wine or beer and opium, and bark, above mentioned, may be
increased by degrees, if the patient seems refreshed by them; and if the
pulse becomes slower on their exhibition; but this with caution, as I have
seen irrecoverable mischief done by greater quantities both of opium, wine,
and bark, in this kind of fever; in which their use is to strengthen the
digestion of the weak patient, rather than to stop the paroxysms of fever;
but when they are administered in intermittents, much larger quantities are
necessary.
The stimulus of small blisters applied in succession, one every three or
four days, when the patient becomes weak, is of great service by
strengthening digestion, and by preventing the coldness of the extremities,
owing to the sympathy of the skin with the stomach, and of one part of the
skin with another.
In respect to nutriment, the patient should be supplied with wine and
water, with toasted bread, and sugar or spice in it; or with sago with
wine; fresh broth with turnips, cellery, parsley; fruit; new milk. Tea with
cream and sugar; bread pudding, with lemon juice and sugar; chicken, fish,
or whatever is grateful to the palate of the sick person, in small quantity
repeated frequently; with small beer, cyder and water, or wine and water,
for drink, which may be acidulated with acid of vitriol in small
quantities.
3. All unnecessary motions are to be checked, or prevented. Hence
horizontal posture, obscure room, silence, cool air. All the parts of the
skin, which feel too hot to the hand, should be exposed to a current of
cool air, or bathed with cold water, whether there are eruptions on it or
not. Wash the patient twice a day with cold vinegar and water, or cold salt
and water, or cold water alone, by means of a sponge. If some parts are too
cold, as the extremities, while other parts are too hot, as the face or
breast, cover the cold parts with flannel, and cool the hot parts by a
current of cool air, or bathing them as above.
4. For the healing of ulcers, if in the mouth, solution of alum in water
about 40 grains to an ounce, or of blue vitriol in water, one grain or two
to an ounce may be used to touch them with three or four times a day. Of
these perhaps a solution of alum is to be preferred, as it instantly takes
away the stench from ulcers I suppose by combining with the volatile alcali
which attends it. For this purpose a solution of alum of an ounce to a pint
of water should be frequently injec
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