THE MEDICAL POCKET-BOOK; FOR THOSE WHO ARE, AND FOR ALL, WHO WISH, TO BE, PHYSICIANS.
ABORTION.
SYMPTOMS. Pain in the back, loins, and lower part of the belly; shiverings; a flux of blood from the womb; nausea, anxiety, palpitation of the heart, syncope, an opening and moisture of the os tincae. Most commonly happens between the second and fourth months of pregnancy, though it may occur later. It may be occasioned by frights, falls, strong emetics or cathartics, or by any violent commotion of body or mind.
TREATMENT. Bleeding is necessary if the pulse will bear it. The medicines should be of the tonic and sedative kind, as tinct. rosar. or decoct. cort. with tinct. theb. The body should be kept lax with clysters, or otherwise; the diet light broths, and the like; and the patient should be kept very still and quiet in bed.
If, nevertheless, abortion follow, discontinue the corroborants, and give spermaceti medicines with tinct. theb. &c. as after child-birth.
ABSCESS.
TREATMENT. Common abscesses may be treated by bringing them forward with proper cataplasms, and when ripe, opening, digesting, and cicatrizing. Avoid evacuations during the suppuration, unless inflammation require. See also Boil, Phlegmon, and Ulcer.
ABSORBENTS.
(Of acidity) Creta, magnesia, crabs eyes, coral, and all the testaceous powders; dose one scruple, or half a drachm several times in a day. Also in like manner, sal tart. or, absinth. v. gr. sal ammon. vol. v. gr. diluted.
AETHIOPS MINERAL.
Alterative, vermifuge; dose from one scruple to half a drachm. Twice a day.
AGARIC.
Outwardly applied stops haemorrhages; strewed on chancres, it sometimes drives them away.
AGUE.
SYMPTOMS. The fit begins with cold shiverings; a small quick pulse; pain in the back and head; nausea. To these succeed great heat and fever, which terminate in sweats. The urine during the fit, pale, clear, and without sediment; but in the interval, turbid, with a copious sediment of a reddish colour.
In the Quotidian Ague, the fit returns once in a day.
In the Tertian, every other day.
In the Quartan, the intermission is of two whole days.
TREATMENT. First give an emetic, and afterwards a gentle cathartic. If the intermissions are not regular, saline febrifuges should be administred till that objection is removed; then give the bark, in substance, one drachm, every two hours during the intermission, adding tinct. theb. or other astringent if it run off by stool. If the stomach will not bear the powder, give it in decoction, infusion, or the extract in pills. Pulv. fl. chamaem. chalybs. rad. serp. virg. elix. vitr. acid, or the like, may be added according to circumstances. The repetitions may be less frequent after the fit has been missed once or twice. Vitr. caerul. gr. ss. dissolved in one ounce of proof spirit, and given before the fit, had succeeded in some desperate cases.
ALKALINES.
Sal tart. sal. absinth. sal vol. ammon. sal c. c. vol. from v. gr. to one scruple. Sp. vol. am. sp. sal ammon. sp. C. C. from xv. drops to one drachm. See also Absorbents. To be given occasionally to destroy acidities in the stomach, &c.
ALLUM.
Astringent, from iv. gr. to half a scruple. Externally astringent and cooling.
ALOES.
Cathartic and anthelmintic from half a scruple to half a drachm. Emmenagogue from v. to x. gr. Twice a day. Externally applied Vulnerary.
ALTERATIVES.
See the preparations of mercury and antimony. Any medicine that works a cure gradually, by correcting the patient's habit of body, may be called an alterative.
ANASARCA.
See Dropsy.
ANEURISM. Or an enlargement of an Artery. (known by its pulsation.)
TREATMENT. Bleeding, and proper evacuations; with low spare diet. Lead may be bound down pretty tight on the part. If these fail, recourse must be had to the operation of tying it above and below the tumour.
ANGINA GANGRENOSA, Or putrid sore Throat.
SYMPTOMS. Giddiness in the head, alternate heat and cold, and at length, after some hours, constant great heat: sometimes vomiting or purging; pains in the head; eyes inflamed and watery, as in the measles; anxiety, faintness, sore throat, with florid colour; or else, a broad irregular spot, of a pale white colour surrounded with red. On the second or third day the face, neck, breast, and hands swelled, and as if erysipelatous; an efflorescence of many small red pimples sometimes appears on the arms and other parts. The throat sloughs, ulcerates, and is very painful. Offensive taste and delirium towards night.
TREATMENT. Avoid bleeding and evacuation, gentle sudorifics excepted; and purging should be checked. Give first a gentle emetic, then medicines with contrayerva and conf. cardiac; or decoction of bark. Gargle or rather syringe the throat with decoct. pect. cum rad. contray. to which, vinegar, myrrh, and honey of roses may be added. If the sloughs do not separate, touch them with a rag dipped in a mixture of mel. aegypt. one drachm, and two ounces of the preceding gargle; or gargle with water acidulated with sp. of salt. To restore the patient give bark and elix. vitrioli, with proper strengthening diet.
ANISEEDS.
Carminative from iv. gr. to xv. or in infusion to iv. ounces.
ANODYNES.
Opium crude or extract, from on fourth of a gr. to two gr. tinct. theb. from x. drops to xl. or more, syr. e mecon. from one drachm to half an ounce, elix. pareg. from xx. gr. to a drachm and a half, ther. andr. & cons. dam. from half a scruple to a drachm, philon. Lond. from half a scruple to half a drachm.
ANTHELMINTICS.
See Worms.
ST. ANTHONEY's FIRE.
See Erysipelas.
ANTIMONY prepared.
Alterative from v. gr. to half a drachm. Twice a day.
ANTISPASMODICS.
See Musk and its Julep. Opiates, and the nervous medicines.
APHTHAE.
See Thrush, and Fever Aphthose.
APOPLEXY.
SYMPTOMS. A sudden privation of sensation, and voluntary motion. The face red and bloated; the mouth commonly open; the pulse strong and quick, especially at first; respiration strong, and attended with snorting.
TREATMENT. Bleed freely, and apply cupping-glasses to the head, neck, or between the shoulders; strong clysters and cathartics; blisters should be applied to the back and legs, and sinapisms to the feet. Medicines of the warm nervous kind, as castor, valerian, camphire, assafoetida, and volatile salts, should frequently be administred.
Authors distinguish between a sanguineous and pituitous apoplexy: The first arising from a turgidness of the vessels of the brain; the last, from serous matter in the ventricles. In the latter case, emetics of the antimonial kind are serviceable, though often hurtful in the former, bleeding should also be prescribed with caution in the latter. A soft, mild, and opening regimen is prescribed for patients subject to the sanguineous, and a contrary one, with exercise, for such as are recovered from a pituitous apoplexy.
APPETITE Canine.
TREATMENT. If an acid in the stomach be the cause, vomit, and give testaceous powders, magnesia, or alcalis. If worms, give anthelmintics. If it be natural, or proceed from other causes, oils, fat meats, and broths, milk, and flour diet will be proper. Also opiates; smoaking tobacco is likewise of service.
APPETITE. Loss of.
TREATMENT If the stomach be foul, give a gentle emetic of ipecacuanha; and if necessary, a gentle cathartic also. If it proceed from relaxation, the bitters, chalybeates, or bark, with or without clix. vitriol. If acidity and wind abound, join sal absinth. with the bitters. Sena, rhubarb, tart. solubil. or other laxatives, may occasionally be employed if necessary.
ASCITES.
See Dropsy.
ASSAFOETIDA.
See Gum.
ASTHMA.
SYMPTOMS. A difficulty of breathing, attended with wheezing; it returns at intervals; is preceded by disinclination to motion, [Page 13] loss of appetite, oppression, flatulency, and frequent eructations. At length the cheeks become red, the eyes prominent, and there is such an anxiety and sense of suffocation, that the patient can only breathe in an erect posture, and can scarce speak or expectorate. If he happen to sleep he snores much; at the height of the fit is desirous of cool free air; sweats about the neck and forehead; coughs up a little frothy matter with great difficulty; no fever, pulse extremely small and weak; urine pale and copious; as the fit abates, an expectoration of mucus; the urine becomes higher coloured, and deposits a copious sediment.
TREATMENT. During the fit bleed, if age or weakness do not forbid; blister between the shoulders, or at the pit of the stomach; the body should be opened with gentle cathartics; then give the pectorals and expectorants, joined, if necessary, with antispasmodics and sedatives.
ASTRINGENTS.
Allum from iij. gr. to xij. pulv. e succin. c. from v. gr. to one scrup. tinct. rosar. from one ounce to two, elix. vitrioli acid. from x. drops to xx. vitriol. alb. from ij. gr. to v. colcothar. from iij. gr. to half a scruple, sacch. saturn. from one quarter of a gr. to one gr. See also Corroborants. For the bowels in purgings, &c. extr. lign. campech. from v. gr. to one scruple, alum, elect. e scord. from half a scruple to a drachm and a half, rhab. torrefact from v. gr. to xv. Ripe acid fruits, as currants, sloes, &c. are also good.
ATROPHY.
SYMPTOMS. A nervous consumption, or wasting of the body; without fever, or other hectic symptoms.
TREATMENT. This must be varied according to the cause. If the appetite and digestion be bad, give a gentle puke, and afterwards the bitters with steel. If scrophulous, the steel with bark. If worms be the cause, anthelmintics. If lues venerea, mercurials and decoct. sarsaparil. If hysterics or hypochondriacs, join chalybeates with pil. gummos, or other medicines of this class. If profuse evacuation, as fluor albus, the bark, chalybeate waters, sarsaparilla, and exercise. If attended with scurvy, the scorbutic juices, vegetable acids, and bark. If asthmatic symptoms appear, the squill preparations, or other pectorals and antispasmodics, and blisters. Diet, however, must assist medicine in the cure; which, where nothing forbids, should be of the soft, nutritive, and strengthening kind, and easy of digestion; as milk, calves feet, and other jellies, &c.
ATTENUANTS.
Alcalis (which see.) Chalybeates. See Flor. Mart. and Deobstruents, Mercurials, see Calomel, &c.
BALSAM of Capivi.
Corroborant, diuretic, from x. drops to xxx.
BALSAM of Guaiacum.
From xx. drops to one drachm, for rheumatic complaints, foulness of skin, gleets, &c.
BALSAM Lucatellus's.
From one scruple to a drachm, for dysenteries, or coughs.
BALSAM of Sulphur.
From iv. drops to one scruple, for coughs and asthmatic complaints.
BALSAM of Peru.
From iv. drops to xv. for nervous complaints and head-aches, gonorrhoeas, asthmas, &c.
BALSAM of Tolu.
From v. gr. to a scruple, for coughs, &c.
BALSAM Traumatic.
From x. drops to xxx. for inward wounds, bruises, or coughs; externally for cuts.
BARK.
Febrifuge, corroborant, stomachic, antiseptic, from one scruple to a drachm, several times in a day, decoction, or extract in proportion.
BARK of Pomegrantes.
Astringent, stomachic, in decoction, from one ounce to two, Frequently.
BARK of Lemons and Oranges.
Stomachic, in infusion, from one ounce to two. Twice a day.
BAULAUSTINE. Flowers.
Astringent, from half a scruple to half a drachm, or in docoction.
BEARING DOWN.
See Procidentia, and Prolapsus.
BENJAMIN.
From iv. gr. to xv. as a pectoral and asthmatic.
BITES and STINGS of venomous animals.
TREATMENT. To those of small insects, as gnats, bugs, wasps, &c. apply spt. C. C. milk, oil, honey, or vinegar; to that of the viper, its own fat, spt. C. C. or ol. amygd. foment, poultice, and bleed, if inflammation require; and give milk inwardly, with theriaca, sal C. C. or other antidote. For the rattlesnake's bite, give a spoonful or two of juice of plantain or horehound, and apply a tobacco leaf steeped in rum to the part.
BLADDER inflamed.
SYMPTOMS. Acute burning pain, and tension in the part; with fever, frequent inclination to go to stool, and constant desire to make water.
TREATMENT. As directed for kidneys inflamed.
BLEEDING external.
Apply the styptics mentioned under that word. Bleed at the arm, purge and give cooling medicines if necessary.
BLEEDING at the Nose.
TREAT as in Bleeding external; vinegar, or other styptic, may also be snuffed up the nostrils, or cotton plugs, dipped in them put up.
BLIGHT.
See Erysipelas.
BLOOD, Spitting of, or Hoemoptoe.
SYMPTOMS. A cough and short respiration attend. If the blood coughed up appear florid, liquid, and frothy, especially if the patient be consumptive, it argues a rupture of some vessel in the lungs; is attended with pain, if occasioned by a fall, or bruise.
TREATMENT. Bleeding, laxatives, and styptics; as tinct. rosar. tinct. styptic, allum, bark, bals. traumat. pulv. e succin. with nitre, and occasionally an opiate; the feet bathed in warm water; a slender cooling diet, and no exercise.
BLOOD, Vomiting of.
SYMPTOMS. There is no cough when the blood comes from the stomach; a sense of weight and oppression precede the vomiting; the stomach is often distended; the blood of a darker colour than in an haemoptoe.
TREATMENT. As in the preceding case; small doses of vitr. vitid. calcin. are efficacious in this, and also in a rupture of a vessel in the intestines, and a consequent discharge of blood by stool.
BOILS.
TREATMENT. They are to be ripened with proper poultices or cataplasms; opened, digested with basilicon, &c. and healed with cerat. epulot. or the like. If fungous flesh appear, take it down with red precipitate, or other proper escharotic. Alteratives and edulcorants, with corroborants, if necessary, should be given internally.
BORAX.
Emmenagogue, diuretic, from v. to x. gr. Externally to aphthae.
BREASTS inflamed.
SYMPTOMS. A few days after delivery the breasts sometimes feel uneasy, or painful, and swell, the milk stagnating.
TREATMENT. Gentle purges and cooling diaphoretics. Apply diachylum plaisters, or empl. saponac. warm cloths, or the like, to the parts, and to the axillae. If inflammation, foment and poultice with bread and milk. If supuration, continue to poultice, and let it break of itself; after which, digest with poultices or otherwise, and cicatrize.
If fever appear during the inflammation, treat it as directed for fever (milk.)
If the breasts are merely hard, fomentations, poultices, and oil rubbed over them, are best.
BRUISES.
See Contusions.
BUBO.
See Veneral Disease and Abscess.
BURNS.
See Scalds.
CACHEXY.
See Dropsy.
TREATMENT. Sal diureticus, squills, or other diuretics; chathartics; then chalybeates, bark, &c. with proper exercise.
CAELIAC PASSION.
SYMPTOMS. A purging or discharge of aliment indigested, and somewhat like chyle, with wasting of the body.
TREATMENT. An emetic; stomachic, binding and warm strengthing remedies; as bitters, spec. arom. philon. Lond. extr. lig. camp. opium, elect. e scord. creta, &c. with proper diet.
CALAMINE.
In collyriums for inflamed eyes; and in ointment as a cicatrizer.
CALAMUS.
Aromatic, from v. gr. to xv.
CALOMEL.
See Mercury.
CAMPHIRE.
Diaphoretic, diuretic, antispasmodic, from iij. gr. to half a drachm or more.
CANCER.
SYMPTOMS. A round unequal tumour, of a livid colour, surrounded with varicose vessels, and seated in the glandular parts of the body. Some cancers are fixed, others moveable; some pale, others red and inflamed; sometimes they remain harmless for years, at others they increase hastily; ulcerate, and discharge a foetid sanious ichor, and soon prove mortal.
TREATMENT. Bleeding; in case of inflammation, cooling laxatives; salt water, extract. cicutae, magnesia, soap or the like, in small doses as alteratives. Externally, apply lint only if the tumour break. Hemlock fomentations have been found serviceable, as hath also the herb called clivers. Calmness of mind and proper regimen must be observed; but extirpation with the knife, where it can be done, is the only certain remedy. For Cancer in the womb, see Womb.
CANTHARIDES.
Analeptic, diuretic, from half a gr. to two gr.
CARAWAYS.
Carminative, from iij. gr. to half a scruple, or in infusion.
CARDAMOMS.
Carminative, from iij. gr. to half a scruple.
CARDIALGIA.
See Heart-burn.
CARMINATIVES.
Sem. cardam, anisi and carui, from iij. gr. to half a drachm, Ol. carui, anisi, anethi, and juniperi, from one drop to iij. Philonium from half a scruple to one scruple. Spec. arom. from four gr. to half a scruple. Tinct. cardam, or aromat. from ten drops to one drachm.
CARUNCLES.
See Urine.
CARUS.
TREATMENT. As in the apoplexy, of which this is only a slighter degree.
CASTOR.
Nervous, antispasmodic, emmenagogue, from four gr. to a scruple.
CATARRH.
See Cough.
CATHARTICS.
Jalap from xv. gr. to half a drachm. Sal Glaub. from half an ounce to one ounce and a half. Aloes from half a scruple to one scruple. Pil. extract. colocynth. from one scruple to two. elect. e scam. from one drachm to two. Pulv. e scammon. c. from one scruple to two, Extract cath. from xv. gr. to half a drachm, Colocynth from halt a scruple to xxv. gr. Rhubarb from one scruple [...]o two. Infusion of senae from two ounces to four. Tinct sacrae, senae, and rhubarb from one ounce to three. Gamboge, and scammony from half a scruple to one scruple.
CEPHALICS.
Spt. lav. c. or spirit vol. arom. from ten drops to xl. aether a few drops, also externally to the temples. See Nervous, and Headach.
CHALK.
Absorbent, cardialgic from one scruple to one drachm.
CHALYBS. Prepared.
Deobstruent, tonic, from two gr. to half a scruple,
CHAMOMILE flowers.
Stomachic, corroborant, from v. gr. to one scruple, or in infusion.
CHICKEN-POX
See Pox.
CHILBLAINS.
If they are not broke, bathe them with sp. vin. camph. sp. terebinth, urine, brine, melted salt butter, or rub them with snow. If they break, dress them with warm digestives, and afterwards with cerat. epulotic.
CHILD-BIRTH.
If there be a profuse discharge of the lochia, give cooling medicines. If a puerperal or milk fever, treat them as under those articles. After delivery and the after birth, spermaceti, with gentle opiates; and if necessary, castor, or other uterine remedy.
CHINA Root.
Alterative, antivenereal, antiscorbutic, in decoction like sarsaparilla.
CHLOROSIS.
See Menses.
CHOLERA MORBUS.
SYMPTOMS. Violent vomiting and looseness, from bile abounding in the stomach and bowels; sharp pains, gripings, and flatulency; thirst, heat, anxiety, pulse quick and unequal; cold sweats, and at length syncope, and coldness in the extremities. Chiefly attacks young persons, and in the summer and autumn.
[Page 19]TREATMENT. Large and frequent draughts of chicken broth, to the quantity of a gallon or two; and clysters of the same should be continually injected. If the vomiting continue, give an infusion of oat bread, toasted brown, in water; afterwards cinnamon water, conf. card. elect. e scord. or the like, with tinct. theb. An emetic may be proper, as also ripe fruit, &c. See Colic bilious.
CINNABAR of Antimony.
Alterative, vermifuge, from iij. gr. to on e scruple.
CINNAMON.
Astringent, carminative, aromatic, from iij. gr. to half a scruple, or in infusion.
COLCOTHAR.
Astringent, styptic, corroborant, from iij. to viij. gr. Also externally to haemorrhages.
COLD and COUGH.
SYMPTOMS well known. In phlegmatic habits, the cough is moist, and in the hypochondriac and scorbutic, dry.
TREATMENT. Gentle and regular warmth; bleeding, if nothing forbid; and especially if a fever, or a pain in the breast, &c. arise. Oily, or spermaceti medicines, or other pectorals, with opiates. If costive, proper laxative, and if the stomach be loaded with phlegm, an emetic; where greasy medicine disagree, give pil. de styra [...]e, pulv. e trag. with squills, mucilag. cydonlozenges of liquorice, &c. Blisters are very efficacious, as are also gentle sudorific, repeatedly taken; with diluents and saline febrifuges, when the perspiration is obstructed, and fever appear.
COLIC, Bilious.
SYMPTOMS. An acute pain, and obstruction in the intestines; accompanied with a vomiting of yellow or greenish bile. A bitter taste in the mouth, with great heat. The pain sometimes fixed about the region of the navel, sometimes all over the abdomen, at other times shifting from one part to another. A pulsation and cold are likewise felt in the belly. Urine little or none. Frequently hoarseness, with thirst and fever. Most prevalent in summer.
TREATMENT. Bleed, and give an emetic, with a large quantity of inf. flor. ch. or the like, to work it off; then give cathartics (pills chiefly, or ol. ricini) with opium, and opening emollient clysters. If these fail, p [...]t the patient into the warm [Page 20] bath. If the vomiting continue, saline draughts with tinct. theb. Pills of half a gr. or a grain of crude opium are most powerful in removing pain and spasm; and enable the cathartics to take the better effect.
COLIC, Hysteric.
SYMPTOMS. This is a disease to which women of lax and gross habits, and of irritable dispositions chiefly are subject. It begins with violent pain in the region of the Stomach, mnch green and yellow matter is vomited, and great lowness of spirits succeeds; the pain goes off in a day or two, and frequently returns again in a few weeks with equal violence. Sometimes 'tis attended with jaundice, which in a few days goes off.
TREATMENT. Avoid bleeding and purging, unless plethora or costiveness indicate; clear the stomach with warm water, chamomile tea, &c. then give a carminative antispasmodic, with opium; (as castor, conf. card. philon. conf. paulin.) which may be occasionally repeated. Recruit the strength with bark bitters, air, exercise, chalybeates, &c. This disorder in men is called the Hypochondriac Colic, and should be treated in like manner.
COLIC Inflammatory, or inflammation of the bowels.
SYMPTOMS. A vehement, burning fixed pain is felt in the parts most affected, with heat of the whole body, quick pulse, loss of strength, anxiety aad restlessness.
TREATMENT. Bleed largely, and repeat it if necessary, and the pulse will bear it; procure stools with soft mild cathartics, as ol. ricini, oily mixtures with manna, and tart. solub. or the like; or if these will not stay, with pills of extract. cath. and opium; emollient clysters should be frequently given, and soft emollient liquids drank; the bowels should be fomented, bladders of water, bags of salt, or oats heated, the skins of animals just killed applied to the part; and the warm bath should be prescribed if these prove ineffectual. In case of violent vomiting, give the saline draughts in the act of effervescence; and the pain and spasm, if violent, may be abated with pills of crude opium; blisters may be applied to the part affected; the fumes of tobacco thrown up the fundament in case all other cathartics fail; or give quicksilver.
COLIC Nervous, called also the Devonshire Colic, Colic of Poictiers, dry Gripes, and the dry Belly-ach.
SYMPTOMS. Begins with a sense of weight or pain at the pit of the stomach, attended with loss of appetite, yellowishness in the countenance, a slight nausea, and costiveness; a vomiting of acrid slime, and green bile succeed; the pain often descends to the navel, shooting from thence to each side, with great violence; [Page 21] the intestines seem drawn to the spint, with convulsive spasms; the pain continues without remission for several hours together; pulse as in health; no fever, but rather lowness; when at length the pain abates, an odd tingling is felt along the spina dorsi, which extending to the legs and arms, they become weak and paralytic.
TREATMENT. Vomit several times with warm chamomile tea, then give opium in pills or otherwise, as also by clyster; the pain and tension being removed by these, give gentle cathartics, such as ol. ricini, infus. sen. with salts, and the like; laxative clysters may also be prescribed; bleed, if the pulse be high; stool being procured, an anodyne, carminative, and antispasmodic may be given, as camphire, valerian, castor, conf. card. or the like, with opium. If the pain return, have recourse again to opium pills; if paralytic symptoms come on, embrocate the limbs and spine with lin. vol. camphorat. or other warm liniment. If convulsions, give musk with opium. After the disorder, bark, with bitters and rhubarb, should be ordered; together with a light, but nutritive diet. Flannel may also be worn round the waist.
Painters and glaziers, who are subject to this disorder on account of the lead used in their work, rely on burnt gin, which I have seen them take with surprising success.
COLIC Stone, or Nephritis.
SYMPTOMS. The colic which sometimes ariseth from the stone, may be known from the other kinds by the following signs; There is a fixed pain in the kidney, which is propogated to the genitals; stools afford present relief in other colics, but not in this; after eating the pain is increased in others, but lessened in this; in others the urine is thicker in the beginning than afterwards, but in this, it is at first clear and thin, and afterwards lets fall gravel or other sediment.
TREATMENT. Turpentine clysters are given with good effect; the pil. sapon. or other nephritic anodyne; care being also taken to keep the body open. But for more on this head, see the article STONE.
COLIC Wind.
SYMPTOMS. A wandering pain in the bowels, with rumblings, which abate on the expulsion of air; the pain is not increased by pressure; thirst not extraordinary; and the pulse but little disturbed.
TREATMENT. Bleed if the patient can bear it; stools must be procured by saline or other cathartics, and emollient clysters; previous to which, an emetic may also be given if judged necessary; and fomentations, or bladders of hot water may be applied to the belly; as may likewise anodyne, spirituous, and aromatic carbrocation, as bals. anodyne, with ol. menth. or the [Page 22] like. A passage being procured, carminatives joined with opium may be administred; as philon. Lond. or the like.
COLICA meconialis.
See Meconium.
COLOCYNTH.
Cathartic, from x. gr. to a scruple.
COMA.
See Carus.
CONFECTION. Alkermes.
Cordial, from one scruple to a drachm.
CONFECTION Cordial.
Carminative, cordial, from half a scruple to two scruples.
CONFECTION. Damocrat.
Alexipharmic, anodyne, from half a scruple to two scruples.
CONFECTION Paulins.
Anodyne, nervous, from half a scruple to one scruple.
CONSUMPTION Nervous.
See Atrophy.
CONSUMPTION Pulmonary, or Phthises.
SYMPTOMS. Habitual fever; wasting of all parts of the body; dry cough; quick small pulse; moderate heat; lassitude; faintness; night sweats; flying pains and stitches; uneasiness about the diaphragm and breasts; the expectorated matter purulent; sometimes bloody and offensive, with white round lumps. If the symptoms are violent, a spitting of blood soon follows, which is thin, florid. and frothy; but it afterwards becomes paler, and the discharge changes at length into pus. Ulcers, or tubercles in the lungs, are the cause
TREATMENT. Small repeated bleedings; blisters kept open, and s [...]tons; gum ammon. myrrh. or bals. Peruv. with nitre, and elix. pareg. or pil. e styrac. at night; decoct. cort. may be given twice a day with good effect. While tubercles are forming, with fever and inflammation, avoid heating medicines, and give cooling febrifuges; if little or no fever, chalybeates are very efficacious; in spitting of blood, bleed and give tinct. rosar. tinct. styptic, or the like, and keep the body gently open. For sweats, give elix. vitr. acid. or if that disagree, the pearl julep; very gentle vomits of ipecacuanha may be given twice a week, if nothing forbid, to promote expectoration; change of air and gentle exercise are good; the diet should be light, mild, and nutritive; as jellies, broths, milk, butter milk, &c. Dr. Simmon's excellent treatise on this subject may be consulted.
CONTRAYERVA.
Alexipharmic, from v. gr. to a scruple.
CONTUSIONS.
TREATMENT. Bathe the part with vinegar, lin. sapon. lin. vol. spt. mindereri, or arquebusade; and if necessary, apply a poultice of oatmeal and vinegar If there be inflammation, bleed, and purge, use emollient fomentations and cataplasms. If suppuration appear, apply proper topical remedies to forward it, and treat as in abscesses.
CONVULSIONS.
SYMPTOMS. Involuntary contractions or spasms of the muscles, and consequent motions of the parts which they serve. Children are most subject to this complaint, and women of delicate constituions.
TREATMENT. If a plethora be indicated, bleed; if otherwise avoid it; blisters, laxatives, and emollient clysters, if nothing forbid, the nervous and antispasmodic medicines, as assafoetida, castor, camphire, musk, volatile salts, with opium, if necessary. If the bowels are convulsed, opium may be added to the clysters also. The parts may be rubbed externally with bals. anod. and lin. vol. or other warm anodyne embrocation: free air should be allowed to the patient.
In children, this complaint often proceeds from an acid in the primae viae; magnesia is then proper. Worms may also occasion it, anthelmintics are in this case to be given; blisters, and anodynes, given with caution, are good.
CORAL pp.
Absorbent, from one scruple to one drachm.
CORALLINE.
Anthelmintic, from half a scruple to half a drachm.
CORNS.
Cover them with mucilage, or other plaister, after bathing them in warm water, and paring them as much as convenient away. Large easy shoes should be worn, and a little cotton may be laid over them, to prevent their being rubbed or pressed.
CORROBORANTS.
See Bark, and its preparation; see also Tonics.
COUGH, Hooping.
SYMPTOMS. It affects children, who, by reason that the phlegm is difficult of expectoration, strain violently to bring it up; with a whooping noise, till they are almost suffocated and convulsed.
TREATMENT. If inflammatory symptoms, or fever appear, bleed; give oxymel vomi [...]s, or rather small doses of ipecac. or tart. emet. [Page 24] to bring up the phlegm. Keep the body rather lax; and prescribe tinct. fulig. or other antispasmodic; gentle sedatives of syr. e mecon. are efficacious; blisters, gentle sudorifics, and a spare, thin, but nourishing diet. Bark may be given, with castor, to support the patient's strength. But change of air, frequently repeated, sometimes does wonders in these cases.
CRABS CLAWS,
Absorbent, from one scruple to one drachm.
CRABS EYES,
Absorbent, from one scruple to one drachm.
CREAM OF TARTAR
Aperient, cooling, from half a drachm to half an ounce, or more; or made into whey, or infusion.
CUTANEOUS DISEASES.
See the articles Itch, Scurvy, and Tetters.
CUTS.
Apply bals. traumatic, afterwards dress with some mild digestive, and then cicatrize. If an artery be wounded, it must be taken up, or the spunge tent applied. See Wounds.
DANCE, St. Vitus's.
SYMPTOMS. Convulsions of the legs, arms, and head; inarticulate speech, and lolling out of the tongue; drawing one leg after another, like an idiot; with variety of odd and ridiculous gestures. Chiefly affects the youthful.
TREATMENT. Emetics, cathartics, pulv. rad. valer. in large quantities; bark, chalybeates, sea bathing, electricity, millepedes, and aethiops mineral, have been of use, blisters and bleeding, if judged necessary. If worms are the cause, give anthelmintics.
DEAFNESS.
TREATMENT. If it proceed from hardened wax, syringe the ears, and drop in ol. amygd. If the wax be deficient, ol. amygd. with a little ol. rorismar, or the like. If cold be the cause, warmth, the remedies used against colds, and syringing with some warm soft liquid. If it be nervous, give the nervous medicines, bark, &c. and apply blisters. Electricity has been found useful. If inflammation, bleed, purge, blister, foment, poultice, and prescribe the pediluvia. If there be ulcers, use injections, with tinct. myrrh, honey, &c. If insects are in the ear, fill the meatus with warm oil or water, or throw in the fumes of tobacco.
DECOCTION, Pectoral.
ad libitum.
DECOCTION, White.
Absorbent and astringent, ad libitum.
DELIVERY.
See Child-Birth.
DENTITION.
See Teething.
DEOBSTRUENTS.
Pil. ecphractic from half a scruple to a scruple. Sal martis from ij. to vi. gr. Calomel from ij. to v. gr. See also Menses, Savine, Castor, Hellebore. Elix. Myrrh, &c.
DIABETES.
See Urine.
DIAPHORETICS.
See Sudorifics.
DIARRHOEA.
SYMPTOMS. A purging, without much sickness or pain; succeeded by loss of appetite; and sometimes nausea, fever, with weak pulse, dry skin, and thirst.
TREATMENT. If it proceed from any thing offensive in the bowels, give rhubarb first, either in powder or in tincture; and afterwards astringents and absorbents, as jul. e cret. elect. e scord. extr. lig. campech. pulv. e bolo, &c. with or without opium as you see necessary. Starch glysters, with opium, elect. e scord. &c. and bleeding, if necessary, may be prescribed If weakness of the bowels and indigestion occasion the complaint the bitters, bark, or chalybeates. If obstructed perspiration, gentle sudorifics should be interposed. Sometimes a purging is an effort of nature, to relieve the constitution from offending matters, or it is critical. You must be careful to distinguish in these causes, as checking the purging may be followed by a fever, or other bad consequences. In diarrhoeas, vegetables and acessent diet should be refrained from; decoct. alb. is best for common drink, and rice victuals for food. When purgings proceed from a putrescent cause, ripe fruits and antiseptics are proper.
DIURETICS.
Sal diuretic from one scruple to two. Camphire from iij. gr. to half a scruple. Ol. junip. from ij. gr. to five. Rad. scil. from iij. gr. to ten. Spt. terebinth. from ten drops to twenty. Spt. nitre dulcified from half a drachm to a drachm. Mucilag. gum arab. ad libit. tinct. canthar. from ten to thirty gr.
DROPSY.
SYMPTOMS. A collection of water or serum in some part of the body. Before the disorder is perfectly formed it is called Cachexy; when the lymph is accumulated in the cellular membrane it is called Anasarca, or Leacophlegmatia; when there is a collection of water in the abdomen, it is termed Ascites; if in the brain, Hydrocephalus; if in the breast, Hydrops pectoris; if in the womb, Hydrop. Uteri; and if in the scrotum, Hydrocele.
In common dropsies the legs usually swell, and a dent or pit remains for some time after pressing the flesh with the finger: the [Page 26] appetite abates; the face either bloats or becomes thin and pale; little urine is made; thirst, slow fever, shortness of breath, lassitude and heaviness; these symptoms obtain especially in the anasarca and ascites. In the hydrocephalus, convulsions, squinting, shunning the light, opening of the sutures, and vomiting of bile, commonly attend, especially if the disease be far advanced.
TREATMENT In the Anasarca and Ascites, purges with Jalap, scammony, calomel, gamboge, elaterium, or the like, twice or thrice a week. Tinct. cupri, tinct. cantharid. sal diuretic. or sal absinth. with bitter infusion. Emetics and sudorifics, blisters and scarifications, prescribed with due caution, have often good effect, otherwise, they may do harm. Bark may be given if the strength flag, or consumptive symptoms appear. Weak liquids of all kinds used to be avoided, but are now allowed freely with success, especially after the drastic purges. In this complaint bread is generally ordered to be toasted, and flesh to be baked, roasted, or broiled. Smoking is of great use, and mustard seeds taken whole have often good effect.
If the disorder ariseth from the too copious use of weak liquids, or obstructed perspiration, sudorifics are much to be depended upon. If from drunkenness, riding on horseback and the use of wine, or rather geneva diluted with water, in moderate quantity, will be useful. If from a consumptive tendency, diuretics, joined with corroborants. If after great loss of blood, or from tedious fevers, cathartics should not be used too freely, but chalybeate bitters should be chiefly relied on. In the Ascites, tapping must be performed, if the methods above recommended fail.
In Dropsy of the breast, diuretics are chiefly to be employed, cathartics only occasionally. Blisters applied below the breast, and even on the thighs or legs and kept open, are also very effectual.
In the Hydrocephalus internus, a salivation excited by mercury has of late been recommended; purges may be given, and medicines of the carminative and antispasmodic kind. Blisters, setons, and issues should also be prescribed.
In the Dropsy of the womb, emetics, stimulating clysters, and occasionally cathartics; diuretic, attenuant, and resolvent medicines should be given; and fomentations and vapour baths advised.
In the Hydrocele, let out the water with the trochar at the bottom part of the scrotum; but when water is contained in the cellular membrane, treat it as an Anasarca.
DRY GRIPES, or, Dry-belly-ach.
See COLIC Nervous.
DYSENTERY, or Bloody flux.
SYMPTOMS. A discharge of mucus, blood, and purulent matter by stool; violent gripings; pain in the loins, and anus; tenesmus, and fever.
TREATMENT. A rhubarb, or other gentle purge, and after proper [Page 27] evacuation, julep e cret. with spermaceti and an opiate. Bleed, if you find it necessary; and give starch clysters with opium and astringents; bolusses of bees-wax and spermaceti, or bals. locat. with electuary of scordium are efficacious. Small doses (a grain or two) of ipecac. have often succeeded; as hath also vitrum antim. cerat. in doses of five grains, with some opiate, occasionally repeated. Sudorifics are sometimes of use, by promoting a determination to the surface of the body. Emollient fomentations, and balsamic clysters with opium, will best remove the tenesmus.
The diet as in the diarrhoea. Milk with mutton suet boiled in it, and the fat afterwards taken off, is esteemed excellent.
DYSURIA.
See Urine.
EAR-ACH.
See Deafness.
EARTH, Japan.
Astringent, from half a scruple to half a drachm.
ELATERIUM.
Cathartic in dropsies, from j. to iij. gr.
ELECTUARY of Bayberries.
Half an ounce in Clysters.
ELECTUARY Lenitive, or of Cassia.
Laxative, from ij drachms to half an ounce.
ELECTUARY of Scammony.
Cathartic, antirheumatic from j. to ij. drachms.
ELECTUARY of Scordium.
Astringent, from half a drachm to one and a half. also sudorific.
ELIXIR. of Aloes.
Deobstruent, opening, vermisuge from xv. drops to a drachm.
ELIXIR of Myrrh compound.
Emmenagogue, from v. drops. to half a drachm.
ELIXIR Paregoric.
Asthmatic, anodyne from xx. drops to a drachm and a half.
ELIXIR of Vitriol. acid.
Corroborant, from vj. to xx. drops.
EMMENAGOGUES.
See Deobstruents.
EMETICS.
Pulv. ipecac. from half a scruple to half a drachm. Vin. ipac. from one ounce to two. Tart. emet. from j. to iij. gr. Vin. [Page 28] antim. from ij. drachms to half an ounce. Vitriol. alb. from half a scruple to a scruple.
EMPYEMA.
SYMPTOMS An enlargement of the cavity of the Thorax, and oedematous foulness of the skin, and flesh of one side thereof; dry cough, and difficult breathing: It ariseth from matter formed, and lying loose in the thorax.
TREATMENT, may be much like that prescribed in the Vomica. Medicines which promote absorption, and blisters may also be useful. But letting out the matter, where it can be conveniently done, is the best cure.
EMULSION, Common.
Diuretic, ad libitum.
EPILEPSY.
SYMPTOMS. Languid pulse, pale countenance, and afterwards great pain in the head, with stupor and drowsiness, sometimes precede the fit; though often it comes on without these previous symptoms. The patient falls down suddenly, gnashes the teeth, froths at the mouth, uses many disagreeable gesticulations and distortions, and sometimes discharges involuntarily by stool and urine.
TREATMENT. If the vessels are full, bleed; emetics and laxatives are proper; warm, nervous, and attenuating remedies, as castor, valerian, assafoetida, cinnabar, viscus quercin. ol. animal, sal c. c. &c. should be directed. Blisters kept open, and setons are very serviceable; flowers of zinc have succeeded well, a gr. or two at a dose once or twice a day. To restore the strength and prevent returns, the bark, or other corroborant, and the cold bath, with proper diet, air, and exercise.
ERYSIPELAS.
SYMPTOMS. The usual precursory symptoms of a fever; the face, or other parts affected, inflamed; with scurf, pimples, and blisters; heat, redness, itching and smarting; drowsiness and difficulty of breathing commonly attend.
TREATMENT. Bleed, and give proper lenitives, and cooling diaphoretic febrifuges. Blisters, and cordial sudorifics, as camphire, contrayerva. &c. if low pulse and malignancy require. The parts may be bathed with softening fomentations, milk, &c.
ESCHAROTICS.
Merc. corrosiv. ruber, vitriol. caerul. the caustics, alumin. ust. verdigrease, &c.
ETHIOPS.
See AEthiops.
EXTRACT of Bark.
Corroborant, &c. from v. gr. to j. scruple.
EXTRACT Cathartic.
From xv. gr. to ij. scruples.
EXTRACT of Chamomile, or of Centian.
Stomachic, from v. gr. to half a scruple.
EXTRACT of Guiacum.
From half a scruple to half a drachm. Alterative, antirheumatic, antivenereal.
EXTRACT of black Hellebore.
Deobstruent, opening, from v gr. to half a scruple.
EXTRACT of Hemlock.
Deobstruent, alterative, &c. from v. gr. to one scruple.
EXTRACT of Jalap.
Cathartic, from half a scruple to one scruple.
EXTRACT of Logwood.
Astringent, from v. to xv. gr.
EXTRACT of Saturn.
Externally, cooling, astringent, &c. diluted.
EXTRACT of Savine.
Emmenagogue, from v. gr. to half a scruple.
EXTRACT Thebaic.
Anodyne, from half a gr. to two grains.
EYES inflamed, or Ophthalmia.
Inflammation of the outward coats of the eye, attended with pricking pain, heat, pulsation, redness, swelling, and scalding tears.
TREATMENT. Bleed, purge, apply leeches to the temples, and blister the back or behind the ears; cooling febrifuges may also be given; direct collyriums, with vitr. alb. sacch. saturn. or alum; or if astringents disagree, warm milk, decoction of mallow leaves in milk or water, or other emollient fomentation; or poultice of milk and bread, and bathe the feet in warm water. If it ariseth from mere weakness of the vessels, astringent collyriums, or alum curd; and bark, or other tonics, may be given [Page 30] internally. If Nervous, join valerian, castor, or the like, with the bark. If Scorbutic, or other humours attend, perpetual blisters or setons, with mercurial, or other proper alteratives. If Tubercles in the eye are the cause, anoint them with ung. caerul. and give small doses of calomel till they disperse.
For watery Eyes, gentle cathartics and alteratives, and wash them with brandy and water.
For specks in the eye, blew lap. cal. sugar, os saepiae, tutty, white vitriol with sugar, or the like, through a small tube into the eye; or drop in solutions of white vitriol, sacch. saturn. &c.
FALLING SICKNESS.
See Epilepsy.
FEBRIFUGES.
Nitre from v. gr. to a scruple. Saline draughts. Vin. antimon. from v. gr. to xx. Tart. emet. from one fourth to half a gr. Bark in the intermissions, from half a drachm to a drachm, every three hours, decoction, or extract in proportion. See Sudorifics, &c.
FENNEL.
Carminative, diuretic from iij. gr. to xv. or in infusion.
FEVER Apthose, or the Thrush Fever in adults.
SYMPTOMS. Fever, with ulcerations or apthae; distinguishable from the putrid sore throat by the whiteness of the sloughs, by the edges not being red, and by these being no shining redness over the fauces.
TREATMENT. Febrifuges, bark, and antiseptics; blisters if necessary. Proper laxatives, and detergent gargles. Vitrum antimon. cerat. has been found useful. Borax, alum, or spt. vitriol, when mixed in small quantity with honey, are good to touch the apthae with. See also Thrush.
FEVER Erysipelatous.
See Erysipelas.
FEVER Inflammatory.
SYMPTOMS. Shivering, followed by heat, and quick pulse; nausea, anxiety, restlessness, white and dry tongue, thirst, and sometimes pain in the head and back.
TREATMENT. If there be fulness of vessels, bleed; give proper laxatives, and if the stomach be foul, an emetic; saline febrifuges, with small doses of vin. antim. or tart. emetic. and if diaphoresis be wanted, add contrayerva. If delirious, blister, and give julep e camph. If colliquative sweats, the dococt. cott. with or without elix. vitriol. If spasm and catching of the tendons, with low pulse, blister the arms and legs, and apply stimulating plaisters to the feet, first bathing them with warm water. If hiccups, jul. e mosch.
[Page 31]While the pulse is high, and inflammatory symptoms continue, the antiphlogistic treatment, cooling febrifuges, acids, and gentle aperients are proper. But care must be taken not bring the patient too low, else he will want strength to carry him through the disease. Gentle opiates may be ordered at night occasionally in case of restlessness. If the pulse sink, he should be supported with proper cordials. Costiveness should be avoided, and even a purging should be checked with caution, being generally either critical, or at least salutary. The present and past symptoms compared, will best direct the treatment in fevers. Diluting acidulated liquids are proper; the food may be panada, gruels, puddings, and chicken broth, with bread, but no flesh. Food or liquids particularly longed for should be given. Care should be taken to avoid too great heat and impure air.
FEVER Intermittent,
See Ague.
FEVER Miliary.
SYMPTOMS. Shivering, heat. lowness of spirits, oppression about the praecordia, sighing. On the third or fourth day the eruption (preceded by a profuse sweat of a sourish smell, with tingling or pricking sensation) appears, chiefly on the neck, breast, and back; of little bladders resembling millet seeds, (from whence the fever is denominated) which are either white or red, according to the colour of the liquid they contain, and sometimes both sorts. The eruption being out, the symptoms usually abate; the urine, which before was pale, becomes higher coloured The eruptions commonly dry up in about seven days, and the skin peels off.
TREATMENT. Bleed, if nothing forbid; and give saline febrifuges, accompanied with laxatives and diaphoretics, as the symptoms may require. If delirum appear, blister; if low nervous symptoms, give proper cordials; if putrid ones and petechiae, the bark; if aphthae, gargles with tinct. myrrh, tinct. rosar. mel. or the like. Acidulated liquids, fruits, &c. should be given in this disease, the air kept pure, and the room not too hot.
FEVER Milk.
It ariseth about the third or fourth day after delivery, with swelling of the breasts, and pain shooting towards the axillae; the breasts are sometimes hard, hot, and inflamed; generally continues a day or too, then terminates in copious sweats and discharge of urine.
TREATMENT. Bleed, if the inflammation be great; keep the body open, and let the breasts be frequently drawn. In case of hardness or inflammation, emollient fomentations and poultices.
FEVERS mixed,
Are those wherein the symptoms of inflammatory, nervous, putrid, and other fevers, are more or less blended together; and must therefore be treated according to their appearances.
FEVER puerperal.
SYMPTOMS. Begins in two or three days after delivery, with the usual febrile symptoms; and ariseth from an inflammation of the omentum and intestines; pain in the fore part of the head, flushing in the face, short breath, suppression of the lochia.
TREATMENT. In case of costiveness, emollient clysters; and if necessary, gentle cathartics; then mild diaphoretics, as saline draughts with vin. antim. and proper diluents.
FEVER putrid or malignant.
SYMPTOMS. A giddiness precedes the attack; then burning heat, sudden loss of strength, heaviness, lowness of spirits, watching, pulse weak, low, and unequal; anxiety, oppression at the praecordia, nausea, vomiting, noise in the ears, delirium, coma, catching of the tendons, a black dry tongue, and thin crude urine. Petechiae often appear on the fourth, fifth, and seventh days.
TREATMENT. Avoid bleeding, unless the pulse indicate its necessity; give small doses of tart. emet, or pulv. jacobin. with julep. e camph. and if necessary, rhubarb, or other gentle laxative should be occasionally interposed. Antiseptics, the bark, and cordials are proper; as are also blisters. Opiates should be cautiously administered, and purgings, unless critical, should be checked. Sinapisms to the feet are proper in case of stupor; antispasmodics and jul. e mosch. in case of convulsive symptoms, or hiccups. The liquids drank should be acidulated; fruit may be allowed, as may also wine; the air in the room should be kept as pure as possible, and not too warm; vinegar should be sprinkled on the floor. Picking the bedclothes in this disease is a bad symptom.
FEVER remittent, (Simple)
SYMPTOMS. The remittent fever differs from the continual and intermittent, in that after a certain number of hours it remits, or abates, but does not go off. It is also called the autumnal remitting Fever, the bilious Fever, the marsh Fever, and the camp Fever.
Usually comes on suddenly, with debility, lowness of spirits, chilliness, and other febrile symptoms; the hands tremble; countenance pale or yellowish; skin dry, breathing difficult, and pulse small and quick; great nausea succeeds. Vomiting of bile, and sometimes discharge of it by stool; tongue becomes foul, delirium follows, moisture on the face, and at length on the other parts, when the remission follows. As the disorder increases the remissions are less, and at length become scarcely perceptible; the mouth, teeth, and lips, covered with a black crust; tongue very dry and stiff, so that the patient's voice can hardly be heard.
TREATMENT. Bleed not but with great precaution; an emetic is sometimes proper; the body should be opened if necessary; [Page 33] then give saline febrifuges, to bring on regular intermissions; this done, prescribe the bark copiously, as directed for the ague.
FEVER, scarlet. (Simple.)
SYMPTOMS. the usual precursory symptoms of a fever, viz. Shivering, heat, &c. then an efflorescence of a scarlet colour appears all over the skin, but does not rise above the surface; with heat, dryness, and itching. In three or four days it disappears, and the cuticle comes off in branny scales.
TREATMENT. Cooling saline febrifuges, with gentle laxatives and diaphoretics, if necessary.
FEVER, scarlet, (Malignant.)
SYMPTOMS. Chilliness, languor, sickness, oppression, succeeded by heat, nausea, vomiting, sore throat, quick pulse, and difficult breathing; the tonsils inflamed and ulcerated. On the third day the efflorescence appears.
TREATMENT. Saline febrifuges, joined occasionally with contrayerva, or other gentle diaphoretic; blisters to the back and throat; bleed and purge with great caution. If costiveness, clysters are best; and if inflammatory symptoms, cupping or leeches; if a putrid tendency appears, the bark, with rad. serp. virg. or rattlesnake root; tinct. theb. or tinct. cinnam. may be added if it purges; gargles of tinct. myrrh, tinct. rosar. mel, spt. salis, or the like, which should be injected with a syringe.
FEVER, slow or nervous.
SYMPTOMS Shiverings, lassitude, weariness, sighing, pale desponding looks, great anxiety, depression of spirits, pain and giddiness of the head, white tongue (sometimes red) with a yellow or brownish list running along the middle of it, but no thirst: nausea, difficulty of breathing, pulse weak, quick, and unequal; urine limpid and pale; pain and coldness in the back part of the head, drowsiness. These symptoms are all worse towards night; if a delirium, not violent, but a muttering to themselves; sometimes miliary eruptions and sweats appear, but seldom afford relief.
TREATMENT. Gentle cordial diaphoretics; previous to which, an emetic, if nothing forbids. Costiveness should be removed by gentle laxatives; bleeding should be refrained from, unless urgent symptoms indicate; blisters; if an intermission appears, the bark; if convulsions, musk with castor or other antispasmodics; if apthae, gargles, with tinct. myrrh, honey, tinct. rosar. decoct. cort. alum, or the like; and in case of much phlegm, oxymel scillit or ipecac. to bring it up. Care should [Page 34] be taken after the fever, to restore the patient by proper nutritious diet, chalybeate waters, bark, &c.
FEVER, Worm.
See Worms
FEVERFEW.
(In posset drink) sudorific.
FLOODING.
See Menses and Blood.
FLOWERS Balaustine.
Astringent, from v. to xx. gr.
FLOWERS of Benjamin.
Pectoral, asthmatic, from ij. gr. to vj.
FLOWERS of Rosemary and Lavender.
Cephalic, in infusion from ij. ounces to iv.
FLOWERS Rose.
Astringent, from v. gr. to one scruple, or in infusion.
FLOWERS of Steel.
Deobstruent, corroborant, attenuating, from ji. gr. to viij.
FLOWERS of Sulphur.
Alterative, pectoral, opening, from j. scruple to ij. drachms.
FLOWERS. of Zinc.
Antiepileptic from half a gr. to ji. emetic; outwardly, cooling and drying.
FLUOR ALBUS.
SYMPTOMS. A flux of thin matter from the vagina, of a transparent or white colour, sometimes tinctured with yellow or green; sometimes it is sharp and corroding, with a foetid smell, especially when of long continuance.
TREATMENT. An emetic will generally be proper at first; then give olibanum, bals. copaiv. pulv. e succin. bark or the like. In phlegmatic constitutions, chalybeates, alum, or white vitriol; the extract cicut. is often of great use; strengthening plaisters may be applied to the back and loins, astringent injection used, and [Page 35] a light, but strengthening and nutritive diet, with little exercise.
FLUX. Bloody.
See Dysentery.
FRACTURES.
TREATMENT. Replace the ends or pieces of the bone so as to be in their natural situation; and keep them in that posture by proper compresses, splints, bandages, &c. but not too tight; and vinegar may be poured on them. If there be great inflammation or tumour, bleed, and use other proper methods to remove them before you attempt reduction. If there be loose fragments or splinters which hinder the extension and reduction, or cause irritation, remove them by proper incisions, or otherwise. The limb, or part, must, be kept still; proper diet must be ordered; the callus will be formed in a month or two, according to the bone injured, &c.
If the fracture be of a desperate kind, or mortification comes on which cannot be got under, amputation is necessary; the joint should be cautiously moved at times to prevent stiffness; the medical treatment should be regulated according to the symptoms that arise.
FUROR UTERINUS.
SYMPTOMS. Melancholy, taciturnity, redness of the face, lascivious looks, irregular hysteric symptoms, as crying, laughing, &c. and at length, an immoderate desire of coition, accompanied with libidinous speeches and gestures. It is peculiar to the female sex, and proceeds from an abundance and acrimony of the fluids secreted in the pudenda.
TREATMENT. Bleeding, and cooling purges; nitre; or refrigerant, diuretic, and diluting liquids; anodynes and thin diet.
GALANGALES.
Aromatic, stomachic from four gr. to half a scruple.
GALBANUM.
Nervous, antispasmodic, from v. gr. to a scruple or externally in plaisters
GALLS.
Astringent from ij gr. to vj. or more; or outwardly in liniments for the piles, &c.
GAMBOGE.
Cathartic, from v. gr. to a scruple.
GANGRENE.
SYMPTOMS. In some cases, when a part is violently inflamed, the inflammation and pain suddenly disappear; the integuments turn pale, blue, livid, or blackish; the skin becomes flaccid and pitting, with bladders filled with yellow or reddish ichor; and this is termed Gangrene.
TREATMENT. Scarify and foment the parts with fotus comm. and spt. vin. camph. apply poultices of oatmeal and beer, and give cordial medicines. with plenty of bark.
GARLICK.
Expectorant, diuretic, emmenagogue, a chive or two at a dose, or in infusion.
GENTIAN.
Stomachic, see Infusion (bitter.)
GINGER.
Cordial, aromatic, carminative, from j. to v. gr. or in infusion.
GLEET.
See Venereal Disease; but if it does not proceed from that cause, the same treatment will be proper, viz. Corroborants, as bark, olibanum, alum, elix. vitriol. bals. capiv. &c. and if necessary, astringent injections and the cold bath.
GONORRHOEA. Simple.
See Gleet.
GONORRHOEA Virulent.
See Venereal Disease.
GOUT.
SYMPTOMS. An acute pain in the joints, particularly of the feet. It is called regular when seated in the extremities, returns at stated periods, and gradually declines. Irregular, when the fits are uncertain and frequent, when the symptoms vary, and when the disease attacks the stomach, head, or other internal parts; chiefly affects the membranes, tendons, and ligaments; the pain like that of a dislocated bone, with a sensation as if warm water was poured on the part, succeeded by chilliness and slight fever: a breathing sweat comes on at the end of the fit, and the part swells; the fit returns at intervals till the gouty matter is spent: the longer the intervals the more severe the fit, but the symptoms are too well known, to need further enumeration in a work of this nature.
TREATMENT. Cordials are best during the fit; the body should not be costive; opiates may be occasionally given; the part should be wrapt in flannel, and relaxing or other topical applications, [Page 37] as the case may require; a temperate diet, exercise, friction, and the Bath waters; some have ventured to blister the part with success.
GRAVEL.
See Stone.
GUAIACUM Gum.
See Gum.
GUAIACUM Wood.
Alterative, antirheumatic, antivenereal, in decoction, as Sarsaparilla.
GUM Ammoniac.
Pectoral, antispasmodic, from iv. gr. to a scruple See Lac.
GUM Arabic.
Diuretic, emollient, in decoction ad libitum,
GUM Guaiacum.
Antirheumatic, alterative, antivenereal, from one gr. to a scruple
GUM Elemi.
Externally in digestives.
GUM Tragacanth.
As Gum arabic.
GUTTA SERRENA.
SYMPTOMS. A blindness, though the eyes seem perfectly unaffected, the cause bring in the retina, or optic nerve.
TREATMENT. Blisters to the head, back, or behind the ears; bleeding, if nothing forbids; valerian, castor, assafoetida, cinnabar, bark, volatile salts, millepedes, rosemary, or other nervous and atteuuant remedies. Calomel, or chalybeates, if obstruction be the cause; emetics and cathartics discretionally: sternutatories should also be used.
HAEMORRHAGE external.
Apply bals. traumat. cobweb, dry lint, flour, agaric, alumn, or the vitriolic styptics; if an artery is injured, take it up, or apply the spunge tent.
HAEMORRHAGE internal.
See Blood.
HAEMORRHOIDS.
See Piles.
HARTSHORN, Burnt.
Astringent, absorbent, from j. scruple to j. drachm. See Decoction, white.
HARTSHORN Shavings.
In jelly, corroborant, nutritive.
HEAD-ACH.
TREATMENT. If occasioned by plethora, use the pediluvium; bleed or cup, and purge: and if by viscid blood, give attenuants also; if by a foul stomach, an emetic; if by costiveness, purges; if it be nervous, castor, valerian, bark, spt. lav. c. spt. vol. arom. assafoetida; blister the back; and bathe the temples; fore-head, &c. with aether or spt. sal ammon. with a little roch alum in it; if weak stomach, give bitters or other stomachics, Head-achs may arise from various other causes, which, when known, will indicate proper remedies.
HEART-BURN.
The common heart-burn, proceeding from acidity irritating the upper orifice of the stomach, magnesia chalk, tabellae, cardial. spt. vol. arom. or weak solutions of [...] absinth. remove it for the time; but to cure it, the stomachic corroborants must be given.
Heart-burn may be occasioned by corroding humours of other kinds, and will not therefore be eased by alkalis; emetics, with plenty of chamomile tea or other liquid, to cleanse the stomach, are here proper; cathartics may also be useful, and these may be followed by stomachics; but water with gum arabic dissolved in it will give occasional relief. Worms will also sometimes occasion this complaint; vermifuges are then proper.
HELLEBORE, Black.
Deobstruent, attenuant, alterative, from v. gr. to half a scruple or more. See its Tincture and Extract.
HELLEBORE, White.
Emetic from v. grains to half a scruple, sternutatory.
HEMICRANIA.
See Head-ach.
HEMIPLEGIA.
See Palsy.
HEMLOCK.
See its extract. In fomentations discutient and resolvent.
HEPATITIS.
See Liver.
HERNIA, or Rupture.
TREATMENT. Return the intestines, if practicable, and confine it with a proper truss; costiveness must be avoided, as must likewise violent exercise, drunkenness, &c.
HERNIA Humoralis.
See Testicles
HICCOUGH, or Hiccup.
The common hiccup are usually removed by drinking a draught of any weak liquid, by holding the breath, and sometimes by swallowing dry bread,
For the hiccup or singultus, which come on in the last stages of fever, &c. give julep. e mosch. or musk in substance, in large doses; volatile salt, castor, or the like; to which opium may be discretionally added. When it is a primary disease, sternutatories and emetics; and emp. stom. applied to the scrob. cordis have been useful,
HIERA PICRA.
Cathartic, deobstruent, from half a scruple to a scruple or more. See Tinct. Sacra.
HONEY.
Pectoral, detergent.
HONEY, Egyptain.
Detergent, destroys fungous flesh.
HONEY, of Hellebore.
[...]metic, cathartic from j. drachm to half an ounce.
HONEY of Roses.
Detergent. astringent.
HOOPING COUGH.
See Cough.
HORSERADISH.
Diuretic, deobstruent, ad libitum, or infused in water, wine, or spirit from j. ounce and a half to three ounces.
HYDROCELE,
See Dropsy.
HYDROCEPHALUS,
See Dropsy.
HYDROPHOBIA.
It is of more consequence here to describe the symptoms in the dog than those of the patient. We may know the dog to be mad by [Page 40] his dull heavy look, endeavouring to hide himself; seldom or ever barking; angry and snarls at strangers, but fawns on his owner; refuses all food, droops, hangs down his ears and tail, and often lays down as if going to sleep; this is the first stage.
He now begins to breathe quick and heavy, shoots out his tongue, slavers, and froths at the mouth; looks half asleep; flies suddenly at bystanders; runs forward in a curve line; at length he knows not his owner, his eyes become thick and dim, and water runs from them; tongue of a lead colour; grows weak and faint; often falls down, then rises; and attempts to fly at something; grows mad and furious; the nearer to this state, the more dangerous the bite.
If the state of the dog cannot be obtained, he may be known to have been mad, or the disorder may be known to be this by the following effects, which will come on sooner or later: The bitten part begins to be painful, wandering pains comes on gradually, with heaviness and uneasiness; disturbed sleep, frightful dreams, startings, spasms, sighing, anxiety, love of solitude, pains shoot from the bitten part up to the throat, with straightness, sensation of choaking, and horror or dread at sight of water or other liquids, which is a sufficient characteristic of the disease.
TREATMENT. Cut out the bitten part immediately, which is the only certain cure: cupping-glasses should then be applied; cauterize and wash it daily with salt water, or ung. caerul fort, keeping it open with escarotics; bleed, if the vessels be full; vomit with merc. emet. flav. give mosch. to xvi. gr. cinnabar half a scruple (to which camphire and pil. sapon. to vii. gr. may be added) at night, and a purge the next morning; bathe in the sea, or cold bath, and give a sudorific; repeat these for a week daily, and three or four times at the next full and change of the moon.
Ung. caerul. mit. applied externally, and turbith mineral given inwardly, so as to raise a salivation for several weeks, are said to be efficacious, The usual remedy known is now the Ormskirk medicine, but this has failed in a variety of cases.
HYPOCHONDRIASIS.
SYMPTOMS are generally low spiritedness, (the disorder being chiefly in the imagination) heaviness, oppression, and despondency: yet at times uncommon chearfulness and flow of spirits; timidity, anxiety, fear, dread of dying, short cough, difficult breath, flatulency, pale urine, pains in the head, odd fancies, spasms.
TREATMENT. Bark, and other tonics; nervous antispasmodics as castor, valerian, assafoetida, &c. attenuants, as volatile salts and spirits; bitters and chalybeats if no fever; emetics, aperients, [Page 41] opiates, issues, and blisters discretionally: the cold bath and chalybeate waters, food light and easy of digestion, chearful company, and gentle exercise.
HYSTERIA.
In women, are similar to the hypochondriacs in men, but usually more violent, and attended with convulsive fits; which usually come on with oppression at the breast, difficult breathing, a sense of something rising in the throat, which seems to threaten suffocation: convulsive motions; frothing at the mouth; laughing, and sometimes crying. May be known from a mere syncope by the pulse and breathing continuing, whereas in a syncope they are not perceptible; it also comes on gradually, but a syncope more suddenly; in that, the fit is of short continuance, in this, usually much longer: with a colour in the face, which is not the case in a syncope.
TREATMENT of the disorder itself, as in the hypochondriasis. In the fit volatile foetids, singed feathers, &c. may be applied to the nostrils; and cold water and volatile foetids given. The feet and legs may be placed in warm water; the pure cold air should be freely admitted; cold water may be sprinkled on the face and breast; and if a plethora be indicated, bleed; otherwise cautiously avoid it. In this disease, particular attention should be given to the state of the menses, &c.
This disease appears often under a variety of forms; for a more particular account than can here be given. Sydenham, and other authors may be consulted.
HYSTERITIS, or Inflammation of the Womb.
See Womb.
JALAP. Cathartic from xv. gr. to half a drachm.
JAUNDICE.
SYMPTOMS. Yellowness of the whole skin, but chiefly the whites of the eyes; the urine also yellow; lassitude, inactivity, anxiety, sickness, oppression and difficult breathing, pain at the stomach, costiveness, hard, white, or grey stools, and bitter taste in the mouth.
TREATMENT. If the vessels be very full, bleed; then vomit, purge, and give medicines with soap; to which may occasionally be added, rhubarb, aloes, chalybeates or squills. Saline draughts if fever; opiates in case of pain; gentle emetics may be occasionally repeated, and the body should be kept open. Chalybeate waters, or water or cyder with a red hot iron quenched in it, may be used as common drink; gentle exercise, air, and chearful company.
ILIAC PASSION.
SYMPTOMS. Acute pains in the bowels, oppression at the stomach, tension of the belly, vomiting of bile, and sometimes of [...]aeces, great thirst and heat.
TREATMENT as in the Inflammatory Colic, of which this is only a more violent kind.
INCRASSANTS, Bark, and other Tonics, which see.
INFLAMMATION Superficial.
See Phlegmon.
INFLAMMATION of the Bowels.
See Colic and Iliac Passion.
INFLAMMATION of other parts.
See the respective Parts.
INFUSION Bitter.
Stomachic, corroborant, from an ounce and a half to iij. ounces, twice a day.
INFUSION Bitter, Purging.
Stomachic, corroborant, and opening; dose from an ounce and a half to iij. ounces, twice a day.
INFUSION of Sena.
Purging from ij. to iv. ounces.
INFUSION of Sena, with Lemons. Ditto.
IPECACUANHA.
Emetic from half a scruple to half a drachm; Sudorific from half a gr. to iij. grains with opium. Also in dysenteries.
IRON.
See Chalybs and its Preparation.
ISINGLASS. Corroborant, nutritive, in jellies.
ISSUES, to cut.
Pinch up the skin and fat with the thumb and forefinger, and divide them with a lancet so as to admit a pea; or you may apply a small blister or caustic on the part. The peas which it is afterwards dressed with may be smeated with basilicon or ung. ad vesic. if necessary; and dipped in blue vitriol water if fungus appear. The pea may be secured with adhesive plaister; if the issue inflame, dress with ung. alb. &c. or bleed or purge.
ITCH.
SYMPTOMS. An eruption in the form of small pimples or pustules, chiefly about the joints, wrist, hams, the bend of the arms, the waist, and between the fingers; the pimples generally hard at first, afterwards watery, especially if rubbed or otherwise inflamed. An itching, which is greatest when warm, or in bed; it is also infectious.
TREATMENT. Anoint with sulph. viv. and axung. caerul. or white precipitate and pomatum; hellebore, or sal ammoniac may occasionally be added; or wash with a weak solution of merc. c [...]rros. sub a decoction of white hellebore root, or strong aq. veg. min. with salt. A quicksilver girdle may be worn but sulphur is the most safe and certain; fl. sulph. may be given inwardly; bleed and purge first, in case of inflammation or costiveness.
JUICES, Scorbutic. From ij. to vj. ounces, twice a day.
JULEP of Camphire.
Diaphoretic, febrifuge, antispasmodic, diuretic, from j. ounce to iij. ounces, every four, six, eight, or twelve hours.
JULEP of Chalk.
Absorbent, and in diarrhoeas, from one ounce and half to iij. ounces, often.
JULEP of Musk.
Antispasmodic, (in singultus) from one ounce to three ounces frequently.
JUNIPER Berries,
Carminative, diuretic, in decoction, or infusion, ad libitum.
KERMES
See confection and Syrup.
KERMES Mineral.
Alterative from half a gr. to iij. Grains, twice a day.
KIBES.
See Chilblains.
KIDNEYS, inflammation of.
SYMPTOMS. Burning pain in the kidney, or kidneys; vomiting, eructations, the thigh feels numb, pain in the groin, ilium, and te [...]icle of the same side; frequent, but small discharges of urine, which is red and high coloured, yet limpid and watery in the height of the disease.
[Page 44]TREATMENT. Bleed; open the body with cathartics and clysters; give emoilient diuretics, with plenty of emuls. comm. or the like, for common drink; warm bathing; opiates may be admitted in case of violent pain.
If the pain abate, leaving behind a sense of weight, with frequent shiverings, followed by heat, and whitish turbid urine, it denotes suppuration, bals. capiv. with nitre, and rhubarb, or other balsamic diuretics. The pain suddenly remitting, with cold sweats, intermitting pulse, hiccup, foetid urine, and suppression of that discharge, are signs of mortification.
KING's EVIL.
See Scrophula.
LABDANUM. Used in warm plaisters.
LABOUR
See Child-Birth.
LAC AMMONIACUM.
Asthmatic, antispasmodic from j. ounce to iij.
LAC, Tincture of. Dentifrice.
LAVENDER Infusion of. Cephalic, nervous.
LEAD. Externally desiccative, repellent.
LEMON juice.
Cooling, antiseptic from j. dr. to half an ounce.
LEMON pecl.
Stomachic, in infusion from j. ounce to iij.
LETHARGY.
This may be considered only as a lesser degree of Apoplexy, and should be treated accordingly. The chief symptoms are sleep, or great drowsiness.
LEY or LIXIVIUM of Soap.
Antacid, diuretic, lithontriptic, from x. drops to one drachm, twice a day.
LEY or LIXIVIUM of Tartar.
Antacid, diuretic, from xv. drops to j. drachm.
LIENTERY.
In this disease the aliment is discharged with but little alteration, and the body wastes. The Treatment as in the Cael [...]a. Passion.
[Page 45]LIME. See Water.
LINIMENT Arcoeus's. Digestive, incarnative.
LINIMENT Mercurial.
See Ointment Mercurial.
LINIMENT Saponaceous. Discutient, strengthening.
LINIMENT Volatile. Discutient, resolvent, repellent.
LINIMENT White. Healing, softening.
LINIMENTUM Tripharmacum. Drying, healing.
LINSEED Infusion of. Pectoral, diuretic.
LITHONTRIPTICS.
Lix. sapon. from x. drops to one drachm, Soap from half a drachm, to ij. drachms. Sal. ammon. vol. from v. gr. to xv. Spt. sal marin. from x. drops to xx. or more. Lime water (oystershell) ad libit.
LIVER inflamed.
SYMPTOMS. Great pain in the part, shooting up towards the throat and shoulder; vomiting, dry cough, lassitude, fever, tension of the hypochondrium; eyes, skin, and urine sometimes yellow; costiveness, difficulty of breathing.
TREATMENT. Bleed as largely as the pulse will bear; blister the part, purge, give cooling febrifuges and diuretics; direct cooling emollient clysters, fomentations, and poultices and pediluvia.
If a tumour appear, forward and open it, if nothing forbid.
In the East-Indies they cure this disease by salivation, bleeding and purging being premised.
If a Scirrhus succeed, soap, rhubarb, mercurials, and chalybeates will be proper.
LOCHIA.
See Child-birth
LOCKED JAW.
SYMPTOMS. A rigid contraction of the muscles which raise the lower jaw, whence the jaws continue violently closed, with great pain.
TREATMENT. The best remedy is large and repeated doses of opium. Blisters, purges, clysters, and antispasmodics may also be prescribed.
LOGWOOD, Infusiou of.
Astringent from two ounces to four. See Extract.
LOTION, Soap.
For cutaneous deformities.
LUES VENEREA.
See Venereal Disease.
LUMBAGO.
A kind of rheumatism in the loins or small of the back, without any nephritic symptoms. Antirheumatic remedies prove most efficacious. See Rheumatism. Strengthening or stimulating plaisters, or even blisters to the part, are also useful.
LUXATIONS.
TREATMENT. Extend the limb or part, so that the head of the bone may be free from obstacles; then reduce the bone into its natural situation, and apply proper bandages, not too tight, to keep it so till the ligaments have recovered their tone. If there be inflammation, bleed, give laxatives and cooling remedies, foment and poultice. Rest and proper diet should be advised.
MADNESS.
The symptoms are too well known to need enumeration. Emetics, [...]athartics, blisters, occasional bleeding, antispasmodics, opiates, and low diet. These may be varied according to the nature of the complaint (that is, whether it be Melancholy or the contrary) and to the symptoms that arise in either.
MAGNESIA.
Antacid, cardialgic, opening, from one scruple to two drachms.
MEASLES.
SYMPTOMS. Chilliness, shivering, pain in the head, fever, sickness, and sometimes vomiting; cough, heaviness, swelling and inflammation of the eyes, and discharge of water humour from them, and also from the nostrils. The third or fourth day, an eruption like flea-bites appears in the face, neck, and breast, and soon after in the body and limbs; they rise above the skin, but do not suppurate. The fever and other symptoms do not, as in the small-Pox, &c. abate on the appearance of the eruption, which continues about three days, then dries away, the skin peeling off; but the other symptoms remain and even increase, especially the cough, which is also attended generally with difficulty of breating, and oppression at the breast.
TREATMENT. Cooling and aperient febrifuges; gentle diaphoretics, if necessary; bleeding, if nothing forbid; pectorals for the cough; opiates occasionally at night; blister, if the cough [Page 47] be obstinate; and bathe the feet in warm water. Gentle physic should be given as soon as the eruption disappears.
It has been proposed to inoculate the Measles, but Dr. Simmons, in his dissertation de Rubeola, observes, that the different attempts in this way, hitherto have proved ineffectual; Dr. Home's experiments, as related in his Medical Facts, not having been found to answer when repeated by others.
MECONIUM retention of, in Infants; (called also Colica Meconialis.)
TREATMENT. Give magnesia or syr. ros. with ol. ricini, or ol. amygd. ol. anisi, or other oil in case of wind, and if necessary, emollient clysters. If purging, give creta, or other absorbents, &c. If vomiting, syr. e mecon. given with caution in small doses.
MENSES, immoderate flux of.
TREATMENT. Tinct. rosar. tinct. styptic, alum, bark, pulv. e succin. with opiates. In desperate cases, small doses of vitriol. caerul. or tinct. saturn. but with great caution▪ Bleeding, aperients, astringent fomentations to the part, as vinegar, alum, or the like; rest, and proper mild diet.
MENSES obstructed.
TREATMENT. In phlegmatic habits, purge with tinct. sacra. pil. rufi or other aloetics, and give chalybeates. In plethoric habits, bleed, avoid chalybeates, and give pulv. e myrrh. with castor, or the like, with tinct. melampodii, aloes, oil or extract of savine, pennyroyal and the like. Bathing the feet, fomenting the belly, and sitting over the steams of hot water are good in both habits; attenuants in case of viscid blood; emetics are often efficacious, as are sometimes small doses of mercurials; exercise, and if the appetite be vitiated, proper stomachics. Of late, electricity has been found efficacious in cases of this sort, by drawing sparks, and sending gentle shocks through the pelvis.
MERCURIAL Pills.
See Pill.
MERCURIAL Plaister; Ointment, &c.
See Plaister and Ointment.
MERCURIUS dulcis. (Calomel.)
Alterative, antivenereal from one gr. to v. omni nocte. (Also vermifuge, deobstruent, and for salivation) Cathartic from v. gr. to 15.
MERCURY Alkalized.
Alterative, Vermifuge from v. gr. to half a drachm, twice a day.
MERCURY Calcined.
Alterative, antivenereal from half a gr. to ij. at night.
MERCURY Corrosive Sublimate.
Alterative, antivenereal from one sixth to j. grain, twice a day.
MERCURY Red corrosive. Escharotic.
MERCURY precipitate White. Antipsoric, &c. in liniments.
MERCURY Emetic, Yellow. From ij. to iv. gr.
MEZERION.
Antivenereal, alterative, in decoction, dose from ij. drachms to iv.
MILIARY Fever.
See Fever.
MILK Fever.
See Fever.
MILLEPEDES.
Diuretic, attenuant, deobstruent, number ij. to v. or more alive; or in powder. from iij. gr. to xv.
MISCARRIAGE.
See Abortion.
MITHRIDATE.
Alexipharmi [...], anodyne, from j. scruple to a drachm and a half.
MORTIFICATION.
See Sphacelus.
MUSK. An ispasmodic, iij. gr. or more.
See Julep.
MYRRH.
Deobstruent, antispasmodic, from iij. to to xij. grains.
NEPHRITICS.
Gum arabic ad libitum. Spt. nitr. dul. from xx. drops to j. drachm, Sal diureticus from half a scruple to a drachm, opiates.. See Diuretics
NEPHRITIS.
See Kidneys.
NERVOUS Complaints. See Hypochondriac and Hysteric Diseases.
The class of medicines called Nervous, with corroborants, air, and proper regimen, are most useful in these cases.
NERVOUS Fever.
See Fever.
NERVOUS Medicines.
Pil. gum, from v. gr. to one scruple. Assafoetida, and the other gums in like doses. See also Bark, the Chalybeates, Cephalics, Tonics, and antispasmodics,
NIPPLES sore.
TREATMENT. Apply oil of wax, cream mucilage of gum Arabic, ung. alb. suet, or the like, If they are moist, ung. alb. with some drying powder, as starch, bol. armen. &c.
NITRE.
Cooling febrifuge, diuretic from v. grains to a scruple.
OIL of Almonds Opening, pectoral; outwardly, softening relaxing.
—Olives Opening, pectoral; outwardly, softening relaxing.
OILS Essential.
The virtues of the plants they are drawn from, in doses from j. drop to iij. on sugar, or otherwise.
OILS by Decoction and Infusion.
Softening and relaxing externally applied.
OIL of Palm.
Outwardly for cramps, weaknesses of nerves, and chilblains.
OIL of Wax. Externally to chaps, &c.
OINTMENT Basilicon. Digestive.
OINTMENT of Elder. Cooling, emollient.
—Marshmallows. Cooling, emollient.
OINTMENT of Gum Elemi. Digestive, incarnative.
OINTMENT Mercurial.
For salivation; repellent, discutient, for the itch, vermin, &c.
OINTMENT of Precipitate. For the itch, &c.
—Sulphur. For the itch, &c.
OINTMENT Saturnine. Drying, repellent.
OINTMENT of Tar. For scald heads, digestive &c.
OINTMENT of Tutty. For the eyes.
OINTMENT White. Healing, softening, cooling.
OLIBANUM. Corroborant from v. gr. to a scruple.
[Page 50]OPIUM, Anodyne, antispasmodic, &c. from one fourth of a grain to ij. grains.
OPOPONAX. Nervous, antispasmodic, from v. gr. to xv.
ORANGE Juice, As lemon, but weaker.
— Peel, As lemon, but weaker.
OXYMEL Simple. Antiseptic, [...]oling, detergent.
OXYMEL of Squills. Expectorant, diuretic, from half a drachm to j. drachm, Emetic from ij drachms to an ounce.
OYSTER-SHELLS Absorbent from xx. gr. to j. drachm.
OYSTER-SHELLS calcined. (Their water) Lithontriptic iv. ounces, or more.
PALPITATION of the heart.
TREATMENT. In proper constitutions bleed repeatedly; but where the disorder proceed [...] from relaxation, the bark and corroborants. The nervous Tribe, musk, volatile salts, &c. are good; as are also blisters.
PALSY, or PARALYSIS.
SYMPTOMS. A loss or diminution of the motion or feeling, or both, of some part or parts of the body. If it happen to all the parts below the head, it is called Paraplegia; if to one side of the body Hemiplegia; and if to a particular part Paralysis.
TREATMENT. Emetics, blisters kept open, and strong clysters; nervous, attenuating, and stimulating medicines, as valerian, castor, mustard, sal c. c. horse-radish, &c. and mustard or other warm stimulating application rubbed into the parts; and to that part of the spine, from whence the nerves serving the part issue. Electricity and dry frictions are good, as are also chalybeate, and Bath or Bristol waters.
PEARLS. Absorbent from j. scruple to a drachm.
PECTORALS.
Elix. pareg, from half a drachm to j. drachm. Pulv. e tragae. c. from j. scruple to a drachm. Pil. de styrace from v. gr. to a scruple. Oxymel, scillitic. to half a drachm. Troch. bechic, decoct. pect. Ad libitum.
PEEL
See Bark.
PERIPNEUMONY, or Inflammation of the Lungs.
SYMPTOMS. Difficult breathing, with oppression and seeming load at the breast; the breath hot, cough, fever, redness in the face, pulse sometimes hardly perceptible, but after bleeding, [Page 51] strong but unequal. Differs from a Pleurisy in the cough being [...] pain less acute, no [...] the pulse so strong.
TREATMENT. Bleed repeatedly if necessary; and give nitre, with spermace [...]i, or ol. amygd. sal c. c. gentle antimonials or the like. Cooling emollient clysters are useful, as are also blistering and copping.
PERIPNEUMOMY, Bastard.
SYMPTOMS. Heat and cold alternately; pain and giddiness of the head, when the cough is most troublesome; vomiting; quick, difficult breathing, and wheezing; pain of the breast; urine tu [...]oid, with red sediment. Differs from a true Peripneumony, in having neither extraordinary heat, pain, thirst, or fever; and by its usually seizing those of a relaxed and gross habit; prevailing most in moist soggy weather contrary to the other.
TREATMENT. Bleed not, unless the pulse be very full, and comatose symptoms appear; blisters, emetics, laxatives, emollient clysters, attenu [...]nts and diluents; pectorals for the cough, and opiates if necessary.
PHILONIUM London.
Carminative, anodyne from half a scruple to half a drachm.
PHLEGMON, or superficial Inflammation.
SYMPTOMS. Heat, pain, tension, redness, and throbbing in the part, fever; that part proceeding to suppuration or solution, gangrene, or scirrhus.
TREATMENT. Remove any perceivable external cause; bleed, purge, and give diaphoretic febrifuges; apply emollient fomentations and poultices to the part. If matter form, cease evacuation, and forward the suppuration; when ripe, open the abscess and digest it off. If gangrene appear, treat as directed under that article.
PHRENSY, Phrenitis, or Inflammation of the Brain.
SYMPTOMS. Constant delirium and fever, difficult breathing, violent pain in the head; redness of eyes and face; pulse quick, hard, and small; tongue black and dry, urine thin and transparent, sudden startings, picking the bed clothes. Known from a common fever, &c. by the delirium preceding the fever.
TREATMENT. Bleed largely; stimulating clysters, blisters, the pediluvium, and sinapisms to the feet; spirituous embrocations to the head, [...] shaved. Nitre, sal c. c. or other attenuants, purges, and diluents; promoting the haemorrhoidal flux is of great use.
PHTHYSIS
See Consumption.
PHYMOSIS and PARAPHYMOSIS.
SYMPTOMS. The first is a closing of the prepuce over the glans penis, so as not to be drawn back; the last, a constriction of it behind the glans, so as not to be drawn forward over it.
TREATMENT. Foment, poultice, bleed, and purge; vomit if necessary; and give cooling febrifuges. If these fail proper incisions must be made.
PILES, or painful Tumours in the Anus or rectum.
TREATMENT. Bleed, if necessary, and give sulphur, or aethiops mineral, nitre, and elect. lenitiv. opiates if they are very painful; and if they are external, foment them with warm emollient liquors, or anoint them with ung. samb. or the like; if they bleed much, apply gentle astringents; if much swelled and inflamed, scarify, or apply leeches to them. Bals. sulph. is very proper to apply to the Piles, and the ung. caerul. has also been found useful. They may more expeditiously be driven away by liniments made of powder of galls, or sugar of lead, or by washing them with solutions of white or blue vitriol. But as the haemorrhoidal discharge is generally salutary, caution must be used in repelling them.
PILL Aromatic.
Aperient from half a dracm to a drachm, antirheumatic, deobstruent, from v. grains to xij. twice a day.
PILL Colocynth.
Cathartic from j. scruple to ji.
PILL Ecphractic.
Emmenagogue from v. gr. to half a drachm twice a day.
PILL Gummous.
Hysteric, nervous, &c. from v. gr. to half a drachm twice a day.
PILL Mercurial.
Alterative, antivenereal from v. gr. to j. scruple, every night.
PILL Rufus's.
Deobstruent from v. gr. to j. scruple, twice a day. Opening, from j. scruple, to half a drachm.
PILL Soap.
Diuretic, icteric, anodyne from v. gr. to j. scruple.
PILL Storax.
Pectoral, anodyne from iv. gr. to j. scruple, at night.
PILL Squill.
Asthmatic, pectoral, diuretic from v. gr, to xij.
PIMPLES.
TREATMENT. Wash them with a solution of s [...]cch. saturn. or vitriol. alb. If these fail, try spt. vin. camph. a solution of sal tartari, or white precipitate mixed with pomatum. If they proceed from foul blood or a scorubutic cause (as it is termed) treat them with alteratives, as directed for the Land Scurvey; with now and then a cooling purge.
PLAGUE.
SYMPTOMS. Shivering; pain in the head, back, and stomach; sickness and vomiting; despondency, anxiety, difficult breathing, wildness of countenance, high fever, faintings, hiccups, and catching of the tendons. Tumours at length appear in the groin, armpits: or behind the ears; and then the fever abates, but returns if the tumours sink. Foetid breath and sweat; livid spots, sometimes broad, and suddenly disappearing. Carbuncles arise in the worst state of the disease, which seldom suppurate kindly, but appear as red fiery circles; are small tumours with corrupted flesh underneath, and are attended with great itching. The symptoms, however, vary according to the constitution and state of the air, but these are the most general.
TREATMENT. The tumours are critical, and should be encouraged by ripening cataplasms and proper cordials; the carbuncles should be poulticed with cataplasm e cymino, or the like; and if they appear gangrenous, scarify, and dress them with ol. terebi [...]th, and hot digestives, as in Mortifications.
The disease itself should be treated with diaphoretics, antiseptics, cordials, antiphlogistics, or other remedies, according to the symptoms; but in general, camphire, nitre, snake root, bark, &c. an emetic being first given, seem most eligible in this dreadful disorder.
N. B. The vapour generated by nitre, especially it the deflagration be mode with odoriferous ingredients, is said to prevent infection
PLAISTER Common. Healing, drying.
PLAISTER Common, with Gums. suppurative.
PLAISTER Mercurial. Discutient, resolvent.
PLAISTER Mucilage. Softening, and for corns.
PLAISTER Red Lead. Drying, healing.
[Page 54]PLAISTER Soap. Resolvent.
PLEURISY.
SYMPTOMS. Chilliness, shivering, succeeded by heat, thirst, and restlessness; a violent acute pain on one side rear the ribs, extending towards the shoulder blades, back, and breast; worst when the affected side is lain on. Difficult breathing, redness of the cheeks, nausea, and dry cough, the matter spit up, if any, yellowish or bloody.
TREATMENT as in the Peripneumony; but repeated bleeding, laxatives, and cooling attenuants, as sal c. c. with nitre are chiefly to be relied on.
POISONS.
TREATMENT. When these are taken, if the time has been but short, give a strong emetic of white or blue vitriol, drinking plentifully of warm water to wash the stomach; oily clysters should also be given repeatedly, as should likewise cathartics. If corrosive sublimate was the poison, give solution of any fixed alcaline salt. If opium, or other narcotic, give acids ( [...]s vinegar) with water or broth; apply blisters; and if necessary, bleed. Care must be taken to continue these operations a sufficient time; afterwards the stomach and bowels should be healed with proper balsamic remedies, broths, &c.
POMEGRANATE SHELL.
See Bark.
The juice cooling, antiseptic.
POPPIES.
See Syrup of Poppies.
POWDER of Amber. compound.
Astringent, corroborant, from viij. gr. to half a drachm, twice a day.
POWDER Antil [...]ssus.
For bite of mad dog one drachm and a half, every morning.
POWDER of Arum root, compound.
Stomachic, antirheumatic from one scruple to one drachm twice a day.
POWDER Bezoardic
Absorbent, alexipharmic from one scruple to a drachm at night.
POWDER of Bole. compound
Astringent, from half a scruple to half a drachm, twice a day.
POWDER of Cerusse, compound.
Cooling and astringent, in collyriums for the eyes.
POWDER of Contrayerva compound.
Sudorific from one scruple to a drachm.
POWDER of crabs claws, compound.
Absorbent, febrifuge, from one scruple to a drachm, frequently.
POWDER to promote delivery.
[...] from one scruple to a drachm
POWDER of Scammony compound.
Cathartic from one scruple to two.
POWDER of Sena, compound.
Cathartic from half a drachm to a drachm or more.
POWDER of Tin.
Vermifuge from one scruple to a drachm twice a day.
POWDER of Tragacanth, compound.
Pectoral from j. scruple to a drachm, frequently.
POX.
See Venereal Disease.
POX, Chicken; or SWINE Pox.
SYMPTOMS. Chilliness, heat, and the usual precursory symptoms of fever; but milder than in the small pox. The eruption appears about the third day. They rise like the small-pox, but may be known from them by the matter being more like water than pus, by little vesicles, or bladders filled with water, on the top of such pustules as are whole; and by their turning about the fifth day; which the small pox does not till at least the seventh; and they leave no marks behind them
TREATMENT Cooling febrifuges, as nitre, with magnesia, antimonials, pulv. contray. and saline draughts, &c. and diluents; and afterwards two or three purges.
The Swine Pox is only a larger sort of Chicken Pox
POX Small.
See Small Pox.
PROCIDENTIA, vel PROLAPSUS ANI. or bearing down of the Rectum.
TREATMENT. Corroborants, as bark, tinct. rosar. &c. Laxatives, clysters, and aperients, if costive: clysters of tinct. rosar. or other bracers, and a proper bandage; chalybeates and cold bathing. N. B. if there be inflammation, emollient fomentations and poultices. The part should be gently reduced, and kept [Page 56] up with a bandage; rest and an horizontal posture are proper. Prolapsus Uteri. TREATMENT as in the preceding case. [...]essaries are also proper to be worm.
PUERPERAL Fever.
See Fever.
PUTRID Fever.
See Fever.
QUICKSILVER
Vermifuge, opening, from half an ounce to two or more, in the morning.
QUINSY.
SYMPTOMS. Inflammation of the throat; with pain, great heat, tumour, redness, difficulty in swallowing, and fever. The uvula sometimes relaxed and inflamed; the face red.
TREATMENT. Bleed largely, or according to exigency; open the body; blisters to the back, and near the part; gargle with spt. sal ammon. and decoct. pect. strong of the former; poultice the part with bread and milk, to which camphire may be added, and the volatile liniment may also be applied. If it suppurate, cease to evacuate; and inhale emollient steams. When ripe open the abscess; afterwards gargle with tinct. rosar. and tinct. myrrh.
RATTLE SNAKE ROOT.
Diaphoretic, antiseptic, from v gr. to a scruple. Also in antiseptic gargles.
RESIN of Aloes.
Cathartic one scruple, or more. Deobstruent, from v. gr. to half a scruple.
RESIN of Bark.
Corroborant, febrifuge, &c. from v. gr. to a scruple.
RESIN of Guaiacum
Antirheumatic, Alterative, deobstruent from v. gr. to xv.
RESIN of Jalap
RESIN of Scammony
Cathartic from v. gr. to a scruple.
RHEUMATISM Acute.
SYMPTOMS. Rigor, shivering, fever, thirst, costiveness, wandering gnawing pains, with swelling and redness in the part affected, the pain worse towards night and in bed.
TREATMENT. Bleeding; Medicines with sal c. c, nitre, camphire, guaicum, antimonials, or the like; laxatives, and opiates [Page 57] occasionally. The part may be rubbed with lin. sapon. camphire, and oil; lin. vol. &c. Warm fomentations are good; the part may be covered with flannel, diluents should be freely given, and a diaphoresis kept up. When the urine deposits a copious sediment the bark may be given: it may be joined with some of the above, and opium may be occasionally added.
RHEUMATISM chronic.
Differs from the acute, in that it is not attended with fever or inflammation in the part; and chiefly attacks those advanced in life, contrary to the other.
TREATMENT. If necessary bleed, and purge with elect. e scammon. sena, &c. Pulv. doveri, or other anodyne sudorific, may be given. Calomel, in small doses, with vin. antim. has been found efficacious; as hath likewise kermes mineral, with camphire, about three grains of each. Bark and sarsaparilla are given by some; but gum guaiacum with volatile salts, the guaiacum with an opiate, or sal c. c. with nitre, and julep e camph. according to circumstances, are generally successful. Warm embrocations to the part, and flannel are also serviceable; cold bathing, where not improper on other accounts; a flannel shirt worn next the skin, is a good preventive of a return.
N. B. Mustard has been effectual, taken inwardly, and rubbed into the part. Electricity, Friction and exercise of the part, are useful.
RHUBARB. Cathartic from j. scruple to j. drachm. Stomachic from iv. grains to half a scruple.
RHUBARB toasted. Astringent from half a scruple to j. scruple.
RICKETS.
SYMPTOMS. The head large, the fontanelle keeps long open, the face full and florid, the joints knotty, and the bones protuberant, causing incurvation and distortion; the ribs protuberate. and become crooked; the belly swells; cough and pulmonary disorders succeed. The child (for children only are the subjects of this complaint) moves weakly, and waddles; usually appears about the eighth month, and continues till the sixth year; ariseth from bad nursing; the understanding is very early.
TREATMENT. Cold bathing; friction; bathing the back with spirituous embrocations, or warm balsamic liniments; strengthening plaisters; gentle vomits of ipecacuanha; and purges with rhubarb and aethiops mineral; bark, chalybeates, air and exercise.
RINGWORMS.
See Tetters.
ROB of Elder. Pectoral, opening from j. drachm to iij.
ROSES, Red. Astringent from v. gr. to half a dr.
See Tincture
ROSEMARY. Cephalic, Carminative, &c. in infusion.
RUE.
In infusion against fits and spasmodic complaints; also alexipharmic and antipestilential; juice in clysters, vermifuge.
[Page 58]RUPTURES. See Hernia.
SAFFRON. Cordial from iij. gr. to a scruple, or in infusion.
SAGAPENUM. Nervous, hysteric, &c, from v. gr. to a scruple, twice a day.
SALT, alkaline fixed. (As sal absinth, sal tartar &c.) antacid, attenuant, diuretic, from iij. gr, to xv.
SALT, alkaline volatile. (As sal c. c. sal ammon. vol. &c.) antacid, attenuant, diaphoretic, from iij. gr. to xv.
SALT of Amber Aperient, diuretic, hysteric from iv. gr. to a scr.
SALT, Ammoniac. Diuretic, febrifuge, attenuant, diaphoretic, from v. gr. to a scruple, or more.
SALT. Cathartic (As Glauber's, Epsom, Rochelle &c. from half an ounce to ij. ounces)
SALT Diuretic Attenuant from j. scruple, to ij. drachms. Aperient from ij. drachms to half an ounce.
SALT of Steel. Attenuant, deobstruent from ij. gr. to half a scruple.
SARSAPARILLA.
Alterative, antivenereal, in decoction (from ij. ounces to ij. lb.) from iv. ounces to half a lb. twice a day.
SASSAFRAS.
Alterative, antiscorbutic, &c. dose as in Sarsaparilla.
SAVIN. Emmenagogue, in infusion, from ij. ounces to iv.
SCALDS, or Burns.
TREATMENT. Apply ol. linis. igne alone, or with spermaceti or wax dissolved in it; aq. veg. min. is also good; afterwards cerat. epulot, or other cicatrizer. If inflammation render it necessary, bleed and purge.
SCALD-HEAD.
TREATMENT. Rub the part with ointments made of sulphur, pitch, ung. nicotian, or the like: the ung. caerul. has been used with success; bathing with salt water, and give mercurials, antimonials, or other alteratives; blisters kept open, and issues are proper.
SCAMMONY. Cathartic, from half a scruple to a scruple.
SCARLET Fever.
See Fever.
SCHIRRUS, or hardened Glands.
TREATMENT. Endeavour to disperse it by mercurial unction, ext. cicutae, or mercurials, with sarsaparilla, &c. and occasional purges. If it incline to suppurate, treat it as directed in abscesses, &c. If it neither disperse nor suppurate, extirpation is the only cure, where it can be done; otherwise treat it with coolers, and occasional anodynes.
SCIATICA.
SYMPTOMS. A fixed pain in the hip, like the rheumatism. Called also the Hip Gout and Ischias.
TREATMENT as in Lumbago.
SCORDIUM. Astringent.
See its Preparations.
SCROPHULA.
SYMPTOMS. Schirrous unequal tumours, which do not readily suppurate; affecting the glandular parts, but chiefly on the sides of the neck.
TREATMENT. Purge occasionally with jalap. and calomel; and give alteratives, as calomel, with sulph. aur. ant. aeth. antimon. or some other; millepedes are good; spong. ust. with rhubarb; sea water internally before suppuration, and the bark and sea bathing after they soften; exercise is good; gross and high seasoned diet must be avoided; vegetable acids, especially Sevile oranges, are proper.
SCURVY.
SYMPTOMS. Heaviness, lassitude, low spirits, offensive breath, tender gums, sallow bloated conntenance, haemorrhages from the nose and mouth, difficult breathing, swelling of the legs, yellow purple, or livid spots on the skin; tumours in the limbs; contraction of the tendons of the ham; other symptoms occur, but they differ in different subjects, as do likewise those above-mentioned; and the disease is in general sufficiently known. It is however, distinguished into Sea and Land Scurvy.
TREATMENT. In the Sea Scurvy, the juices are disposed to putridity from the use of animal food, and moist air; antiseptics therefore will be proper, as vegetables, vegetable acids, fruit, cyder, &c. infusion of malt, in defect of these or liquors made of molasses or sugar. Bark, and elix. vitr. acid. are good. Liquids impregnated with fixed air for common drink, and wholesome air.
The Land Scurvy, (improperly so called) is rather a cutaneous disease; scurfy or scabby eruptions appear, either partially, or more universally; often with itching and heat.
The antimonial alteratives, with gentle mercurials, are often efficacious; aq. calcis composit. succ. scorbutic, or the like, may be used with them. Cream of tartar and flowers of sulphur are good. The parts may be anointed with saturnine liniments, with a little white precipitate if necessary.
SCURVY GRASS.
Antiscorbutic, the juice or infusion from ij. ounces to iv. twice a day.
SENEKA.
See Rattlesnake-root.
SENNA. Cathartic from j. drachm to iij. or in infusion.
SETON, to make.
Pinch up the skin and fat with the finger and thumb, and run a proper needle through it, armed with a skain of silk or thread smeared with digestive ointment; which must be shifted a little every day, so as to keep both orifices running.
SHINGLES.
See Tetters.
SINGULTUS.
See Hiccups.
SKIN, diseases of.
See Cutaneous Diseases.
SLATE, Irish.
An internal vulnerary and astringent, from j. drachm to ij. in spruce beer.
SMALL-POX.
SYMPTOMS. Chilliness, shivering, heat, pain in the head and back, sickness and pain at the stomach, and sometimes vomiting; fever, costiveness, convulsive fits sometimes in children, which is a good symptom. On the third or fourth day the eruption appears, like flea-bites, in the face, breast, arms, body, and feet successively; pains and soreness in the throat. The eruption being compleated, the fever goes off or abates. The eruptions fill, or maturate like boils, and the skin between them is also red; the eye-lids, face, hands, and feet, swell successively; the pocks from red, grow whitish and smooth in the body, and yellow and rough in the face, full of a white matter. About the seventh day from the eruption, (sometimes the ninth) they dry, or turn as it is called, and scale off, leaving red marks, and sometimes pits behind.
TREATMENT. If the pulse be full and strong at the beginning, bleed; and if necessary, or the period be sufficiently early, purge, and give an emetic. During the eruptive fever, cooling febrifuges, with laxatives, or clysters occasionally; but if the symptoms require it (as low pulse, &c.) gentle cordials and diaphoretics. After the eruption, little is generally required but a gentle anodyne at night, proper diluents, and if necessary, opening clysters, &c. If purging come on, check it with caution; if delirium or fever, apply blisters; and if the pock sink, give bark, with proper diaphoretics and cordials; especially if malignant or putrid symptoms, or petechiae appear. Spt. vitrioli dulcis is also good in these cases, as are sinapisms to the feet.
In the confluent kind, all the symtoms are worse than in the distinct. The eruption makes its appearance a day or two later, and does not come to its height till the eleventh or fourteenth day after; the fever also continues after the eruption appears, and a salivation comes on, which must by no means be checked. The patient requires to be supported more in this case than in the other; care, however, must be taken in both kinds to avoid too much heat, or a heating regimen; and pure, and even cool [Page 61] air, where no objection appears, is salutary. If the pustules are opened, and the matter let out, so much the better; especially if danger of their sinking or striking in appear. Purging is esteemed proper after this disease.
To inoculate for the Small Pox, take a little matter from a pustule, after the eruptive fever, on the point of a lancet, and insert it in the arm (by making a small puncture or two) between the true and scarf skin, which may afterwards be pressed down with the slat side of the lancet. Three or four days afterwards the punctures appear inflamed; in about three days more the precursory symptoms come on, and at length the eruption.
Previous to the inoculation, a mercurial purge or two may be administered, if the patient is of a full or gross habit; and he should also be restrained to a milk and farinaceous or vegetable diet, avoiding especially high seasoned food. It is found best to keep him out of bed, and even now and then in the cold air. The symptoms are generally so favourable, that little assistance is required from medicine, except a few mercurial purges after the disorder goes off.
SOAP.
Diuretic, icteric, lithontriptic, attenuant from one scruple to ij. drachms twice a day.
SOAP Leys.
See Lixivium.
SORE THROAT, putrid.
See Angina maligna.
SPASMS,
See Convulsions.
SPECIES Aromatic. from v. gr. to xv.
SPECIES of Scordium. Astringent from v. gr. to j. scruple
SPERMACETI.
Pectoral, balsamic, vulnerary from one scruple to a drachm. Externally healing, softening.
SPHACELUS, or compleat Mortification.
SYMPTOMS. This succeeds a Gangrene (which see) if it cannot be stopt; the part loses all sensation, and yields an intolerable smell.
TREATMENT as in Gangrene. When the separation is advanced, amputate the limb, or cut out the part, if it can be done with safety; persisting in the use of the bark, &c. till a complete digestion is procured.
SPIRIT of Hartshorn.
Attenuant, cordial, sudorific from x. drops to lx.
SPIRIT Minder [...]rus's.
Attenuant, cooling, diaphoretic from two drachms to half an ounce.
SPIRIT of Nitre, Sweet.
Diuretic, febrifuge, carminative from x. drops to half a drachm.
SPIRIT of Turpentine. Diuretic, &c. from x. drops to xl.
SPIRIT of Vitriol, acid, Cooling, astringent, antiseptic, antalkaline, from v. drops to xx.
SPIRIT of Vitriol, sweet. Febrifuge, diuretic, &c. from v. drops to xx.
SPIRIT Volatile aromatic. As spirit of Hartshorn; also cephalic.
SPIRIT Volatile foetid. Antispasmodic, &c, from x drops to xxx.
SPLEEN.
See Hypochondriacal and Hysteric Diseases.
SPRAINS.
See Strains.
SQUILLS
Pectoral, diuretic from iij. gr. to viij. Emetic from half a scruple to a scruple.
STEEL, Rust of. Deobstruent, attenuant, tonic, fr. v. gr. to half a scruple. See its preparations.
STINGS, Venomous.
TREATMENT as in Bites.
STOMACH, Inflammation of.
SYMPTOMS. Heat, pulsation, and acute pain in the part, which is increased by swallowing, tension at the pit of the stomach; anxiety; retching; hiccup; small, weak, intermitting pulse,
TREATMENT. Bleeding, emollient liquids, and clysters; fomentations; gentle opiates; blisters; mucilage of gum arabic; with small doses of nitre occasionally.
STOMACH, pain in.
See Heart-burn.
STONE AND GRAVEL
SYMPTOMS. Pain in the back and loins, or the region of the bladder; nausea; vomiting; strangury; sometimes bloody urine; costiveness; retraction of the testicle of the affected side; numbness down the thigh and leg; the pain in the kidneys abates when the calculus is got into the bladder, and the urine becomes turbid.
TREATMENT. Bleed, if no objection appear; draughts with ol. amygd. and large quantities of gum arabic, with manna and [...] added occasionally. Pil. sapon. good as an anodyne at [Page 63] night. As solvents, the lixiv. sapon. from x. to xxx. or lx. drops in veal broth twice in a day. Soap, oyster-shells, and lime-water are also good; and in some cases, the sal vol. c. c. or spt. sal marin. Water impregnated with fixed air, has been found a solvent in some cases; as hath also spt. nitr. dulcis, the fol. uvae ursi, the live millipedes, and decoction, or oil of Juniper. In violent fits of the disorder, the semicupium is good; and clysters with V [...]ice turpentine, or spirit of turpentine, and opium. In nausea and vomiting, the saline draughts, with tinct. theb. and care should be taken to keep the body properly open with cathartics of the cooling saline kind, or rather with manna, ol. ricini. and inf. senae, or other mild purge. Emuls. com. decoct. rad. alth. or the like, may be used freely as common drink. (See also Colic.)
STORAX.
Pectoral, vulnerary from v. gr. to a scruple
STRAINS.
If internal, give spermaceti, bals. traumat. or Irish slate, with spruce beer. If outward, apply lin. sapon. vinegar, lin. vol. or arquebusade. If there be inflammation, foment and poultice, bleed and purge.
STRANGURY.
SYMPTOMS. A difficulty of making water, attended with heat or scalding; often proceeds from blisters.
TREATMENT. Give emuls. com. or mucilage of gum arabic freely. If these fail, boluses of camphire and opium. See also Urine.
STYPTICS internal.
Tinct. styptic. from j. drachm to half an ounce. Tinct. rosar. from j. ounce, to ij. Elix. vitr. acid from x drops to xx.
External, alum, colcotnat, aq. vitriol caerul. sacc. saturni. vitriol virid, flour, cobweb, dry lint, fur of hat, agaric, bals. traumatic.
SUGAR of Lead. Externally cooling, astringent.
SULPHUR Flowers. Pectoral, alterative, aperient from j. scruple to ij. drachms.
SULPHUR precipitated. Ditto.
SULPHUR of Antimony, precipitated. Alterative from half a gr. to ij. grains.
SWINE-POX.
See Pox.
SYRUP of Buckthorn. Cathartic from j. ounce, to iij.
SYRUP of Kermes. Cordial from half a drachm to ij. drachms.
SYRUP of Squills. Pectoral, diuretic from half a dr. to ij. dr.
SYRUP of white Poppies. Anodyne from j. drachm to half an ounce.
TABES DORSALIS.
SYMPTOMS. A wasting of the whole body, attended with fever, but no spitting nor cough, by which it is known from a Phthysis. A collection of matter in some part of the body is usually the cause, but particularly attends the inflammation of a schirrous gland.
TREATMENT. If it arise from a schirrous liver, soap, and mild chalybeates. If the schirrus, or abscess be external, open or extirpate. The bark is often proper in these cases, as is also myrrh with nitre. The body must be kept properly open; but purgings should be checked. Gentle exercise, wholesome air, and proper mild diet, with the use of asses milk, and the like, are often of much service.
TAMARINDS. Cooling, antiseptic, ad libit.
TARTAR, Cream of
Ditto. Also opening from ij. drachms, to half an ounces.
TARTAR Emetic.
From j. gr. to iv. Febrifuge, diaphoretic from one fourth of a grain, to j. grain.
TARTAR vitriolated.
Aperient, febrifuge, &c. from half a drachm to ij. drachms.
TEETHING.
SYMPTOMS. Inflammation and swelling of the gums, and flavering, Fever, and sometimes convulsions.
TREATMENT. Cooling febrifuges in case of fever: the body should be kept gently open. If convulsions arise, give tinct. fulig. and carminatives, or ol. anisi. with magnesia. If a rash appear, Gascoign's powder, or pulv. contray. c. with nitre, are usually given. If a cough, spermaceti, or other balsamic pectoral; leeches and blisters may be applied if necessary: and if the disorder is violent, the gums should be lanced.
TENESMUS.
SYMPTOMS. Frequent, or even continual inclination to go to stool, without occasion, or being able to void any. Arising from the abrasion of mucus, &c. from the rectum and anus.
TREATMENT. Clysters, with mutton broth and opium; or with starch oil, and elect. e scord. or wih spermaceti, suet or the like. Bals. locat. or spermaceti with tinct. theb may also be given inwardly.
TESTICLES inflamed.
TREATMENT. Bleed, purge and even vomit, if necessary, in order to cause revulsion. Warm emollient fomentations and poultices are usually reccommended; but Dr. Simmons, in his ingenious practical treatise on the Gonorrhaea recommends cold applications to the part, as being much more efficacious.
[Page 65]Febrifuges and gentle diaphoretics, with an anodyne at night, are good. If matter form, open and let it out. The testicles should be suspended, and the patient kept as much as possible in an horizontal posture.
TETANUS.
SYMPTOMS. A rigid and painful contraction of the muscles of the neck, and trunk of the body, drawing it backwards or forwards in a curve, with convulsions.
TREATMENT. Give large doses of musk and opium, keeping the body open with ol. ricini, or other proper purge. The warm bath, emollient fomentations and spirituous embrocations to the parts. Sal. c. c. and the nervous medicines are good; and clysters with turpentine and opium. After the disorder, give bark, or other restoratives.
TETTERS.
TREATMENT. They may be touched with ink, a weak solution of green or white vitriol, sacch. saturn. sal tartari, or sublimate. If these prove too violent, softening and cooling liniments, or cream. Ung. caerul. mit. spt. vin. camph. or liniments with white precipitate are good. Sometimes alteratives of the mercurial and antimonial kind, or cooling febrifuges and purges, and necessary.
Pimples, Ringworms, Shingles, Grubs, Freckles. And other like cutaneous complaints, also give way to some of the above methods.
THROAT, sore.
TREATMENT. A common inflammatory sore throat, proceeding form cold, &c. gives way to bleeding, cooling purges, gentle sudorifics, acidulated gargles, and lin. vol. applied outwardly. If necessary, blisters may be applied behind the ears. If there are ulcers, bleeding and purging are generally improper; warm, but mild and antiseptic diaphoretics, as rad. serp. virg. conf. damocrat, cortex, sal. c. c. contrayerva, &c. with detergent gargles, composed of tinct. myrrh, honey, &c. or the tinct. rosar [...] Blisters if necessary; and if much fever, proper cooling febrifuges. See also Angina and Quincy.
THRUSH.
SYMPTOMS. Little ulcers in the mouth and throat, of a white or yellowish colour. Frequent in children.
TREATMENT. Keep the body gently open with magnesia or rhubarb; give the saline mixture, with pulv e ch. Cancr. or contrayerva c. and touch the ulcers now and then with syr. moror. and borax, or with alum, bol. arm. and honey, tinct. rosar. &c. See also Fever Aphthose, Fever Miliary, Angina Maligna, and Venereal Disease.
TIN Filings.
Vermifuge from half a drachm to ij. drachms.
[Page 66]TIN pulverized. Ditto.
TINCTURE of Antimony.
Deobstruent, diuretic, diaphoretic from x. drops to lx. Emetic from ij. draehms, or more.
TINCTURE aromatic. From j. drachm to ij. drachms.
TINCTURE of Bark. Corroborant, febrifuge from j. drachm to half an ounce.
TINCTURE of Bark, volatile. Ditto from half a drachm to j. drachm.
TINCTURE, bitter. Stomachic from j. drachm to ij.
TINCTURE of Cantharides. Diuretic, corroborant from x. drops to xxx. or more.
TINCTURE of Castor. Nervous from half a drachm to ij. drachms.
TINCTURE of Cinnamon. Astringent, cordial from j. drachm to ij. drachms.
TINCTURE Foetid.
— of Soot. Antispasmodic, &c. from xx. drops to j. drachm.
TINCTURE of Guaiacum, volatile. Antirheumatic, &c. from xx. drops to j. drachm or more.
TINCTURE of black Hellebore. Deobstruent, aperient from half a drachm to ij. drachms.
TINCTURE of Jalap. Cathartic from ij. drachms to vj.
TINCTURE of Japan Earth. Astringent from j. drachm to ij. drachms.
TINCTURE of Myrrh. Deobstruent, antiseptic from xv. drops to j. drachm.
TINCTURE of Rhubarb. Opening from half an ounce to ij. ounces. Stomachic, &c. from j. drachm to iij. drachms.
TINCTURA Sacra. Opening from j. ounce to ij. ounces. Deobstruent from ij drachms to half an ounce.
TINCTURE Saturnine. Astringent, antiphthisical, from xx. drops to xxx. drops.
TINCTURE of Sena. Opening and carminative from j. ounce to iij. ounces.
TINCTURE of Snakeroot. Alexipharmic, stomachic, &c. from half a drachm to ij. drachms.
TINCTURE of Flowers of Steel. Deobstruent, corroborant, &c. from x. drops to half a drachm.
TINCTURE of Steel with spt. of Salt. Ditto, from v. drops to xx. drops.
[Page 67]TINCTURE, Styptic, From j. drachm to half an ounce.
TINCTURE, Thebaic. Anodyne, &c. from v. grains to j. drachm.
TINCTURE of Valerian. Nervous from j. drachm to half an ounce.
TINCTURE of Valerian, volatile. From xx. drops to lx.
TONICS.
Bark from j. scruple to j. drachm, see also its preparations. Elix. vitriol from v. drops to xx. Vin. chalyb. from half a drachm, to half an ounce. See also Corroborants.
TOOTH-ACH.
TREATMENT. If hollow or decayed, apply bals. traumatic, ol. caryoph. origan. vel guaiaci, upon cotton to the part; or pills with camphire and opium, or rad. pyrethri. Some burn the nerve with ol. vitriol, aqua fortis, or an hot iron; or touch the Antihelix with the latter. If there be inflammation, bleeding, purging, and blisters behind the ears. If it proceed from Cold or Rheumatism, treat it as directed for those complaints.
TREACLE, Venice. Alexipharmic, sudorific, &c. from half a drachm to j. drachm.
TREMORS.
TREATMENT as in Nervous Complaints and Palsy.
TROCHES pectoral Ad Libitum.
— Heart burn. Ad libitum.
TROCHES of Japan Earth.
— of Squills.
— of Sulphur.
— of Vipers.
— of Nitre.
Virtues as the respective simples, only in double or treble doses.
TUMOURS Encysted.
Try to disperse them with mercurial unction or plaister, or friction; or if these fail, hemlock fomentations and poultices, and give ext. cicut. or mercurials, with sarsaparilla, &c. and occasional purges. If you cannot disperse them, endeavour at suppuration; if that fail, extirpation, where it can be done, is the only cure.
TURPENTINES.
Diuretic, detergent, strengthening from j. scruple to j. drachm.
TUTTY.
Externally in collyriums for the eyes; cooling, astringent.
TYMPANY.
A collection of wind or air in the intestines, particularly the colon, by which they become violently distended. It sometimes [Page 68] arises from checking a diarrhoea, or from the imprudent use of bark in intermittents.
TREATMENT. If fever and full pulse, bleed; keep the body open with gentle laxatives, joined with aromatics; but refrain from strong purges, and from carminatives not joined with proper aperients. The belly should be frequently rubbed, and swathed with flannel. Exercise is good; gentle corroborants, as flor. chamaem, with small doses of chalybeates joined with aromatics, are also very proper.
VALERIAN.
Nervous, antispasmodic, &c. from half a scruple to half a drachm, twice a day.
VARIX, or Enlargement of a Vein.
TREATMENT. Keep it compressed with proper bandages, and if necessary, bleed and evacuate. If these fail treat it as in the operation from Aneurism.
VENEREAL Disease.
SYMPTOMS. A few days after an impure coition, a titillation about the glans penis; heat and pricking pain in making water; then a discharge of matter from the urethra, at first whitish, and in small quantity; afterwards yellow or green or even reddish, and more copious. If it be suffered to proceed, inflammation and excoriation follow; painful erection or chordee. Sometimes phymosis (or an inability of drawing the skin back over the glans.) paraphymosis, (or an inability of drawing the skin forward so as to cover the glans,) swelling of the testicles, chancres, bubors, scabby eruptions, nocturnal pains, nodes, carious bones, ulcers in the throat and nose, &c.
TREATMENT, In the beginning, bleed, if nothing forbid; and give a cooling purge, a small dose of calomel, merc. calcinat. or other proper mercurial, every night; and nitre, with gum arabic, and some gentle lenitive, several times in the day; repeating the purge occasionally. If these are not judged sufficient, a small quantity of ung. caerul. fort. may be rubbed into the thigh or leg every night. The parts should be kept clean by washing them with warm milk and water. This course should be persisted in till the virulence is subdued, afterwards a few cooling purges; and bals. capiv. with astringent, or other injection [...], if gleet or ulcer remain, will usually be sufficient.
Buboes are generally advised to be dispersed with ung. caerul. fort. but if they are advanced, they should be brought forward by proper suppuratives, opened and digested thoroughly off, which is usually attended with the most salutary effects. Abscesses in perinaeo, should, if possible, be dispersed.
Chancres may be anointed with ung. caerul. fort. after washing them with aq. phagedaenic. For the Hernia Humoralis see T [...]ticles. see also Phymosis.
[Page 69]When the disorder is a Confirmed Lues, we should either salivate, or at least keep the blood for some time highly charged with mercury; for either of which purposes calomel, or merc. calcinat. &c. should be given inwardly; and half a drachm or a drachm of ung. caerul. fort. rubbed every night into the thighs. In short, the whole dependence must be on mercury for destroying the virulency, other remedies being only had recourse to occasionally, according to the symptoms that arise. Thus, inflammatory symptoms are to be removed by bleeding, purging or other proper medicines; ulcers, abscesses, &c. should be treated as required in such cases; but the disease which is the cause of these should be principally attended to, and when that is subdued by a proper mercurial course, the other symptoms will either disappear, or may be removed by requisite methods. A Gleet, for example, will sometimes remain after the disorder is cured; and must be treated with corroborants, and, if necessary, astringent injections; the cold bath, and a strengthening diet.
VERDIGRIS.
Externally detergent, good against fungous flesh.
VERTIGO.
SYMPTOMS. Objects, though at rest, seem to turn round; dimness of sight, and fear of falling.
TREATMENT. Bleed in the jugular, and cup in the back part of the head; blisters kept open; a vomit and laxatives; then the nervous medicines, as pil. gum castor, sal c. c. &c. and chalybeate waters.
VINEGAR.
Cooling, antalkaline, antiseptic from j. drachm to half an ounce.
VINEGAR distilled. Ditto.
VINEGAR Litharge.
Cooling, astringent, externally.
VINEGAR of Squills.
Pectoral, diuretic, deobstruent from x. drops to j. drachm.
VIPERS.
Nutritive, corroborant, as food or in broth.
VIPERS Fat.
Externally for bites of vipers, also opthalmic.
VITRIOL, Blue.
Escharotic externally. Also emetic from half a scruple to j. scruple. Corroborant from one fourth of a grain, to j. grain.
VITRIOL, Green.
As salt of steel
VITRIOL, White.
Emetic to j. scruple. Astringent from iij. grains to half a scruple. Externally cooling, astringent.
ULCERS.
TREATMENT. Dress them with proper digestives, and if they are fungous, apply an escharotic; if foul, mix red precipitate with the digestive, or use the mel. AEgyptiacum, or tinct. myrrhae; or else wash with aq. phagedaen. or the like. Dry lint alone, in some cases, is good. If callous, cut or eat away the callosity. If the bone be carious, either scrape it, or make small perforations to promote exfoliation; or dress with lint, either dry, or wetted with tinct. myrrhae. If humours abound, give proper alteratives and purges; and if putridity appear, the bark and elixir of vitriol.
VOMICA, or Abscess in the Lungs.
SYMPTOMS. It is sometimes a consequence of pleurisy; cough, difficult breathing, even after the pain which preceded it g [...]s off; slight shiverings, followed by heat; a quick weak pulse; hectic fever; wasting of the body; the patient cannot lie down but on the side affected.
TREATMENT. Gentle medicines of the turpentine kind, balsamics and diuretics, steams of hot water, with bals. Tolu, benzoin. and received into the lungs; occasional laxatives, bleeding if inflammation, soft balsamic food, and gentle exercise.
VOMITING.
TREATMENT. If it arise from foulness of stomach (as bile, acidity, &c.) a vomit will be useful; and afterwards, if necessary, a rhubarb purge; and stomachics, magnesia, opiates, &c. according to circumstances. If from spasms, the saline draughts, and proper opiates; medicines of the nervous class, joined with laxatives; and, if necessary, a blister to the back. If from inflammation, bleeding, cooling diluents and febrifuges, as the saline draughts, with proper laxatives; and anodynes at discretion. If from weakness of the stomach, bark, bitters, or other corroborants; premising a vomit if judged necessary. Chalybeate waters are also proper. If the stomach be sore, as it is termed, the bals. traumat. spermaceti, or other balsamics, are good. In vomitings, the best form of medicine is pills. Vomitings are often symptomatic, as in fits of the gravel, pregnancy, &c. the original disorder, must in those cases, claim the chief attention.
VOMITING of Blood. See Blood.
URINE bloody,
The treatment may be similar to that prescribed for the Diabetes.
URINE, profuse Discharge of, or Diabetes
TREATMENT. As this complaint arises from a relaxed state of the sphincter of the bladder, it must be cured by proper corroborant remedies, as bark, tinct. rosar. tinct. stypt. elix. vitriol, alum, bitters, and the like. Tinct. canthar. has been found efficacious, as hath also vitriol caerul. in doses of half a grain, twice in a day. Exercise, and light, but strengthening diet, are also proper.
URINE, Suppression of.
Called Ischuria, if total; Strangury, if but in part; and Disury, if the latter be attended with heat; and are usually occasioned by inflammation or spasms on the neck of the bladder, in consequence of blisters, or some other cause.
TREATMENT. Medicines with ol. amygd. and plenty of gum arabic, with opiates or camphire, if necessary. The body should be kept open with gentle laxatives, and emollient clysters; if necessary, bleed, foment the belly, and advise the warm bath. If caruncles in the urethra are the cause, bougies, introduced with proper caution, are serviceable.
UTERUS inflamed, &c.
See Womb.
WARTS.
Touch them with some caustic or escharotic daily, paring off first the decayed part; or cut them off with scissars, and touch the roots with blue vitriol, or the like. If it can conveniently be done, tie round the bottom a fine hair, or silk thread, and it will die away. The juice of celadine, or spurge rubbed over them, are esteemed good.
WATER Horse-radish.
Diuretic, deobstruent from ij. drachms to half an ounce.
WATER Lime, simple. —compound.
Alterative, antiscorbutic, antacid from four ounces or more.
WATER Phaged [...]enic To wash foul ulcers.
WATER Sapphirine. Detergent, astringent.
WATER'S simple, distilled.
The virtues of their respective plants, &c. from ij. ounces to iv.
WATERS, Spirituous, distilled.
The virtues of their respective ingredients from ij. drachms to j. ounce. Also cordial.
WATER, sulphurated. Pectoral, cooling, &c. from half a drachm to ij. drachms.
WATER, Tar. Alterative, deobstruent, corroborant from iv. ounces to half a lb. twice a day.
WATER Vitriolic, camphorated, Opthalmic.
[Page 72]WATER, Vitriol blue. Externally styptic.
WAX.
Balsamic, antidysenteric; externally healing.
WHEY, Alum.
Astringent from iv. ounces, twice a day. Externally astringent, cooling.
WHEY Scorbutic [...]
From iv ounces to half a lb. twice a day.
WHITES.
See Fluor albus.
WHITLOW.
TREATMENT similar to that directed for Boils and Abscesses.
WINE aloetic, alkaline.
Deobstruent, attenuant from j. drachm to iij. drachms.
WINE antimonial.
Emetic from ij. drachms to half an ounce. Diaphoretic, diuretic, febrifuge from x. drops to lx.
WINE bitter.
Stomachic from j. drachm to iij. twice a day.
WINE Ipecacuanha.
Emetic from j. ounce to ij. ounces and a half.
WINE of Millepedes
Diuretic, attenuant, deobstruent from j. drachm to iij. twice a day.
WINE, Saffron.
Cordial from ij. drachms to half an ounce.
WINE, Steel.
Deobstruent corroborant from half a drachm to iij. drachms twice a day.
WINE, Viper.
Strengthening from ij. drachms to an ounce.
WOMB inflamed.
SYMPTOMS. Pulsation, pain. heat, and tumour in the part; fever, costiveness, pain on going to stool, and difficulty of making water.
TREATMENT. Bleeding, laxatives, emollient clysters, cooling febrifuges, diluting liquors, fomentations and poultices, &c. as in other inflammations. (See Stomach, Bladder, Kidnies, &c.)
If a Cancer succeed, it must be palliated with gentle anodynes, occasional bleeding and laxatives; and proper detergent, or other injections.
WORMS.
SYMPTOMS. Itching of the nose and anus; hunger, with ravenous appetite; nausea; and gnawing pain in the stomach or intestines; foetid breath; grinding of the teeth, and moaning [Page 73] in sleep; intermitting weak pulse, and hectic fever; faintings, and sometimes convulsive fits; paleness; wasting of the flesh. But there are several kinds of worms. Itching about the anus, with tenesmus, are signs of ascarides, or small thread worms. Sudden gripings about the navel, denote the common round worms. Gnawing pains in the stomach, and voraciousness, the maw worms. And a weight in the belly, like the rolling of a ball, the taeni, or tape worm,
TREATMENT. Tin filings, with rhubarb, or other proper aperient; sem. santon. calomel, aethiops, or other mercurials, every night; with a purge now and then. Indian pink roo [...] half a scruple in powder, or coralline. Theinfusion of bears-foot leaves is esteemed good; cabbage-tree bark has also been recommended. Aloes, wormwood, rue, savine, especially in clysters; and for the ascarides, the fumes of tobacco thrown up the rectum; for the tape worm, the male fern root, j. drachm every hour for three times, and presently after a strong drastic mercurial purge. See Dr. Simmons's ingenious pamphlet on the subject. Corroborants are proper after a course of anthelmintic medicines.
WORMWOOD.
In clysters, vermifuge.
WORMWOOD in Infusion.
Stomachic, externally in fomentations discutient.
WORM Seed.
Vermifuge from v. grains to j. scruple, or more in infusion.
WOUNDS.
TREATMENT. Remove extraneous substances; and, if the wound be simple, close the lips with slips of sticking plaister, or the stitch if necessary; and apply lint, either dry, or in case of bleeding, wetted with bals. traumatic, &c. If necessary, bleed and purge; or give cordials &c. according to circumstances. Dress with some mild digestive or defensative; and if fungous flesh appear, use escharotics, afterwards cicatrize.
If there be loss of flesh, defend the part from the air with proper, mild, vulnerary dressings, while nature supplies the loss. In other respects (the suture excepted) proceed as above. If an artery or vein be wounded or divided, apply styptics, ligatures, &c. according to circumstances. If a nerve be divided in part (as violent pain, convulsions, and delirium will indicate) divide it entirely; as must also be the case with a tendon or artery in like circumstances. If there be fever, bleed, purge, and give cooling febrifuges; and if inflammation, apply emollient poultices and fomentations. If the patient is low and the wound does not go on kindly, bark, or other proper cordial and strengthening medicines, with suitable diet, should be prescribed.
TABULA ostendens, qua proportione simplicia medicamenta purgantia, narcotica, et mercurialia, in compositis, quibus occurrunt, continentur.
| A Table shewing in what proportion, the simple purging, narcotic, and mercurial medicines, are contained in those compounds of which they make a part. | |
| Pulvis e bolo compositus cum opio in gr. 45. | continet Opii gr. 1. |
| Pulvis e scammonio compositus in gr. 7. | continet Scammoni gr. 4. |
| Pulvis e fena compositus in gr. 21. | continent Senae gr. 8. Crystallorum tartari gr. 8. Scammonii gr. 2. |
| Pulvis e succino compositus in gr. 40. | continet Opii gr. 1. |
| Species e scordio cum opio in gr. 45. | continent Opii gr. 1. |
| Pilulae ex colocynthide simpliciores, in half a drachm. | continent ferè Scammonii half a scruple, Colocynthidis half a scruple. |
| Pilulae ex colocynthide cum aloe in half a drachm. | continent ferè Aloes gr. 8. Scammonii gr. 8. Colocynthidis gr. 4. |
| Pilulae mercuriales in gr. 28. | continent Argenti vivi gr. 15. |
| Pilulae saponaceae in half a scruple. | continent ferè Opii gr. 1. |
| Pilulae e styrace in 5. gr. and 4-5ths. | continent Opii gr. 1. |
| Electarium e scammonio in 1 ounce and half. | continet Scammonii gr. 15. |
| Electarium e scordio in iij drs. | continet Opii gr. 1. |
| Confectio paulina in gr. 32. | continet Opii gr. 1. |
| Mithridatium, sive confectio Damocratis in half an ounce. | continet Opii gr. 1. |
| Philonium Londinense in gr. 36. | continet Opii gr. 1. |
| Theriaca Andromachi in gr. 75. | continet Opii gr. 1. |
In Emplastro ex ammoniaco cum mercurio Argentum vivum est totius pars ferè quinta.
In Emplastro communi cum mercurio Argentum vivum est totius pars ferè quinta.
In Unguento caeruleo fortiori Argentum vivum est totius pars ferè tertia.
In Unguento caeruleo mitiori Argentum vivum est totius pars ferè quinta.
In Cerato mercuriali Argentum vivum est totius pars ferè quinta.