day.
The opium promotes absorption from the mucous membrane, and hence
contributes to heal it. The mercury prevents ulcers from being formed under
the mucous membrane, or cures them, as in the lues venerea; and the rhubarb
is necessary to keep the bowels open.
M. M. Antimonial vomits frequently repeated. Mild cathartics. Cool air.
Tincture of cantharides, or repeated blisters; afterwards opiates in small
doses, and the bark. Warm bath frequently used. The steam of warm water
with a little vinegar in it may be inhaled twice a day. Could the breathing
of carbonic acid gas mixed with atmospheric air be of service? Copious
venesection, when a difficulty of breathing continues between the fits of
coughing; otherwise the cough and the expectoration cease, and the patient
is destroyed. Ulcers of the lungs sometimes supervene, and the phthisis
pulmonalis in a few weeks terminates in death. Where the cough continues
after some weeks without much of the hooping, and a sensitive fever daily
supervenes, so as to resemble hectic fever from ulcers of the lungs; change
of air for a week or fortnight acts as a charm, and restores the patient
beyond the hopes of the physician.
Young children should lie with their heads and shoulders raised; and should
be constantly watched day and night; that when the cough occurs, they may
be held up easily, so as to stand upon their feet bending a little
forwards; or nicely supported in that posture which they seem to put
themselves into. A bow of whalebone, about the size of the bow of a key, is
very useful to extract the phlegm out of the mouths of infants at the time
of their coughing; as an handkerchief, if applied at the time of their
quick inspirations after long holding their breath, is dangerous, and may
suffocate the patient in an instant, as I believe has sometimes happened.
9. _Variola discreta._ The small-pox is well divided by Sydenham into
distinct and confluent. The former consists of distinct pustules, which
appear on the fourth day of the fever, are circumscribed and turgid; the
fever ceasing when the eruption is complete. Head-ach, pain in the loins,
vomiting frequently, and convulsive fits sometimes, precede the eruption.
The distinct small-pox is attended with sensitive fever only, when very
mild, as in most inoculated patients; or with sensitive irritated fever,
when the disease is greater: the danger in this kind of small-pox is owing
either to the tumor and soreness of
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