ry quick and weak, with delirium, and the patient generally
dies in a few days; or if he recovers, it is by slow degrees, and attended
with anasarca.
M. M. A vomit once. Wine. Beer. Cyder. Opium. Bark; in small repeated
doses. Small successive blisters, if the extremities are cooler than
natural. Cool air on the hot parts of the skin, the cool extremities being
at the same time covered. Iced lemonade. Broth. Custards. Milk. Jellies.
Bread pudding. Chicken. Touch the ulcers with a dry sponge to absorb the
contagious matter, and then with a sponge filled with vinegar, with or
without sugar of lead dissolved in it, about six grains to an ounce; or
with a very little blue vitriol dissolved in it, as a grain to an ounce;
but nothing so instantaneously corrects the putrid smell of ulcers as a
solution of alum; about half an ounce to a pint of water, which should be a
little warmish, and injected into the fauces gently by means of a syringe.
These should be repeated frequently in a day, if it can be done easily, and
without fatigue to the child. A little powder of bark taken frequently into
the mouth, as a grain or two, that it may mix with the saliva, and thus
frequently stimulate the dying tonsils. Could a warm bath made of decoction
of bark, or a cold fomentation with it, be of service? Could oxygene gas
mixed with common air stimulate the languid system? Small electric shocks
through the tonsils every hour? ether frequently applied externally to the
swelled tonsils?
As this disease is attended with the greatest degree of debility, and as
stimulant medicines, if given in quantity, so as to produce more than
natural warmth, contribute to expend the already too much exhausted
sensorial power; it appears, that there is nothing so necessary to be
nicely attended to, as to prevent any unnecessary motions of the system;
this is best accomplished by the application of cold to those parts of the
skin, which are in the least too hot. And secondly, that the exhibition of
the bark in such quantity, as not to oppress the stomach and injure
digestion, is next to be attended to, as not being liable to increase the
actions of the system beyond their natural quantity; and that opium and
wine should be given with the greatest caution, in very small repeated
quantity, and so managed as to prevent, if possible, the cold fits of
fever; which probably occur twice in 25 hours, obeying the lunations like
the tides, as mentioned in Sect. XXXII.
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