nce of the Symptoms.
The malignant Kind required the Use of Acids, and the Bark; which
last, could often only be administered by Way of Clyster, as the Sick
could not swallow it: In short, we treated the Patients much in the
same Way as in the malignant Fever, Allowance only being made for the
present Circumstances.
Luckily this Disorder never spread much in the Army, while I was in
_Germany_.
OF ERISYPILATOUS SWELLINGS.
In _January_ 1762, several Patients in the Hospitals I had the Care of
at _Bremen_, had shining watery Swellings of the Face, or Extremities;
which came suddenly, and were attended with a slight Degree of
Inflammation, and watery Blisters rising above the Skin, and some
Degree of Fever. The Blisters were not small, round, and angry, as in
_St. Antony_'s Fire; but larger, and of an irregular Figure,
resembling those raised when People are scalded by boiling Water. The
Swellings did not pit on being pressed, as the oedematous Swellings
commonly do: They gave Pain when pressed, but the Inflammation was not
in that high Degree as it is in the common Phlegmon: The Blood was
sizy, and the Water of a high Colour. The Disorder seemed to be a
Species of the Erisypelas.
Between the 9th and 12th of _January_, three Patients were seized with
such Swellings.
The first was a Dragoon, who had just recovered from a Flux, and a bad
Cough. On the 9th, he was suddenly seized in the Night with a large
Swelling of his Face, Hands, and Arms, which had a shining oedematous
Appearance, with a small Degree of Redness, and was painful when
pressed; and he had two or three watery Blisters rose on the Back of
each Hand above the Division of the Fingers, attended with a quick
full Pulse, a feverish Heat and Thirst, a Cough, and somewhat of a
Difficulty of Breathing, and high-coloured Water; and he was inclined
to be costive. He was immediately blooded, had a saline Mixture with
Contrayerva and Nitre, and was ordered to take a Purge in the Morning.
Next Day the Blood had thrown up an inflammatory Buff, the Fever was
abated, and the Breathing easier; but the Cough and Swelling still
remained. He then took a Julep made of equal Parts of the Saline and
Sperma Ceti Mixtures, which eased the Cough. The fourth Day the Pulse
was soft, and the Swellings still in the same Situation, and the
Breathing a little affected. A large Blister was applied to his Back,
which discharged plentifully, relieved the Breathing, and les
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