ressive Pulse, which
generally rose upon Bleeding. We applied large Blisters; gave the mild
Pectorals freely, and plenty of warm diluting Liquors, Barley Water,
the pectoral Decoction, and such like; which afforded more Relief than
any other Medicines. We gave too saline Purges, and laxative Clysters
occasionally; and in some Cases ordered the Steams of warm emollient
Decoctions with Vinegar to be drawn into the Lungs.
By this Treatment most of them, who applied early for Relief, got the
better of the Disorder.
When the Expectoration began, the Patient continued the free Use of
the mild Pectorals, and diluting Liquors; and no Medicines were given
that might in the least tend to stop it; other Evacuations were
omitted, unless where the Pain of the Breast, or the Difficulty of
Breathing increased; in which Case, if the Pulse kept up, I ordered a
Vein to be opened, and a suitable Quantity of Blood to be taken away;
no other Remedy affording any Relief, till this Evacuation was made.
Where the Patient was costive, we frequently ordered laxative
Clysters, or a mild Purge, and found them beneficial: But where no
such Symptoms occurred, it was best, for the most part, to omit all
Evacuations of this Kind, after a free Expectoration had begun, and to
trust to it for carrying off the Disorder.
In some Cases, where the Expectoration stopt suddenly after bleeding,
we gave with Advantage a gentle Vomit, as recommended by Dr.
_Huxham_[52].
[52] Some late Authors seem to look upon the _Pleurisy_ and
_Peripneumony_ as the same Disorder: However, though it be
true, that when the _Pleura_ is inflamed, the Surface of the
contiguous Lungs is generally in the same State; and that,
when the _Lungs_ are inflamed, the Pleura is often affected;
yet as I have frequently seen the true Peripneumony without
that sharp Pain of the Side which characterizes the Pleurisy;
and upon opening the Bodies of People who have died of the
Peripneumony, have found the Lungs violently inflamed and
livid, and so filled with Blood as to sink in Water, without
the Pleura being much diseased; and upon opening the Thorax
of others who died of the Pleurisy, have found the
intercostal Muscles and Pleura violently inflamed with livid
Spots, and only a small Portion of the Surface of the
contiguous Lungs affected; I cannot help still looking upon
them as distinct Disorders; though they require near
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