dials, if not
contra-indicated by the other Symptoms. When Vesicles arose on the
Part, and a Gangrene formed, we directed the Parts to be scarified,
and proper Dressings to be applied, while warm aromatic Fomentations
and Cataplasms were used.
In _January_ 1762, one Patient, ill of the Petechial Fever at
_Bremen_, had a Lividness and Blackness, threatning a Mortification,
which appeared at the End of his Nose. I expected for some Days, that,
if he recovered, he would lose Part of his Nose; but, by giving him
large and repeated Doses of the _cortex_ and _confectio cardiaca_, in
a Mindereri Mixture, and allowing him the free Use of Wine, its
further Progress was prevented; and as the Patient got clear of the
Fever, the Nose recovered its natural Colour, and only the scarf Skin
peeled off from the End of it.
When the Fever continued long, and reduced the Patients low, it was
very common for the Back, and Parts on which the Weight of the Body
rested, to mortify. As soon as any thing of this Kind was observed, we
ordered such Parts to be covered with proper Dressings, and gave the
Bark and Cordials freely; and took care to make the Patient change his
Posture; and by Pillows prevented as much as possible the Weight of
the Body from resting on that Part. By this Treatment, many recovered,
where the Fever was on the Decline, and the Strength not too much
exhausted; even tho' a very large Surface of the Skin had mortified;
but where the Patients were very low, and the Fever still continued,
or where it was complicated with a Flux, which kept them perpetually
nasty, and exhausted the Strength, it generally proved fatal.
Patients, who were reduced very low by this Fever, or by repeated
Relapses, were subject to oedematous Swellings; especially of the
Feet, towards the Evening, after sitting up all the Day. These
Swellings generally went away as the Sick recovered their Strength;
but in some Cases they continued obstinate, and ascended towards the
Thighs; and in some spread all over the Body, and terminated in an
universal Anasarca.
When these Swellings were recent, and confined to the Feet and Legs,
commonly the Bark joined to the lixivial Salts, or the Oxymel of
Squills, or other Diuretics, and a Purgative once or twice a Week,
removed them. In some, an Infusion of Horse-radish had a good Effect;
in others, Sweats brought out by means of _Dover_'s Powder, or of the
_guttae antimoniales anodynae_.
Sometimes these Swell
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