches should be applied, and the part covered with a lotion composed of the following : Taka .Spirit of Mindererui Spirit of \Vin« 4 ounce* 5 ouncM Mix, J': 4 J II 30 voxsmc rHTaieiAN. fn„^?. '1 ^- ■.'^"""d State of the tumour, cold applications will b« round to be injurious, and the " soao nlastflr '• i»;ih . I«,-«k r ^"\°^ Take Compound Djeoction of SarsaparUla Corbonate of Soda 1 pint ; 1^ drac'im ; Btitution becomes seriou if 'Iffected iL Za 1 ^''■' ""' '''^ *=°"- enaciated . the bowels cos.iJe, trd'S^;.oS:ch aS.ed^^X.^rt ^ stant and serere refcj.ng, No treatment h« hitherto been Xlive' «h,tr^*''"""'''®*''^'' '''^"" "^^ eentle and unirritalinraDerients m salts With manna, or castor o : the nain miiiaotoj k„ i j • '. . opiate glysters. The offensivVnature'of the S'r.e' mJvTr sL'l degree lessened by frequent injections of blue sto3isr/ved „ decoc! iZSJr'i^T^'' u"' '^"'='"" <° ■ I-'"'- '^f'« ^'ip bath may Se' u.ed leeche, applied near the part, and cupping upon the loins Om,,m ^-^ solved in opodehloc, should be rubbed in upo^ihe back ^ slig^Tervr^: :e!^;Trhe^tere%onl:tiS;^ which bleed, upon the ulcejaUon : exc. on of the ttrne^TL^Iir^orTeZ;;! ^a^e ^'' .ubj^;7oUcr;;r;";.'tr ''"'/^^^-^ enum/ratKaCra S-f^-" ■ 1:&. BOHKSTI* PHTtlOLUf. St P i. CANIIVB APPXTITK, Si^mptnms. — Tho person has an insatiable appetite that acarc«ly any quantily, even of the most disgusting iuod, appeajca. He will eat raw flesh, cnridles, soap, the cntruils of animals, or any thing that lies in his way. A man under this disease ate 4lb3. of raw cow's udder. lOlbs. of raw beef, and 21bs. of candles in a day, besides taking large quantities of drinlc. Treatment. — The person should be allowed no food but fat and oil, and ehouid be directed to chew as much tobacco (swallowing (he saliva) as the constitution would bear* Canine maoniss. i'?^m;)toms, — As it may be more useful to describe the synnptoms of this disease as it afTects animals, the following marks of hydrophobia in dogs are here presented. A dull heavjr look ; endeavours to hide himself; seldom barks ; angry and snarling at strangers ; refuses his food ; drops his ears and tail, and lies as if going io sleep. Then follows the second stage, in which he breathes quick and heavy, lolls out his tongue, froths at tbemoHlh.runs in n curved lino, and flies suddenly, but silently, at persons near him. Then his cvos become thick, dim, and watery ; his tongue red ; he is faint and weak, falls down and rises, becomes furiousr and dies exhausted by horrible convulsions. Trtatneni. —It would be useless to take up the reader's lime by reUt- ing the several modss of cure adopted and recommended by ■various per- 80D8 at various periods ; the trulh is, that no remedy or treatment of any description has ever yet, in a .siugte instance, done any good, and we are at this moment in total ignorance of any meant to cuiethta dreadful disorder ! The facts related of cures, by salt water a.id various other means, are utterly fallacious- The only means of saving life is to pre> vent the disease from appearing, by cutting out the bitten pml, as advised for the bite of the viper, p 22 ; for, if inoculation has been produced, oo other moans will save the victim from inevitable destructioOv Sugar of lead, howo; or, from its sedative eSect, appears as likely lodo good as any thing (hat has ever be«n tried ; and were I affected with tha disease, I rrouid take it in large doses, as my only hope. CARBUNCLE. Heat and pain in some part ot the body, on which arises a pimple, which becames a bard deep tumour, of a red or purple colour. It soma- times follows typhus and putrid fevers, but ofien appears without any pre- vious disease. lis most common 5eat is in the back, presenting a large, red, spongy, oozing tumour; or, if it has proceeded farther, it is found black and putrid. Treatment.— Open the tumour freely, press out its contents, and cover it with a poultice, fomenting the pArt two or three times a day with a de- coctioD of poppy heads. Continue the poultice till all the core has come away, and the cavity looks red, them dress it with dry lint and a bandage. » in a wine-glas5 ■7 .. 32 fioMMTie PHrsicufr CATALEPSY. »Vj/m;>/o;ns.— The person suddenly falls down or rnm«,„- <:„-j • t posuion he was in at The momcntof L a ack ;U oses J nowJ V^^ untarynaotion, but his limbs may be moved b/ X olhir Trson a^ flor.d. the eyes open and fixed, the teeth are grinding upon each Si anxiety, anger, disappointment, profound meditaion &c ^h«! f' r"? ' CATARACT, This is an opacity of the crystalhnc lens of the eye occasioning Kll„^ aW. ' CATARRH. Thia is what is commonly called a cold ; and conikt^ in «n :„. » .rr,tat.on and discharge fro'm the nostrils, throat, and wf "dpipe ""'''''^ ^.•^i/mpjowi^- Stoppage in the nose, pain and weight in the forehead rp,! S« r P '''' "^ "'"'^ ^«'^f«' blood should be taken from the a^m T ^rAfr^lll'of.V'"''- l'-.''-'^'^! °"d the effeVve'cing Zgh?, ^^^^ BOMltSTIC FHTIICIAN. il ^t Take Alinoiid'Cwifbclion Ipiicaruonha AVino Aianiia Laudnijuiii Oxyniel Water 1 oUBca ; 9 druchms ; I ounce ; SO drops ; 9 ounaes ; i pint; warm liquids fre- Mix ; toko thrco (able spoonfula every two hours. Tliosleanjofwarm water should be often inhaled, „„.... ..qmas rre- quenily drunk ; llie diet consist of water gruel, chicken broth, beef lea, and vpgetablcH. II il.o person iri hot and sleepless during the night, let him take, at gning to bed, twelve grains of Dover's powder in a basin of vine- gnr whey, or a teaspoonCul of hartshorn in a cor, of wine who*, with twenty- hVG drops oflci-danurn. ' When tliia disease is very severe, and occasioned by a state of the at- raosphereihat eil'ects many persons at the same time, it ia called influeozi. CESSATION OF THE ME^3l:S. This is a -cry critical period of female lif.-, and requires means to re- s ore the balance, the loss of which has been occasioned by the chanci that lias tauca place. * Avoid a full diet and malt liquors ; '.cop the bowels open by eentle dcscs of serjnatca, with Epaom suits and manna, or with lenitive electn- ary ; keep down fulness and pain in the head, by applying leeches Ul the temples, or what is belter, to the anus ; put the feet frequently into hot water, and use regular exercise ; take no hiera picra, aloes, or other beating purgatives of that nature. If affected with giddiness, open an issue below the knee. '^ CJIAXCHES. Undergo a course of mercury, and wash the sores frequentiv with n. lotion, composed of a scruple of lunar caustic dissolved in half a pint of rose ^vater. If they spread, or are painful, discontinue the mercury and dress them with an ointment, composed of two drachms of opium rubbed ZT r T'"'" °^ «P«'-'"'»^«'i ««>-ate, until they show a kinder d.W sition, when the mercury is to be resumed. ^ CHALK STONES. rloTfrf?! *=°""«''0"S' wh'cii accumulate in the joints of «outy periong. de troy the action of the part, occasion painful sufferings, and 'ften troublesome ulcerated openings. J^MT^T^Hn^'T '''f »'"'!'^'"'»^l'°" «f t'^e part by an occasional 'nSal n rt3 of i?.l , '"' ""'''"' ' ?"' ° 1'^"'^^" '^""^ '' composed of oSed s^ll n ^V^^''.y «" ''^"fJ «oap, and ever the whole with a piece of oiled silk ; avoid acids and fermented liquors liable to become arid in the stomach ; and take twenty grains of \he subcarbonate of "oda, n » cup of veal broth three times a dav. or the following pin- • ' 3i BOMBbTic rnrsic'iAW, Tako DrioJ carbi.nato of «oda, t'lXtraci of guntiuii, 8 ilriiclinn ; i ilrachni ; Mix, and (liWdo into forty-eight pilid; take Cow, tsvo or three li.u •ay. on K 1- citicKErt rox. This disease, called also swine pox, appears but once during life, Sumptomn.—h usually cornes on without any previous illnrss, but it '8 Bometimes usherod in by chilis, flushings, headache, thirst, and other symptoms of fever. The vosiclos are. always separate and distinct irom each other, and arc less thiin the pustules of small pox. About »ie second or third day they are filled with a miUr.y fluid, and in two or ilircc days more they begin to dry away into crusts and scabs. They are VWj Z*^""' """" P"* ^^ *'"" v*^"'"^'"" bei»« filled on the second or tfiird day, by a //n/i /rtt/i«parftcn prove very troiil.lesomo an.] difficult to heal. Up.M the first cracking of the skin, a poultice- may bo applied for ttuay or two, to reduce t!,e irritability of the part ; and a dressing of the common ydiowbasii.con afterwards used twice a day, until It heaU. Should the wound show no d,3p6sition to U^-al under this treatment, an ointment shou'd be a/>plicd of the fo!l)wing kind : Take of the Ointment of Nitrated Quicksilver, and nog B Lard, of each, equal parts ; Mix them together ; or, Take Yellow Basilicon NiricOxydof Quicksilver, ] ounce; 1 scruple ; Take Gum Elomi. Yellow Wax, and Yellow Rpsin— of each Olive Oil Oil of Turpentine Distilled Ve/digris (finely powdered) 9 drachms ; 3 table-rpounfuls \ 1 tea spoonfi^l ; 1 scruple ; f u *v»„, ^^\ DOMcsTrc rifrncfAy. i.rrr. f • !""T, "'"' ^''' *° ''"^'^l^' "'«y «''«"I'J '•oruM.oJ until warmth is restored, hiV not brought near (I.e Trr. It ia a ^-..od prnctico to trengtJ,en these parts by bathiny the.n ovory „i,l.t aad monu " w th ;;ll J"^""' '"i"^' /"l'I^"'S them al'turward. till tlu-j ^hv.v. \vllm -ocks and glo van should bo worn, unl iho ciro.la.ion of.hoSki, promi^ ed by frequent friction, Journcl oj PnLlk Ihalth, Vol. 1. ciioiEn.v MonBi?. Symptomi.-Tho first approach of this diacasn hrrins with ricknr« Boreness.pam.distcntion, andil.lulcncyinthc boweLs which m^reases to severe vorniting and purging of almost pure and unmixed b i e It occurs principally .„ the summer and autumnal months, and arises from finTln '''"'"°" °/^'^''' "'^c^^'oned by excessive heat, or aUo na- h«Tlff 'rr/T?","'' P'^"''''""y«"^* copio-.|y (notwithstandinrr it mat be rejected) of barley-water, or toast and water, or wonk chickc'n brSh auZl "f' *"/'''^r"!'!^ °''" S""''" ^-^ '^^° ; °"d throw i^p repeated upon the stomach and bowels. Hot fomentations of poppy- lioidrmnv be used 8t the same timo. When by these means the VtomaHrisTe^ come a little quieter, make some strons mint foa, (with tho dried spear mint.) and into half a pint put forty drops t-f laudanum, and doubI?tho quantity of chx.r of vitriol. Take two tabic spoonfuls cvorr hoj Should this not »,t on tho stomach, a .Irachm of lauclanum must be nut to a tea-spoonful of starch, and used as an injection. When, bv thLe means, the sickness, pain, and purging have ceased, it will be proper to carry off the remaining bile by the following medicine : Take Infusion of Roses Epsom Salts Tincture of Cinnamon i pint; 1 ounco ; 2 drachms ; Mix. Take three table-spoonfuls every four hours When this has been effected, the stomach and bowels must bo strengthened with a mild, light tonic ; viz: Take Infusion of Cascai ilia Tincture of Coluniba Tincture of Cardamoms, Mix ; take a wine-glassful three times a day ; or Tak« Decoction of Iceland Moss Elixir of Vitriol Tincture of B^rk 4 pint; ii ounco ; i oancs ; i pint i 11 drachm ; 3 ounce ; Mix ; and take as above. CHOHDEE. To prevent this, take fifty or sixty drops of laudanum in a wine-glass- •' "5^sr- "•^H^v DOMESTIC FiiraiciAir. SI ful of cnmplior julopal Oed-tiine ; rub the part with laudanum, or w«t a piecfl of linnn in goulard-water with a tca-spoonful of laudanum ^ tha following pills aro also very clHcacious : TukoOi)ium, au'l (.'nmplior, of rach Eintlic Taitiir Syrup. «• Bi'fficiont quantity to form a maM, I drnclim ; 16 grains ; which divitlc into fiO pills ; two of which to be taken at bed-time. Leeches aio often useful. If nono of these means are within our reach, ujiply linen cloths wetted with cold water. CLAP. Take two drachms of Java pepper three or four times a day ; or a tea-spoonful of balsam of copaivn, usinp on injection of half a drachm of white vitriol, dissolved in half a pint of rose water. If it be attended with violent scaldinp, this stimulating Ircalmcnt would bo unsafe, and a mixture of solution of jwiass and laudamiin, in equal parts in the dose of a tea-spoonful mixed in a tumbler of barley water, should be taken three or four times a day, till it Eubsides. Should the disease yield to none of ihcse remedies, a pamphlet, en- titled ''Observations on the Diverse Treatment of Gonorrhocra Virulenta, by J. I\I. Churchill," may be consulted with advantage. CilLlC. Svmploms. —\io\eni pain in the bolly ; twisting and drawing in of the ,»navel ; the particular Kyn'ploms varyiLg according to tho nature and seat of the complaint. ist, Flal If /.-ni orV,'i:.dij Colic — Gieat Costivencsa ; pain, soreness, and griping of (lie hav^uh ; a rumbling noise in the belly, distention of the stomach, nausea and coldness of thy extremities. S drachms ; i pint ; Take Senna Leaves Bjiiiiig Water Infuse for half an hour and strain ; then add of Compound Tinctura of Senna (called Daffy's Elixir) i ounce ; Mix. The patient should take a table-spoonful of castor oil, while the above IS preparing ; and as soon as it is ready, begin with three table- spoonfuls, and repeat it every two hours, until it operates. If these ^r- tic es be not at hand, two table-spoonfuls of Daily's eli^tir, with a drachm of tincture of jalap, may bo subdtituied. If the above he slow or -ineffective in operating, a glysler should be given composed of two ounces of Epsom Salts, tnd an ounce of fresh butter, dissolved m a pint of water gruel. As soon as the bowels are moved, if the pain bfl nnt suhdnoH. lAtth« admmis^tlrrd^"*^'^ ^"^^' ^'*^^ ^^'^^*'"' """^ ^^'® following carminative glyster Sm I "^i ?! 38 DOMESTIC I'JIYSZCiA.tl. Boil half an ounce of bruised nniseeJs and the same quantity of came mile flowers in a pmt and a half of water, till reduced to a pint -then nijx three drachms of sp.nt of turpentine with the yolk of an egg ; add a table-spoonful of tincture of asafcE.ida, and ibrty drops of laudanum and mix all together : the foUowiiig draught .hould hi takln at the same™ inie Take Lnudanum Spirit of Carrnwaya Perperiiijnt AVater 20 drops ; " i ouncp ; 1 ounce ; Mix for a draught. 2. Bilious Colic-Yomilmg of bilo, acute pain about the navel bitter laste in the mouth, considerable .hirst and fever, with costivene-s .o abate the vomiting, taking a saline draught in the ^fate of effe^: vesce.j|e, with eight .-n drops of lau.lannm ev%ry two hours jfomem he belly with hot waie., and let blood from the arm to the quamUvof three quarters of a puit or more. As soon as the stomach wm bea medici.ie, give the following, °^°^^ Take Jalap, in Powdor Calomel i ilrachm ; 6 grains ; Mix, and take it ma little honey w treacle, or it may be beaten into a mass, with syrup of buckthorn, and dividend into five pills : or, Tako Calomel CompounJ Extract of Colocynth Opium lo grains ; i dracbni ; 5i grains ; Mix and divide into l£ pills ; take two every hour till they operate If the medicmes be r. jected, the purgative glyster recomtnended i^ the windy cohc must be thrown up, and repeated every fouThoursunU^ evacuations are obtained and the sickness relieved. 3. Hysteric Co/ic.- Females are very subject to this disorder which IS characterised by violen. pain in the stomach ; vomiting of green and yellow matter, great lowness of spirits ; the pain perhaps gles off for some hours, but again returns. i- r t- s«co vn lor Give repeated draughts of warm camomile-tea, until the stomach has been cleared, and the vomiting subdued ; then, if the bowels are coJ! fined, a gentle aperient may be given, as the following : Take Powdcrsd Rhubarb Spirit of Aniseed Cinnamon Water Tincture of Jalap SO grains ; i ounce ; 1 ounce ; 1 drachm ; Mix. ■The following carminative medicine should be taken as soon as the toraach will retain it : °® Take ,£ther Fetid Spirit of Ammonia Xincture of Castor Laudanum Aniseed Water, or Camphor Julep 9 drachms ; IJ drachm ; 3 drachms ; i drachm; 6 ounces ; 1' ..^s*--' -ftaSft DOMr.FTIC PIIYSIC'IAX. 3d Mix, and take two table spoonfuls every two ur tlirce hours, till flic pain and spaiin abate. The turpentine enema may be used also with bpucfit, as well as hot fotnentaliona and friction to the belly. 4. JVervoiis f.Wjc.-This disease has a variety of names ; Coliea Pictonum ; Dry B-^lly Jlche ; Devonshire Colic ; Drj/ Grifjes; Painters Colic, ^-c. It commences with weight and pain at the stomach, loss of appetite, yellowness of the shin, and cnstivcncss : nrxt, vomit:nB of green, slimy, bilious matter, excruciming pain at the navel shooting to each side, the btllv drawn in with violent rpapms t , wards the back, and, lastly, a tingling along the spine, extending to the arms and legs, which become weak and paralytic. It i^ occasioned by obstinate costiveness ; by acrid bile : cold extremities ; Hcid hquors, as sour wines, bad cider, (hence called " Devonshire Colic," as occuring frequently in this coun- try.) and the vaponi oflead (therefore cnllcd " Painters' Cohi:.") But when the disease goes on unalUviated, the whole of the belly be comes too tender to be touched, and is contracted into hard lumps, the spasms become more violent and frequent, the boweU obstinately locked up, inflammation ensues, and mortification closes the scene. When the disease arises from the handling of lead, or breathing the destructive fumes of the melted metal, as in smelters, plumbers and glaziers, the hand shakes and \s palsied, and the fingers contracted ; from this cause it is more obstinate and longer protracted than when it arises from any others. This form of the disease may be, generally, obviated by clpanliness and after any manipulations with this metal, it is absolutely necessary to was)» the hands particularly clean, and to remove every particle of it by means of a nail-brush. Clean linen and clothes should be put on as soon as work is over : and those who arc f>redisposed to the disease should never enter a room that is fresh painted or just papered ; the colours on paper being prepared from lead. If the pll'l^e be full and strong, and there be danger of inflammation, bleed, if the patient be not wenk and debilitated. Next allay the spasm and sickness by opium. Give five grains of opium in a pill ; if this bo rejected, administer half a pint of starch jelly, with ten grains of opium dissolved in it as a glyster ; foment the belly with decoction of poppy- heads, with brandy in it, or put the patient into the- warm bath, rub the spine with the following embrocation every two hours : Take Powdered Opium Camphor, Powdered Hogslard 1 drachm ; SO grains ; 1 ounce ; Mix. »ji*. If the spasms continue* and the irritability of the stomach still per. vents the administration of medicine by the mouth, a tobacco glyster should bo thrown up, consisting either of the infusion or smoke, prepared ia the following manner : Tobacco Infusion. Take Tobacco Boiling Water 1 drachm ; 1 pint ; let them stand in a covered pot, for fifteen rainutes, and strain ; throw up ^i 40 DOXKHTIC rnMICIAX. halftbii quaniity. and the remainder in half an hour afterwards, if tho Xrst has had no effect. Tobacco Smoke. About an ounce of tobacco is put into the canister, fixed to Read's patent injecting syringe, and being ligiited with a piece of paper the smoke JB pumped into tho bowels. As soon as the stomach is quieted by any of these soothin? appli- cations, an attempt should be made to open the bowels by the following meani Take Calomel Compound Extract of Colocynth Opium, in Powder Oil of Carraways 1 scruple ; i drachm ; 4 grains ; 15 drops ; beat them together, and divide into 12 pills, of which three are to be taken every f jr hours until they have operated freely. Let a glystcr be adjnjoistered also of the following kind : Take Infusion ot Senna Extract of Colocynth (simple) Glauber's Salts Castor Oil i pint; i drachm ; i ounce ; 1 ounce : Mix for an enema. If the stomach will retain a fluid medicine, the following purgative mix- ture may be given instead of the above pills ; but the latter will generally be retained before any liquid can be brought to remain. Take Castor Oil beat it well with the yolk of an egg, and add Peppermint Water Laudanum 2| ounces ; 6 ounces ; 1 drachm ; Take a quarter of this mixture every four hours. , When the bowels have been freely moved, the pain and spasms, if any remam, may be removed by a teaspoonful or two of the tir.T-.ture of va- lerian, of castor, or of asafoDtida, with six or eight drops of laudanum, taken •very two or three hours. In the severe stage of painters' colic, 20 grains of alum given everv tour hours, has afforded very great relief. The palsy resulting from the fumes of lead, is best treated in the following manner : Take Lunar Caustic Opium Crumb of Bread 24 grains ; 12 grains ; i drachm ; Beat them together, and divide the mass into twenty-four pills ; take one nil! three times a dsy. If tho bowels will boar it, the dose of the eauitic may be gradually increased to three grains. i! -i! ■■ "^^s-- the d's ake ing be be IX- ny 'a- en ry he ..I t « JDOMGSTIO rUTSZOUN. Consumption. 41 Sym/jfow*.— Wasting of the body ; cough; difficulty of breathinc ; pain in the side or some part of the chest ; quick pulse ; night sweati ; towards the end of the disease, expccloration of pus or matter, hectic fever, and purging. The progress of this disease, from its first approach. IS generally as luljows : — '^'^ Langour ; breathing leas easy than usual, and shorter, particularly oa ascend :!g a rising ground, or going up stairs , pulse a little quicker than natural, but increased considerably by slight exertion ; trifling cough, which IS short and dry, ojten producing vomiting ; tightness and oppres- sion about tho clie-t. o o rir Next, a darting pain in some part of the chest ; catching of the breath, wh ich excites cough ; uneasiness in the chest, increased by lying down; spirits dejected ; cuuntenaiice sad ; appetite impaired ; toncrue white : heat and thirst ; flushes after eating ; and a degree of burning sensatioa in tiie palms of the liands and soles of the feet. The pulse next becomes quicker ; cough more troublesome, espe- cially towards niglit ; attacks of coughing upon awaking in the morning, with spitting of a greenish, blackish, bloody-streaked, saltish-tasled mat- ter. And ijow succeeds wasting ofthe flesh ; skin and eyes pearly white ; flush on the checks ; hectic chills and heats ; profuse night sweats : cough and pulse more frequent ; constant weight on the chest ; nose sharp , eyes sunken ; purging alternating with the sweats ; expectora- tion of various kinds of matter, either thin and watery, or thick and umpy, in colour black, brown, or green, and sometimes streaked with blood. Treatment — On the first appearance ofthe symptoms, lose blood from the arni, or l.y cupping on ihe chest ; keep the body open wiih castor oil, lenitive electuary, or Epsom salts, as costiveness materially aggravates the disorder ; put a blister (and keep it open,) or a burgundy pitch plaster upon the chest, or between the ehoulders ; or, rub" a piece of the tartar emetic ointment, the size of a nutmeg, over either of these parts twice a day. Increase the perspiration of the skin, and moderate inflammatory ex. citement, by the following medicines : ' fake of Antimonial Powder Extract of White Poppy 9 Bcruploi ; 1 drachm ;- Mix, and divide into twenty-four pills ; take two pills, three or four times a day, washing them down with a small wine-glassful ofthe followina mixture : • Take Almond Emulsion Saltpetre Spirit of Mindereruf 4^ ounce* ; 1 drachm 1| ounce ; Mix. The diet should consist of such articles as are nutritive, easy of di- gMtion, and not heating ; consisting of solid animal food, animal soups Ji" C y. I 4? DOMESTIC PUVSICIAN or jellies, eggs, milk, veffelablcp, and ripe fiuils. Tlio hroakAiat should be milk or cliocolatr, with broad and eggs ; or oatmeal porridge, with milk. The diniur should he from one dish of good teuder meat, with< out fat, with potatoes and stale bread or biscuit. If ass'j milk can be obiainoci, two pints a day sliould bo taken ; and this yjioiild be tlie only nourishuient lakon in the concluding part of the day after dinner, A flannel or fleecy hosiery wuistroHt, next the skin, sliould be worn ; with drawers of cotton, worsted jtockiiigs ar.d lamb's wool socks ; and the paUcnt mut-t Cci:-efully avoid cold noiih cast winds. When the disposition to inflamnia Lion is- 6tii)dMpd by these means, a tonic system may bo pursued. A wine-glass^ful ofGrifilth's mixture may be taken twice a day ; or ofdcco(;tion of b.irk, acidulated with elixir of vitriul. The cough to be soothed by a table spoonful of the oxymcl of licdge hyssop twice a day, and a quiet ni^'ht obtained by taking half a grain of opium, .with four grain.'' of extract of henbane, and the tame of extract of hops, in a bolus, at bed-time. The drink sliould bo water, acid- iilatt rl with ebxir of vitriol, or spirit of salts ; and a little Port wine may be drunk at dinner, 'I'hf patient should go to bod at ten o'clock, and ri.se at seven , after breakfsst he shoule ride or walk out, or exercise with a swing, for two honr.s. The dumb bolls, so often recommended in this disease, are de- f^ldcdly injnriousr, as they impose too active an cxerci.^o on the chest. The patient should have the neck, back, and chest rubbed every night and morning, lor half an hour, with equal parts of vinegar and water ; it may be warmed a little at first, until he is alio to bear it cold. The siiin should be rubbed afterwards till quite dry and glowing A Jemptrate and equal climate is very desirable to check the progress of this dreadful disorder: Madeira, Leghorn, Pisa, and the S'uth of France, have been recommended for this purpose ; in England, the most favourable county, unquestionably, is Cornwall. It would far exceed the necessary limits of this little work, to trace tills disease through all its subsequent labyrinths ; aa epitome, therefore, of the plan to be pursued is hero added : Vomit twice a week, with eight or ten graiiiS of blue vitriol, dissolved in rose water. !f the pulse by very quick, lose three or four ounces of blood, about once a fortnight. Take half a drachm of Myrrh, twelve grains of nitre, and fifteen drops of tincture of foxglove, in a wine, glassful of camphor julep, three or four times a day, to support the strength. To relieve pain, apply blisters, the tartar emetic ointments, or insert an issue or seton. To palliate the cough, take a drachm of oxymel of squills, half a drachm of paregoric, and one drop of prussic acid, in a wine-glassful of almond emulsion, every now and then. To procure rust, take five grains of extract of poppies, a grain and a half of powdered digitalis, and the same of powdered hemlock, in a bo- Jus, at bed-time To check the profuse sweats, take iafusmn of roses, with an additional quantity of acid, or a fourth of a grain of nitrate of silver, in a pill with |jr?ad crumb, three tiroes a day. " '■' ^teM i^ DOMESTIC niVSlCIAJf^ 4S To moderate purging, take a scruple of bole armenian, with a grain of opium, at bcd-timo, in a draught of chalk julep. For spitting of blood, administer sui^rar of lead, as prescribed at p. 85 The tiirusii, that appears so often in this disease must be treated by a gargle of decoction of bark, with a little borax and honey of roses dis- solved in it ; or, witii rose water, containing nitrate of silver, dissolved, in the proportion of three table-spoonfuls of the former to two grains of the latter. To heal ulcers, and subdue the inflammation of scrofulous tuborc'es of the luiii^r, iodine has been recommended ; it may be adniini5\"rod as directed for Bronchocele, p. 27, or the vapour of tar,-used in the follow- ing manner : Put a pound of tar, and one ounce of salt of tartar, iufo an earthen pipkin, ovor the flame of a spirit lamp (that is, with spirit of wine instead of oil) in tho miJtl{« ot the chamber ; let it boil slowly without burning. Clean the vessel every day. CONTAGION. Infection is produced by the contagious eflluvium arising from a dis-. cased person being communicated to a healthy one. This effluvium mixes with the air, and extends itself to a certain dis- tance from the place whence it arises ; this distance is regulated by the nature of tlie disease. In typhus fever its deleterious influence does not reach to th.' next house, nor even to an adjoining room, and proba- bly would not extend from the body of the patient himself into his own room, if it were large, airy, and well ventilated. The infectious effluvi- um of small pox docs not, according to the experiments of Dr. Haygarth, extend itself more than half a yard from its source in the open air,\ and even when the distemper is malignant, he says, the infectious influence extends but a. few yards from the poison. From these data wo conclude, that no infection extends far from its source, and that this distance has generally been much overrated. The infectious effluvium arising from persons labouring under small pox, measles, and other contafjcoui fever, does not attach itself to tho , clothes of those who may be exposed to them, so as to be capable of • infecting cither themselves or others. Infection proceeds from tlie poison lodged in tho clothes or utensils of the sick persons, as well as from their bodies also. From these facts we see, tbat contagion cannot be carried from place to place, by one person to another, except by those substances that have imbibed the poisonous matter discharged from the patient himself. Let us illustrate this fact : — Two young ladies at school had scarlet fever, with putrid sore throat ; the governess put them into a room alone, at- tended tliem h'^rself, syringed their throats, and did what else was ne- cessary. She observed the precaution of washing her hands, and of avoiding taking away with her any contagious dirt from the chamber ; and tho consequence was, that though she then mixed with sixty five otlier scholars, without changing h^r dram, noXoiMi of thera caught th8, disease ! C2 i fi DOMESTIC PlIYSlCIAi^ ;^ ■■5,^ It may be safely concluded from all this, thtjf ffim<5asea of infectioui disorders, if there w room in the house for the sick to be put into sepa- rate apartments, the rest of the family may be preserved from couiagioii. by proper management. * ' n preTentContagior,.^Conyoy the sick person to a large airy room at the top of the house ; change hu bed linen frequently, and wash them as soon as they are removed, without suffering them to come near any of the rest of the family; cleanse hjs body frequently. Take fn^rythinrr that comes from him quickly away, avoiding the family as in the forme? instance; keepup aconstPnt and thorough ventilation of the chamber, and fumigate It daily by one of the moans described under the article Fumigation; keep the bed-curtains drawn, and the door and windows open ; wash the floor, particularly around the bed, every dav ; admit only the necessary attendants, and caution them against sitting on tho loiin.'? °«•^^'"'^'^*'^'"''*^'■• ^^^"* P«^«°" dies, sfcure ihe body in the coffin as speedily as possible, having first enveloped it in waxed or pitched cloths Make no u.e of .he clothes of the deceased until they have been washed and fumigated. A soon as the palient is convalescent, remove him to another apartment ; cleanse llu- one ho has left with warm soap and water, and if the walls be of plaster, let them, aa well as the coiling, bo whitewasiied ; wash and fumigate the bed-clothes, curtains, and hangings of the -room ; and f.imioate the fur- hSier^ repeated applications of the fumigating gas.-Sce Fc^iigation, Such are the means to prevent the diffusion of contagion through fa- cttrshoSr^brer^/eT'" "''^^'"^^ ^"^^"•^"' *"^ ^"^'«-4 prc Let the attendant or visitor keep a sponge or handkerchief moistened m vinegar, as near to the mouth and nose as consistent while in the room, or near the patient, and avoid if possible, receiving his breath, or the vapours arising from any of his evacuations. Persons should not visit the sick with an empty stomach ; after dinner is the most elioibjo time, bu if the morning is obliged to be chosen, a glass of wine a°nd a biscuit should be taken previously. Confidence goes a great way in Kr?^^ ^"^•i'"',ri?V"""^*=°"''S'°"- '^^'^ attendants of the deceased fhould avoid all deLiiitating causes ; they should live on nutritive and easily digested food ; take iwo or three glasses of wine daily ; and keep ihe stomach and bowels open and healthy. The contagion'of malignant sore throat IS often repelled by gargling ihe throat frequently wits, tl! followmg :-Infuse two table-spoontuls of good Cayenne penner and oVantirnft-,^'"'S'" '"''' '^'H' "'u^''''^""" vinegar, anrK^'same Enealth ^"^ ' '*"'" ^ ^°"^ * ^"^ cloth.-/o«f««/ of Pub. CONVtJlsiONS. -™i^'*'*r®'?°^""*''I^'=°"*''^''*'°"« or spasms of the muscles, and are symptomatic of many disordered slates of Ihe body, and accompan' many diseases, of which they are a leading feature ; of these last, thev 'SH '%-T!i'l««°J"'''!^''*'rT'"P^''*=^''«"d^'« shall therefore here 'proceed the consideration of the convulsions of infants and pregnant women t 4 i^' i 4) ' >-Vw. •■ ,.vi}03IE8TlC tllYl Convulsions o/'/n/aKwT— These are pr^uced by acrid matter in tho bowels ; by wipd ; by wormg ; by the irritation of teething ; by the strik- ingiu of an eruption or rash, &c. Trfa/wjeni. — When convulsions arise from irritating matter in the sto- mach and bowels, give a tea-spoont'ul of antimonial wine every ten minu- tes until it oppi-ater ; or, by a purgative of one grain and a half of calo- mel, to be worked olF with a .ablo-spoonful of infusion of senna, con- taining a drachm of manna, and twelve grains of tartrate of potass. A little of the commnn domestic glyster may be thrown up, if the above does not operate kindly. If convulsions arise from wind, then the remedies must be used that are recommended for the llatnlency of infants. Should tho cutting of a tooth, 8s is very often the case, appear to bo the cause of convulsions, the gum should be scarified, so as to let the tooth"! hrough. Worms are frequently the cause of convulsions in children ; let tha complaint be treated as advised under that head. If the convulsions are owing to the disappearance of en eruption or rash, its r«>turn should be solicited by the warm bath, and other means, to be F^ioken of under their proper heads ; sometimes the drying up of excoriations behind ihe ears will produce them ; in this case, create an artificial discharge by putting a blister to the parts, and keep it Open by dressings of savine ointment. .. , - Inward fits, (as they are called,) which are too well known to need description, are best treated by giving the patient a gentle emetic of a small quantity of i^/ecacunnlia wine, every two or three days, nd to tako the child up, avAil.o it and rub its stomach and belly, wheuever it is observed to be aiFucted by them. . • ._ To restore a;i ir,f;ml in convulsions, there can be little more done than to put it into a wmu bath, or cover its head with a napkin wrung out in cold vviucr, or witlj a bladder of ice. A tea-spoonful of t'le tinc- tures of casfor, or of valerian; or of asafootida, in a little syrup of red poppies, may be poured into the mouth ; but in most cases, if medicine can be admiuistei : u at all, an emetic is the best remedy. Convulsions of Pregnant women. — The convulsions that occur during pr(»gnaucy are of an hysteric;i! kind, and therefore require the remedies advised under the article Hvisrr.uics. I!ui the convulsions that occur during labour, or alter delivery, are vory dift'erent and Very formidable.. If the convulsions Invc been preceded by a sense of fulness in tho head, giddine2g, diowi^iness, dimueris of the sight, or floating atoms be- fore the eyes, ih-'y a;e rcrtainly occas.onou by fulness of tho bluod-ves- eels of tht brain ; and the first Gtcp necossary is to draw ten or twelve ounces of blood from t'v.; arm, or from the jugular vein, or from the tem- poral artery. The bowels to be opened by half an ounce of Epsom salts, and half an ounce of manna, dissolved in a cup of .senna tea. If. after this, the child U ncitlier born nor the convulsions diminished, more blood may be taken, a blister applied between the shoulders, and the head, havinsr been sha\c'(l, covered with cloths, wetter in cold water, or a bladder of ice. Leeches also to tl.o temple, and the bleeding rep0at> ed as long as the convulsions continue and the pulse will allow. Th« glyster recommended in Apoplexy, (p. 18 ) should be injected.' \ 46 % ITIC PHVSICIAN. ,.nn!!.'i*' -^ "'"^ "^ "° indications of over fulness of blood, then the canno'hcrVb'n T'f r'"^^'^. occasioned by irritation. Bleeding cannot here bo so freely used as in the former case ; but leeches bot?ies%Trotl'."t;^' '^ri'':' "^° ^r*^"' '^"^ -^^ thr^a." 'Kr S^yTrf,i^iZ:i:^^^^^^ to .he soles of the feet, and the following Mix. Take AsafoBtida Opium Gruol 2 drachma ; 6 grains ; 1 pint ; In both cases, delivery should be expedited with pll safe and ronvn nient dispatch and the assistance of an experienced accouche If the convulsions continue after deliverv thr- <,n.nn ^^i^ ^r / 7" ment must bo pursued ; diminishingihe ^antfi^o^" c.^d 'LrpinX bowels open, and quieting the nervous system by opium, irtlier, asafSida musk, and camphor. Also, apply a blister between teshouirrs and mustard poultices to the soles of Uie feet. euouiaers, and COKNS. Pare them close, and apply the following plaster Take Gum Ammoniac, and Yellow Wax, of oach Verdigris i ounce';' 1 1 drachm ; MelHhc wax, and stir in .he gnm ammoniac anl of overloadmg the stomach. It occa- sion.T head ach-s, sicknttrf, "ndigestion, giddino=s, want of appetite, flatulency, disagreeably tasie n the mouth, feverish state of the mouth, pilei, and a variety of other- dis.igr( cable and injurious disorders. 'reatment- Let the ditt be ,Mincipally of vegetables and fruit,_W)th he nc-brcwed ale ; solicit tnolions every morning at a regular iiour, whether successful or not, and take proper exercise. Atea-spoonful of Epsom salts may be taken every night in a pint of cold water ; or a piece of the following electuary, the size of a nutmeg, every raornmg : Take of finely Icvlfjatod Charcoal Carbonate ofSoila Lonilivc Electuary 3 drachms; 2 drachms,; 3 ounces ; IVI IV Bet the use of glysters arc in every way preferable to purgative medi- cines, and those who are costive siiould ])rovidc themselves with-Reed s patent syringe, and administer a pint of the domestic enema every day at a certain hour, until the bowels act without. COUGH. \Vhen recent, should be treated by an abstemious diet ; abstinence from heating liquors; the loss of a liltio blood, if the person be young and florid, or if there is pain in the chest ; tho bowels to be kept ^^ently open by two drachms of manna, a tea-spoonful of castor oil. and two dNichn's of powdered gum arable, rubbed up with two table -spoonfuls of infusion of Ecnna, and the same quantity of poppermml water ; this may be taken ever other morning, if nc>cc.sary One of he following povJ'ders to bo taken in a winc-glasaful of almond muLurc, three time* a day : BOMMTIO PHTIIClAlf. •" i! V' 'I f I 1 1 i. i I T«ke Nitr* Powdered Gum Arabic Powdered Ipecacuanha Powdered Squills I druehm ; 6 draohmi ; 6 grains; 9 graing ; Mix, and divide into six powders. I «e steam of warm water should h« !,.«„.» j poanng hot water ,nto a basin, invertL„?'V'^'y "°^ '^"'^ "'«"• bj «poutof the funnel into theromh^ """*'' °'^'' ''• «»'! Putting the The following pills ^ay be takek at bed-timo : Take Antimonial Powder Extract of Hemlock, and Extract of Poppies, of each '-xwaci or S graina; Mix, and divide into three pills. fr-i A Take Ammoniacutn Mixturo Syrup of Tolu Tincture ofSquilla Emetic Tartar t pint ; Jounce ; drachma; If graina ; Mix, and take the eichtli nnr* tU^^ ♦• j ■.hich^e\'*eTv7rntri:;^rnrn7\^^^^ ">« attacks of JO much so as sometimes a'bsolS lo L'^'^^'U'"" ^^ "^'^ P'^^^^^^ following be taken : ''uiuieiy to produce suffocation.~Let th« Take Gum Myrrh White Vitriol, purified U *'""='"" 5 ^ Extract of Gentian, a sufficient quantity to form 7i^' '' -d a tea-spoonful ofthe ^^^^^^ ^^;Z:7t:S:''" .•!:: '''"tel2£^»P*-.-'^«X-PorTo,,ofeach I„„„ee; ' U! J • . ^ drachma i ' cow POT. l^lrnrS iHeL'r" er?^tf '^^'^^^^''^ -vage. of the small pox; in fact there are :urrru3 da r^;^^^^^^ *''*'" ««"«"• feUure arises from the nat^e of iJi ' L"^^ Vr *^''- ^^^^'^^'^ this produced imperfectly, c^ St thf ^r se vat'e ifl'"' '''' ^'''''' ^«'"« pecuhar constitutions only for a lirnit/.? ♦. ® '"Auence secures some ;.probable that if the matter was taCt 1 ' " """'^'^ ""known. It is '^it.elf, and its different stagLproielviatT/J '"!.''"" ^'■^'" '^"^ «"""«' proceeded agreeably to SrtflinT,/i^o^*'.^"f'*'°*''^^ to have €Ubm Af r.5i.l« — . . ' certam fixed laws— it is then nroK-M* *i,.. __ *'^eur., out ot thii even we have no proof. I D'jMrsTic vnjaictAS. f^ Inoculation. —The matter should bo taken from a genuine} vesici.-, .»« the eighth, or not later than the ninth day. On the third day a small teil pimple IS just dHcornod On t!., si.t'>i the centre of the pimple becomoi darkish, and on liie t^'iith presents a circular elevated pustule, dimpled or depressed ia tiic centre, rovercd with a brown or inalioganv colored scab, and »ui nuiiulcd by a lar «» *" LT/cera^io^.-A discharge of ofl-ensive acrid matter isfhe consonuence ofuceration. Make an injection of two drachms of Egyptian honev and half a pint of rose water, and throw it into the ear twicl^ day fpu a bhster behind the ear, and keep it open with savine cerate Take five gram, of Plumber's pill every night at bed-timo! DcOitify 0^ tome part of the organ, or as it is called nervous deafness: Take Olive Oil Solution of Amnlonia J cuiicc ; 20 drops ; S U?W T""'^ T^ "r^^^"' '^"^^ ^ Wine-glassful of dccocfion of bark MTith a tea5poonful of tmcture of valerian, three times a day. r // S.X<*:^i'^- hi boxEsiw rnxaicihi. imra enort, inu rrglit (winch was hia h^st cap) yavo a violent r/./lr «, Z'Zr' " '"' ^'''' --^nishment, he immediit^Iy Lard III repeated «Ur, .Sfv^ ^V ^^- ^^**"' '^'^"le evenings the left ear cracked fmiml f h P°^^"'''- ^° "".ake him hear even with a speaking trumpet. He fddhnn rn T7 '''"""= '^ "'^^ '^"g«' ^^^fore the effect'took prace A .te ant not iTfh' <'" P— °^ ^^ ^PP-rs, was trouble7whh an Z^Zn ^ the l,ead ana ears, which he found to decrease as his e c o^ck'';E U.. h''"" T"" ''? ^''^'^'^^^ ^™«^«' '^^ cou!3 not he ine clock 6 tnke the hours, v/hereas he now hears every tick is makes hndin .r"'''''"'u'"^^""^« °'^^^ ^^"'« diseases often leave deafSsss and in those cases the disease is generally permanent. g aeatlress, DIABETES. cafes amountinr?'""'""'"^ '^''''}'^!^^ °^ ""»^' »''« ^"^"lity '" »onie coses amounting to many quarts daily LeT£''d;i;if ?'f " ^"'■*'"' ^'^g^^^'^'^'^' ■^"'^ "ve entirely on animal food. c.f ail.™ n a o n. of' ^T'"T'' ^^ T*"' ^''^y' ™^^*= ^^ foiling a drachm le arm eifv .-l.irH 1 ^T 'r^'^. ««• fourteen ounces of blood from imes adav un ifl ^^' and take a drachm of magnesia, three or four d quantity. """' "° ^""^^ '"'^^^ "°' increased in its na- DIPFICl'LTY OP URINE. fh^^nll^LL'''^ ^f ^ '".^^' ^^ ''''"'^^ ^^'^<^ affections of the Urinary organs • IZJ' ^^"\'^^ P°*''"/ ^'*""°' ^°'^ »*' '^^"ed rcLe.on of urine ; and anfoX?f/°" «//7««— This disease is very rare, seldom occuring in any other than elderly persons. It .s characterised by these svmptoms- «lL^,t . ? r "?,^^'^*«r 5 I'e becomes heavy an^l lelhargic.'and sleeps ?i T^'""^^^'" '"^^"•"•"ent be pissed into the bladder, it is found quite empty ; h.s intellect next beco.7,e8 confused, and his speech iuseSe '"""^''^ ^° ^"'"'^''' *"^ '* ^^ '^"^*^' delirious^ and at last i.5T'?I.*''!*~^'®^^'"^ ''^'■y <=op'ously ; leeches to the temples ; fclig. n\ll*l° ^^^1°''^^ P"f o/the back ; purges of Epsom salts ; turpentine giyster ; and tincture of cantharides, twenty drops, in a wine-glassful of infusion of fox-gloye, three times a day. The disease is commonly fatal. »iii>». « *u LM-' ■ "j'-'r«""'° oic iicquenl caiis to maks water without the ability to accomplish it ; pain and swelling at the lower 4 «v ) :?%£:•:. ■■;■ '-m..: . ' ' V " '^ 0»6lIBSTIC PHYBICIAN. 6J| part of the belly. It arises from a great variety of causes ; , viz !— 1st, Frontage: the disorder is common in old persons, particularly those fuliof blood, and of sedentary habits : it icj not, however, very serious, because the retention is not complete, for the urine g.Mierally dribbles away sufBcicntly to prevent any immediately fatal rffects. A catheter should bo passed twice or thrice a dav to draw otf the urine : no mo- dicmc 18 of any use. 2. From Injury to the Nerva of the Bt adder. ~V^\o\ya and falls upon the back injure the spinal marrow, and produce this disease. The treatment consists in drawing off the urine rpa.jlarly, cupping in the back daily, or if the patient be too weak, dry cupping and issues or a seton to the seat of the injury. 3. From hjlctmmation of the Bladder.— U tho. bladder be over distend- ed it loses its power of expelling its contents ; this sometimes happens Irom our neglecting the call to urine, either from inconvenience or false delicacy. Treatment ~V ass a catheter into the blad.Ier, fix its extremity to a bladder or flexibJe bottle lo receive the urine and support it bv a ban- dage passing Irom it round the waist. This draws the urine off as iti$ ,ormed, and, by not allowing the bladder to be distended, . rives it an fif PuV","!'-'' "^ '■eg'^i'ng 'ts tone. In some cuses. however, of this kind, the bladder never recovers itself, 4. From Inflammation of the B/adder.— The disease will be alluded to m the article on inflammation r.f this oi;;an. B. From Strictures.—The stricture must be cured in the usual man- per, by bougies. f^ From Stone.—For the treatment, see " Stone in the Bladder." Ihere are a great many other causes of this disease, but they crma jnder the province of the practical Surgeon. Incontinence of Urtne.-Tlus is just the reverse of retention: in the r^fJni"/ "r!' K, ".T^ "^^""^^ ^^ ^"'^^•^ 5 •" "'« former, it cannot bo n!?inr 1 .K '^'^^^'^'-'^kept empty by a perpetual dribbling, and the pilient s clothes are constantly wet with the discharge. It proceeds «„1I?,.f 7 "^ '''r"""'' of the bladder, and arises ,Wn :ho abuse of spirituous liquors, from excessive sexual indulgence, from injuries in labours, and improper and unnatural habits. ^juries in Treatment.— Co\d bathing ; blisters to the lower part of the back • cha ybeate waters, and half a drachm of the powdered leave of bear's S d ln'« nJ' • '''!f """''■ " ''"y- '^° '•^'"^''^y the inconvenience of Pd for botf seS """' '" '^''" ''''P' '°«^'»»'^'"t« are sold adapt- * DHOPSY. Dropsy of the belly shews itself by enlargement of the abdomen be ginning at the bottom part, gradually extending upwards he S is tight j;i K 1 ^" oev,,,gln and fluctuation is felt upon moving Tf he left opnoa^''''d ^'."''^ *'•" "^^' «ide of the patient's hellv and the SS;f :^S^ffinS?b^'^^^;^^ ^^^ '^'^ ''-^' ^''^ 5i DOMESTIC PHYSICIAN. When iho dropsical fluid is poured into the cellular membrane fa mem branous tissue that connects and holds ail the fil.resof the body tocether being formed hke a honeycomb, the cells of which open the oL into the other,) hen lie feet, W arm, and. in fact, every part of the body, be- iThf r\T'"^ """^ r""- , ^' ^'eins by puffing of the ancles and feet towards nght (they are soft and doughy, leaving ti.o ma ks of the fingers when tended ^"'^ 8''^'^"^".^' ^^'^nds upvFards,,uniil the very eyelids are dis- Droppy of the chest is known by difficuliy cf breaihing , the patient cannot sleep on the side most aflbcted, nor lie with his head and should- "ulse°" ' f*^^"^""" of Uio-lieart, dry cyugh, pale visage and irregular Treatment. -This is two.fold ; Xs(. to evacuate the effused fluid ; .dly, to prevent the eflbaiun of more. 'J'he evacuation of the fluids is produced by four methods-- by bleeding, by vomiting, by purging, and by urine. . he use of the first method, or ihat of bleeding, requiits a nice discnmii.alion ; for it 13 neither all dropsies iliat require it, nor all con- dtitulions that will bear it. No person, but one who is educated lo nhv- SIC, can dotermiiio this prcclice. ^ Emeiics act by iricrea.ina the powers of thoso vessels whose functions w to absor J or take up, and should be adminisleretl in the following forma : Take Wine of Ipecacuanha O.vymel of fSquil'.s Mix. To be Jaken every other day ; or, Take liliio Vitriol Powdered Ipecacuanha Mix. The latter is preferred by many persons, under supposition that it weakens patients less than any other. Purgatives arc powerful reuiedies in dropsical cases : they carry off large quantities of water by stool, and remove a great deal by the absorp- tion they occasion. J ounce ; C drachntiD ; 7 grains ; 5 grains ; T,ake Scammony Calomel Ginger, in Powder lyiix in hoiney or treacle ; or, Take Jalap, and Scammony, of each Sal Polycrest, and "* Sugar (Loaf,) of each Mix, for a dose ; or, Take Gamboge Compound Tincture of Senna Tincture ot Jalap Syrup of Ginger Mt^, for a draught , or. 12 grains ; 5 grains ; G grains ; 12 grains ; 33 grains ; 3 grains ; i ounce ; 2 drachria ; 3 drachmi ; ' •OMESTIC PHYSIi'IAX. Take Extract of Wild Cucumber I'owdored Ginger Oil of Juniper Syrup enough to furm a mass ; which divide into three or four pills ; or, Take cxtrnct of Wild Cucumber Croaia of Tartar Gin:,cr 6.6 Mix ; or, Mix. Take Oambofto Cream ofTartar Powdered Nutmeg 2 giajne ; 10 ifrains ;' 5 drops ; 2 grains ; 2 drachms ; IC grams ; 2 grains; J ounce ; 1 grains ; These purgatives should be repeated every day, or every second or third day, according to their effects or in proportion to the strengtii of the patient ;' or tliey may be given alternately. ^ The next plan is h diuretic medrcinesor those that increase the quanlity of urine, as fo"' Take ^ ; . ■ • of Fox. Glove fc'Vvuoi Spirits . f.\itre Spirits of Liivciiuer 7 ounces ; 1 ovnce ; I ounce ; Mix, and lake the eij^hih part Ivrice a day ; or, Take Horsoradish-root, sliced, and Mustard Seeds, bruised, of each i ounce- Boiling Water i p,nt ; ' let them stand in a covered vessel for 12 hours, and strain ; then add Acetate of PotHsh Best Gin 'A drachms ; 2 uunoes ; A wine-glassful! to be taken three or four times a day : or, Take decoction of Broom Tops Acetate of Potash Compound Spirit of Horseradish 13 ounces ; S drachms ; 1 ounce ; Mix: Take four lable-spoonfulls, three timed a day : or, Take Decoction of Juniper Berries 12 ouncas • Sweet Spirit of Nitre j ounc3 ; ' Mix. Take a wine-glassful! three or four times a day : or, Take PowJerod Mustard Oil of Turpentine Treacle, a sufficient quantity to form a bolus ; 20 grains; 2i) drops ; which is to bo taken four times a day, and washed down with a Jca-eup- tuii of iiie decoction of broom tops. *^ '■*S3^ h% •OMKSTIC PBTSICIAN. lU round the bel™ ^ "'^ ''^ '""'^^ ^^ ^ ^^"'^''g^ W'i^d very .ight Dropsy of the sprolum, called " HvdrccrV " ;» «-«„. ^j k i • or.ening and letting out ihe water and mhna^h^'K " *'^''."'.*^^ .''3' ":•»»<'«?«" tnre of ihree parts of port w r! e anr In.® . r^ ^^ '"'^*=*'"8 '" « '"'"■ v^ime vitriol in water. Pan of water, or a solution of CAR ACHE. mS,tdS.?:' iJ^oi!:;' r"P'°"* '^ ^'^^ consequence of infla», "nd de irur T so'o n oT^ r r- '° "'"'*"'' to produce violent fever '•usion oSna iwoourcos p'''^ commences, take a purgative of in. a blister b hind fh^JnJ / ^ 'audanum and milk, in equal pans ; r„t i^reVe.^ four hou^^^ nut' t71 'i'? ''^"^^ ""^ •'"' ^'^« '^ «''' ^^'^ °«d takir^g, at the samo ti- ' '« ^^et and legs mto ivarm water, at bed lime; Dove?stwders ^ndT'.f, ^''^- ^^^'"^ ''^^"'»"'^>' ^i\ In contagious disorders the utility of fumigating articles have been clearly proved ; the followihg are the modes by which they are best ein< ployed : Put half an ounce of oil of vitriol into a saucer, wrarm It over a lamp, and throw in, from time to time, small quantities of powdered nitre Larga volumes of nitric gas arise every time the nitre is thrown into th( acid the Or, put a pound of common salt into an earthen pipkin, and pour over it, from time to time, a small quantity of oil of vitriol, until all the salt is moistened. Considerable quantities of muriatic vapour arise from the mixture. But the most eflectual fumigation is the following : Takehalf an ounce of powdered black manganese, and one ounce of common table salt. Mix them to<;clber upon a plate or saucer, and opriiikle over it, first, a tea-spoonful and a half of water, and next, double the measure of strong oil oH vitriol. Copious fumes arise. When infectious fevers appear, either in private houses, boarding schools, or any public establishment, one of these fumigating mixtures should be used daily, and carried from room to room, until every part of the dwelling has been well fumigated. BefMinen, wearing apparel, and everything suspected of havmg imbibed the infectious ;.iatter, should be hung upon a lino directly over the fumigating materials, and subjected to the process two or three times. CALL STONES. trail Stones, as they are called, nro small lumps of hardened bile, which form in the gall bladder.They create no particular uneasiness as long as they remain in the bladder ; but, having protrudeil from it, their lodgement in the small canal leading from it to the bowels ig attended with severe pain at the pit of the stomach, sickness, &c. As the slono passes through this canal, violent pain ia felt about the region of the stomach, shooting through to the back between the shoulders; the stomach is genet&lly. affected with sickness, but not always ; tho patient cannot sit upright, but leans forward, to relieve tho ap;ony of the spasms ; iho pain sometimes lasts several hours, when the stone eilher gels back into the gall bladder, or is forced into the bowels, either of which puts an end to the fit. If tho stone be left in the gall bladder, or there bo others removing, the same symptoms often recur, more particularly in the afternoon, occasioned pro- bably by tho pressure of tho stomach after dinner. If tho obstruction oc- casioned by these bodies to the flow of bile be very consideraV.Jp, the bowels will be obstinately costive,tliemolions pale and clayey, SiTtd ji.'-ndu-e will appear ; to which disease the reader is referred for the treatment of gall stones. GIDDINESS, OR tERilGO. Proceeds from disordered stomach, H-oin undue fulness of the llocd- ves?'^l3 of the brain, or from a nervous aOeclion. When it proceeds'from the first, tho symptoms of indigestion will show tho cause, in which case, 65 i>ox£s«i« ruraieiAX. the remedies to be used are recommended for that complaint. When it arises froru too much blood in the head, as shown by pain and throbbing, redness oft ho face and eyes, strong pulse, and other symptoms of ap- preaching apoj.lexy, the means must bo immediately resorted to advised for that disease. And whcu it arises as a nervous aflociion, then ilioso remedies which are recommended for hysterical and hypochondriacal com- plaints must be adnjiniulered. GLEET. a Treatment — Pills composed of equal parts of rhubarb and common tur- pentine, three to be takou thricu a day ; or, balsam of cupaivi ; or, fifteen drops of tincture of Spanish flies, three times a day ; and aa injection of half a pint of decoction of oak bark, with two drachma of ulum. GOUT, Gout is an inflammatory disease, originating probably in the nerves, for It is the most painful inflnn'mation that the body is subject to. Symptoms. — Pain, swelling, and bright redness of the joints, oftho feet, or the hands, but especially the ball of the ^reat toe ; generally preceded by symptoms of indigestion, as flatulence, loss of appetite, tfcc. and followed by fevor. Tho attacks are generally in the rpring and the ■beginning of winter, cn.l ryldoni appear previous to thirty-five or forty years of age, except tb ;re is a Ltrong hereditary tendency. Gout is divided im^ 'wo species, the regular and ircegular. It is called regular, wlieu it is seated in the extremities, and returns at stated pe- riods ; and irrr.gu'ar, whcu the fits happen at uncertain and varying times, and whrn, instead oftho extremities, it attutlis the brain, stem- S'C.h, lungs, ii estines, kidnies, or bladder ; in these cases it is also called, jetrocciieiit or tnisplaced gout. Ca Hfies.— Hereditary disposition, full living, neglect of exercise, weak- ness ofstomacii, fermented liquors, particularly if acid, these predispose tOf;cut ; v/hile excess inspirits or wine, sadden changes of temperature, sprains or other injuries, passions of the mind, intense application to su .]y or business, excessive sexual indulgence, &c. produce it. Trcaiment. — To moderate the inflammatory symptoms, first, by bleed- ing, if the patient be -irong and otherwise liealthy ; secondly, by purg- ing, with castor oil, with rliui.arb, or with twelve or fifteen grains of tho compound extract of colo •ynth ; thirdly, by relaxing tho skin, and pro- ducing perspiration with the following : Take Minderenis' Spirit, and Camphor Julep,, of each Sweet Spirit of Nitre Salt of Hartshorn 6 ounces ; 3 drachms 30 grains ; Mix ; and take three table-j;poonfuls every four hours. Fourthly, by the application oUold water to the part aflected, if the disease be slea- dily fixed, and the constitution sound and unbroken, but otherwise, the soap plaster, spread on leather, should be applied and covered with .funnel. When tJitt ffnt sudd«nlT laavea tho extremitjea, and attacks some in* 1 DOMz»Tie mxnciKV. e»* ternal part, or when it fixes on an internal part instead of the extrcml' lien it must be diverted as upeedily as possible by blisters, or mustard toulticGs applied to them. Iftho vtomach or bowels bo attacked, wine d& randy must be given; a tea-spoonful of tether, &c., a tea-spoonful oC hartshorn, mixed in a glass of camphor julep, should be taken every threo honrts ; hot water applied to the belly, and hot bricks to the fe,et : th& Btomrach to he rubbed with brandy and hartshorn, and if there besickness or vonjiting, hot wino and water, with nutmeg, and four or five drops of laudanum. If the head be attacked, put a blister on the back, and the inside of the legs, and mustard poultices to the feet. Administer a tea-spoonful of sal volatile every three or four hours, and open the bowels by a wine- glassful of tincture of alucs. If the gout attack the lungs, pursue the above plans, adding twenty or thirty drops of ather, and the same quantity of paregoric to ?very dose of ihe sal volatile ; and if there is much danger of suSbcatiun, some blood may bo taken from the arm. If the disease attacks the kidnies, apply hot fomentations to tho loins drink plentifully of warm borioy-water ; open the bowels with castor oil and E[)Som salts; use tho hip-bath, and throw up an enema composed of two drachms of laudanum in half a pint of starch jelly. Durii.^ a fit of the gout, the patient should be kept quiet and free of irritation, the afl'ecled part not too warm ; ho should abstain troia animal, food and fermented liquors, drinking nothing but barley water, toast and water, tea, &c. ; but elderly people, and those accustomed to free living, may be indulged with light flesh meala, and a moderate allowance of good madeira or sherry. In the intervals of the attacks, there should be an entire abstinence from, or at least a very moderate use of, wine and strong liquors ; much animal food should be avoided, as well as excessive study and sexual pleasures ; great regularity in exercise and sleep should be observed, and by avoiding cold and late hours. The cold bath should be used, and tho body rubbed daily with the flesh brush : strengthening medicines should be taken if necessary, as the following : TakoExtract of Bark, Carbonato of Suda, and Extract of Gentian, of each 1 drachm; Mix, and divide into' 36 pills. Take three pills twice or thrice a day. The bowels should be kept open by a purgative, comi osed of 4 grains of aloes, 4 grains of soap, and 5 grains of Cayenne pepper, divided into threo pills, to be taken for a dose, na occasion requires. From the prevalence of acidity in the gout, it would almost soem as though it were the grand n.overof the disease ; fur it not only abounds in the stomach, occasioning heartburn and other uneasy sensations, but the blood even is strongly impregnated with it, as may be proved by dipping a piece of litmua paper into the blood o( a gouty person. This acid should bs kept und'^r hy fiftces or twenty grains of tho dried subcarbonalsof soda being taken iii a littlo veal broth, or mild small beer, three or four times a, ^ay. Flatulence should bo obviated by the use of spices, and of thosq^ 14 DOMEITIO rilYSICIAN. hone are bo proper as finod ginger, a'lea spoon full of which may bo takch several times daiK. Ginger tea would bo a lietler beverage than either tea or cofToe. Rubli ^ or fi^ntly btatina; thoso parts which are the subjects of the attacks, streiigthchd them, and enables thctn better to resist their force. Cautioni, — Blr ding is dangerous, except used under the most favoura- ble and proper circuiiialances. Tlio application o( cohl water requires to be regulat(;d upon just principles and with extreme (.'onlion. VVarru water Is at all limes proper, and >.icam perhaps ibe host of cxlernal applicationg. The meadow saffron and olhcr udvcrtiacU remedies for gout are dangerous medicines , they yield, it is true, a tewporurj/ qiiict of the disease, but it is as true, also, that the u»e of them inducer, at length, an e.ltrval quiet to the patient. Opium lulls pain, but produces a statu of debility tliut pro> longs the attack and causes it to return niore spcdily. The cold bath, du- ring the intervals, though of groat use to young, is extremely prejudicial td elderly persons, and tlioso atfectod with inflammation of the joints, gravel; Symjitoms.—Vain in the loins ; numbness of one or both thighs; nausea and vomiting ,' head-riche ; giddiness ; a deposit of gravelly matter from the urine, which is sometimes mixed with blond. There are several kinds of this sandy or calculous matter formed in tho kidniea ; but in the cure it is necessary <^n\) to rank them under two heads, the white gravel and the red gravel ; these being entirely opposite in their nature, and requiring a totally diflTorent mode of treatment, The while gra\el readily dissolves i.i actd/i. Having allowed your urinfe to settlt) for two days, if you observe that the depnsite is of a greyish white Colour, pour in a little lemon juice or miiralic acid, and you vvill soon find that the gravel is dissolved. The red gravel, being acid, disHolves in alkO' lies. In this experiment throw into tho urine a little hartshorn, or a drachm or two of smelling salts, and tin red gravel will disappear. Treatment.— TviQu^y or thirty drops of muriatic acid, taken in a glass of water three times a day, speedily diminishes the whUr gravel in the urine. A tea-spoon full oimagncs.a, throe times a dr.y, us speedily diminishes the deposit of ret/ gravel. But, ?lrange to say, you no sooner get rid of ihei white gravel, than you aro afflicted with tho red ; and as soon as you expel the red, then you have a return of tho white depotjit. Tho cure of gravel, then, consists in a correction of the state of the digestive organs in parti- cular, and the constitution in general, by tho following means. Live upon a plain simple diet, avoiding an excess of animal food, at the eame time making use of thosn vegetables that are least liable to disagree with the stomach ; greens and carrots arc particularly objectionable. In fac'i as this disorder seems to rrisc principally from a faultv action of the stomach and bowels, tho advice given under the head Indigegtion, should be particularly attended to. Those who pass tho vvhito f;ravel, should by no means drink pump or finv hard waier, bu? tl'e softest wnt.?r ihev rnn obtain, which should always be boiled before it is used. Those troubled with the red gravel, should in addition to thecaulions given to preserve the stomach in a healthy state, avoid acida of every description, fermented DOMEdTIC rilYSlCIAK. 0.1 liquorfl, and wines abounding wiih tortar : aoda-watcr is a particularly olifiible bcvcraRO. In a fit of Hit- gravel, ifthe pain be so severe as to threaten inflnmmation. Bomo blond ei.ould be drawn from llic arm, n.id tl.o p< rson should go inio a warm bath, or have iiot lomontuiians appli( :» to tho jiiirl. An enema, likO Ihe following, willgencinllj diminish the pain and irritation : TttkeDocnciion of MarBhmalluw Roots Olive Oil LauJnnum 4 pint; ^ ounce ; 61) dn pa ; Mix. 'J'ake also one of the following jH e every I'reo or four hours : Spanish Liquorico I «<'''»V^^ i Opium « E'<""« J Beat them tofitlher. and divide into ? |>ii!s. Drink very plentfully oi linseed lea, with pttin nriibicdiysolvrd in it. If these means do not r.bato ll;e di-ciiioin twelve houry, sixteen or twen- ty ounces of bluotl should be drawn from the loins by cuppini,'. As soon is this plan has i-.ocured ease, the bowels shoild be openeo by a dose of castor oil, or if that will not sit upon the stomach, a tea spuoni'ull of Kpsom salts, dissolved in a little weaU broth, with three dropr, of laudanum, should be taken every two hours, and thu common puryotivu enema fre- quently admistered. until the bowels arc freely opened. Persons troubled wid) gravel have experienced jrreat relief by lakin},' a pint of the follow rng decoction daily : Take a handfull of leeks, cut oft" the green part, put Iho roots, with a few sprigs of fennel, in'o two quarts of water ; simmer it gently, until only one quart remains, and strain. GREKN SICKNESS. Generally about the age of fifteen, in this country, an important function begins in the female consistniion. It commences, however, sometimes a little earlier, and on tho other hand, is oHen retarded two, thice, or . four years longer. But if the change d* not take place, feelings of debili- ty and uneasiness ensue, and an unnatural apetite induces the patient to ett chalk, mortar, cinders and other extraordinary articles. The face be- bomes of a pale yellowish green, or, as Shakspeare expresses it — " With a green ami yellow melancholy in her countcmiice," — a black circle surrounds the eyes, the feet swell, the breathing is hurried, the breath unpleasant, and there is generally a slight hacking cough. Treatment. — Before any internal remedies are used, it will be proper to stimulate the ultrine organs, by throwing into the passage, by means of a female syringe, the following injection, several times a day : Take Liquor (f A-mmonia WaimMilk 13 drnpa: 2 table-spoonfulls. Mix. This injection generally succeeds ip producing tho desired eflfect, which' !M BQMESTie PIiyslCIAN . ■' Zr^u^}, f^,^^ ^^ 'T? ""P'«»s"n« Bensalions in the part : if thit fa . the state of the const.lution may bo attempted to be corrected by the following means :-If there is a superabundance of hlood. by bleedin.N and two or three of the co:npound pilia of aloes wth myrrh^mce or W limeaaday; or a drachm ot the tincture of black hellebore or the com° JT;! ??'r "['^'"''', '" P'"">"'^^' "^'«^' '^° "■• 'hree times a day " the conslilution be weak, a w.neglasafuil of Cnjith's IHUlure. twice " i/L '""P'^?'^ •"^'•': '' r " ^«'^-«P'^«"f"!' of the Compound Decoction wiifih«nill /«?.'•" "^ "'«'\'«ay be also given, keeping the bowels open mxU the pill coch.£B, or ai.y other uloetic purge, such as .Anderson's Scoff rough PiUsfor Lemutes. The patient should put her feet into warm wa. exerdr^H'Jl' °' '" "T^ '^^ ''""" ^''*'°* *'''" ' ^''^ ^''^"'d '»ke regular ; JS t!k ''" V-P°" V'''''''^'"'"^ nourishing diet, remove into a healthy air! and, It there be no obstacle, marriage should be recommended. HEA>-ACIIE. This very common complaint is most generally merely a symptom of some other disease, such as gout, rheumatism, fever, nervous and hyste- rical attections, and coi.iplaints of the stomach ; the latter furnish by far the greater number. Too much blood in the head ivill produce this pain, and will, If neglected, occasion apoplexy; when therefore, this pain is accompanied by I edness of the eyts and face, throbbing of the temples, giddiness, and full strong pulse; leeches should be applied to the templee or cupping on the back of the neck ; a spare diet used, the bowels kept ireely operi with Epsom salts, cloths wttied in vinegar and water wrapped round the head, the feet put into warm water, and an issue of seton niade in the neck. * ■ " When head-ache arises from gout or rheumatism, leaving theextremi. lies and seizing the brain, blisters should be applied to the extremities, and * "J?^'2. P"'"S^"^® a drops ; Syrup of White Pop|)ie« i ounce ; Mix ; a table-spoonfuU to be taken every two hours. The chest and back may be rubbed with the following 'liniment, every night and raoraing : % ...-^ u Mix, nojlESTIC niVSIOIATf. Take Emetic Tartar Water Tincture of Cantharidoa scruple J ounces j ounce ; If the cough continues obstinate, give the followin-r Take Laudanum Ipocacuunlm Wine Carbonato of So')a Syrup nfWIiire Poppies Almond Mixture ; 12 drops; 1 drachm 24 grains ; 1 ounce ; 6 ounces: Mix ; a tablQ.spoonful to be taken every four hour. A considerable state of rfebility oftentim»s nrpvail. vvl,*.n h a- has been on■"»«'• '^ «■"!. gi« .„ em. Take Magnesia Cinnamon Water Epsom Salts Common Watsr i drachms ; 1 ounce ; C drachms : S ounoci; :■„■■ !^^ !:■ A'; Vi. If?: -^^'J yr.. •,; ,+^"- id S. 'I ""^"jt-JjlJ^ : s,BpMESTic nivsiciAar. Mir ; take a aitili -part, threo limes a day. Thiss r-ill bo proper iflho bowels are confined; if they are relaxed, the following will be prefer- able : Take Prepared Chalk, Powdered Rhubarb Sjiirit of Nutmeg, Powdered Ginger, Water 2 drachms ; 20 grains ; ^ ounce ; \ draciim ; 6 ounc33 ; Mix ; a sixth part to be taken twice or three times a day. Flatulence.— To assuage pain and flatulcce in the stomach and bow- els, it will be proper to taiie carminative medicines joined with antispas- modics ; viz : Take Tincture of Vulerian JF'thet Salt Volatile Dill Water, and Cinnamon Water, of cacl 3 drachms ; 1 drachm ; 1 drachm ; 3 mnocs ; Mix. Take two table-spoonfuls whenever the stomach ia oppressed with wind, adding a few drops of laudanum if the pain be spvere. Very often the following will succeed better than the foregoing : Take Compound Extract of Colocynth Blue Pill Cayenne Pepper Opium 24 grains ; 12 grains ; 1 scruple J 3 grains ; Beat them together, and form them into twelve pills. Take fiora two to four pills every six or eight hourH. Cos'.ivencss. — In addition to the means recommended in page 47, the following pills may be used : Take Powdered Ipecacuanha Compound Extract of Colocynth, and Castile Soap, of each SO grains ; 2 scruples ; Mix ; and divide inte 24 pills ; two, three or more of which may be taken at bedlanc, for the purpose of supporting a regular action of the bowels. But habitual costiveness will be more effoflually i ' rr.ovra by the Tonic and Digestive Wine, which is a patent nn decine ofgrs.it value in all cases of indigestion and those disenses arising from it. Purging. — is to be restrained by the means recommended under th^ head. Fomiting. — This may generally be checked by the follow ng medicine: Take Dried Spearmint Red Rose Leaves, dried Boiling Water Eliiir of Vitriol Lump Sugar 1 J ounce ; 1 drachm ; 1 pint ; S drachms 1^ ounce ; infuse the mint and rose leaves with tne acid and water, in a covered jug, for half an hour, then strain it : dissolve the sugar, and take a wine- ■4l: ':'^ 1.Z rOMESTIC PIIV-SICIAS. ginssful every now am] ihtn ; if ,|,i., fail,, a„„|„ ^ ^ii„„ ,„ , . «.. .e a„e,.„.. L^ c.lll^- ^^^^ j^^S a^S'ln^Sli^S"; 'S Take Infusion of Senna CoinpounJ Ijifusioii of GRntian T'iquor of rotaEli Con.v,ound Tincture of Cardamoms Wx 2 ovnc.ca ; 4 c-un«i'» ; 1 o 1 -!(; ' ; 2 draciirns : ix ; take a .i.xlh part three times a day. beo!»"?:,tow;:g%^^^„\i;'rf """' '"= Powdered Rhubarb Posdered Jalap Magnesia (calcined) Powdered Ginger 10 grains ; 15 grains ; i drachm j 8 grains ; o^,iI!'r,'!''°""'"„" '"■'=''"=""' ■■■ '»i"<'BlaBsfi,l of peppermint walep Ta,'i.o Ipecacuanha, in powder a H Imbarb, and Jalap, in powder, of each iq |?ai"ns • &Vrup, or Treacle, a sufficient quantity to fern, the nfus^" which is to be divided into five or six pills, for one dose. ^0 medicines sncceed so well in the treatment of indiaestion as our. fimrih^;':rred"\v'h^r""»'',''"' ""'"'' ^^^'^^ stomal arthe'sJme subl bm,lTn?\ ^ b.tters and aromahcs : to effect this, a drachm of sub-cat bonate of ammonia (commonly known as smelling salts) and a tea-spoonful of tincture of ginger, may be taken in a wineglassful of aS ofrcntin'n V"^'™''' ^T^^' ^^"'■'^"Se peel, of worrawoodf of columbo^ °\fi^"tian, of quassia, &c. three times a day. hv H ■iL".Vf™*''^ *\^ "'''r"' symptoms of indigestion may be treated tlfe hearf. ' ""^ \ '' "" """^ asafcetida, especially palpitation of .v^n'^LcJ^* f '^N** T''1 P""'''P'"y °^ ^"•™'^l f«od. («hich should be well masticated,) and W«/c bread or biscuit ; salted provisions avoided ; nn.trv IC^rT'*'^"'"" Sparingly; green vegitables, unripe fruits Sr. n?'„f ,' ^** meat, nuts. &c. entirely prohibited ; nofluidshouid be r„ c!, n ■^'- *"*^ r'^' ''•^^''1'' ^''<^n "'ged by tbirst ; and never but in small quanuties. Exercise should n-: mraediately precede or -.v Ztl * ""fu ' i'"'® **°"^ '^°"^^ ^^*P«« "^^ n the former, and two hoi- , between the- latter : frictions are, exUsu..., useful, and should alwt.v .r I ^;i'i'. ■oMESTio tmatotxv. 7» t be used before dinner. An infusion of toasted biscuit ia the best bererage, but if there is much languor and debility one or two glasses of Madeira of sherry wine may be taken two hours after dinner, or if wine turns sour on the stomach, brandy and water with nutmeg should be substi- tuted. An infusion of ginger should be used in the morning, instead of tea, which with an egg and biscuit forms the best breakfast. The warm bath proves serviceable when used twice or three times a week, combined' with early rising, regular exercise, moderate eating, agreeable society, fiure air, and the use of the saline waters of Bath or Cheltenham. INFLAMHATION. The characters of inflammation are patn, increased r«llowing ixture : Take Castor Oil Beat it up with the yolk of an eg^ : then fc','.— Infusion of Senna, and Mint Water, of each Tincture of Jalap Mix, and take three table-spoonfuls every three honrg, assisting the ini tention by throwing up the following glyster : i ounce ; 3 ouncee : i ou" -e ;j Mix. Take Infusion of Seuna Glauber's Salts Cn«for Oil 11 t.ces; \ uu.n«e ; i ounce ; The patient must take nothing but barley-water, beef-tea, and such eirople things ; and during his recovery he must avoid all improper food, us the disease is very liable to return- LivEB. — ^The character of infiammation of the liver is, violent or dull ' V. ^~^. -r ^% ■0ME8TIC raVsieiAff. »r and heavy pain in the right side of tho abdomen, increased on preasuri taking a deep breath, or leaning to that aide ; there is generally pain on the point of the right shoulder, slight difficulty of breathing ; aomo de- gree of cough ; occasionally sickness, vomiting, and hiccup, a allow countenance, and fever. Treatment.— Lose blood, by cupping upon the margin of the ribs ; then apply a blister, in size eight inches in length and six in breadth ; n«xt take a purgative, as the toUowing : Take Epsom Salts Tincture of Jalap Magnesia Infusion of Sanna 3 drachms ; 1 drachm ; 1 drachm { 1^ ounce ; Mix for a draught ; or, it the the stomach be writable, the purgatir« taken in divided doses according to tl iullowing form : Take Epsom Salts Lomon Juice Tincture of Senna Cinnamon Water 1 ounce ; 9 table-spoonfuls ; ^ ounce ; 4 ounces ; Mix. Take two table- spoonfuls every hour till it operates. When, by a continuation of this plan, the activity of the disease has been subdued, or i/> a>ny case where a chronic aftection of this organ remains, the use of me-cury is necessary ; it may be administered so as to affect tha con- si. ion, and at the same time to keep up a salutary operation upon the bowels, as follows : TakeCalomel v Er^etic Tartar F, -act of Colocynth Syr.jj, a sufficient quantity ; 2 scruples ) 5 grains ; 1 drachm ; 15 grains ; Beat them together, and form the mass into 30 pills ; take two every night at bed time, and follow it in the morning with a tea-spoonful of Epsom salts, if the bowels are not suflUciently open witht t. For chronic affections of the liver, the chalybeate waters of Cheltenham ar^ naTilicu- larly efficacious. SKlif.-^When iBflammation attacks the covering of the body it it cf two kinds, th* erysipelatous and phlegmornous ; the former will be dis- cussed under the title of Saint Anthony's Fire, and tho latter we shall proceed to describe as follows. It is a circumscribed swelling, (affecting the skin and soft parts beneath,) of a bright red colour, attended with pain, and giving rise to the formation of i latter. If the u tack be severe or extensive, tho person is seized with shivering and other symptoms of fever, the part affected begins to have its surface elevated, and becomes soft and whitish : this denotes the existence of matter. Treatment.— Aii[>]y leeches near the part, or open a vein of the aroj. Take the following opening medicine : Take Calomel Compound Extract of Coloeynth 1 grain; 4 grains; i n BOMHTM rnjnieiAH. Make a piJI, to be taken at bed timn, and pntfic- it off in the morning with *.psoiD salts. Let the following mixture be taken in the intertals : Tttko Spirit of Mindcrorm Saltpetre Antimonial Wine Camphor ♦lix ; take a wine-glassfull every four hours. As ^n external application, use the following lotion 3 ouDcea ; 1 draclim ; 1 Uraclim ; 5 ouncoa { Mix. Toko Extract of GoularJ Spirit ofWm* Wuter } drachm ; ij nuiicoi ; G ounces : parTlnsuefZn'lr f " P'"^''^^^' ""'' "" '"^'"^" «"J whiteness of the dSpted ' ■ I'eaimcnt recommended fur abscess must bo a- ^STFLAMUATORT iOBi; THBOAT OB tJUINSY. swellZ'of"t"hT?Jf,ir''/ ""! .«"»."o«'nff and breathing ; redness and nr«nf^ hi. «„.«'"']''''" the throat; dryness of the throat ; foul- TrJjt ?^«f ; ''fad-ache, fever, and sometimes delirium. ' neTrbeToTtreears °'"*''"^"Sular vein or apply 20 leeches to the Jly a bS around ?h' ^^ ? ^T'"^-^^ autimon.al wine, and next ap. Piy a blister around the throat. Purging is the/ito be effected bv fjivin.r t^Jr^Jn/oV' l'"' °^.?'.r ^^' «"^ ^^^'^'^^ '>«"" ^ork It off w.th fwen^ tUtlf I- ^''l°P ^"*^ ^"^^ «" «""'=« «^ Epsom salts. Promote perspira- eve^\'rtTo;rrV'°''r'/'V*""^ '» ' ^"P °f wafmTr ^ every t^ree hours. Scarify the throat, and inhale the steam if hot vine- gar. Let the following gargle be used very frequently : ® Mix. Take Purified Nitre Water Honey 2 drichnig; i pint; 1 ounce : . L^ltT'A rfu'^' '" '*^ f°™"io» of „,.»ir and of ulcer, then Take Infiision of Ro8e« Tincture of My^rh Honey of Roses ' Borax 1 pint; i ounce t 1 ounce ; 2 drachma Mix. thJfoIowC' '"'"'^"'^'°"' '' g'^^g'^ °f horseradish tea may be used, o?. Take Decoctioa of Bork Aluin 1 r.:~t 1 drac&mi ■*' !'► wiiii ftLo and foul- the ap« ving ven- pira- [riiel ine- f mon theit ving 1 BONSSTIC ffUYaiCUN. iiftANirr. Tft The treatment of insanity is of two kinds, corportal and mental. In the furiner tho objects arc, Ist, to lessen the excitement of the blood* vessels and nerves, when too great, by bleeding, purging, moderate diet, Aic; 2dly, to increase them when defective, by a generous diet, mode- rate allowaiico of wine, and by stimulating mcdicineH, as mther, ammo* nia, bark, myrrh and other tonics, by cold bathing, friction, and exercise. The menial treatment is directed to tho infliction of punishment and privation, or tho granting of indulgence and reward ; to impress awe ; to excite a conviction of the exercise of power ; t« inspire confidence ; to humour false notions ; to counteract capricious resolutions; to in- ducc a reasonable train of ideas ; but above all, to act with feeling and humanity. iTca. C'Aorai'ffour pills ; take two pills every four hour?. The pers6n should go into the warm bath every day, and an emetic of twenty grains of Ipecact:anha be taken every other day. The bowels must be kept open by the following : Infuse two drachms of grated rhubarb in a pint of boiling water for two hottrs> theft strain, and add two drachms of cream of tartar, and half an ounee of tindsture ofjalap. Take a quarter of this mixture at a dose, and repeal it, if necessary, so as to give two motions daily. If there be nausea and vomiting, the effervescing draught, with four or five drops of laudanum, may be taken every five hours till it subsides; and if the pain be very urgent, with tenderness on pressure, or attended with fever, the bleeding may be repeated, and hot fomentations applied to the pit of the stomach. The drink of the patient should be soda Water, and the diet soft. A continuation of the above means is the plan by which a recent at- tack of jaundice may be removed ; if the disease has been of long stand- ing, the treatment to be as follows : Take Blue Pill Extract of Hemlock 1 scruple ; 1 drachm ; Mix, and divide into S4 pills ; take three pills every night and morning or, Take Calomel Powdered Rhubarb Soap (Casiile) Oi' of Jiniper I drachm ; 1 drachm ; S drachma ; ]0 drops ; Mix, and divide into 60 pills. Take four pills every night and morning. T6© foiiowing mixture to be taken with either of the preceding pills : ufcauiflWi-fciltMtfi^v^WlWi^w-a*-- fake infusion of Gentian, compouad Subcarbonate ofSoda Tincture of Columba «1 1 pint ; S drachms t> drachms { Wix, and take a wine-glassful three times a day. Horse exercise should be used, electricity tried, the kidnies excited by drinking parsley root tea, and the Cheltenham waters taken. Jaundice in infants should be treated with aja emetic of ipecacuanha wine, and the next day a grain of calomel, with five grains of rhubarb ; these medicines to be continued alternately every day, using friciions to the belly, and the warm bath, until the disorder be removed. LEt'ROSV. This disease consists in an eruption of copper-colourod spots upon tiie body ; but not being a disorder that occurs in England, it is unneces- sary to go into a detail either of its symptoms or treatment. LOCKKD JAW OR TRiaMt.'S. Locked jaw is merely one of the symptoms of TetartUB, wliich ij a violent spasmodic affection of the muscles, especially of the neck an<1 the trunk of the body. In warm climates it arises from a variety of natural causes, but in England it is caused only by punctures, wounds, aargical operations, and bad fractures of the limbs. The treatment of locked jaw is at present by no means satisfactory ; and all that can be urged in this place on the subject is, to recommend large and repeated doses of laudanum, and to salivate the patient as speedily as possible, by rubbing in considerable quantities of mercurial 'ointment, A cure has lately been reported, as effected by acupuncluration. MEASLES. Symptoms. — Measles begin with chilliness, shiverings, pains in the head, back and loins, thirst, redness of the face and eyes, swelling of the eyelids, the eyes are watery and hot, the stomach nauseated,°the breathing quick, there is a dry cough, hoarseness, frequent sueezino-, and discharge from the nose. The pulse is quick and full, there is "a sense of tightness over the chest, and fever ; and sometimes delirium or stupor. About the fourth day small red spots, resembling flea bites, appear iu clusters about the face, neck and breast, and successively on the lower parts of the body, running together into large patches ; these spots are n«t visibly elevated above the surface of the skin, but if ^uched gently they may bo felt to be elevated into little pimples. The cough, hoarseness, dilficulty of breathing, discliarge from the eyes and nostrils, and fever increases, and on the sixth day, or the se- cond or third from the time of the eruption, the spots lose iheir bright redness, and acquire a brownish hue ; and in three days more they be- gsr, to disapgear, first on the breast, and leave a dry meuly scurf upon the ikin. *^ Treatment. -^Jf the complaint be mild, it will be necessary merely to keep the child from exposure to cold or heat, from heating liquors and solid animal food, and to preaerve the bowels open. But if the symp- .-r-Srt?** 6t POMESTIC rjirsiciAN^ toms are urgent, the fever running liigh, the cougli severe, the breath- ing oppressed, and the pulse increased, a tea-ciipi'ul of blood should be taken from tho arm ; or leeches', or cupping-glasses, applied to the ciicst, and a blister to bo afterwarJs put on, or laid between the should- ers ; the bowels opened by the following medicine : Tfike Epson Sal « Manna Infusion of Senna 1 drachm ; 2 drachma ; 1 cunce; Mix, for a draugl't. The cough and fever to be moderated bv the foUowin" mixture 'I'akii Almond ^7ixturo AnUiiiciiial Wina P'owdcrcd Gum Aiabic Oxymel Laudanum 3 ounces ; I drachm ; 3 drachms | I ounce ; 10 drops ; Mix. Take a table-spoonful every two hours. The air of the room to, be kept cool ; the diet to consist entirely of vegetables and fruit, and the drink to be lemonade or apple water. If, notwithstanding these means, the scveriiy of the disease increases, bleeding should be again resorted to, either by the lancet, by leeches, or by cupping, and the fox glove administered as follows : Take Tinf:ture of Digitalis Antimonial Wino Spirit of Mindcrrrus Syrup of White Poppies Water 30 drops ; 25 dropa ; 1,^ ounce ; I ounce ; 3 ounces i Make a mixture, of which the child is to take a table-spoonful eveny four hours. If purging arises and becomes excessive, it must be checked hyjbleed- ivg only. When the eruption suddenly strikes in, or recedes too early, the warm bath must bo used, blisters applied to the legs, a little wine aiid >vater given, and the following medicine administered : Take Antimonial Powder, and Camphor, of each 2 grains;. - • Subcarbonate of Ammonia 3 grains ; Mix for a powder ; give the child one of these powders every four hours^ until the danger is passed. When the eruption has disappeared at its proper time, the child should take a dose of Epsom salts and infusion of senna, which should be repeated every morning. This prevents the bad effects of the disor- der upon the eyes and the lungs. When measles assume the putrid or lyphus type, they must be treat- ted as recommended for those disorders. In some cases, the measles leavo tho lungs in such a state of engorge- ment, that the child after dsvs of laijoured hreathincr dieK sxhausted • in this case,give the powder recomnjonded above ; substituting one grain, of Ipecacuanha for the antimonial powder. 1 mi i^^- 4 \ i ' DOMESTIC PHY31CIAX >t>9£NX£UIC DISEASE. 83 When tlie glands of the bowels (called the mesenteric glands) try diseased, the child snffers pain in the belly, the eyes become glassy and sunken, the nose sharpened, the face pale, the lips often tumefied, and th* belly enlarged. The bowels oither costive or relaxed, but general- ly the latter : and though the appetite commonly remains good, often voracious even, yet the child rapidly emaciates. As the disease goes on, the child becomes peevish and fretful, the skin hot and dry, the tongue white, the motions pasly, or frothy and offensive, and towards evenmg fever comes on, which abates a little in the morning. It at- tacks children from a few monihi old to ten or twelve, and is a°very fcr- inidable disorder. It is very apt to occur in infimts after weaning. Trea^jfien^— A grain of c-Jomel should be given every night ; and if the bowels are relaxed tv^o or three grains of Dover'js powder twice a day ; or a glyster, compostd of a tea-cupful of starch jelly, with fifteen or twenty drops of laudanum; the child should be put into the warm bath, every second or third day, and the belly rubbed with opodeldoc uight and morning. If a little opmm be dissolved in the embrocation, it will assist in checking the purging. On the other Land, if the child he costive, the bowelsshould be opened by three grains ol colomel, and six of rhubarb (or ten or twelve grains, if the patient be of an age to require it,) as often as is necessaiy : ortne following powder may be given, to open the bowels, and, ftt the same time, recruit the strength : , ; Take Sal Poiychrest rowdered Columba Powdered Rhubarb 1 Scritple ; 4 drachm ; 10 grains; Mix; and divide into six papers. Take one powder, three times a day, ^n a little wormwood tea, continuing the use of the calomel at night. But there IS noihmg so necessary as pure air; the child, if inhabi.inili a city should be removed mto the country; if . it has been recentir vveaned, it should he put to the breast again. The diet, in all^ises fnrrirnfVn "f";,"f'' ^°"'^ «^^l«bread.andan„„albroths I? he of thfrn 1 ', ^''^^l^T "°'/««^"y ""bside, the quicksilver liniment f the shops may b^ rubbed over the belly twice a day. MILIARy rKVER. Symptoms.-^VeYer, with an eruplion of very email snots le mili»t "n r/u • a'n'd t''' '' '^^t?<^y = •'- perspUon ^rso'ur/e'nd" U rank smell and there is great depression of .spirits snd strenmh AN paiu'affect/d w[,h"i'''",'°'^ ^"^^' '''' '^''S'' -men .fat afe pr«c l palh, affected wiUi a, and it is supposed to arise from external heat coof all iTouirJu ' T'ZV^'"!^ ^' "eh.ly covered, the chamber kept cool, allliqmda taken should be cold, and the bowels kept movino bv small doses of Epsom salts. The strength must be .,ZJX^n ?J"??L* r:inL=ro?'cam'l *''^ ''^'" f '''"'' V^neTlu^:^^^^ «Q0 ?hTflf nr rl "f ™f^'"^'' J»lep, « .th a tea-spoonful of tincture of snake wot, three or four times a day. If delirium comes on. apply bliste^M* --r;^ t-1!*^^**^''''^ ' ■nn^^'* ■%, liUi •» DoXEsnt* rttxstctAVt. the legs, put them into hot wafer, and administer « f An =„ c t . horn io camphor julep cverj five hours "'ea-spoonful of hart,. MORTIFICATION. " Mortification or ganprrene is the consequence of previofii. infl=«.«. .• aud stale beer grounds ; the consti.ulion must be suoDortpH h„ • • . mcorrectmg the state of the mortification tho poul ice shouM t« ^f 7LTr"'' w?^ P"' '"^y '"- "^^ bathed twTe X ;th 1-tS Take Conserve of Roses Honey of Roses, LauJanum, and Extract of Goulard, of each 1 ounce7 2 drachms ; Mix. belpp'S" '^' "^'"^P"' ^'2'"''° loosen, the following lotion should Take Nitric Acid Water 50 drops 1 pint ; Mix, ^ n ?® P^^'jenfs diet must be liberal, and uine must be allowed him doned , but Sir Astley Cooper suggests, that the use of the subhate of qumme. (as advised for Ague. p. 16.) might be of great service! ^ Mortification of the toes of old persons is of a peculiar nature. The fl, ''PP^"'»''«« .'« "-edness, in a few days the skin peels off, and a dis- coloured chocolate-looking fluid oozes out. Red lines are now seen run- TnSf r^lT, .' ^T "^'''^ .I?u*" '"1 '"8. «"d the glands in the groin become inflamed and enlarged. 'J'hcn the toes turn black, and the gangrene seizes the foot and extends up the leg, but seldom reaches the thigh. J he person 13 feverish and his cheeks flushed. The treatment shoSid be a port wme poultice; and the medicines of ammonia, musk, opium •ndlv'fSaJ "* "^^ for other cases of mortification ; but it is gen- MVMPS. Chiefly attacks children, and is very contagioas. It is a swelling of the CtandS of ths neck, in Knmn inaiar./ again ; but in the latter case, he is liable to a return of the paroxyf rr. Treatment — This com^tjaint anses from indigestion ; and therefore the means as advised fo thif complaint, p. 71, roust be used ; care- fully avoiding all kinds ot t-x ', either indigestible or flatulent ; intempe- rance, sedentary life, intense study, gloomy coiitemplations, late hours^ and heavy suppers. 7v'here the patient wakes disturbed and oppressed "• S" "-■« "••yiJisisan; upuu imu, iic s;;uuiu brandy and water. iisn: a liiuc miiitiT or -fe t."ai!!» 2S^' i^ Domestic rnrtxctxlt.' NOCTORXAL SMHSIONS. TreAtmenf. — Occasional cold applications to the parts ; cold bathing / tttention to (ho general health ; a blister to the lower part of the back ; a pijl at bed time, composed of three grains of camphor, one grain of opium, and a quarter of a grain of emetic tartar. The mind should be allowed to dwell as little as possible on the subject likely to produce the effinct ; and mairinge may lie- advised. The plan laid down under the head o( Inipatenci/, should he here followed. The Tonic Wine has had great fiUcccds in this cofnplaint. otiiTRvctioy OP Tim men«ks'. Under (his head may be ranked three disorders — 1. Retention of the JUinsif, or Green Sckncss, (this has already been described at p. 65 j) 2. Suppressed Mfnuti nation. ^. Irregtdar Menstrxiulion. SuppKKssED MiiNaTRUATio?!, — A fti r menstruatjon has once cornmeh- ced, if it does not continue to appear at the proper periods, it is denominated supprfs.^ed menstruation. The injection advised for green sickness should be first tried ; fol- lott^etf hy the same means there recommended. Irbeuular MfiNSTRiTATrox. — If the menstrual period recurs oftcnef than from twenty-seven to thirty days, or returns after a longer time only, (his ^tatfe may be called irregidar. If the constitution does not appear to s'ufier; riattjre Should be left alone ; but Where the interference of art is called in, it should be employed to strengthen the general system and improve the health, without any dfrect means being employed in reference to the coirtplaint itself. PAiNFt'i, Messtruatiox. — Some fen'jales suffer, on the approach of the period of menstruation, severe pain in the back,, loins, and bottom' v'' the belly. To obviate this, the patient should take, a day or two* previous to its expected approach, the following pill : Take Sulphate of Iron Aloes Opium Byrup a sufficient quantity to form a mas* ; * drachm ; 1 scruple ; 3 grains ; To be divided into twelve piUs ; take one pill three times a day. The hip bath should be used, or the belly and loins fomented with hot water ; and if the bowels are not open, the quantity of aloes in the above pill may be increased. rALl'ITATIOTf OF THE HEART. This arises from hysterical and nervous disorders, and may be treat- ed by the nervous medicines recommended for hysterics, at f. 69 ; butif it proceeds from an enlargement or disease of the heart itself, or of its veseeh, which may be known by the difficulty af breathing, purple hue of iiie in>s ana cnccks, pam auvu-. -.ti-^ ..••.-.». ^ - — . •-- - chest, and cramo of the legs, then the disease is very formidable, and requires the aid of an experienced physician. In bihou» constitutions, a t«bl«-spoonful of lemon juice will sometimes remove it. iT' t 1 .( ) -*;*-■■ ^ ftOMEStiC rftYStCIA5. PALSY. if' SiJmptomB.— The motion of some part of the body greatly diminisfi- fed, or entirely suspended, and the sensn of teelinjr impared. It most treqiiently attacks the whole of one side, but sometimes the arm only, rarely the leg and thigh alone ; and ofier, individual parts, us the tongue, occasioning stammering and loss of speech ; the bladder and lower bowel suffering the urine and stools to pass oft" involuntarily. It is most commonly the effect of apoplexy. Treatment. — As the disease is produced by commpression of the brain or spinal marrow, this bhould be relieved by takin;,' away blood, by cupping or leeches, from the head or back part of the neck, or by opening the temporal artery or jugular vein. A blister s1;ould be kept open in the neck, or an issue or a seaton. The bowels preserved operf by taking a grain of calomel at ni-jht, and a table-spoonful or two of tincture of aloes in the morning. All these means should bo continued OS long as there h any pressure on the brain or spinal marrow ; during which time, the stimulating treatment usually adopted generally proves injurious. When, however, palsy remaia'5 after the cause has si'!)sided, stimulant'?, both external and internal, are useful ; of tiiese are mustard horseradish, garlic, bryony, leopard's bane, cayenne pepper, mther, hartshorn, electricity, galvanism, friction, blisters, &-c. ; but the use of stimulants is at best doubtful ; the best general plan is to ;>revent over- fulness of blood ; strengthen thg digestion ; kf.ep tlip. bowels open ; uso the shower bath, or apply cold water to llie head ; wear an issue in the neck ; live upon a reduced and moderate quantity of healthy food ; drink no ale, porter, tea, or spirituous liquors ; avoid intoxication ; live in a pure air ; keep the extremities warm, and the mind 'ranquil ; observe good hours ; take regular exercise, or, if that be impracticable, have the body well rubbed ; use no stooping postures, and beware of all ex- cesses. PECTORAL ANOTXA. Symptoms.— An acute pain just above the pit of the stomach, (rath.sr to tiie left side,) palpitation of the heart, qnick difficult breathing, and a sense of suffocation, come on suddenly whilst the patient is walking, particularly up a bill, but subsid- upon his standing still. When the disease has been of long standing, it appears much mo:e frequently, and does not subside sO reauiiy. Treatment.— During the attack the patient should lie down ; a little blood may be taken fioni the arm ; thirty drops of aether and ten of faudanum, may be taken ; and the legs fomented with hot water. These are the palliatives; to effect a cure, \.liere there is a disease of the heart or its vessels, an issue should be made in each thi^h, or a seaton- on the choat, the bowels kept open, and the following m»dicinj admi- nistered : Take Whito Vitriol Extract of Hopr 15 |7&ins ; 2 clifichmis ; ' \ A ii^^'i •If'-*- A ''*'^." ' "ri. ■ "•**3- ■*?* ...*^. frV '•v.. :t.., \ ^t JM«»r^nd divide1,rto thirty, f>i|^ *raW»twa ^ TrMd tJBen^reh jdSJfw of v'^. ■** is 1 iBnunFevegypo orlliree hours. '' ', ,"?i nJb4iMtc^>'Bai«l^^4iA)te*'itrioi, and aAerwards dcaufrlits of tliiift4 < :«ri«.j;;s^^^^ '■ -, ■ - . ^^^^ Spiritt 0/ .^fiW"" Muriatic Jicid. — Give soap and wafer, .qi: large 53kM^cnR|l magnesia, with pjenty of linseed-tcft. julter ofAittimony. — Very Jaf^e\|drai8glH,8 of Iin8.*ed-te8> t« protTuce 'it)1i0kil^i!,,and then thirty drops Of la^danum'tO'V|ui(ii.itie .Xe severe, blooamust be «tomach; udraS^f dan'T^ ^T^'t "''P"^^ '° the pit of the used as a glystor The S "r • . "^ :i""* " tea-cupful of thin starch. .hreeorfour.i.e«adlyr:„«'£lr:,^^^ «^ ^«>'-ba. taken p. ;par^rclYk"iru;ed.'7r p 'H^'^"' "' "■ ^'^ «>°-'» - «oo open. ^pL^V^terl^^^^^^^^ ''.'^'P^ oflaudanu™ with a tea- two ounces of C^s? ^ n ^^Tl?/ 'f ^"^'^ '^^•^ S'^'*" "^ mustard poultice to , he pit of the^;^Lach " *" Wl'cation of. a.d,e.e„thepa.n^witr:'?at;'C^^^^^^^^^^^^^^^ 6. Costivevess. — To nrevf i M . o, three or four times a day. 14. Palpitation. — The patient must lie down, and a of tincture of valerian be takrn in camphor julep, the bowels kept regular, and every thing that disagrees with the stomach avoided. 15. Cough. — Lose a little blood, keep the bowels open, suck a bit of gum arabic, and apply a Burgundy pitch plaster between the shoulders. 16. Head-ache. — Take & teaE^poonful of Epsom salts every morning, and let the diet be light and simple. 17. Pain and Swelling of the Breasts. — Kub them gently with oil, iti which a little camphor is dissolved ; and defend them from cold and pres* sure. Should this not relieve, a warm bread and milk poultice should be applied, and a little blood taken away. 18. Tooth-ache. — The tooth ought not to be drawn, but a little blood may be taken from the arm. 19. Pains of the back, top of the thighs, hips, breast bone, and edge of the ribs; often occur during pregnancy ; they require rest, rubbing with spirits of camphor and laudanum, and the loss of some blood, if they b^BtsVere and obstinate. Cramp in the legs requires friction with opo- deldoc and laudanum. 20. Starting of the Nuvel. — Place several circular pieces of white sticking-plaster, (gradually increasing in width, from the size of a six- pence to that of the palm of the hand,) one upon the other ; lay it upon the part, and keep it on with a firm but easy bandage, 21. Swelling of the Feet — Requires no other treatment than gently opening medicine and moderate exercise. A roller is useful. 22. Enlargement of the Feins of the Zeg'a.— Apply a linen roller from the toes to the knee, or wear laced stockings. 23. Unusual Swelling of the Belly. — This complaint ia so serious that the advice of a medical man should be taken. 24. Discharge uf Water. — Remain in bed, and take thirty drops of laudanum ; keep the bowels open with Epsom salts, and inject a little of the following astringent lotion frequently : Take Alum Water 2 drachms; 1 pint ; Mix. 25. Discharge of Blood, or Floodtng.—Rem&in in bed until the dis- charge ceaseA ; take 20 drops of laudanum, and apply cold water to the part ; keep the room cool ; allow few bed clothes ; open the windows ; take cold drinks, and use light food, such ia stewed apples, toasted G2. >■•■ <», A**". IMAGE EVALUATION TEST TARGET (MT-S) /> & ^ ^ 1.0 !.l UiUl 125 U lU 122 Z m lU ■ 40 L25 iu 1.6 Sh y •i^ c?'] <^^ .. V Hiotographic Sciences Corporation 23 WEST MAIN STREET WEBSTfR.N.Y. MS80 (716) 872-4503 'ik^ ^^ ^ VI noMtSTie I'livsici.tN. if r^rt; ir'fl^^^^ "f twenty drops of Iauda..,nn. and' a Tr n £• ri'di^^^^^^^^^^^^^ ""^''"=^ ^«" "^^« ^"^' --^ -d her oH-.pri..« M. Conw«/«„,... -These have been Ireated of at p. 41 «7. |.a/<»e Pan,,— Are removed by keepini' the bowels onon avoi.l the part with opodeldoc containing a little opium. If the natient I as worms. g,veagly«.er of ca.„o,nile''llowers. wit'h a largo tlbLI^iZful of .a f^usr:^:^;:^^ "« """"'''' 'y ^•^''-g ^^ ^^-P^ of laudan... 89. Aong.„...-T heso should be gratified if possible. ruoLAPsi: OP the nowEts. should hS. ''"'*'","*■";*•• ''"^ly' ««' i' '« called, requires lha( the bowels «ah a sort aapkin. and the following injSSoa'sell: '""' ""''^''''^ Take J;;;;2lodUak Bark, .dd PounJ«J Gall«. of each 2 dracho,.; Boii to one half, and strain, then add- Laudanuia Mix. I'ROLAPSE OF THE WOMB. Fill up the passage with liiH dipped in the following : i pint ; JO drops ; Take Oak Hark Vinegar 1 ounce ; I pint ; Boil for ten minutes and strain : Bcciirp it K« « 'p u ^ ca.es an instrument called a pJs/arris necesJary ^ '''"'"S'- ^" ^"""^ I'BOFUS):; MENiTHUATION. bMcuib, slewed »pi)l„*„,.„„„Vcarr„nr™ ? ■ °' ''°""'°' ''"'* nriMRSTrc physician. 93 cahs, u«n modfiratc exercise, abridge the quantity of t^Icep, live upon fe- getablefood, batlio the lioad ami loins iVefiiifiitl) wiili cold water, avoid wll Btimalanlfl, takiiifjoccusionally a jreiitlo emetic, and usd tlio nlnm ni- Jectiun recommended at p. 91. PrKRfERAt OR rillLD-BRn msoHnKRs. 1. After Pains. — The treatment is seen at p. VX 2. Trembling and Fainting. — Take bO drojw of laudanum in a litllo wine or peppermint water, or a few dropa of oii orciiiiiainon on n lump of sugar. If the faintingsbe very alarmin<;, hot r.luibs must bo applied to the stomach, hands, and feet ; some wine pourod into the mouth ; tho patient's head to be laid low ; and if there bo much digcharjfo the bellv Hhould be pressed firmly with the hand. .3. FtooiUng after Delivery.— AptAy cloths wet with cold water, open the windows, take oflTpart of the bed clothes, and give 6U drops of lau- danum, and if the weaknesn increases, add a liltlo wineor brandy, in- ject cold water, or vinegar and water, with Jleid's patient syringe, if at hand ; if not, the common pipe and bladder used for glysters, and apply the other means recommended for fainting in the preceding article. 4. Chulic Paint. — Throw up the curminative glysler advised lit p. tW ; rub the belly with opodeldoc with laudanum, and take two table-spoon* fuls of castor oil in a glass of mint water. If there bo any difficulty of makinff water, apply hot fomentations to the belly. 5. Bearing Down. — The patient must not sit up ; her bowels must hn kept open by Epsom salts, and lierdiet should be strengthening. If it remains a length of time, a broad bandage should be worn round the bottom of the belly, and the alum injection, recommended at p. 91, should bt§ used three or four times a day. Giiflith's mixture may be taken twice a day. 6. Stoppage of the Discharge. — If this occur suddenly, or too soon, ^ g'lyster should be administered, and tho following mixture given : Take Spirit of Mindererus Camphor Julop Antimonial Winn 2 ouncoR ; 4 ounces ; I drachm ; Mix ; take three table-spoonfuls every four hours. Drink plentifully of warm liquids, keep the bowels open by castor oil, and promote perspiration. 7. Offensive Discharge. — Wash the passage with warm water, Uy means of a syringe, frequently ; lake a little Epsom salts, and pay great attention to cleanliness. 7. Excessive Perspiration.— Keep the bowels open with Cheltenham salts or Epsom salts ; use a nourishing diet, and take twenty drops of elixir of vitriol in a glass of camphor julep three times a day. 9. Swelled lAg — Begins about tea days after delivery, sor.iotimes later, with fever, pain in the back, stiffness about the groin ; the leg and thcgh painxUi and cold, but soon bccoiBiag Bweiicd and hoi, and the pain abates, but the disease often proves very tedious. Trea/ment.— -Apply twelve ieochea to the groin, and afterward clothf. u 84 DOMBSTTC PirVBiriAJr. 1^ M i ilipped in l.ol vmopar, containing sugar of load, dissoived in llic nro- poriion of a drachm to n pint. Open the l.ownis with croam of tar- far, foment Iho leg with Iho J.ot poppyhrnd dnroction, and rub it with opodeldoc with laudanum. C^ontiiuio this treatmonf as long n.s the acutfi stage Insis, and thc-n to strengthen it and reduce it to its natural Kize, rub the Jimb with the llosh brush, put on n bandage from the toes to the Rroin, and live upon a nourisliing diet. 10. /W/,-,«m_-Shavo tlie head and apply a blister, open the bnweU with hpsom salts, take a glass of the saline julep every four h(»urs, with n pill of three grams of camphor. 11. lo/l'immat.on of thr Brnin.~-.Thri symptoms and treatment corres- pondont with the description given at p. 75. rcctcdat'"''''^Z~'"^^^"^"'"^'^^*'' *'"'""' treatment may be as di- 13. Z,oo»fnM«.— Administer the common glyster, and after it Las come away, throw up two drachms of laudanum with a tea-cupfuJ of thiu .starch ; put a bandage firmly round the belly, and take llie mixture re- commended at p. 96. 14. Cos/i»finm -To be prevented either by the common domestic glyster ; or by taking a table-spoonful of castor oil, or three drachms of hpsom salts, with two drachms of manna in a little peppermint-water and repeating it tliree or four hours afterwards, if necessary. 15. Milk Fevnr^- -This commences with cold shivering succeeded bv heat, about the third day, when the breasts become full, hard, and painfu . J he treatment coasisis in giving warm gruel or lemonade, open- ning the boweis freely with Epsom salts, and administering ten firains of nitre, with four or five of antimonial powder every four hours This fever is to be avoided by putting the child to the breast soon after'delive- ry, and if the milk forma faster than the infant con remove it, the breast should be drawn three or four times a day. If the mother does not Fuckle her infant, she should live on a very spare diet, drink but little keep ilie bowels loose by taking a tea-spoonful of Kpsom Halts twice or three times daily, have the breasts gently rubbed with warm sweoi oil and a little brandy, and if they are hard and painful, fomented with vine- gar and water. 16. Fnjlammatio.i of the Breasls.— The pain, hardness, and knottv swelhng, IS best relieved by the following plan. Let the breasts b^ fiinpiied, as far as it can be done without much pain, two or three timew a day, then gently rubbed with warm sweet oil, and lastly a warm noul- tice made by dissolving a drachm of sugar of lead in a pint of water, and thickening It with crumbs of bread. If the inflammation be violent, the brests being red and very painful, instead of a poultice, leeches must be applied, and the parts kept covered by a piece of folded linen wetted in the luUowing lotion : Tttkc Spirit of MindererwB, Spirit of Wine, and Water, of each S ouncea ; Mix. The bowels must be freely opened bv Epsom snlts. nnd 'h* foU lowing mixture taken : ' ' T fo!. KOMBSTTi- ?tIY9I«lAX. Ui rake Nitre Antimoniii] Wi.in Hyrup of White Poppjpi Water I (Irarliiu ; I (Iritchiii ; 1 oiuiru ; Mix ; take throe tahle-spoonful* every lour lioiir^. IfmaHor f)rms>, lliu abscesamust be opened, and treated by poultice's and hot fornpntalions. 17. Sore M'ippleg.—ilse n cow's tf-al, and keep the ni|>pl(!t> cool with n lotion of fifteen grains of white vitriol to four ounces of rose-water ; or of alum, instead of vitriol ; or with p«3rt wine, or brandy and water, or goulard water, or Hollands gin, or a mixluri! of eipinl p:irts of cream anri extract of goulard. The nipples may aUo be sprinkled with a powder composed of half an ounce of gum arable and fivrj grains of alum, or with tutty powder, or with oxide of bismuth, or oxide oizinc. Or the nipples may be dressed with a httle honey thickened with fljur, and containing a little powdered borax. It !fl necessary to remark, tliat the applications require frequent cliango and the nipples should be washed whenever the child is about to be placed to the breasts. 18. Inflammation of the Womb. — Bleeding in Rmall quin.tlics, and frequently repeated ; give a drachm of Epsom salts with fifteen drops of antimonial wine every two hours, and apply cold wet cloths constanlly over the whole of the belly. If the pain and tenderness remain unsub- dued, bleeding must be employed again, or thirty or forty leeches ap» plied to the part. 19. IiiflammalioH of (he Bowels.— To be treated as directed at p. 70. 20. Miliary Fever. — For the treatment refer to p. 83. 21. Pjier^pcra/ Feeer.— This is the mos' dangerous t'iseaso that at- tacks lying-in women ; the symptoms are, groat londernoss and constant pain of the belly, short breathing, pain in the forehead, wildncss of tim eyes, anxiety efface attended with a peculiar expression of countenance, great weakness, suppression or lessening of the discharge, emptiness of the breasts, and an unnatural smell in t[ ^ evacuations. The disease comes on sometimes a lew hours after delivery, but generally two or three days, and sometimes a week ; tha danger is greater as it comes on earlier. T'-eatment. — Take blood from the arm as soon as the disease shows itself, or apply twenty leeches to the belly if the pain is not mitigated in six hours. Givefjve grains of calomel with twenty grains of jidap, and administer a small tea-spoonful of Epsom salts every hour afterwards, until the bowels are thoroughly opened ; to assist which a glyster may bo given, and repeated, if necessary. When free evacuations Imve been produced, give five grains of Dover'M powder, in a pill, with the efferve- scing draught every four hour. If the pain bo severe, although the bow- els have boon freely opened, give ten drops of laudanum with the above, and at bed-time, fifty drops may be administered. If there is vomitin;', a drachm of Rocholle salts, with three or foi^r drops of laudanum, should be taken in the effbrvescing draught every hour. If purging be obstiiiate, give the chalk mixture, with ten drops of laudaaum at each dose. The treatment above advised must be pursued daily, until the disease ii removed ; keeping the bowels freely opened by piirgativuH, and lea- feniug ihe pain hy opiates. When the patient is caiivalsscent, sho m^f 90 t ! DOMESTIC FIIYSTL'TAIf. inko o.irk mno nnd a noiirialiint; .I>t. Tho disonse is hia|,|« confi p.MiH. nn.l may |,c rarriod in tlio rioti.es of p^raona from one Ivinir it. »vomon lo nnorhor ; pro^nnnt fomnle s likown^. will receive the infec tir>n, prn.IiirmcT miscarriii;.(., nmi oCiomiinos death. nt' jri^'y"'*'"'" — 'I'Ih-sp have already been spoken of at p 44 ..< A/'uW._ApplyI..Pch(.s to th« temples, opon -he howHs with oalomrl nndinlap. ami allay irritation hy f:W>u. a pili compo^d of i|,r..,. fc'rains of camphor, and fourKramsof cx.ract of henbano. every four hours waHh.ng f hnn down « ill, tl.ir.y drops of ather in a little cinnnmon-wa.er.' rrnoiKo. r«.?/'';.Vlr"'"r''' "[''^' *''. T"'"''*""*' P*""«°"^ '" JistinRuishing the real cau'ild De put into hot water, tho body preserved warm by pro- per clolhmg, and the diet should be soft and iiuiritious, as bread and milk arrow root sago, rice, batter or bread pudding, custards, beeformuton both grnel. A.C Meat fruits, vegetables, pastries, malt liquors S drinks, &c must be avoided : the Huids proper for drinking are barley water. t«as and water teaand coffee, decoction of Iceland moss. „f cS rmed hartshorn, ofmallow roots, of linseed, of gum arable, or of quince When the disease resists these means, or has boon of lonff slandinc as tringenis must bo resorted lo : '»»»uiiig, as. Take Tormcntil Root (bruigod,) and ( ■ immon Bistort, of each Water a draahms ; 3 pints ; boil to n quart, and strain : a wine-glassful to be taken four times a dav • one oi iho loilowing boluses to be added to each dose, il necessary : * Tako Alinn, powdorod Kilrucl of Logwood 10 grains ; i drachm ; Mix. The following tonic astringent medicine is also useful Tokc Pomegranate Dark Boihnir Water ^ ounce ; I pin» ; infuse in a covered vessel for two hours, then stiain and add DOXGITtC PHYSICIA?f. 97 Tineturn of Gum Kino 1 tiunco Mix ; take a wine-glassful throe or four times a day. The warm hath nhniihi be freqiionlly iise.f, and all the cautions before mentioned with regard to diet, strictly attended to. The purging of childror., if arising from tc'«'tbing, should not he cherk- e■" ifl but foo often wiinc8Sf.-.'""^ ''«"" »<•'«' «''e attack, bleeding FortinJ o ■ T,f"'r'"/ ""? "^'* "."'^' «'«"» '^"""o" "necessary in ro* Fort ng to It. 1 he firHt nu-dicine «,vrn «hoiild be twenty urains of ineca. cuanha to produce ,ou,iti„g, ano after its operation iaovSr. a purS of five grains of calomel, with ten grains of the compound extract Sfco Is rtrV^ '""'• ""^ ^''""•'^ •' "«» '>P«""' i" "'ree or four hours' « wmo.gl„88f«l of senna tea may be taken to hasten it, and the common ..em ,» -euWr cold „„ .wcing, .„d .Lid be t.^Z dail,? ' ..rmechoaldno, be gi,.„ in l.,ge ,L ,1 'mU . „L ''1 '"iS Take Angelica Root Water boll to a quart, and strain ; then adJ^ Mariatie Aokl lotudanum I ounce ; 3 pinta; 6 drachms ; S drachms ; decoction of barb m» b> „>h.. ..... i. ",'""''" '*e««»»• b. gi«. br.h. M:::i»«:° """'""'' "" *""■" '° ^ »"S^ ir.hoW ^ thicw ■5 - I eiince ; 1 pint ; 9 (IracliiTiK ; 2 ounce* ; DOMRSTIC niVIUCIAX ^^ T«ko Dcooclionof Tonnontil andOittort, ciMcribpdin tlifl artiele on piirging; | pjnt ; Tincture of Kiuu | ounce ; l.Midanum | .irachin ; Mix; a wineglMsriil to he taken crery four liouri. To procure nleep and quiet at night, tske two tahlo-spoonfula of Min- dererug a spirit, thirty dropn of laiul/inum, iho same quantity of antimoni> •I wine, and a wino-glaBaful of camphor jnlep. I* or ulcerz in the mouth and throat, use the following gargle : Tiilie fiii^flo Ijnnvns Boiling: Wator let tbetn stand till cold, and add— Borax Honey of Roioa MU; or 8 mixtureof anoanceof alum to a pint of water, aweotencd with honey, forms a good garglo. For moistening and cooling the mouth and throat, and thcrnhy Icwen- ing the progress of ulcernlion, a very efficacious remedy is a syrup made hy boihng a pint of the juice of barberries with a pound and a half or loaf sugar ; it may be put into the mouth alone, or mixed with water. PUTBID OR XAUONANT SOBB THHOAT. This disorder being merely one of the symptoms of scarlet fever, will «e treated of under the latter head. KASnsS, OB (lUTANEOVS AFFECTIONS OF CIIILDBF.X. 1. F(k//oi» Gum.— This is merely a species of jaundice, the treatment or which has been considered at p. 81. 2. Red Cum -Consists of a number of small red elevated spots np- pearing soon after birth, and scattered over the body, and sometimes on the lace and the feet, on the latter of which they arc sometimes very large, bearing quite a head of clear fluid, and very red for some spaco on the skm around them, so as to give almost the appearance of measlea. /rcatwenr. —Medicine is unnecessary, except the eruption suddenly disappears and the child denotes pain or spasms, when an emetic of I k° u !® *"'"' °*^ ipecacuanha maybe given, afterwards a little riiubarb and magnesia to open the bowels, and the child should bo put flito warm water. 3. »"Ai7«GMni._.Thisis an eruption of rehite, hard, and elevated spots, resembling the itch, and someUmes, if rubbed or scratched, a clear water oozes out, but not always. TrwUment.— Frequent washing with soap and water, and touching the parts three times a day with a little lemon juice. 4. Tonthrash. — Small red spots, set so close on the extremities as to resemble patches.but on the body they are larger and distinct lik^ . leaslcs. Trtatinent, — Rhubarb and magnesia occasionally. lUO DOMIJKTIC rilY^ICMlV. I 1 !W fnrclH.ad riVn. y«"ow..sh.|.ruwa «cal,a. appearing on «.rr;:'S;:i'.''i;';;T?i!;^7?«^ ^.H die. wind, mus, ....re. ^^^<^^i!^'t:::r^s:^::;ij:7 -^v^'7 ^inh!"?; :^-eo,..„r.d »»..co,no.,l '.'rJ,;! I ' "f '" '''"•■' "'" '**='•''•'' ' *''" "'»""• '""I throat •"alter jtho^culHwo^^^^Z "'"' ^"«'='"'^«« «" """onHive ur ratlior of «n apo '"'"'*="•'«*'• *'»'' »'•« co..,.tenanc.: of an old man. oroiTc^St-p^^^^^^^^ by the nurse. it be taken tj Sic ou 'iurtl "'" '" " K'^P'' ^'"'^ °'''"''^»"' ' «« ilH life. J"'^*cious surgeon, as « course of mercury con alone save fi. Erf,yefas. Soc article M St. Anthony's Fire." «p;t^^s;';^^;f:;'';i;r^-''--y^«»-ated with ^j-or,he -*^t^S,ut i^"Ji;;;!;i::;!;r"'' '°'"?'"^ ''^^^"'•'""^ '"''°«>- or f'-ver ; the ch d ] T.o ever som'?' '°"^'''' T''^ "y'^' ««^*' ^'-roat or «inc.,s a„d cvc , ddi u? I nfr. "'' '""r.^ ^"^ convulsions, drow «i-w„r,„ba.ir:;; a7 ;,j l'':rj';">'«''^^^ - «P-ing glyster, with four r.r five of rh.ibarl) h i^hl ""^ ''"^® «'"'""" "^ «='''o'ne' ^H^easo.,h,,tno,nodi"i^^^^^^^^^^ Seneral, so harmless a tiglu thf "nt;;:;;', j;!;:,:r e: ;f "•" 'v^'\ '^'^^'^ •'°'^^«>" ">«>'« fting.andofa Joir axvaUri.i 7"""""^ n«ck ; then bard, shi- the .iu.er ond .1 ,n, 'L C,, ? " 'T°' ''*' '''""^''^^ "P between rressoH, and u.r.nr!:/ ^ ""'' ^"'°"'' ""«^ '"'«^ '^e child is dull, op- , REMITTENT FEVER. ci.lJt!::u:^reStt.in;rr 2^i^«?^' ^° ^'''^'' •»"«-"• «o oir entirely bef^e a Ch "ack e^ ,„ .f ?.'h'^^ '''^°'' "^^ •oi7A«ii<*«,8*w,».^. ^/•/•...... ""^* €naue8,8o that the patient is nra^r r«„„„,„,._Ki„, gi,. .„ ,„.,;„ ^,^_^ ^^^1^ ^ ipocc-ah. po.*>r, \> \y^' nuMKSTlC I'JIYBICIAN. 101 %itli a grain ol'ciiiciic turtar ; and iiuxli ilirtu;>iuitiH urcalomol, lo be wot- k«.-do(I'witli n wiiie-jjIaBtifui of iiifusiun uf scnnii, and one dracliiii ul'sulu- blc tartar, iftiieru bo rauch sickness, givu liiu ciVifrvcMcingdrttnybt, witli five driu tea, imperial, oi anjr rold simple liquid ; if ho hun much hi;iid acho, iIih head should be shaved, and cold water applied with a na|ikin ; IiIh feet also, should bo occaitionally put into warm water. Slmuld iIum nut ri-duKidiiig of one paroxyttni and the commencement of another ; when tonics (particularly bark) buuoino tho uppropriate remedy ; bark may be taken under the saino ri-giilaiiuns as ad- vised in the treatment of ague (p. 14 ;) but care iniist lie used that it bo not ailniinisteied while the lever is on. Arseiiic is also u veiy ctlcciivu ro liiuly, and may be taken as advised at p. Hi. Altfrllie diduase has been removed by thesn mein.^, the litallh and stri'iigih ^iusl be improved by the use uf aoiiiu tunic iiicdici. c. ua the fol- lowing : Take Tops of Lesser Centaury, dried, ] t^xnw ; Avon's Kout, and Anguliou lloot, ofcncii "2 (Iriichms ; Uuiling Water | i|uurt ; Pound the ingredients ; pour on thpm the '>'.■; water let ; them stand till they are cool ; strain olFthe liquid, add a gil> of goud Cu-.vpoonru!s of in- fusion of senna. In the intervals between the purges, the bowels should be kept quiet, if necessary, by a table-spoonful of chalk julep, with two drops of laudanum, three ur iour times a day BlIEUSUTISM. Rheumatism is of three kinds, acute rheumatism ; chronic rhi-ninati.'-m ; and rheumatic gout. We shall proceed to consider each uf llicbo sepa- rately. Jlcute Rheumati$m.— The symptoms are fuvor ; pain, swelling and red- ness of some of the joints, generally accompanied by profuse partial f lOi nuMKs <.ecomo« very viol*"., 'L Z '^' '" ''"'"'« '^' «*«'•« the former onon «Ppl.ed to II.C awdlcd and painfu 1 1 .„.rl ''T'I 'f"*'''" '"■y »>• -elled wi.J, cold IvSr ' l" o tow" "I'f k\''''':' '=°**' ''^ ""«» cfo'h- "'"r..in«, or as ..(kn os rnav be ZlV " ■*"''' "''""• »>> '"k'ng every ^-cnna, ui«h «ix or v^'u ZZmn n', ''' '. *'"««'»"'*"' of infusion of ""'"t «ho be«in,M,.R of M ; i' dt-.n . " '""' '*•.""'•* '"' '»''•» "P slices, 8l.ould be carefuMy dried aid ? 5««" '""ned.a.ely cut into thin •" ''rn..dy. (i.r fourteen dya Of L?l ** '"" '" ' '""' ""^ ?'««' "?*"«► 'aken in do-es of five or a", '-Si Pr^pnrat.ona. Iho powder may bo 'wen.y .u .bir.y drop. p?„ ^;:: ^ ?!, ^t^^^ '^Y' - "-. 'inCure Lo "dminiatcred every Jecond or Inw^'u """'"''•. ^ PurgaUve ahould be active remedy. ^ ' "'"'' ^"J' *'"""g "^^ «dministraiion of tJiia chanses of the weather Everv S «f T . ' . ^ ""*='' 'nfluenced by "al. I..ve been recclmendedli ih« I ""r"'; ''""' ''*•«""'' "d i-'er- •*.e number of ibLrredieHnilt^ rbeumatiam ; but «.xed upon a Jargo join, cuppi"' li^ ba / c\"'^^'^- . *^*''« ^""P'""" *« j;^ - .ppiied Lily i^ s;;rrr;::,i:.r ' tSS:^-^;-- Take Olive Oil Oiiof 'I'urpcntioe OiJ of Vitriol 3 ODncea ; 1 ounce ; 40 ilropa; ««y. Fricu'onswu. apiece of IkS* "fl «""'"/"' '*™^'''«» *" ""• •ncity and g«]va„i.„, Ja'e aVin t e." urn pr'ot d ."'^ jl>«n.I»ooing, dec "•enia, as the tartar emetic oin me .t„„i P'*"'f*'.'"'«fV'' ^"'««»'n« oint- >ery beneficial. «^'"«'nent, and attnjulating plaatera, often prove 1 ake Burgundy Pitch e Hurgundy Pitch WJiite\Vax. amlOlivoOiJ. ofeach C> drachma ; 1 drachm ; S;^„;cct%i^4.:.^n„"^lT^t ■" ' ''"'"" °"^" '»- I'oko Soap i'iaihylon ounce ', ounce I "!!?»► viv IV niTviciAn. lUJ molt iliom together ; ind when neorly colH, mir in two drichiiia uf (Inety powdered tal ammoDiac. Tliia plaatcr will be re«)uired tu bo reiie«ed eve- ry three or Tour days. Pummelling, or gently beating the part with light smooth wooden haiomera, haa been very vuccfiitirul. Of ail themeanaot' applying Moiiuth, nono ia so uaeful as that of hot steam, uaed lur half an hour at a time. Some very sudden and extraordinary cures have tceii cfToclpd by an operation introduced into this country by a Mr. >S« > it, a surgf.on in London, called aciipuncluration. In this gentleman's pracMcu as well as in that of many others, this treatment, which does not inflict tliu least pein. has been known to euro within the spaco of five minutes, many severe cases. Tlie internal remedies for chronic rheumatism are moro numoroiM than cflectual. The meadow saflron should be tried; the tincture of guaiacuin takon in large doses at night, say two table-spoonfuls in a bason of water- gruel. A very powerful and eflectivo remedy is savine; it ahouM bu carefully dried and |)Owdored, and twelve grains adminiblerrd three tiints a day, gradually increaaing the doso until it come to three times (lie quan- tity. 1 be wake-robm, or cuckoo pint, is also a very uaeful remedy, pre- pared in ibo following way : Take freth Roots of Wake-Robin Lump Sugar I pout) 1 ; 1^ pound I Ueat them together until well mixed, and take a dracbra threo limes a dny. 3. liheumalic Gout. — This, like the preceding form of rhetimatism, is attended with little or no fever, but tho anklus, knees, and oihi'r jniiits remain atiff, painful and puffed for many weekN, and sumetimrs for niunttm, the pain being aggravated at night, or whenever the person is warm. I'ho cure consists in taking blood away by leeches ami cupping ; by using thu warm bath ; by applying blisters, salt brinu, electricity, or galvanism. Thu internal treatment should be decociton of bark, or Griffith's mixture, taken twice or three times a day, one of the following pills being taken ut night : Take Calomel 10 grains; Einotic Tartar S] gruina; Opium 5 groins ; Treacle, a auflicient quantity to form a moaa ; which is to be divided into ten pills. Both tho external and internal use of the bitter-sweet, or woody night-shade, was reccommended by the late Dr. Currie ; it may be prepared in the ifoHowing manner : Take the leavca and stalks bruised Sherry Wine 1 pound ; I quart; Let them stand in a warm siiuiktion for twelve or fourteen days, frequently shaking it. Then strain, press out forcibly all the liquor, filter through blotting paper ; and take a wine-glassful lour times a day. For external applied as a poultice. s DOMtSTIC PIITMCIAIV. N RICKETS. ward, knees approac n/each^.hi? crooked, breast bone projecting for- bones become '?„°ote^,:",Vcur;ei Tht ""^' '"' ^" '^« «"«*8'" or less in all cases of ncLTl'S^r^Jl ^''®^'VJ"npto«'s prevail, more 7Vc«i«.„,._The obil. !' ^ *"" " '"'' *""'« of 'be bones. «l.e digestive organs i^'^^^Z 'V.^:!?'''^''? ''^^'^'''^ "«"«'''"'-«' Cold bathing, frictio; ,i^^h ilannp :.h' \'T\y ««Wi'y 'o the bones. «siog proper e.xercle Tn 1 a a . ' "\"^ '*'!• ^'^^ ^''"' «f '^"« of camphor, a rreVwhoIesre and ope.?? r uZf 'frl' T'^ ^"•^' '^^'^' «" cacnanh. powder -hodHe ^;en f, ^Ll ^ '"" ' "" ''"^"*^ ^'''P^' 'nd should be given everv oth«K „lh. "'^.''•°°''' "^^ P"'e. a grain of calo- four grains of jalap and // In ^ ' ""'' *" °P*"'"S Po^der of three or be necessary oke'pp the br«7 °' ^*="'"'"°"y' «d'«i»i«'ered as often as n..y Ti.« »• 1 1 ' • P ® oa*^es open once or tw ce a dnv ' Ibo lollowtng strengthening .nidicines may be taken?' Toko Ovyde of Zinc, and Compound Cinnamon Powder, of each 1 drachm; 2 drachms ; K^':;':;.:::tI^S"'cr'^''^T ^''-^- powders ; !„« .„ der. or tincture, ?s a Jer7us..S' '"^ '"'"l «*'«'1»^' decoction, pow- of a tea-.sp„o„fu, or two^ or f^ '""""-' ' f'- "'" *'"" ^^ '^o" '" "'« dose ful; or the rrni ,Lt» J ^r '""^ "^ '^«"' a tea-spoon- .ron, three o"rurtra„;"whlfaS^ •"""'' *" «^«" ^rops ; or rist of fact, anything ,!,"[ wdl o!;« - I k ^i"^*"'' °'^ '''**''*'«« necessary. In 'i>r the d.-eafe AWh- ' ^^ "" *=**"'"'"''<'"• ''^'^""'es a remedy v.ce of a su^eon ^^'*^'"'"'«'^' "'«"«« '""«' ''^ '««orted to without the ad? lair --^'---^^^^^^^^^^^^ i^rrj tttf: , RING-WORM, OR HERPES. t-eadth of he pahn T 1. 1 l?l' 'S'" ' '"^'^ P''""^' *""«"««« '« '^e «"d the same nrnH. •.» P*" ' •''^' ""'^ '^''''^ "'« «•*'" a little red. *!les." isfsmilinri. ''"'''"''' ^"^'*"^»y «he name of "shin. Place XZ '' '""''. P'^'"''"^^' ""'^ wi" be described in its nroDer I'iwe. ihcc ccult^r patches .otnt.imes foro, ob the face. neck.^Z,! ■..f '■^*•' DOMKTIC rUYSIt'IAX. ( ■ 10 j KmD 68 ihM« n?J^ ^^°" '." .*=°'n'nenc«« «»b cluslera .,f small yd' ho h« r In .'i- k! ^^^^^^ ''''*"•'• '^^'^"'"e inflamed and irritable. chaLe Ue^Jv d fficu T? " •^'.""«,""g-«'>"n o*' «he ^ is now become ex: ofTard i KL„T "PPi^''^"""' "««"»•'> 8"cce88fu. were ointment made OMard with sulphur, or with tar, or with hellebore, or with turneniine or r n'ce o'f k^^^^^^^^ T 'r"""^ '' P-^-«d coculuVXTo; a„ sZr nf Li l . u '"'''"f '" ''™« *a'«^ ' ««'"i'on of white vitriol and sugar of lead; ketchup; decoction of hellebore; tar ointment nad. ZVci'lh"'^''"*''^''"^^^'^'''^"- '^'he "bove have al inUei most efficaciaiis • r !o .1' . i ** *"® fdlowmg plan proves the l»Zfji?\f'\ "'"; ' "•-•P»»»f"l °f tincture of «»«., Jtal; , e Take Calomel " PniRsic Acid ^^•i >.' Spormae«ti Ointment Miz, or Take Oil of Vitrei (by weight) Hoga.lard S| drachmi ; 20 drops ; 1 ounce ; 1 drachm ; 3 ounces. aUPTURE. u m tooMsnie ravsiciAJr. 2. riic first application of a truia bIiouU always be maJe under Jhe in- inapection of a surgeon, and the pad should be so adjusted that the lower ni h i/'Pt'?*' "^°'' th^ edge of the bone, at the centre of the bottoR of ihe belly. The patient should not make any improper exertion, and he should lake great care that the instrument does not slip ; it should be nut on neither too tight nor too loose. ^ 3. The patierii should havb two trusses, that they may be cbanzed ererv r/r/ /7'/ f ^!l • 'f ""^ ^"'- ^ ""^^ P*«*^« «f "•'«<> »«y be laid Z der the pad to defend it from perspiration, especially in fat persons. 4. An uneasmess under the pad leads to a suspicion that part of tho rupture is down ; examine it carefully, and return it if there be any protru- 5. If the truss excoriates the skin, -^ash It with a lotion containing fifteen grains of white vitriol, and the same quantity of sugar of lead • in half a pint of rose- water two or three times a day ; and hating wiJHsd it dry sprinkle it with fullers' earth. * ^ '• G. When the pressure of the truss occasions a swelling towards the onhe tp'ng V5ittr '^'^ '^^'•' '°°"" '"^ ""^•' «'^"P" - -' ^- ♦»>« ^-- 7. Whoever wears a truss, must never be without it, either bv nieht or day, for if the rupture comes down but once, it destroys all the good effects towards a cure that the truss may have procured in months. \f hen a cura has been effected, the truss should be laid by cautiously, at first only at night., and, when omitted in the day, great care should be taken against strainsor violent exertions. P. S.-Cole's truss is the best that i» ia use, ST. ANTHONv's FinE, OR FRyslPEI.AS. This disorder is an inflammation of the skin, and commences generally with fever, and drowsiness, oftentimes delirium ; then a shining redness of the skin, of a florid yellowish hue. becoming white on pressure of the fincer but reiuming Its crimson colour as soon as the pressure is removed It is a tended with a burning pain, and at length numerous watery pitnplesor blisters ensue. 1 he inflammation having increased for two or three davs generally begins to decline, and the skin peels off in scales ; but it sometimos continues to mcrease for eighi or ten days and endangers the patient's life, by attacking the brain, when delirium often fatally closes the scene Th* skin does not always begin to peel »t the decline of the inflammation, but the thick fluid formed in the blister adheres to the skin and leaves dry and troublesome scabs which sometimes degenerate into obstinate ulcers that now and then become mortified. The causes of iirvsi- pelas are various ; such as exposure to heat; excess in fermented liquors; the application of blisters or mustard ; some articles of food in certain ner- sons ; stings of insects ; bite of leeches ; burns and scalds ; wounds ; fits ol anger; sudden cooling when overheated ; stoppage of customary dis- charges ; rnpressmg habitual eruptions; particular state of the atmosphere and contagion. ' ' Erysipelas obtains a name according lo the part that it attacks; if it be tlm/«cr. It IS called a Un,l : and if ji (« the truv.k of the body, i! is called iht»ghs; il itbolHe€xtrmt<»(.., it is called Ihe rojf, 4tc. &c > '•^'i iDOMF.sriC rnvsicTA.v. J 07 T>r«0,ie,,<.-.\Vl,en iUUacks 11.0 face, the patien( sl.ould preserve il,,. -2 1 h"" ;■■' ••°""°*^' '"'fP "'" '^*«'' "P^" ^'y g«»"« doses of EpVom T«ke Spirit of Mindorerus < -amphor Julep Antimonial Wine 3| ouncei ; '2\ uuiirrs ; 1 ilmclwii ; Mix. Take a sixth part every four hour* tion'romno,!??'^ ''T"'*^ ''*' T'^'^"^ ^^' " P'"** °'" ''"«"• *"PP«rf *" « 'O" A fo3.. °r l""' P"*' "'^'P'"' of """^^•'rerus and water made «arm. -J-oT-T. °"° ■.1f''°'''"V^ P*»PPy heads and elder flowers, mav I,., also used twice or thr.ce a day. When the blisters begin (o discha'rjre and absorb the discharge by sprinkling the surface with oatmeal, bul^ eareful to wash ,t ofl: frequently with bran-water. milk, or gruel. Soma persons received more benefit from a soft bread and milk poultice than Ir^m any other app .cation. The irritation is sometimes much sSbiued "J app ymg a lotion of a decoction of poppy heads and oak bark. No ereasr K "anS'J'.JM:;'. "^ "'f' '/"'^ iftfrv ones are preferred, o.tmeaPiitb; »^ lh«l 5 A- P°*«^?^«i»«"ch or pipe clay. A vegetable diet should be observed, and s.mple liquids only taken. Bleeding in this disease roust be 'resorted to with great caution, and only lithcrreatTl'l"!*'?.-'"'^'''''?'^^^^ violent. 'and the head affected ZZ^PuIa ^ , a *'^''""" ' '?.*'"' "'« "'^ ^««» """» be put into hot >»aier, and mustard poultices applied to the solea of the feet. tbP holu ''.JT *''^" '^^ ^r^' ''" '"^'''s of al ,o|«ili admimstered every two hours. Thediseweis very formidable .n4 din St. ttTtrs's BAXCE. 5y»,;,»« «'ooIs; if there be pain in the head, it IhI in H t'"1r'.t' ''IT^r^ '"the scalp ; a se.on should also be made mtho neck. If the ch.ld be much weakened, he should take the z.nc powder, directed for ll.okets. p. J04. Lunnr caustic has often been employed w. h great benefit : dissolve twelve grains in a tea-spoo,"rul of ro«e.water, ti.on mix as much flour with it as will form a mass, lo be d vW ded into thirty .SIX p.lls ; one of which is to be taken three times a dav and wasiied down wiib a tea-cupful of gruel. ^ Worms are sometimes the cause of this disease ; in this case let the treatment be sach as directed under this head. SCALD HEAD. Soften the scabs by poulticing, then shave the head, and use the SCARLET FEVEH WITH SORE THROAT. l..ff !"^!.Tu**~T^'' *^'"T ''^«''"' *'"' '"«*'"''« ; c»'i»s ToUowed by great heat ; quiek pul^e ; sometimes vomiting ; generally head-ache • ri«ilfi.l iiess; tendency to dehrium • next evM tSl!^A 1 f ' restless- flushed ; face and head swelled ;n;:Kffbrel W J ' ^^^'T''" throat sore, red Jnd swelled ; and thrsVeeS.\LT „d ttt^aT^'r^^^^^^ the second and fdurth day. the skin becomes covered Ihh a b;inhV.r«rS .ruption, and about the fifth day swellinff of the g ands of the ntk J,^^^ deafness, often takes plaee The throat ulcerates! and de irSim freqiieTtlv occurs towards evemng. Tho eruption, after a few day»rchanZ'o a ifl::tT''''''' '--'^-^'^ -dofijoTtt^l^rVpton;: ihSlroV^^i"; 7,r -™^'-^ ^'^ decoction of bark.?slrrred .hJS^I^CEiy^^r- '"^^ "^ ilr3t.oabatetbeinfl.m»ation. by < I f s p< Mi res iyi dan T of til blooi tarta all. tl shoul of bn and c (urati Ta a tea- whey, it with ofpov i'-^' itia and Mix. Take Infmion of Rose, fiiuir of Vitriol wowESTic rnysiciA.v. J09 30 Jn lint , Iropg; g,. , )" .peck, .».. ,«„„„. ,../„,„;,-v.ii sLS'.,r-;,7°f Take Cavenne Pepper infuse ft in a tea snn ft.i * 20 grains; Mix. Take Powdered Columla Powdered Ginger Powdered Squills Cream of Tartar S grains; 4 grains; 4 grain ; 26 grains; SCIATlfcA AlTD tUMBACO. ail, the limb should be pur, Jailv inm ,il P'mples appear ; but abov« «houid be treated by hot fonS it "ol, ^r l?'""".^ ^°' ''"'"^ L««nb?g« of brown paper, and then rubCover Vt H'"!*'"''^ "'^ «'"" '^'•'^ « fS luration oft^n removes the disorder instantly "?erai,o« of «cu;.u«c. 110 rl I BOMMTIC FMYSirlAtl. $CORH!LA, OR KINc'S EVIL. oftenlimefl many yeora later, it J »<;'"^^^^^ f^y^ j^^ complexions are behind the ..«,.«d"»J«;'_J»^k»^,^^^^^^^ state of the bonea. ''!»i«»» «»"f ^y; P'*;;"'f^^^ general reader an outline Tuatment.-h is impo88^ble o f^^'^^^^^^^^^^^^^^^ 'Z stages of this e,en. of the treatment ^^f^'l^'^lZlZ,hX disease should be complaint: ^^ ""f^^^/J^^Htr?^^^^^^^^^^^ by regu- nrevented or lessened ^y Y^njoWme food, keeping the bowels open, lar exercise, healthy air, goou i . . D_..;cularly to the nock and early rising "^ f ["8 J" *^"t rntThe S and by afoiding extremities, (-o»f ^^-^^"bVexpo'ure: ^'^^^^^ and all Article, of cold and damp «'^ "'f "j "^ or are indiuestible or innulritib^^^ food that disagree with the stomach, or are '"«^*'«"° ^ ^o a hard The external applicttions vary w, h J^^l^d or a^po^tice made by r^bo^breaT' At:S^^^^^ been proposed to promote the nU sorption ; viz : Take HyJriodate of Potaw Spermaceti Ointment \ drachm ; 1^ ounce ; Mix ; rub a piece the size of a nutmeg over the pari ever, night and morn. %hen abscesses have broken, they f t^.^^/^^^^^^^ a .iacoctionof hemlock, ""^ ?'««"* jtimewIterVuW^^^^^ re- » drachm of calomel and half apin ^J^'^J^^y- .„ ^ ma of tbediiase lax the wounds and keep up the discbarge. For other lora« oi ^Trelltttt'X-ally beadvan^^^^^^^ and ishigWy reccotn- mended by Sir Astley Cooper is the foUowmg : Take Tincture of Rhubarb, and l ounce; Tincture of Bark, of ench l grain i, Osy muriate of QuickBilver Mix.; one tea-spoonful ^o ^e taken three times a day. ^i„e .. a TbelWh have lately •»';j^««i,\'*,,ten ^^ ''"^ '* rt g?rn ;rXr ce^e »aU^ -d should b, conUnued HOMl the symptoms of the diae^^ae got tbetter. » .,^-^e l)nMi:!TIC PUYilCIAX lU ren, b«! 1 ginooili cions are ■ge belly* nent are the neck. 388. break edt leave 8, produ- swelling> oes rotten an outline gesof thici should be ; by regu- wels open. B nock and by avoiding arliclei of Iritibus. To a hard ce made by g it with ft lOte the th. raehm > tunce ; htand morn- :e a day vritb compcsed of generally re- ^i the disease gWy reccom* iince; rain ^ Vie wine as a rom it ; but it I be continued sct'Rvy; This is a disease of sailors, arising principally from want of fresh vece. tables and wholesome food. The symptoms are, debility, low spirils. oBensive breath, sallow bloated countenance, tender and spongy cums, •wellmg of the legs, purple spois and ulcers on various parts of the body, oieedinj from the mouth and nose, and contraction of the joints. Treatment.— The diet should consist of plenty of fresii vegetables and herbs, with a suitable quantity of good roasted beef and mutton. Orancea should be eaten freely, and acid fruits of every kind that can be procured I be common drmk should be acidulated with lemon juice, and vmei.ar and other vegetable acids used liberally. Spruca beer, infusion of malt sweet wort, water sweetened greatly with treacle, should bo drunk freely* Dis- ijolye an ounce of nitre in a quart of vinegar, and take a tea-cupful or moro daily ; the sores may be washed with the same. The /onrf scurvy (which is an improper term) is an eruptive disease of the skm. A great variety of these cutaneous eruptions are confounded un. der the name of " scorbutic :" they most commonly arise from a defective state of the digestive organs, and the cure therefore consists in clear- ing the stomach and bowels, and preserving their functions regular, in a strict t^ntion to diet and exercise in the open air ; in fact, the direction for treating Indigestion is the best guide in curing these scorbutic erup. lions, *^ SIIINGLF.5, Apply house leek and cream, or camphorated spirit of wine, or a lotion •mposedof white vitriol, and sugar of lead, of each, a scruple ; rose.*ater, ilfa oint. Take n cnnMna mimA nFV.nmn.n onim ...j .v.. :. . j . composed w. .....,», .....u,, bhu ouga. ui icau, ui tiBcn, u scrupie ; rt half a pint. Take a cooling purge of Epsom salts and magnesia ; and ten or fifteen drops of antimonial wine, in a liiile gruel, or wine whey, three or four times a day. 9IMPLF. CONTIHUED PEVF.R. This fever is more frequent in this country than any other, and is cbarac* terized by shivering, followed by heat, flushed counlenanoe, rednes.s of the eyes and skin, quick pulse, nain in the head and back, aching of the limbs, white and dry tongue, th , , cohea the small pox is vor,Jluf.nl-thit is, the pustules are so numerous nf !Vrj "T^"*"' »''««yn'P»o«»s are more violent, and others arise ot a dangerous tendency. Treatment-. As soon as it is known by the symptoms, that small pox is approaching, give a purgative of two or three grains of calomel, and eight or ten of rhubarb, expose the patient to free air. let him be lightly cjothed and covered ; his food should be entirely of vegetables and fruit ; and his drink, co/rf acid l«quors. as apple-tea, lemonade. &c.. or cold water. n the fever be high, blood should be taken from the arm. The purcative may be given every third day, and a cup of cold barley-water, with six or eight grains of nitre, and as many drops of antimonial wine (a proportion- ably larger dose for an adult) every five or six hours. The patieht should not keep his bed norremainin the house, ifbeisable to leave it, but should l) hlTl' I ^'T"^.i '°"'. '"*' ^""P"'^^ ^'■^^'y '° '»•« «?«» «*••' whether at home or abroad. When ihe pustules are full, (the turning of the pock as It IS called.) the usual diet may be allowed, and a little wine added, and tules with a needle to let out the matter, keeping the skin quite clean by washing It with rnilk and v^ater, or to anoint them with a little spermaceti ointrnent, which helps to prevent their pitting the skin. This is the plan to be observed in a mild attack of small pox. The follovving methods must be observed in unfavourable cases': if convulsions occur prcr.o«s to the appearance of the eruptioii; it is by no means unfavourable, but if they take place afterwards, and recur fre' qiiently hve drops of laudanum or more, according to the age of the child, shou d be given. If the eruption does not come out prtperly. the feet should be put into ,warm water. Where the eruption is tery numerous. arid the patient very much loaded and oppressed, the diet must be nutritive, wme whey allowed, and a tablespobnfnl of decoction of bark, with halfthe quantity of spirit of mmdererus, admininigtored three or four times d^i!^ = and after a few days, the bark and wine may be given more freely, and the diet be rendered still more generooe. If there is much sore throat, fomi. UOMBSTIC PIIV8ICI.VX. tM jjato it with the steams of hot vinegar. If the eruption strikes in. wine must he a! owed ; muatard poultices applied to the feet, and blisters to tie i eerv'lhTee'ru^ '"'""'' of ammonia, in can.phor julep. .dmini,te?e'd Xr their, V °uT °K "«''' d'"P^«'^«''' ^"lati'« i" a little wine Tri fillini -f L °"''^ " '° ^^ P"' '"'^ * ""'™ *»»"•• While the pustules «^„f 1*^' '^^l''^ pat.ent ,9 very restless and sleepless, two or three (ea- spoonfal. of the syrup of white popples should be given at bed trmc )o. 1. urn with restlessness and difficulty of breathing, coming on when ( "o disorder., a us height, requires tb.t the legs should be put into warn, Whr?h''''T*PP'''^'** '''f"""' ""^ '"g"- Vomitiog^hould bo ufelafn l«rvf 'I'^f""? ^T^^'' . ^"'Sinff must not be checked unless ■pooniui or thopotagrenate mixture recomnaended at p. 06. U the fever Z rZf " f appearance of the eruption, let it be^reated by open " the bowels and the other means advised for simple fever, p. ill ^ ^ dav 1"h i '""'7 ''^ """" "'""•''* ^^ •"•'«" "^°"» »''° «e*«n'l' or eighth wifh a .Lh.T "^ consequence from what subject, whether young or old. inocnl!?i K uT"^ """I' "' " «"§"»'" " ""y ''»»'«'• 1 ^e person to ho riu I""'** ^^^'T'l '''" "" P"'''''"g«' P^"«'- ««g°' milk. rice, fruits vegetables. &c, and drmk only tea. coffee. chocolate.%nd to. t and wa er t^rLf^^,^r: ''''°r' ""'' ^"''P' -^^"''1 ^'^ •»''«". «°d repeated everi third day, until three doses have been administered and the inocuS t°e the ^h'^f/"""'^ '^'/'', *"^^ '^' '"' *"^«- W*'^" 'his has been do e" giTe thechdd a gram of calomel with 6ve grains of chalk every nieht and rnornrng for seven days (giving once in the time « purge of j«lap^an7c earn of tartar,) at the end of which period the erupUon appears ; theS keep th^ E h«"i°'^'^T* '"^ ''''' *""• " recommended";ornat'urar8nXox After the disease has termmated its periods, the course of three purgatives may be given as before the inoculation. rg«""es nor i® ^Ta -T""^ ?'°°'^' ''''°"'** "«' ^^ '^^""e." <<"■ the time of inpculation nor should it be performed upon infants under two years q!d. ^ '"""'• in .-"*"»«[*•-" ra«"' be understood that all the specified doses of medicine -hi .K ^°'t''"'?'" '*^r/° '^''"•*'«° : "'^y """^t therefore be increaaej when the subject is an adult. i"v,iBB8ea , SyONE IN THE KIDNIES AND BLADDKn. «;,lT *'" '** *'"'5L*^'~'^''f ?y"'H ■'"'s are, pain in the loins, tenderness Cilfrr'' ?'^''°««« ff the bowels between the loins and the navel, frequent inchnatuin to makfe water, the urine frequently of a dark colmir frorn oeing mixed with blood, the stomachjMdetimes affected witl's ck. ness and stooping is attended with inc^pTence and pain. The treat- raent„e,iessary may bo learnt by^,^<.|»||?bnce to the article Gravel, p. 64, accortling to which the^yihptoma may be lessened or mitiga ed. Nocure can be affected^ JMj'&bdicine. ^ Stone in the BladUerf^The symptoms of stone ir *'^e bladder are. nain at he extrem«ty \,f the passage, sometimes as vi as the cutting of ISth hS*"*' •''n®"Vf '"l*.''^'! *** '"^''« ''^ter, wnicb is often mixea Vith blood, especially if the bladdc^ has been irritated by any great ex. % \ f ni n.iH»;«Ti«; mivhiciav. .ThonF. such us ruliii. on fcorsebock or in a rough carria«i.. &c fn ...ak.n. w.ter the pat.ent i. obliged to stoop the budy forward., to be n3 II.. ar.„« and legs, and support his head upon aomctlung before k ra | J, act .H auended ^ah groat pain, and the stream of urine is suddenU^itop I'.)d, and no more at that t.me can bo voided except in drops ThMo u e Hpn.ptom- that cannot be mistake.. The treatment of sLe inZ bladder resolves .iself ,nto two kinds, the one the removal of the stone bv ffVCr,; '''r't^V" '"'"" »'"' P*'"'"'*' '"•»*"•>" occasioned by if- the latter only of which is. our province to consider. ^ ' Ihe irritability of the bladder may be lesbene«: by half a drachm of the dried subcarbonate of soda being taken in a cup of decoction oHceland Wni ,7^""; '"""'* •^''y' ""^y «'''^'"« a^tea-spoonfd of the fi lowing, night and morning, or oftener : f "i uie lot Take Liquor ofPotaih L&udanum 6 drachm* ; ^ drachma ; Mix ; take 25 drops in a wine-glassful of almond milk, or of an infusion niade with tkec drachms of the dried leaves of bear's whortJoberrvin «omtothe warm bath, and two drachms of laudanum, in ha f a rJnt if thin starch, maybe used as a glyater, or injected into\heSadde?wit^^^ Reed s syringe and catheter. Persons with stone should live upon a^im uUeJZZ 7ar' and fermented liquors, drinking nothin^utr tnol nPi f?'** *»»«'" PJOPW at all times. Thire are no mean; known of dissolvmg a stone while in the body. STBANOPARY. ^ Heat, pain, and difficulty in making water arises from a variety ofcau scs, most of which have been already considflrpH w»,o„ ;. •' °'f *'^* the application of a blister, or fromlxces 1"^^^^^^^ drink copiously of barley-water, linseed tea. &crcontaiS « ounca of gnm arable to each quart, ^-wuiammg an ounce STVES, Cover the eye with « soft bread and milk pouUice, and when the httl« white speck has burst, gently press out the content^ of the tumour f inW TT '»^*J«»»«'''«d' toMch it with a camel's hair pendl dhiDed n 0.1 of vitriol, and then apply goulard water until the redneL and si^i hog disappears. A 4o8e or twp of opening medicine ahodd bp uTet SUN-BURNS OR FRECKI.ES. Use the juice of lemons mixed with suear and borax • or th» i.,;p« «i« Mix. Take Carbdnato of Potaah j-«uii ef Bitter Ahnonda Oil of Sassafras To be applied two or |hi:fe tines a day. so ftaiaa; 3 ooBoea; 3 (irppa; •-\ iK-/>*' %' ■^^ •OMKSXIC fMVIICUN. 115 •WCLLKD TMTICLI. Api.ly ieechei to Uie part, and aflerwarda keep it cool wltl. the follow- ing lotion : Take SpiriU of Win* Wate- Ti iiiiiic in SIC ,, '« lookcj on as « tornT! "^^"" *^""nj? the „roL« ^"""■'' ""d bow- I'fd accorcii,,;, ,o illLZ'T^^^^''' '^'"c'. must ^r "''I'«'»'-anco prescribe,!. Acidif; ? .k ' t' '"""'•' '^''h tinc^u A K ?"*=°"'Panie3. ''^ --'' -y bo w/a,ed freqanu, with the r „ """' Tuko Barley Wator ' ^"""^'"^ S'^Si^ : Mix. Tafco Barley Wator Houey of Roao, Vinegar 1'incture of Myrrh ** ounce* J * ouno ; 1 ounce ; * ounce ; -;•;• ' uunce ; '9 thraf>^) ofinP„«. I .. ' ounce: lake vf >.„«•>;. Take M,,rneBia ^Jiuclanum Si* firnune • J ounce; J ounce ; *5 drops; %»• t ounce ; , '* ; a tea-spoonful tn ho ♦„! ** drops; ^ WC I>010y5g^^ • -. i." been .„eee„E ?^^^f ^ j^ 'ii:;^. of l^ fc™^ TOOTK'ACiiB X -i-ov wiin Epsoni salts —J - ''^^ <** and senqa, nflamm out L. "'««""nafion ; pit Jeeches on the side in this ofth« ' I'i yhon 3d or indi* iow- e, it inco ap- ied. ally (Jo- ^P. I VOMISTIC fllTSIC-IAN. 117 face, allcruards hot fomcntotions, riibUic akin wilh strong hartshorn ami oil, or apply a blister, aud hold cold water in ihc mouth. I'ursevero with this plan daily. If the tooth be decayed, (ill it with a tent wotted with m>' the followin!: Tako CampJiir, nnJ Oil <>f Ar:ni^oOi1i, of each, iViuiutic A"ii Upii^ni Oil "lde rt »dv,8.d for putrid fever. MedTcinei in n' '^ *'^"''°" ""^ ^^ "»ed7.J adniistered, as the following'" *° P'O'note perspiration must L. Take Carbonate of Ammonia ArcTiatic Confection t'jnnanii,n Water 'i'incture ofColumba 20 graini ; iO grains ; 1 ounce; 1 drachm ; IWiv r J oraciim ; n.ty U,e,, „,„„ „„„ ,,^ aflowid, Uom hdf .'^"IT';* B"«" "••%- =■•"*"■'""' "<"^"-"' '• '». ••<' •i.^SloJInTJ.r.l.iS Take Inf„s,on of Cascarilla Carbonate of A,amon/a -inctureofS«ake.root J pint ; SO grains ; i ounce ; Every other day is often enouJ, .„ 1' ""'^.^^P^ *«' with cold wX «^'ould he well ciea„«ed wh^^L walc"''' '^' ''''"'"«' ^'^^^ ^^-^ Art / VAWcoai VHN8. er - . -a- »,e aa=.staiK;t; oi a surgeon. fill/barb used, sir nust ba e> and ry four water, mild sordflr malig* 1 wHth iicine uius< take :eof chin »t€r. ver. tirtc Ihat em to ind er, nd er. ut I •oilBSTie PTITtlCIAN. WAHT8. 119 Voiiiig people MO very liable to thesoexcresccnces ; they are an cxti berant growth of the skin. If they will admit ofit, a silk thread should bo tied as tightly found them as can be borne, und they will soon fall oti; when thu spot should be touched every day or two with a bit uf lunar caustic. Or they may be cut off with a pair scissors, and treated in a similar tnanncr. Where they cannot be removed in this way, the warl« should be moistened now and then with a little aromatic vinngar, or tho juice of celandine. Those bluish warts that occur on the face, lips, and t yclids, should not be touched. WATKRY HXAD. This disoaso is almost peculiar to children, seldom occurring after twelve or fourteen years of age : it is characterised by lassitude, heavi- neas, pain in the head, intolerance of light, costiveness, bickness, and, as it increases, starting in the sleep, screaming, convulsions, squinting, enlargement of the pupil of the eye, stupor, and death. Treatment. — Bleeding, leeches to the temples, cupping between the shoulders, a blister over the whole of the head, keeping it open by dress- ing it with skvine ointment, purging by two or three grains of calomel, eight of jalap, and twenty of cream of tartar ; and repeated every other day, or oflener if necessary ; giving eight or ten drops of the tincture of Oigitalis three times a day. This is the treatment necessary to subdue the inflammatory action of the first stage ; in the next stage, the water in or on the brain should be removed by the following plan. Rub a scru- ple of strong mercurial ointment into the skin of the inside of the thighs every night and morning, until the signsof mercury appear, and adminis- ter ten grains of magnesia, two grains of the blue pill, and three drops of ladanum in a little jelly, three times a day : purge the bowels occa- sionally, and support the strength with beef broth, arrow-root, wine, and other similar articles. f WAtEH BRA80. Symptoms. — Heat and pain at the pit of the stomach, belching, and a discharge of a thin watery fluid resembling saliva, which flows from the stomach, gullet, throat, and mouth, in considerable quantities. It occurs frequently in Ireland and Scotland, and has been supposed to arise from the immoderate use of potatoes, or oatmeal, with whishey. Treatment — The spasms to be relieved by taking thirty or forty drops of laudanum, and smoking or chewing tobacco ; and the disordered state of the stomach corrected by the following means. Clear thd stomach by an emetic of ipecacuanha, and take in the following pills : TakeOzyde of Bismuth Aromatic Conr*ction 3 drachm«; 1 drachm ; Mix, and divide into 18 pills ; the doao of which is two pills, tlircc timet ( ;f }J DOMXSTW PBVMCIAX a day, fuJlowcd by a wine-elassfnl nf Jr.r.. • of liquor of potash. A pC 11 /?r" °'^«^»'i»" »vi(h twenty droDs ^vine and splits abando^d InTZutLirSlLf'"'' '/ '^'^^ ^"^'^ S^' a p..,er state oft,. stot^aclTnl C^ rd^SedtlnT W£ANI.\G BBASn. into the warm bath twice a week 3 ni- ■ '*^ '^"'^y daily and put it WHITES. ^^wJi^^rSStS'^et^ilJ'S^^^^ 'han neatness, let Che ant.a.on,aI powder every night at bed-t me IS'""!'' '^"^ ^""' «' S^e of jaU. in the .norning. or a quantity suffi^t to o^^:.^"^"' °^^>«'« da> . J en grains of nitre, and t wentvVrainV^r P®" ^^^ '"»«'els twice a taicenaJsom a tea- spoonful of guTw! S tl--^^^^ following injection be used very frenueS n- ® .'""*■ » ''ay- i^et the jn a p,„t of boiling water, andltSTSn add'ti"/ t*^^" "^ «Pi"n> lead. Observe regular hours, take nrnn^ "''"''^'ns of sugar of liquors a„d spices. Married Lales SmS"''"'' ""^^ «*'°'d senna. If this olan da^ purgative of calomel and alap should be taken twice a week to bring away the dead worms. Or turpenlhie mav be taken in the following manner : "•p'-uiuie may Take SpiriU of Turpentine PowdereJ Gum Arabic, and Lump Sugar, of each. Cinnamon Water i ounce; > I ounce; 4 ounces; Jlif !i^ ?"" ".^^''^ *"i ""«" '*'''' ^^"^ cinnamon-water, and add eradu- ally the turpentine. Two table-spoonfuls for children under ten or iSda'y!"' ' ''''' '"" ' '"' ' "'^'P°^« ' ^°«« of castor'oii'ever; For the tape worm, large doses of the oil of turpentine should be ad ministered ; a female may take an ounce ; a man an ounce and a half ^'::?^£ JK i^:^Sgtit!rt;oi^y '- -'- ^-^^ *' or camphor, asafoetida, liver of sulphur, common saUVenirr.!?^ ' (two drachms to a pint;) cowage%alV a Ta't^t I'S'STn' gruel, and afterwards a purge to bring them away '^ ' " To prevent worms, children ought not to be allowed to eat trash but preveltas well'a^rVmove iorms """ ° "''"' ^"' "^ "^^"" ' '^'^ '^'^ 4 'ft'-- J 100 1 'W DOMKSTIC PUYSICIAK, TONIC AND DIGESTIVE WINE. fi I have recommended this medicine in several diseases throughout this treatise, because, from examining its principles, and taking it myself, I feel so far warranted ; nor is it because it is a patent medicine I think the Jess of it. I unequivocally assert, that it is the greatest benefit and use yet introduced into medicine. The inventor is an ingenious French- man, who has liad great difficulties in forwarding his views ; but now is patronised by the regular practitioners of the Continent, and is usually sold by the patent medicine venders of this country. A \ "^ out elf, ink ind ch- f is illy NOTi:S. jllioriion or Miscarriage, p. 1". Inannot concur in tho propriety of recommnnding any other mcastirp to a fti.nali« apprehensive of miscarriage, than sending;, wit/imt i/i/nj/, i'or Iier medical nrivispr. In no situation in life is the loss of a few moments, or the adoption of an ineflicient, or erroneous plan of treatment more likely to be atten Isd with nonsoquenccs tho most disostifous— consequences, involving not merely the loss of tho embryo, but the per. manent misery, perhaps the death of the moti;er. Tlie most common pymptom ot abor- tion is hemorrhage fromthe womb, aa occurrence which can never lie regarded with indifference, and which calls for the prompt and eiSicicnt exertion of the most ample resourees of the physician. Early and judicious means will frequently check this dis- charge, and altogether prevent miscarriage ; and where they fail to cfl'oct this object they will in most cases save the life of the suffurin^r woman. There is onn circum- Btance of great importance to which it is proper to advert in this place, and it Ibrnm an additional argument in favour of a speedy application to a physician. 'J'he danger of abortion's taking place, is never to be estimated by the pettinacity and extent of the flooding, as it is a fact well known to accoucheurs, that a very copious heiiiorr. hago is sometimes not followed by the loss of tho foetus, while one much less in quan- tity and without any threatening aspect will eventuate in it. Pain is a far more certain guide in making up an opinion. Where difficulties thus surrounds the subject, ran- dering it one of great nicety even to the most expert practitioner, and not without danger to his reputation and success, will any husband or father consent to risk the life of a female through an illusory hope of procuring relief without the aid ofiredioal advice ? Nor should the advice of one physician alone bo always relied on. Dr. B.ird has properly ob«erved that «' the real danger and circumstances of alarm and terror which frequently accompany these cases, are such as to call for all our exrerience ; for calm reflection, and steady resolution ; dnd they, above all others, are tho cases in which the most experienced practitioner will ahvavB wish, and the young and inexperienced, always should require, the aid and consolation to be derived from consultation." One word with respect to the employment of midwives. It may not perhaps be generally known that the bills of mortality in London and Dublin establisii the important fact, that one in seventy of those women perish in childbirth whe trust themselves to female practitioners, while not half that number suffer of tliose who are attended by males. And how can it well be otherwise ? Without a knowledge oi' anatomy, or of the very principles of the art she professes to practice, devested, loo, by nature of that moral etrer^h and resolution, tlie utmost exertion of which will scarcely suffice to meet the dangers which press on every side, how can an uneducated female hope to conduct a diflicult labour with safety and success 7 j^poplexy. p. 18. >•■ General blood-letting should be always preferred in the first Instance to local, and it should be continued until decided eflbcts are percep'iblo on the bysteni. Bleeding from the Nose. p. 23. In a very interesting case of this affection, communicated by the late T)r. Jamea Kent Piatt, to his friend Professor J. B. Beck, of tliif city, and which threatenod ta terminate fatally, the affusion of cold water, by paib.ul over the head and shouUers, proved almost immediately successful. /4 ^ •B|^« "iJi^-.MHv ify ?■ J* 124 Btenling from tUe Lungs. .trTlm,f„"fh* 7""^'. l^^ycoF" Virginicus.) hw iKjen Mxdxc^^i\ne\y useful in re •training thio formidable afjecl on. Arter all febrile cxcitempin ».»« k„ » u . . .nfusion of this plant prepared by digesting one oiLe "ur at^rd itt'a .cribed pretty extensively in tho New-Vork State prison, and wiSVe'ry btE Burns, p. 29- hooping Cough, p. 67. intKH/admi—faccination. p. 113. fh^?«S,"^7."/i,r:;l'l"'''''''•I■,'''°7 '•''?'"'''■ ■■<"■ •-JV.ecin.ti.n for tive merits of i..oSon of^hrsmln nnTaf ? of the question respecting the reU. few words. '^^ '*"''" "» the small pox and vaccination. This may be done in a i •*»" X-' v--, or. i ' 3,1 t«dan(3 undinputcd, until within | very low ypars, wlion the varioloid, or modified smnll pox, rnade Its appeararjco, ^A renewed the clamours ofthe preiduiced ami the "cepnc, agamst the Jenncriart antrtlote. No sooner was it diBcverod that .mail pnx, though in a modified form, could possibly occur after vaccination, than all the hithert.1 acknowledged virtues of this process in guar, ling the system against the ravages of small pox were brought mlo disrepute, and many were precipitately led to conclude that they md an been an idle dream-a tissue of misrepresentations, which could not withstanJ T. T"^! ?."■ i'"" *"^ ««Pe"ence. But does the occurrence of the varioloid in- deed lead to lais inference, or toany inferehce that is decisively and conclusively con. tradictory of the benefits to be derived from vaccination ? In order to reply to this nues. hi- r""! "^7'"'^'"*^^"•"'*''''-^*"»^ '"*'''»"'""«»" that is to destroy the fond hopes of deluded mankmd and overturn the glowing anticipations of one who ha« been almost canonized as the benefactor of the human race, whom we had all delighted to style the mu.iortal Jenner ? It is a mild form of pox, occurring occasionally !„ person* who have been previously vaccinated, and devested by that process of all the ^.- *.f *'"'P»»""«n|»."« the original afiecti.m, neither carrying dc.th nor defer- mity m its tram, not bemg fatal in one case out of a thousand, and very seldom lea- wZfh! T'f r • **'"«!"" "^ ft'w slight impressions on the skin. If this alone - 7ZIa of vaccination, ,t were surely one of the greatest blessings ever con- ferred on man by his provident Creator. This is not its only advantage : In sup. planting moculat.on for the small pox, it has removed one of Ihe greatest evils „Tn^.^r'-*" f'T? ""^Iwl'ioli has been very falsely deemeE on" if f kL ""^^ of punctures here reccommended will not add to the more decidedly in such acaseX oc^P^rwLtlon fe ^^/°°"''*''"!'°° «ympalhiso9 than undor coinmon circun^ stance. ^„"fl!i " T'l. '"^^T' P"",'''"' B'^'^*" '"'^«- eruption all over the bo HV n r * t" T •""°' '''' *"" observed a pretty copious and^:,co,iiI!g7;[w?orSel;s'"•'"'*°"'' '=''"''*'^«'' '^••'P"'^'' in creLent^c foLs. ^hlVm-v""" l''" '"'""'. "I '^ "l^^f^tion. the cliild should be in perfect health It rro cr L Mr T^ ?, I. r . ''^''^*"'. ''^ '"'"« °tl.er internal disorder. The most Poisons, p. 88. Sets e™t"S£„^ " »•»"•"" '^"'' -"S srr™t ;ss ^--x; c.«,. or poUo... rtich.Mb, boinj .b.oiU. In Tta'"';,"/,*™,^'^ 'f/iiirm. In addition to the means recommended in th* »<>,< '«t one be covered with" bo h P,.vi •• "1* °*''"with a pair of linen sheeU, during the day. On renTovin^ CO Und SSt t^e Th"'"^' '^' ^', "k1 ""'"'' ^-^^ P'''"'"^ '^^ "-'^«»- wSirfouni re^Hv traTid .1 H^".""ST'^'"***''y *"•"• '*'''« ^•""°» «obviou.. The linen lo ion rrhe cl l-i' ''^'^' atmosphere to all parts of the subjacent bed ; the «tm, inl,«J?r 1 ''""trary, as a non-conductor, prevented the bed from acquirine the ftoT^^irur'Tmi^X^ff'""^ r P'^'jy ''"*""''!."« »"« transmiSTofVeat ;w h r»l • "'*^"* ** inferred from this course of reasonintf. that flannel and dl|h^were .uperior to cotton ; and .o they undoubtedly would be w;re Tnotfor th^iJ of £ it"h£ZT°TT-"' *^'• frZ "'• '="*'"" ^ "''*"&«'' «"•» i" the course nnlLJ'^' •. • ' "'*!^''' immediately, but carefiilly dried, and then worn a«rain walk outVurL^nl mtn P'""''»Pf»to recommend parasols to those who are compelled to TposSe ^ ^^' ^*"* ^'"' '"'" '" '° "'"■'J "P"""" '° tl"' hctsun^ much rnr^ivlr^— remarks are necessary on this hearl It was formerly a very ffeneTaliv ZZL71ZI *J;i':""7""'^'««'"''"««^-''^P-''i'"' ^» put;iJitvinfflS h"A,"V wLtC t '^ '»>"' by stimulation and wasoSU'of^^^^^^^ P«"°'^' "'''^ther, whether it BtoS to i i?urre - VPf'>'»H''« "P'"'""" entertained in European closets I shall not now dSjositSs !o in^.„,!™T"' '"°«,'.»''«"'«dly different in these times, and the prevailing thS;:!JtroVt™lTdi^^^^^^^^^ ■r'^- >« sufficiently estaSlished ij ,,_,,_, . ' . prevsicnr. oiseases Etiiong new cnmers, ana &v the methods of f omTnorrVn''"'r'f^"'' ^l •» »'"''*'^"' incumhenton every person fre»Wy arriv^ trom a northern chmatc, to abate, rather than to increase the foVce of the ciriuIatSn, if- ^'■: ISO Ift^thli ifWh* <1oneVy mnam ofoeeuional laxttirei, wfrif«nmt drinki. ,..„ , ^iknnK UM ot antmAl fool nnd liquon, ttii.l a total abitinence from voluptuoui indul . Kencie., i here are •ituatiom, however, in which a ipare diet might prove inaalutarr, i refer to the low marshy oounlrios, where intermittents are prevaihnp. Here a ffemio tonin, as a glaw of wine and a cup of camomile tea will bo fctind hi»*• w»"« a few exceptiont, they atoover injurious, wh,n ripe. ine milk ot the coctmnut is a grateful and vthoJesome beverage. The lapotilla it alio fnendly toallttonstittttiona. b f • One of iho greatest obntaclea to the observance of the rulea of Hygiene on the tropics, 11 ine unbounded hospitality which thrown open its doors, and spread! its richly su|>. P'lea board to the ready appetite ofthewarmiy-welcomed stranger, which presses him 10 a gratification of his not very backward desires, and too frequently leaves him a prey to mistaken indulgence. Precedents are quoted ; and the host himself is adduced as an example of the impunity with which temperance may be offended in the burning c imes, But recollect that for one such precedent, there are hundreda ailent in their graves, that could a tale unfold ot severe penalty incurred for such offence, and per- haps the boasttul host himself might, if pressed, or conscience.atruck, ncknowledg» himself no ordinary sufferer, enjoyinf; life indeed, but at the annual coat of a bUioua nver, or the hemorrhoids, or a scirrhous liver. " By keeping the body quiet and cool within, as well as without, the first object of •ewoning in hot olimates will be attained ; whichis, to moderate the action of the solida, and to diminish the volume and density of tne fluids. Thus the serum of the blood ia neither heated nor rendered acrid; lees thirst is excited, and also less perspiration : by which nlea ns both the risk and the danger of checking per apiration suddenly, are obvf. Ateu* The choice of a residence is of some consequence. In a place where an epidemio prevails, a stranger should either not sleep ashore at all, or choose some lofty situation remote from the seat «f disease. A lofty and spacious house in a dry situation, well Ventilated, and not in ihe neighbourhood of stagnant waters nor filth, is particu!ulT desirable. An eminent physician says : «' Living in a irouce with lofty and spacious rooms, in a dry situation ; keepings within doors as much as possible during the middle of the day; never travelling on a full stomach, or when heated with wino ; avoiding the night air in general, but in particular after travelling much, or having been much exposed on the same day to the heat of the sun; never sitting down, or remaining in a current of air with wet linen on, or when much heated ; nor sufferincj the body to cool suddenly, by unbuttoning or throwing off the coat, or any other part of the dress ; never going out when it raina, and if by accident overtaken in it, to gpt as soon ns possible to bed, and remain thero an hour or two, first putting the feet in warm water, and drinking a basin or two ot warm tea ; pursuing soma amusement in vacant hours from business that is not fatiguing and does not agitate the mind ; going to bed, and rising at early hours ; taking much rest, for that ia necessary; sloeping as coolly as possible, but never upon a ground floor, if it can be avoided ; using gentle exercise early in the morning ; drinking but littlo wine, nnd that claret or madeira, but no spirituous liquors, nor punch, for acida are, in the end, destruction to the stomach ; eating light food of easy digestion, roasted in preference to boiled, and of whatever sort agrees best with the stomach, (for those countries have a great variety of luxuri'^s as well as nocesia. riesoflife;) using but little butter; vegetables well boiled ; fruits sparingly ; tea or coffee for breakfast ; avoiding suppers, with now and then a doso of salts, and making that day a dajr of abstinence, are the beat cautions and precepts I can give." Among the first effiicts of a warm climate, is the prickly heat, a most unmanage- able and torturing disease. There is pricking, itching, tingling altogether, nnd the worst of it is, these sensations are incessant, and intrude themselves on the lioursof Bleep but mostly on those of exercise. The only effectual met'iods of allaying them are light oloathing ; temperance, open bowels, and above all, keeping coo'. The cold bath has been denounced by the highest authorities, but without apparent cause. In broken down constitutions, or those affected with local disorganizations it may prove injurious, not otherwise. The tepid bath, although at first seems to increase the inf. feringa, aflerwtrdi very much mitiratea them. K •• ' ■ 110 Th* mzt tronblenme affeetion ii a ritUtad condition of tho biliary aMraOon, a» •Tineed by want of appatitt, foui tongue, lurdei on tlia teetli, anJ daranginient ia tha functiuni of the bowels. This iliould bo promptly Httended to. To forca tha ap. petit« by condiment! and atimulating beverugoa ia dangerous — too frequently fatal. Attend to the bowels : let one or two of the fuliuwiog pills ba takwn at bed tiur, and a dos« oi Epsom Ait in the morning ailar. Taku of Calomel Tartar Emetiu Compound Extract of Colocynth Oil uf Mint Milt into a mass, to be divided into twenty pills. SO grains; 8 grains; 1 drachm ; 5 drops i The tepid bath, and abstinence fren animal fond, will alio prove valuable ausili* ■ries. In recommending these measures, I would not by any means be undnr«tood to recommend a constant recourse to medicine, or n hildish foar oftlielesst uneasi> oass occurring in the feelings. Too much medicine mny du as much horm as too little. Discriminatinti 'becomes nocestiary in this, as in all the other concerns of life. And if there is any d^ubt, have reconrse to a physician. This is particularly requi- sita, in times of opidomir ditieaaes ; or if you are attuckedj suddenly by shivorings, ver Shadows, clouds and darknosa. There is a email tropioal insect which frequently attacks the feet and toes of new comers, and causes a most surprising sense of itching and irritation. The permanent inhabitants aio also subject to them , and many a lame subject owes his deformity to a neglect of the early means pioper to get rid of these smuU, but very troubiesomn animals They ara known by the name of chigiiet or chisert. They love dirty placet, and are generally round in the crevices between the bricks which compose the puve* menta of many apartments, especially in South America. They are about the size of a cheese-mite : they pierce the skin very insensibly, about the toe nails, and and insinuate themselves into the cutiB : tiiero they deposit their eggs, and are with them included in a bag, which increased to the size of a small bean ; it then is first perceived, causing much itching, and nn being examined, presents the appearance of a bluish tumour. If incautiously broken into, it is f lund to contain an innumerable ^luantity of little animalcule, if any one be lefl behind, it ia sufficient to create all the distress and trouble arising from the whole together. The negroes are, in general, well acquainted with the method of taking them out entire, which is done by tha point of a needle, without pieicin|r the bag, but removing it gradually and carefully from the BurrounJing ekin, and then drawing it out. The hole left ia filled wito tobacco ashes. The most proper season for visiting the West Indies, is the earlier months «f the year. The must unhealthy months are July, August, and September, when dead calms prevail, and the sun acts without abatument of his force from clouds or refresh* inz breesos. If rains are 'leavy during theso months, severe sickness is suie to follow. To those who are compelled to remain within the tropics during the sickly aeasuQ, a visit to the Spanish Main— say to the mountains of Cartccoso-will prov* betb agtoeabla and salutary. I t DISEASES OF THE TROPICS. i f Before proceedin;^ »o notice th© dueaaee of the tropiee in dettil, it it proper ♦• mention a circumatanea of some importance to be known by thoae who visit thos* regions, Allliough, as has been before ohserveJ in these pages, no precaution will, ia everj case, suffice to ward oft the attack of disease; though the temperate on manr occasions, to iail victinis alike \vith the intemperate, it ia norortheless a notorious and indisputahio fact, that tlie Frendi and Spanish do not sufier from the effects of t rest lenco in the tropics in tho same prnjwrtion as the Eng ish and North Americans. Thiit their exoinption is, in part, owing to constitutional causes, will not be denied l but this very coni^titutional safeguard lias been obtained by means which still continue to operate, and affjrJ additional protection from disease : These means are, a prudent, active, and temperate life. This is in general despised by tho Englishman and ths Anglo.American. Thev drink more wine and spirits, and consume more animal food, than the French, and these last more than the Spaniards ; and this is an excel, lent test by which to calculate the mortality of each. It is on tho same principle w« must explain the comparatively superior health which northern femoles enjoy ia those climates — their habits and occupations being so much leu exciting than thoi* «f the opposite cex. THE YELT.OW FEVER, OR CAUSUS OF THE TROPICS. Shfmpfomt.—WhcneyeT a stranger in the torrid zone experiences the least ehangv in his feeling of health, it is necessary that he be immediately on his guard. However slight such change may appear in the first instance, it is impossible to foresee the extent to which tho evil will reach ; and it is therefore imperatively necessary that the worst should be apprehended, and, as far as may be possible, guarded against. A, audden loss of strength and great restlessness, perhapj a slight chill, and a giddines* in the head, are the first symptoms which announce the invasion of this frightful disease. It not unfrequently happens, however, that a peison it seized suddenly, either at his meals, or during his sleep, with all the confirmed symptoms of tha aflectioB. Tiiese are a violent excitement in the whole system, great heat of akin, quickened circulation, sharp pains in the head, over the eyeball, down the spine, and extending thence along tho thighs to tho cclves of the legs, flushing of the face, red eyeballs, and beating of the arteries in the temple, tingling of the ears, great thirst, and white fur on the tongue. These are followed by sickness ot the stomach, and a ■ense of he^vinese amounting in many instances to pi-Sn, and burning at the pit of the stomach. Retching and vomiting soon succeed, nrst of the ordinary contents of the stomach, toon becoming darker coloured, and finally black matter, with a slate, eoloured sediment. The patient breathes heavily, aighs, and is very restless, finding no ease in any position in which he may lie. The bowels are bound, and the urine is scanty and very high coloured. This is the first stage and lasts from twenty-fonr to sixty hours. The second stage is that in which an apparent abatement of all the symptoms take* place, and seldom lasts longer than twelve or twenty hours. There is a deceitful calm ; but it is disturbed by the increased distress of tbe stomach. The pulse U not ■0 quick, nor the heat of the skin so great, and there is a tendency to dose ; but ths moment the patient falls asleep, he is awakened by the pain and retching. Now, after every effort at vomiting, a yellow tinge may be perceived about the angles of the mouth, anJ the neck mm breast. The countenance is very much distressed, and • dark dirty shade ia peresptible in it. The matter thrown up is dark, and every attsmpt to gratify the or^nt tnirat e' 'I •"» "''"««'' ""•I »J«ths dipped in cold vinew and r ♦K^VA"?'"'*'"'"^,^*'**" 'i Letleechea be applied to the pit ot the st^^ihT «i^djhe feet unmersed la very hot water. The following pilk w^ia then be aSS! Take of Calomel, gr. xxiv. Khubarb, gr. xxx. M- -.K • . ."Piumi gr. iv. ♦-"if " ^i^.r* '''*® ^^^' "'.!"" P''^° ^"'^ *>^' *hese Jet two ot three be takgn every two hours until lUoy operate. Their effect may be assisted by injeetione u beforZ «a or eight copioua evacuations nhould be procured within as many honxi. 1 ^l ),» 's^- '''^.4 :vr=i i. '4f¥' ,'^. 183. If the Bkin iH. very hot the cold affueion may be tried, it has often proved eneccful Tht ""'' *'"^V^« ?"''' ^.^•^'." " thrown upon tl:e naked body ehouH irgreat These means mnst be tried within the first stage, or they will be worBe than^ «„' :7:J\'^'^ ''''T «"^!-;:'^'»',t'- heat of Bkin iill be abaVd he thi s dinrisrd a general perspiration will break out, all the feelings of the pa lent will be acreeablv iTttfr^^" "tr"f ^'.r%y °*^" ''»« '« characteristically ra^ ^ ' If they fail in tlinr favorable effects, or have been rmi»f«,l il if ;« ♦„„ i . .i danger is very great. If the voiniting is verrurgent. t^ te at'^^^^^ keepdown medicine Calomel in small doees frequ;ntly repeated, eeches'bSter^ to the back and shoulJers. the bhie mercurial ointment frequently SS ^ver th" bowels and along the mner thighs muit be mainlv relied on A t»hU .n ''^o', " two of arroM-root will sit better on the stomacT han any olh"; artic e Sd" i \' » to be avoiJed If the third stage have come on, anY he pu e liegS to s nk itrong stiraulants. as wine, brandy, porter, cayenne pepper interna ly, a!fd cataplasmi eite nally are to be used. In those cases, in which thrre is little extLrieSment and the skin is cool and clammy, and the pulse small and weak tK niulinuS Jemii J.'"r '^^"•,"';'t'"°n «">d inability of retenUon in the atomaohrSuc! remodiea may however do la imaginary cotes. ""maou. ouca DYSENTERY. %wp^«««.— Although every one is familiar with the nature of this diieate fiitr persons, who have not been within the tropics will ba nr«n<,rA^ *,„«.!,».' • Lowlcdge of it acquired in northern climaC lit ^:Z\f^^:^M"^^Z the dysentery of hot climates. Sometimes, indeed, a aoUtary owe of unwS^^JI! wnty may be met with in the north, but it is seldom. ^ uncommou te. The most general symptoms of the disease are, a chill or rieor. followed bYmst h«a^ griping pam in the bowels, constant incUnation to ?o to s ool! buTthe attSS to effect a dejection is attended without success, and witrSeatDain nausea Tnd vomiting. After awhile, copious stools of pure blood or l?een water m «h'w^ J «ucousandchee«|.likecake., ofhorriblo ste'nch. and the^gri^ng ?nd 'tenirS SffmufhTtfi'naJ^^' gut protrudes sometimes, and cannot bo* returned. a"3 thii M roUef ^ "°"' "'"''" «°°"P»ny »»>« 'tato. but they affo," iai^Th^tl'ttt?"* '"'^ «?°""^.^ P°" ^'"^^ intemperance, foul camp, and jails or barrackB, checked perspiration, disordered bile. «"i« «»«u TrtattntnU^ln. a fuU-blooded northern man, bleeding is necessary. After this if the pam be very "evere, apply leeches to tho abdomen.^^arra f3ations &c If the atomach be foul, a brisk emetic of tartrate of antimnnT «„n..- i ■ anha. twenty grains, should be adminisle'Jr Cal^^SKeu' te'r^or"*^ Take of Calomel, gr. xxxvi. Ipecacuanha, Antimonial Powder, gr. xv. Opium, gr. vL Mix into nine pUli. Of those, let one be taken every two, four, or six t,<.n~ according to the urgency of the symptoms. After every Vecond^" a dose of cS It Tn'^'"'" "^'•'' n^''?'"^ ^ interposed, and a copious^ biliou, nati^f stool wK the consequence. Barley water, warm, or flaxseed tea, should U drunk freelV.Jd »'"*" ""l °^" ."'"'J : thai of adrainibloring calomel in twenty srain dose's frpn.TJ-'^i- xflpeated. This is perfectly safe; but it need not be resorlL iron orj&n" ? jon..^D„phoreUc, o, powerful sweating mtdiciaes, al*, .„cceedl„ W^ K '^..' ■&■ isi u y ADTICE TO PERSONS DRINKING COLD WATER I.V WARM WEATff .R. of ?;hrt{irhT;:"rnolTe.7 :^^^^^^^^^ water. In the country thia accideS rarX ffZ? "^J^'^t'"' ft"" drinki„g%„id drunk there is neror so extremely co]dor.^l^u\ ? '"' *!'""'' " ''"'* the water heated body, na it is in largo cSs whJ'rofce^Tn ^ ^'?'' "" t'^P'^ture of tho bio - and ,/ore injurious tl thTjfumIn "tcr '*' '' ""'" '"' ""^ P""^"' Currie. therefore, thafth-.so per„s who are thus Iffi^'^r?'- J '^'^''« ^*"> 'J'- in a state of deblHiy induced by the reloxfn! rZf r ^"^."^ '''■l''''"^ ""''J *'»'«' "« active labor ; and I believe with DrRu^htjfntTh "^ ^""^ '"'"*'""■ «'«' '^ti?"" f^om eed by ardent potations. Honcethe t Aatmen o? TH" * ""'"' "^ "''^^-"'ent inriu. rp^pfnrrcr'^" "^^^"« ---^^^ oTdi^^^^^^^^^^^^ .y the same affcctioB attacking theTxtremUes L VT'^""^ "f"""'" "'S*^" ' water wrapped round tho eiir«m,V:«. .. "ooomen, blankets dipiwd Jn very hot drinks .houlJ also b^ given If Tho'ati«n[?'''°f'''' f^"' "'• «=""««' f°'- VVaC the aJdition of the oilTf tuVpent Je fn S oSi;":' f^"'°'"' *^ """" '«'«"«J"» with tio»». If the patient is recoKj! ^d « somlirsZ:!^ ^ '^TV^ "^ '"J« " tion, give him hot gin toddy-rub ll.osu/fa^o 3 ^^!.^k'^P^"'' '""^* '^^°'» "haus. Uons. In all cases let the worn be cleared of tl«'i ^ *''u°'^u "P ^I'^nulating injec. to offer assistance, or witisfy a gaping cTrLtv °'"^" '^^'''^ """''"j' P"" "^U lo the second case>-that i)f ««»;><>.»...< per. and -tortorous breSi^f £ S "w^ur^hr!? V^' T^^'^cilctn. •bout the temple, and the hot skin-!l«t «L i P. [ ''• '''*' ^''''obbing of the arteries •rm, or, if it pleise theVurmon in"^ .hi • '^f"^' ^ '""^"^'^ ^''^out delay into th!^ «aae fits'shoufd .upor^Vo!)Tt "iuve iSecfir^^^^^ ^^' """ '"* " «»4e"'>u. jn made to th« head.^cauipla;™. of StaK^he c^^^^^^ ""'^ ''"" apflicatioil ii sonsible, powerful purgatives. extremities, and as soon as the patient .trl^gTisTu^re^ntfy'ttSXle^a SaS o'kt" ^- "''''-"^ " -» " occurrence of inflamation in a vita? or«n ^ Th. ^ .■ ^!°l^' ,'? '"'*^«'' ♦» "Aviate tha «>me time after and avoid a» eldUnglau'soa"^ ^^""""^ "'""''^ "'"' •« '"P* I""* fol ••nor the fatal example of ihoBoxvXrell^^^.Tr ^^^u'^^^ produce restraint in drinking a lI/qSitvTt it Z ""' t*"""' "" efficient to natnratfy AeaMAh.n let me advise to ^ ^ ''^"°" '"'''"' ^^e body iB;,ra/«.. wi't'hU'tt "Thi; °."'.ftt;t'aVor„%?rat'°r''""rr ™'-^- - 'o"«^'. the same time to the cold liquor &c ^ " "^ •""* '^"'^ '''» '»<'7. ""^ i'^part ilat n.:i in -XT^Sit'tr J^eam ^^IP" '' """'' "^^ "'^"'^-'^ ^o" waah your handa and face. prevruaTy to vou?3!iJiL' ''fL"",'?' ?' ^'P""!?. aiway. ^ t ^ X 198 {"tlEPARATIONS REFERRED TO IN THE PRECEDING PAOEfl. Jnfugion iff &n»—Ttke Camphor, half druchm : rub it first with 10 drops of Spirit of Wine, and then gradually weigh a pint of ^Vatcr and strain through linen. yimmoniacum Mijelure, — Take Gum Ammoniac, 2 drachms; Water, 1 pinti rub them together. Uriffiih,''* Mixture.— Take Powdered Myrrh, I drachm ; Sub-carbonato of Potash, 25 grains ; Rose Water, 7 and half ounuus ; Sulphate of Iron, 1 scruple— mil, and add ijpirit of Nutmeg, half ouncu; Lump Sugar, I drachm. AlmonJ E>uuUion,--ta.\i.a Almond Confection, 2 ounces ; Water, 1 pint— mix. Iiifuiim nf Rmfs. — Take Dried Red Uuscs, huif ounce ; Boiling Water, 8 and half ^ints; Llixer of Vitrul, 3 drachms; Lump Sugar, 1 and half ounce: pour the water on the roses and acid, and, after half an hour, strain it off, and dissolve the sugar. lufiiiun of l-'uxglnve, — Take Foxglove Leaves, dried, 1 drachm ; Boiling Water, 1 pint : let them stand for two hours ; then strain, and add half ounce of Spirit of Cin. namon. Compound Infttsivn of Gentiitn.—Take Gentian Root, and sliceJ dried Orange Peel, of each, 1 drachm ; fresh Lemon Peel, 2 drachms ; Boiling Water, three-quarter pint : let them stand for an hour, and strain. Infusion of Colimkn.—Takf' Columba Root, sliced, 1 drachm ; Boiling Water, half pint : let them stand for two hours, and strain. Infusion i\f Cntcarilla.—Tikii Cascarilla Darki bruised* half ounce ; Boiling Water, half pint': let them stand two hours, and strain. Decoction of Bnrk — Take Cinchona Bark, bruised, 1 ounce; Water, 1 pints boil Tor ten minutes, in a covered vessel, and strain. Decoction of Hroom Tupa. — Take ccmaion Broom Tops, I ounce; Water, 1 pint: boil to half a pint, and strain. Denic'ion of Juniper. — Take Juniper Berries, bruised, 2 ounces ; Water, 1 pint : boil for a few rainute<>, thei. set it by till it is told, and strain. Dtctction of helnitd lnoss. — lake Iceland Moss, 1 and half ounce ; Liquntico Root, 3 drachms ; Water, 1 ^uart : boil to a pint and half, and strain. Dtcaclion of Oak //(/r*.— Tako Oak Bark, bruised, 2 ounces ; Water, 3 pints ; boil it down to a pint, and stiuin. Tartar t'metic Ointment.^Taki Tartar Emetic, 3 drachms; Hogs.lard, loz. — mix. lifervescing D<-ausM — Take Salt of Tartar, 1 sCruple ; Mint Water, 1 ounce- mix ; then add, fresh Lemon juice, sweetened with sugar, 1 table.spoonful : to be taken in the act of effervescence. Domestic (Jli/ster.—TakG Olive Oil, and Treacle, of each a large table.spoonful) Salt, half ounce; Warm Water, I pint— mix. ■f^^' ■- A ZiXST or ARTIOliBS, if^ieh will be required in the Lure of those Disecm^ r.tuihcratcd in this Treatiit, Almond Confection Antimonial Wmo Aromatic Confection jElhcr Aniseeds Aromatic Vinegar Antimonial Powder Angelica Root Alum AIoiM AMfffitidt .\mraoniacum Vniseed Water ^gytian Honey Acetate of Potash Aven6 Root AmmoniaoumPlastei with Quicksilver Borax Bark Blister Pluter Blue PiU 3iirgundy Pitch iBuglo Leaves Butter of Aniimony. Barberries Bears' \V Lorlloberry Bitters. vcut Burnt tpongQ Briony lioot Blue Vitriol Balsam of Copaivi Bolo Armenian Balitem of Peru Bergamot 3istort Root Calibago ^:'oeda liarboiittlo of Potash Calomel CaRcnrilla Dark Columba Koci C halk, prepared Cinnamon VVdter Curbonata of Iroa ',';•? •^ 198 Camphor Carbonate of Ammo. Cauitic [nia Cream of Tartar Common Terpentine Chervil Leaves Cowage Castor Oil Cayenne Pepper Confection of Opium 'Cantharides A tJtSt OP ARtlCtSit GoularJ Water Green ClderOintment Gum Kino Guaiacum Honey of Roses Morseradish Hartshorn Hops Hyssop Hydriodate of Potass I Hogs-lard CompoundDecootionjHemlouk, powdered ofSarsaparilla Carbonate of Soda Compound Soap Lin. iment Camomile ^owera Charcoal Cit! 2n Ointment Compound Sulphur Ointment. Colchicuni, cr Mea- dow Saflror Conserve of fioses Coeulua ladicus Clary Leaves Compound i'illa of Aioes, with TAynb Dover's Powder Digitalis,o?Foxglove Diachylon Pill Wbtor Dried Cnrbon^.te cf Magnesia Soda Extract of Colocynth ootTapound Elixir of Vitriol I Aromatic Epsom Saltn Emotio Tri tar Miiraft (>/-~ Henbrirja White Poppy I Hops Gentian _^Wild Cncumbe. * oxglove.or Digitalis Frankincense Fotid Spirit of Am- monia Goulard Extract Glauber's Salts Ginger Gentian Root Galls Gum Arabic Galhanam Plaster, compound Gum Ammoniac G»rabonge QWlfes, Gnoi^^fnivni Ipecacuanha ludine Iceland Voss Java Pepper Jamte's Powder Lemons Laudanum Lunar Caustic Liquor of Potash Liver of Sulphur Linseed Meal Linseed Leor)ard*s Ban* Lint Lime Lime Water Lenitive Electuary Liqaor of Ammonia Logwood Lesser Centaury Mint Water .Muriatic Acid Mustard Myrrh Manna Manganese Mallow Roots Mercurial Omtment strong Nitre Nettle Leaves, dead Nitric Acid — |-Oxyde of Quick. silver Oil of— Vitrol Sassuiras Aniseeds Clove Turpentina Carraways Juniper Cinnamon Opium Oxyde of Bismuth 0«k Bark Oxymel of Squills Hedge Hyssop Opodeldoc Oxymel Olive Oil Oxymuriate of Quick silver Ox-gall Ointment of Nitrated Quicksilver Oxyde of Lime Ointment of Nitric Oxyde of Quick, silver Pearl Barley Pomegranate Bark Peruvian Bark Purslain Leaves Pennyroyal Water Poppy.heads Pure Potash Peach Leaves Plummer's Pill Peppermint Water Paregoric Prussip Acid Phosphate of LinM Phosphate of Soda Quince Seeda Quassia Chipa Rhubarb Rue Rose Leaves Rust of Iron Rose Water Rochelle Salta Roch Alum Red Precipitate Red Ointment of Quicksilver Spirit of Wine Senna Leaves Spirit of Mindererus Sugar Sal Ammoniac Spirit of Camphor Syrup of Poppies ——Mulberries Spirit of Turpentine Sal Polyohrest Salt of Hartshorn Snake Root Sticking Plaster Sugar of Lead Saltpetre Syrup of Buckthorn Spirit of Aniseeds Squills Syrup of Tolu Poppies Syrt^ ,ir ttfaifer Solution pf Arsenic Syrnpi^ple Sweet Oil Stramonium Spirits of Salt! Soap Plaster Suboxyphosphate of Iron Spermaceti Cerate Spirit of Rosemary Spearmint Solutionjof Ammonia Scammony Sweet Spirits of Nitr« Spirits of Lavender —^—Horseradish Savin Sulphate of Iron Spirit of Nutnieg Tincture o/-^ Bark Myrrh Columba Snake Rottt Valerian Senna, eccipound Castor Orange Peel Jilap Cinnamon com* pound Muriate of Iron Black Hollebor* Asafcetida Aloes Squills Aloes, compound Valerian, volatile ,c?Iron, Ammoniated Tartarised Antimony Tar Water Tartrate of Potash Tincture of Digitalis Cantharides Cardamoms Sulphur Sinnn Spirit ofCarraway Salt of Tartar . _ _ Sal VolaUlo OxyphosphateoflronlSttlpbate of Qaiaini Tormentil Root Treacle Tansey Valerian Root Venice Turpentina Soap Verdigris Volatile Mercurial Liniment Wormwood White Vitriol ■— >Preoipit«t« Ws.x Wake Robin Yollcw Basiliovik ——Wax '■'■»< Xesin. E 2.p§^ 184^5 e^vtvt