mmended in this Disorder, Gentian, Trifoil, Wormwood,
&c.--as likewise aromatic Bitters and Aromatics; such as
_calamus aromaticus_, Carvi Seeds, Winters Bark, Cinnamon,
and many others.
Bleeding is seldom requisite, except where there is much Heat or
Fever; or a sharp Pain of the Side, or Difficulty of Breathing, or
some Symptom of the like Kind; it is then sometimes necessary to take
away some Blood: And in obstinate Cases, it is often found of Use to
promote Sweats, by making the Patient, while in Bed, drink freely of
warm Whey, or Sack Whey, mixed with the scorbutic Juices; or warm
Barley Water, or the like, mixed with a small Quantity of the
Antimonial Wine, or some other mild Diaphoretic.
And where the Patient is strong, and there is no Danger of
Haemorrhages, warm aromatic Baths have sometimes been found
serviceable; but they are not to be used where the Patient is weak.
The first Time I saw this Disorder at _Bremen_, was in an old Invalid,
_James Long_, who had come from _Bristol_ to _Embden_, and from thence
to _Bremen_. He was some Weeks in the Hospital before I discovered his
Disorder to be the Scurvy. He at first complained only of great
Weakness, and such a Giddiness, when he got out of Bed, that he could
not walk, and of what he called flying rheumatic Pains of his Legs.
He had no other visible Complaint; all which, I imagined, proceeded
from Old-Age, and being worn out in the Service. At last, on the 25th
of _January_, he complained of his Gums being sore; and, on examining
him, I found his Breath fetid, his Gums swelled, soft, and spungy, his
Legs covered with scorbutic Blotches, and other Symptoms, which
evidently proved his Disorder to be the true Scurvy.
Upon which, I ordered him a low Diet, with the Addition of Greens for
Dinner, and a Quart of Lemonade, with a Gill of Brandy in it, _per_
Day, for his common Drink; and, by Way of Medicine, a Decoction of the
Bark, with the Elixir of Vitriol; and, at the same Time, ordered his
Gums to be scarified, where they were most swelled and spungy; and to
be washed frequently with an astringent Gargle; and to be rubbed now
and then with burnt Alum[110]. By these Means, in a Fortnight's Time,
his Gums became firmer, and his scorbutic Symptoms decreased. During
that Course he took cold, and had a Stitch in his Side, for which he
was blooded. The Blood threw up a very thin Buff, which was not of a
firm Consistence[111]; the Crassamentum below w
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