nes. I have twice seen this disease in patients about sixty. Some
other diseases are erroneously called rheumatic, as hemicrania, and
odontalgia. See Sect. XXVI. 3.
M.M. In the three former kinds venesection repeatedly. Cathartics.
Antimonials. Diluents. Neutral salts. Oil. Warm bath. Afterwards the bark.
Opium with or without ipecacuanha; but not till the patient is considerably
weakened. Sweats forced early in the disease do injury. Opium given early
in the disease prolongs it. In the last kind, gentle stimulants, as wine
and water, mucilage, sorbentia.
The following is a case of suppurative rheumatism. Mr. F----, about sixty,
was supposed to have the gout in his hand, which however suppurated, and it
was then called the suppurative rheumatism. He had lived rather
intemperately in respect to wine, and was now afflicted with a tendency to
inflammation of the mucous membranes. As he lay on the bed half resupine,
propped up with pillows, and also slept in that posture, his lower jaw
dropped by its own weight, when the voluntary power of the muscles was
suspended. The mucus of his mouth and throat became quite dry, and at
length was succeeded with sloughs; this was a most distressing circumstance
to him, and was in vain endeavoured to be relieved by supporting his jaw by
slender steel springs fixed to his night-cap, and by springs of elastic
gum. The sloughs spread and seemed to accelerate his death. See Class I. 1.
3. 2.
17. _Erysipelas._ The erysipelas differs from the zona ignea, and other
species of herpes, in its being attended with fever, which is sometimes of
the sensitive irritated or inflammatory kind, with strong and full pulse;
and at other times with weak pulse and great inirritability, as when it
precedes or attends mortifications. See Class II. 1. 3. 2.
Like the zona ignea above described, it seems to be a secondary disease,
having for its primary part the torpor or inflammation of some internal or
distant membrane, as appears from its so frequently attending wounds;
sometimes spreading from issues over the whole limb, or back, by sympathy
with a tendon or membrane, which is stimulated by the pease in them. In its
more violent degree I suppose that it sympathizes with some extensive
internal membranes, as of the liver, stomach, or brain. Another reason,
which countenances this idea, is, that the inflammation gradually changes
its situation, one part healing as another inflames; as happens in respect
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