i / «^ J/ y-f^. r, ;ik THE BEING A NEW SYSTEM OF PRACTICE, FOUNDED ON CONTAINIHC I. A DESCRIPTION OF MEDICINAL PLANTS—THEIR PRO- PERTIES, LOCALITIES, &C. AND THE METHOD or'PREPARING AND USING THEM. II. A TREATISE ON THE CAUSES, SYMPTOMS, PREVEN* TION, AND CURE OF DISEASES, INCIDENT TO THE HUMAN FRAME} WITH A SAFE AND SOVE- REIGN MODE OF TREATMENT. FOR THE USE OF FAMILIES AND PRACTITIONERS. BY DAVID ROGERS. ROCHESTER, JV. F. Printed FOR the author—by h. LEAm;woiiT3?> IB24. Northern Listrict of New-York, to mt: BE IT REMEMBERED, That, on the fourteenth day of May, in the forty-eighth year of the Independence of the Uni- :ted States of America, A. D. 1824, David Rogers, of the said District, has deposited in this Office the title of a book, the right whereof he claims as author and proprietor, in the words following, to wit: *' The American Physician ; being a new System of Practice, foun- ded on Botany. Containing I. A Description of Medicinal Plants, their Properties, Localities, fitc.— And the Method of preparing and using them. 2 A Treatise, on the Causes, Symptoms, Prevention, and Cure of Diseases incident to the human frame ; with » safe and sovereign mode of treatment. For the use of Families and Practitioners. By David Ro- gers. " In conformity to the act of the Congress of the United States, entitled *' An act for the encouragement of learning, by securing the copies of Maps, Charts, and Books, to the. authors and proprietors of such copies, during the times therein mentioned ;" and also, to the act entitled " An act supplementary to an act entitled l An act for the encouragement of learning, by securing the copies of Maps, Charts, and Books, to the au- thors and proprietors of such copies during the times therein mentioned,1 and extending the benefits thereof to the arts of Designing, Engraving and Etching historical and other prints." R. R. LANSING, Clerk of the Northern DxsX of New-York. jKSfflffjLQa THAT the present privileged system of medicine, with all its modern improvements, is in theovy still im- perfect, and in practice often productive of disasterous consequences, is too notorious to require proof. I need not here revive the complaint of the thousands and the tens of thousands, who, after having suffered many things'from physicians, and having spent alltheirliving upon them, were nothing bettered, but rather grew worse: I need scarcely advert to the proverbial selfish- ness of a set of men, who, upheld by authority, have, according to the general sentiment of mankind, been noted for sacrificing humanity, truth, and every good principle at the shrine of avarice and popularity: nor would I increase the odium which seems to ,rest on a profession, thronged indeed with a host of unprincipled, bigotted, persecuting, and bloated—human vampyres, (a disgrace to any profession;) since that same profes- sion has, I am prond to acknowledge, been adorned by men of real science and real merit—distinguished for liberality and a list of other virtues, such as must rank them among the ben of mankind. Though I may have suffered from the slander of intolerant individuals, un- worthy to be named in this work, I have no wish to criminate any, nor to demean a profession, which, like all good institutions, is, in the hands of wicked men, capable of abuse. I aim at an object more worthy of attention: 1 have heard the widely extended complaints of human sufferers, smarting under the hand of sys- tematick cruelty; wasting away by poison,administered as medicine; and pining in despair when the last penny lias gone as i fee to a rieh practitioner. In v'^v of *V PRE F ACL such facts, did I conceive no desire to produce a reform, I should be unworthy the name of a man. On the other hand, when 1 observe the means of health scattered so profusely around us in almost every field and forest—placed as it were, within the reach of every hand that will deign to accept, it is natural to wish that the kind efforts of nature be seconded—that her gifts be received and applied to useful purposes. I believe the publick welfare requires a better system of medicine than has heretofore appeared; a system more simple in its principles and details; more agreeable to common sense; better adapted to popular apprehensions and wants, in order that such as need most the kind re- lief of charity, may not suffer most from authorized op- pression. Were people generally aw are of the enor- mous disproportion between the expenses, of medicines and medical services, and the price of o^ber articles j were they apprized of the adulterations and other im- positions practised in the importation of foreign drugs; there would be one united voice against the use of such drugs, against encouraging such services. Does it re- flect honour on that kind Providence who supplies the wants of all creatures, to suppose that the science of health in which every child of Adam is so deeply con- cerned, must necessarily be the exclusive privilege of a few? that it should be locked up in an unknown lan- guage, or merged in a mass of learned lumber—re- quiring an age of study to explore and apply its prin- ciples to useful purposes ? A. reference to the Aborigines of our country is sufficient to refute such doctrine. Is it credible that diseases peculiar to our climate and our country, can find no remedy nearer than Peru or Ice- land, Cochin China or Japan ? Is it credible that the thousands of vegetables that beautify and perfume our fields and groves have no valuable use in relation to the health and comfort of man ? A belief in the wisdom of the Creator, who does nothing in vain, must lead us to a different conclusion. In fact the more the medicg,! Preface. i v properties of vegetables have been explored, the more have they been found to lurnish supplies for the nour- ishment and health of the animated part of creation. Exotick vegetables may perhaps prove useful, especial- ly if naturalized by cultivation in our own soil, in our own climate ; but it is at least probable, if not certain, that our own native plants are abundantly sufficient to answer all the medical demands of our country. And ought not every man so to value his own health, and the gifts of Providence for preserving and restoring health, as to make this a part of his study? Has it not occurred even to physicians of the learned order, that every man may and ought, at a proper age and to a certain extent, to become Mas own physician?' This cannot be questioned when we consider how much dep- ends on diet, temperance, and exercise. And may I not be allowed to suggest, that every womau—every mother especially, ought to be a physician as well as nurse, in her own family? Surely those charitable ladies, whose plans of beneficence go beyond meretheory—who have hands capable of doing good, as well as minds for de- vising good, will not find their feelings revolt at my suggestion. Many, I know, act on this plan already— and to better effect than the most scientifick practitioner; and to their own families at least, they become emphat- ically " beloved physicians." To assist such practical philanthropists, I have pre- pared what seemed tome necessary, a plain and concise work, relative to medicinal plants and their use in cu- ring diseases. Concerning my pretensions to medical skill and the efficacy of the methods of cure here recom- mended, I shall at present add nothing, except what may be found in such certificates as I shall present to the reader. [See Appendix.} The following extracts, from some of the most able writers on medical science, will serve to corroborate I* VI - PREFACE. the foregoing statements, and more fully prove the fal- lacy and inconsistency of the modern fashionable prac- tice. FROM THE MEDICAL GUIDE. " It is a happy feature in modern manners that me- dicine is no longer the property of a privileged order- To every individual, health is the most valuable of sub- lunary possessions; it is fit, therefore, that all should be instructed in the methods of restoring pr preserving it, so far as is compatible with the ordinary vocations of life. To promote this salutary purpose has been the great object of the attention I have paid to these sub- jects for many years." "Domestick medicine has been, of late years, so suc- cessfully cultivated in this country, that it is no longer a question, whether the publick has been really benefit- ted by the works of popular writers on the subject ? The only question is, which is the most beneficial to the country, domestick medicine, or regular medicine? -*—being actuated by no other motive than that of ad- ministering relief to a distressed fellow creature, instead of overdrenching their patients with medicine. "By a knowledge of medicine, a person is ena- bled in his own immediate case, as well as that of his friends and neighbours, to distinguish the man of merit from the pretender.- Of those medical men who persist in decrying all attempts to diffuse a know- ledge of medicine among the mass of mankind, I would advise the publick to inquire to what degree of perfection the healing art is brought? Is there a fun- damental principle established upon which all medical men agree? Is not the art founded on conjecture, and do not physicians, even in acute diseases, recommend diametrically opposite to each other? The fact is, that such is the deplorable state of the art, that if a patient consults twenty physicians, he will find, that even in a simple case, all will give a different opinion respecting PREFACE. v'lj ehher the seat, the nature, or mode of cure of his mala- dy !! If this be the perfection to which the medical art is brought, surely no set of men has a right to claim the exclusive privilege of attending the sick, and pre- scribing for the cure of their maladies, on account of possessing a. superior knowledge of the nature and cure of diseases. It is the interest of the partially educated physicians, that an utter ignorance should prevail in regard to the arcana of their profession* and that their practices should be known only to themselves, and he who dares to reveal them is sure to be visited with the full measure of their wrath and indignation. The author, like other popular writers, has been honoured with his share of their abuse. As the^diffusion of gen- eral knowledge has completely undermined the great basis of medical mystery, he would earnestly entreat. these liberal gentlemen, instead of cloaking their igno- rance under the mask of gravity and importance, to cultivate the art as becoming men of real science ; and before they take upon themselves the important office- of physician, to render themselves conversant with "very branch of medical science, so as to be able to concentrate the rays of each department on the grand: question of practice, and to endeavour to be in advance with domestick medicine." FROM THE AMERICAN DISPENSATORY, PAGE 635* {: It was the observation, of Professor Cullen, one of the most celebrated writers on themateria medica that any age has produced, that the writings on. that subject are, for the most part, a compilation of mistake*, arid falsehoods. And he adds, that these errors arise from- the obstinacy of old professors, and their blind attach- ment to theory, as welli as the vanity of young physi- cians, being the authors of observations that are hastily made and dressed iathe closet; and besides, many of Yin PREFACE. the operations of nature have been falsely imputed to the effects of medicines, pretendedly founded on expe- rience. So distant are they from a true and faithful delineation of nature. Allied to these evils are the nu- merous frauds and sophistications of chemistry and pharmacy, and the reprehensible practice of adminis- tering nostrums or secret remedies, and other popular impositions, the fertile and disgraceful sources of em- piricism. "A knowledge of the medicinal powers, possessed by the indigenous vegetables, of which our own soil is so abundantly productive,should bedeemedan acquisition of primary importance. However disparaging to me- dical erudition,it is but justice to confess, that we are indebted to the bold enterprise of illiterate pretenders, • for the discovery of some of our most active remedies. It is, therefore, extremely desirable, that our patriotiek * physicians and citizens should unite their exertions in •the investigation of native substances, and institute such chemical analyses and experiments as will tend to elu- cidate their specifick properties." FROM " THE GUIDE TO HEALTH." "That the knowledge of medicine is only to be ob- tained by much perseverance, is not to be denied; nor is it to be denied, that in this age, the gates of know- ledge are open to all men, or that those who shall most sedulously apply themselves will acquire the largest store. Happy it is for this country, that every science is open to every one who shall choose to explore it: and thrice happy are its- people, that the study of physick is not restrained to' those alone, who ha^e passed through various ceremonies." CONTENTS Abortion Ague A kali Wash do. Draught Alkanoke Aider Anti-bilious Powder Anti-sciofulous do. do. do. Plastc. Apoplexy Asthma Arse-smart Ash Barrenness Baberry Bathing Drops Balm of Gilead, Barberry Birch Bitters Bittersweet Birth Soot Biles Blood Root Blood Vein Bleeding at the Nose Boneset Bruises or Sprains Brake Brier Buck Thorn Butterfly Bur Root Burdock Burns Caster Oil, Bean, Cancer Powder Catharlick Pills do. Powder Cataplasm; Page. ? Cancer 73 5 Canker 74 f Catarrh 42 | Carrot 43 | Cayenne 1 $ Caustick 2 | Cellendine 43 l Cholick Powde. 44 | Chlorosis 44 | Child Birtb 75 J Cholera Morbus "i> 5 Cholick 2 ? Clover 3 | Clevera ? Collecting and curing Medicine 41 77 £ Compounding and preparing do. 42 30 *82 S3 11 12 SS 13 50 109 I OS 83 84 15 15 Cough Powder 45 £ Constituent parts of the 4 | man Machine 6 ? Consumption 46 | Corns 6 t Costiveness 5 | Cough 78 i Cobush 6 5 Comfiey 7 | Cocash 78 f Coltsfoot 7 5 Columbo 80 » Cramps 8 \ Croup 10 i Cranes Bill 9 5 Crowfoot 10 ? Cuts 11 J Cuckold 18 5 Cucumber Tree 73 ( Cucumber Wild 10 | Dandelion 45 l Decoctions 47 | Diaphoretick Tea 48 . Diuretick Powde* 48 $ Diet hu- 50> 66 86 88 88 83 13 18 14 15 15 90 91 IS 16 91 IT 11 40 18 51 51 51 a CONTENTS-. Diabetes* 92 I Pcllitory SO Dropsy 9S [ Piles 112 Dysentery 94 ! Poisons 12T Elder 18 > Phlebotomy 63 Elever is ! Plantain 29 Elecampane J9 I Pleurisy 112 Elm 20 • Poplar 30 Emetick Powder 51 ; Prim Hage 31 Emetick Sulution ■ 61 ; Princes' Pine 30 Erysipelas H8 ! Pregnancy 113 Erysipelas Powder Expectorant Powder 52 52 : Queen of the Meadow 31 Eye water 53 Rickets in Fainting 96 Rheumatism 116 Felons 96 Rose Willow 39 Fern 21 ; Rupture Plaster 54 Fire weed ci ' Rupture Wort' 32 Fit Root 20 j Rupture 11* Rushes 12 Ginseng r<2 ' Ginsen 22 ' Salve i5 Golden Rod 22 ; Sarsaparilla- 32 Gold Thread 23 : Salt Rheum US Golden Seal 23 ! Scoke 32 Green Ozier 29 ; Scull Cap jS Hemlock 23 i Scaldhead Seneca Oil 120 34 Hydrophobia 129 ] Seat of the Organs 67 Itch Ointment 53 i Solomon Seal 2 Jaundice 107 j Spice Bush - 36 Snake Weed 2 Lavements 53 : Snake Root 3 Lady Slipper 24 \ Snuff 55 Labradore 24 ; Strengthening Plaster 65 Lettuce Wild 26 ! Steaming 56 Lime Water 43 : Star of Egypt 36 Life Everlasting 25 ; Strangury 120 Lily 25 | Syrups 51 Lobelia 26 : Sweating 121 Mandrake 26 ' "Temperance 58 Man Root 27 : Tooth Drops 56 Marsh Rosemary 27 do. Powder 56 Marjoram Measles Milk Weed Mullein 28 ro9 28 29 Unicorn Venereal Disease Vermilion, Vervine, Vine 36 121 Maple 37 Mumps 111 Wickup 38 Nerve Ointment 54 White Snake Root Whites 35 124 Palpitation 111 i.12 White Swelling, Worms 125 Palsy Worm Seed 34 AMERICAN PBY8IC1AX. A Description of Medicinal Plants, their Properties or Virtues, Localities, fyc. arranged in Alphabetical order. [JVcft —When a Plant bears several names, the one in most common use is inserted first.] ALKANOKE. Description.—This shrub grows usually about ten feet high, rarely more than twenty. It bears yellow berries, set in clusters or bunches. The bark resem- bles that of yellow birch. Piter.—It commonly grows in swamps where there is a cold atmosph'Te. I have found it in the vicinity of the 13! ack river, (N. Y.) also, in the states of Maine and Vermont. In Maine it is abundant. Vikti r.s.—The ba.k is a moderate astringent. An ounce of this steeped in one quart of water and drank daily for a considerable time, cleanses the blood by ex- citing the secretions of the liver, hnu'ts the nervous system, and >tn nirthens tiie memory. It is useful iu jaundice, consumptions, and all other morbid affections. BLACK ALDER. w Description.—It commonly rises four or five feet in t!:e f>nn of a hedge bush. The bark is of a dark gray, interspersed with white spots. The rind, when • hewed, will turn the spittle y, low. It bears round berries, which are red at the time of frost. Place.—It grows it, swamps and wet places. VTittTi-J-:s.—The rind is the part mad in most parts of this country, viz: White, IJed, and Red and White. white birth root, red birth root. 5 WHITE BIRTH ROOT. Description.—Early in the spring it.sends up a stalk eight or ten inches high, with three large smooth green leaves near the top, and a white flower of three leaves about an inch above the other leaves. From the centre of the blossom there grows a white bud, with six sides or ridges, containing seed. The root is soft, and is covered with little knobs and fibres. Place.—It commonly grows where there are beech and maple. Virtues.—It is frequently given in hysterical com- plaints, in asthma, and in female obstructions. RED BIRTH ROOT. Description.—This is about the same shape and size as the white; but it bears a red flower and bud. Virtues.---It removes canker, suppresses fluor albus, and strengthens the nervous system. RED AND WHITE BIRTH ROOT. Description.---This produces a red and white flower: the red part forming a circle about halfway, in the inside of the blossom : the bud is round, and the outside of the root is whiter than that of the other spe- cies: in other respects it is much like them. Place.—This plant commonly grows where there is hemlock timber. Virtues.—It removes the obstructions of the biliary duct, excites the secretions of the liver, relieves cholic and pains in the stomach, and is useful in gravel com- plaints. One-fourth of a tea spoonful of the powder, in half a gill of warm water, is a sufficient dose. BLACK BIRCH. Description.—The bark of this tree resembles that of black cherry: tiie leaves resemble those of yellow 2* 6 . BLACK BIRCH. BITTER SWEET. BLOOD ROOT. birch: its flavour is like that of wintergreen, somewhat stimulating and aromatick. Place.—4t generally grows in the coldest parts of this country; on the sides of hills, mountains, &tc. Virtues.—It is both stimulating and strengthening. It is good in all syrups and decoctions, and is useful to remove cold swellings. For this purpose, several thicknesses of flannel should be bound round the part affected, and kept constantly wet with a strong decoc- tion of the .bark. BITTER SWEET. (Amara Dulcis.) Description.—It shoots up a woody vine ten feet or more, winding round whatever tree, he. that stands near enough. The leaves are long and pointed, of a light green hue: the berries hang in bunches, which are red in the fall: the root runs several feet under the surface of the ground, the outside of which is red. Place.—It grows in intervals and hedges, and other rich places. Virtues.—It removes obstructions of the liver, and spleen; dissolves congealed blood, and promotes the secretion of urine. It is useful in ointments and poultices to abate inflammations, a^nd to bring down swellings. BLOOD ROOT. Description.—Early in the spring this grows up with large oval leaves, of an olive green: it grows about six inches high, and produces a small white flower. The root is smooth and fleshy, of a red co- lour: the green root, when broken, exudes a juice resembling blood. Virtues.—It is very acrid and pungent, and is good against the scrofula. A tea spoonful of the pulverized root, taken in half a gill of warm water, will operate a* an emetick: but usually very harsh. The powders BLOOD VEIN. BONESET. 7 sprinkled on an old ulcer, will cleanse it effectually from scurf, canker, and fungous flesh, and produce a healthy appearance. The powders snuffed several times in a day, prove a sovereign remedy for the poly- pus in the nose. An ounce of the powder steeped in one quart of gin or whiskey, and a table spoonful taken every morning, is good for those who are troub- led with the asthma. It is useful in all syrups intend- ed to open and purify the system. BLOOD VEIN. Description.— It has a small round stalk growing a foot and a half high, with a few small leaves branch- ing into divers parts at the top: it bears small yellow flowers, which put forth in the latter part of June, and continue till fall: seve.al large green leaves grow close to the ground, marked with large purple veins, their under side having a hairy appearance: the root is small and fibrous, and of a bitter taste. Place.—It seldom grows any where except among oak and pitch pine timber. Virtues.—A tea made of the whole plant, taken daily for a considerable time, will purify and increase the blood and flesh. If taken for some time previous and at the time of labour, it facilitates, and affords much ease. BONESET. (Thoroughwort.) Description.—This plant commonly grows about three feet high. The leaves are rough* notched, and pointed. They grow in opposite couples, encircling smalljoints all the way up. At the top they divide in- to branches, producing small white flowers at their ex- tremities. Place.—It grows in wet grounds, about fields, swamps, and waste places. Virtues.—It possesses an emetick and cathartick quality. A strong decoction made of the herb, and 8 consumption brake, winter brake. taken freely, operates as an emetick: pills made of the extract, operate as a cathartick: a tea made of the leaves and flowers, is very good for hysterical affec- tions. It opens the system in general. CONSUMPTION BRAKE. Description.—It has a slim tender stalk, growing tp the height of a foot or more, dividing into branches towards the top, with small leaves finely cut or indent- ed at the edge, and of a bright olive hue. One stalk grows out without leaves, bearing fine flowers, suc- ceeded by small seeds. The root is small and has se- veral prongs. ^Pfoce.—It grows scatteringly, in most kinds of soil. Virtues.—It is good to expel putrescence and acri- mony. A tea made of the tops and roots, sweetened with honey, is very serviceable to persons who are troubled with a dry cough. When made into a poul- tice, it draws powerfully. WINTER BRAKE. Description.—This is a kind of evergreen plant, putting forth new branches every spring, at the time the old ones decay. About half a dozen stalks rise yearly from one root, about a foot in length, with long leaves, which look as if deeply cut around the edges. The branches decay only to the surface of the ground, leaving sprouts from the main root, which live for ma- ny years. Place.—It generally grows in a hard, cold and wet soil, or such as produces beach, maple and hemlock timber. Virtues.—It is one of the most powerful astringents. A tea spoonful of the powder in a tea cup full of hot water, repeated as circumstances may require, is a safe and sure remedy for a relax. It is good to astringe blood vessels, and prevent the leakage of sinews,. HIGH BUCKHORN. LOW BUCKHORN. ft HIGH BUCKHORN. Description.—It puts forth divers slender trailing stalks, three feet or more in length, from a little turfy protuberance, or hillock: it has long narrow leaves, deeply cut around the edges. Place.—It usually grows in swamps wHere there is black ash timber, and in wet places. Virtues.—The heart of the root is the part chiefly used: the powder, or root, beaten in cold or warm water, becomes a thick ropy substance—a mucilage— which is very strengthening. It is a good article in strengthening sjrups. LOW BUCKHORN. Descriptjon.—From different parts of the root several stalks grow up a foot or more in height, bear- ing at the top small green seeds. The root is exter- nally black, and internally greenish, extending two or three fvet. Place.—It grows about cold springs and swamps. Y iRTUEs.—It possesses a strengthening quality, be- ing somewhat mucilaginous. It is serviceable in all debilitated or weakly habits, to take a tea spoohful of the powder, in a gill of hot water, tw6 or thjfee times a day. BUCK THORN. Description.—This tree is about the size of a plumb tree, hearing blark berries similar to the whor- tleberries. The trees are seldom to be found in this country, and require cul'hation. Virtues.—tAs a cathartick, few medicines answer a better purpose than the berries of this tree: they are good to purge humours. From forty to sixty of the berr.es may be taken with safety; though seven or eitht have been known to operate. The juice is often pussed out and made into an elixir. 10 BRIER. BUTTERFLY. CASTOR OIL BEAN. BRIER. The high brier, or blackberry bush, is so generally known, as to render a description unnecessary. Virtues.—The bark of the root, which is the most useful part, has an astringent quality. A strong de- coction or tea, made of this, and taken with discretion, cures or relieves all intestinal fluxes. It is also good to wash foul sores. BUTTERFLY. (White Root.) Description.—It sends up divers stalks two feet high, set with long narrow smooth leaves, dividing in- to short branches at the top, and bearing bright yellow flowers, set in oval clusters or bunches, supported by long foot stalks. The flowers appear in July or Au- gust : the r WILD CELLENDINE. Description.—The stalks of this herb grow about three feet high: they are transparent; set with large joints, and have divers long branches, bearing pale green leaves and yellow flowers. Place.—It grows about springs, and moist shady places. Virtues.—It cleanses the liver and spleen, ant! opens the urinary passage. It is good in dropsies and jaundice. There are four sorts of Cohush—the White, Blue, Red, and.Black Cohush. WHITE COHUSH. Description.—It has a stalk a foot and a half high, dividing into long branches towards the top, producing pointed le ives, cut in at the edges with sharp notches. From the centre grows a long stem, bearing white ber- ries, set on long foot stalks. The root is irregularly shaped, with numerous fibres. Virtues.—It has an opening and stimulating qua- lity. A tea made of the berries or root, relieves the wind cholick. It removes flatulence and hysterical complaints. RED COHUSH. Description.—This can scarcely be distinguished from the White, except by the taste, or by the colour of the berries, which are red. It is not so common as the other species. Virtues.—A tea made of the root or berries, and taken freely, removes female obstructions and' gre«;j sickness U is both strengthening and cleansing. 14 BLUE COHUSH. BLACK COnUSlI. COCASH. BLUE COHUSH. Description.—This plant grows about as large as the two preceding, but produces blue berries. The leaves are round and indented; the root is more fibrous than that of the two preceding kinds. Place.—These three kinds grow, in almost every kind of soil. Virtues.—The blue cohush is opening and strength- ening. It excites the secretions of the glands. BLACK COHUSH. Description.—It has a stalk five or si* feet high, dividing into branches at the top. It produces white flowers which are succeeded by small round shells containing the seed. The root is externally black, and irregularly shaped, with prongs. Place.—It commonly grows in what are called oak openings. Virtues.—It is a powerful stimulant. It purges the blood and humours, and removes swellings and rheumatism. It may be used in removing all obstruc- tions of the system. A tea spoonful of the powder of the root, in a gill of hot water, is a sufficient dose. COCASH. ^ Description.—This plant has one or more rough hairy stalks, five feet high, divided into several branch- es towards the top, bearing long slender leaves, and purple and yellow flowers. The root is fibrous. It flowers about the last of August, and continues till frost. Place.—It grows in swamps and about wet places. Virtues.—It removes obstructions of the fluids. The root, bruised and steeped, in brandy or other spi- rits, and taken frequently, relieves such as are afflicted with rheumatic complaints. A tea made of any part of die plant is good agaimt canker. WINTER CLOVER. CLEVERS. COLTiFOOT. 1" WINTER CLOVER. Description.—This herb grows somewhat like a small vine, spreading its branches on the ground, bear- ing small round green leaves, and red berries. Place.—It is commonly found where hemlock tim- ber grows. Virtues.—A tea made of this herb gives much re- lief to women in travail. CLEVERS. Description.---It has a weak, slender, rough, square stalk, two or three feet in length, set full of joints, with divers branches growing from it. At each joint grow six small pointed leaves, together with small stems bearing small white flowers. Place.—It grows in moist places, and climbs upon any thing standing contiguous. Virtues.—It possesses a diuretick quality. A tea of this herb may be given in all cases with safety. COLTSFOOT. Description.—This plant usually has three or four largo leaves; in shape somewhat resembling a colt's foot, which are supported by foot stalks four or five inches high. It has a long slender root, about the size of a large goose quill. Virtues.—It has an aromatick pungent taste, some- what stimulating. When used as a medicine, it is usu- allv combined with some other articles, to render them more stimulating and pleasant to the taste. COLUMBO. Description.—This plant rises to the height of three or four feet, bearing large leaves and yellow blossoms. The root is long and smooth, of a, yellow hue. extending deep into the ground. Il> C0LUMB0. WATER CRESSES. CROWFOOT. Place.—It grows in oak timbered land in the wes- tern part of New-York, in Ohio, and in the western territories. Virtues.—It is a pleasant bitter. It is strengthen- ing, warming, and bracing to the nervous system. CRANE'S BILL. (Upland Evan's Root.) Description.—It sends up*several small hairy stalks of different sizes. The flowers contain five small purple leaves, from the centre of which grows a kind of spear or beak, in the shape of a crane's bill, from which it takes its name. It flowers in the latter part of May. Place.—It grows in most lands in this country. Virtues.—It is astringent: it braces the nervous system, destroys canker ahd humours, and stays intes- tinal fluxes. A tea spoonful of the powdered root, in a gill of hot water, is a dose. WATER CRESSES. Description.—They grow from the seed annually, in and about brooks. They spring up early in the fall, and grow for the most part under water during the winter and spring. They have long jagged leaves, of a French green colour; the root is w hite and fibrous. Virtues.—They possess a very acrirl pungent quality. They quicken the appetite, and purge the blood and humours; they are exceedingly useful in scrofula, scurvy, and consumptive disorders. CROWFOOT. Description.—This herb has several stalks, two feet high, or more, with many long branches, and dark green leaves, appearing as if cut in many parts. It bears bright yellow flowers, whit h are succeeded by small spiked shells containing seeds. The root is small, having many long white fibres. It begins to flower in the latter part of May, aud continues t $9 ROSE WILLOW. Description.—This bush grows about three feet high, putting out long sprouts and branches, bearing long leaves and a large brown bur, in the form of a rose. Place.—It commonly grows on pitch pine plains. Virtues.—It has an astringent quality: a tea, made of the bark of the root, is good to destroy canker, and heal the excoriated parts. WORM SEED. Description.—It has a stalk with long branches, set full of small green seeds and jagged leaves of a Strong and unpleasant scent. Place.—It grows spontaneously in waste places, in the middle and southern states. It is sometimes culti- vated in fields and gardens. Virtues.—The oil extracted from the seeds of this plant, is good to destroy worms; it is usually given in doses of six or eight drops, on sugar, or any other palatable substance; the expressed juice ofthe whole plant, is sometimes given in a dose of a table spoonful to a child two or three years old; more frequently the powdered seeds are employed, mixed with molasses or syrup. SNAKE WEED. Description.—There are two kinds, both of which grow in moist places. The larger kind grows to the height of three feet, having a square green stalk, set all the way up with long pointed green leaves, notched round the edges; at the top grow large buds, with white flowers tinged with a reddish and purple colour, and supposed to resemble a snake's head; the leaves and flowers have a rank bitter taste. The other kind shoots up a small round wiry stalk, about a foot and a half high, havitlg two leaves set at each joint, like the former kind; it is a keener and more pleasant bitter. 40 white wood, wild cucumber. Virtues.—A tea of the latter kind, acts as a dia* phoretick, and expels humours. A tea or bitter, made of either or both kinds, rectifies the stomach, and gives an appetite. WHITE WOOD. Description—This tree attains to a very great size, bearing large bell-shaped flowers, which give it a no- ble appearance. The leaves are cut transversely, forming a square lobe at their ends; the bark ofthe trunk is very thick and rigid. Place.—It is rarely to be found in the New-England states; but in many parts of the state of New-York, and in the western and southern states, it grows in abundance. Virtues.—The bark possesses a bitter and pungent quality, considerably aromatick and bracing: it warms and strengthens the stomach. A strong tea made of the bark of the roots, removes flatulence and wind cholick. WILD CUCUMBER. Description.—It shoots up a small round stalk, a foot and a half high, having several pointed leaves, set opposite in a whirl near the top, bearing small flowers at the top, succeeded by small blue berries. It has a small, tender, white root, with several long fibres. Place.—It grows in most kinds of soil in this country. Virtues.—It possesses a strengthening, cooling, and nourishing quality. The fresh root, eaten early in the morning, affords much relief in consumptive and debilitated cases. Haifa dozen or more of the roots may be taken several times a day, in an empty stomach Its taste resembles that of a mild turnip. <£ollectCnfl airtr <£ttrfng JHrtrtctnr. Barks.—Barks from the bodies of trees should be peeled in the latter period of their running, which is commonly in July, as they are much thicker and stronger than when they first begin to run. They may be dried in the shade, or by the sun. The rough outward bark, or ross, should be taken off when peeled. Barks of Roots should be collected early in the spring, or late in the fall, while the sap is in the root, and cured in the same manner as the preceding. Herrs.—Herbs that are intended for teas or decoc- tions, should be collected while in blossom, or a little after, on a fair dry day, when the dew is off, and spread thin in the shade, or exposed to the sun; the former, however, is preferable, as by it they retain their natural hue. Herbs that are intended for distilling should be cut when the seeds are ripe, at which time they yield the most oil. Roots.—Roots should be collected in the spring, before the tops begin to shoot forth, or in autumn, after they are decayed. Those that are large and fleshy, should be cut in strips or slices and strung, after which exposed to a moderate heat, so that they may dry gradually. After the barks, roots, and herbs are thoroughly dried, they should be kept close from the air; also, when pulverized; particularly those that possess an aromatick quality. 5* $rr$jarfttfl antr (Eotttpounulnfl ftfrtifcfne. The following specificks are adapted to remove diseases for which they are recommended. Where it is ndt convenient to obtain all the articles specified, others, ofthe same nature, may be substituted; or, they may be added to the composition. If neither the deficient article nor a substitute can be readily obtained, both may be dispensed with. The dose recommended, is for an adult, which may he varied according to the age of the patient, by the following rule: two thirds of the dose for a person from fourteen to sixteen; one half, from seven to ten; one third, from four to six; one fourth, to one of three years old, and one eighth, to one of a year old. The doses may be increased to twice the strength or quantity recommended, with safety, which may be necessary in obstinate cases, excepting in the alkalies and vermifuge epecificks. The weight of medicine, after being cured,, will be given in avoirdupois weight. ALKALI WASH. Take of pearl ash, three fourths of an ounce, which is about a table spoonful and a half, and dissolve it in three gills of hot water. This is to be applied on the surface of the body, in cases of dryness of the skin; it cleanses and opens the pores, stimulates the moving fibres ofthe skin, and keeps it moist;-it should be applied at the commencement of an operation of steem- ing, where there is a dry Surface, as in cases of fever*; also, several times during the operation. ALKALI DRAUGHT. LIME WATER. 4^ ALKALI DRAUGHT. Take one third of a tea spoonful of pearl ash, and dissolve it in half a pint of hot water. This quantity may be taken at once, either hot or cold: it destroys acidity ofthe stomach, dissolves slime and mucus, and promotes perspiration. When given to excite vomit- ing, after an emetick is~taken, or a nausea at the stomach, it may be prepared twice as strong. It may be administered freely, during the operation of steeming. LIME WATER. Take of quick lime, two ounces, and of pure water, five half pints: mix—let them steep two hours in an earthen vessel; then pour off the clear water, and keep it closely corked in bottles for u«e. Dose.—Haifa gill maybe taken at once, several times a day, in an empty stomach. It corrects acidity ofthe stomach, and dissolves and discharges the redundancy of slime and mucus, which affords a lodgement for worms. A table spoonful may be added to half a pint of milk, to make it sit easy in weak stomachs. ANTI-BILIOUS POWDER, No. 1. Take of bitter sweet, the bark ofthe roots; dandelion, the tops and roots; alkanoke, the bark; swamp snake root, the tops and roots; wild cellendine, the herb; white hickory, the inward bark; baberry the bark of the roots; and black cherry, the bark; equal parts— pulverize and mix—an ounce of this mixture may be steeped in one quart of pure water, exposed to a boiling heat a few minutes. A gill or more may be taken five or six times a day. It purifies the blood, excites the secretions of the liver and kidneys, and removes the jaundice. 44 ANTI-BILIOUS* ANTI-SCROPULOUS. ANTI-BILIOUS POWDER, No. 2. Take of pearl ash, four parts; and white and red birth root, one part; pulverize and mix—put them itito a tight bottle, for use. Put a tea spoonful of this mixture into a cup, and pour on a gill of weak vinegar, or vinegar and sour cider mixed—to be taken while in the act of effervescence. Repeat it every five minutes. until it gives relief. ANTHELMINTICS (Worm Powder.) Take of black alder, the inward bark; wandering milk weed, the roots; Indian hemp, the roots; and worm seed, the seeds; equal parts—pulverize and mix. A tea spoonful, mixed with molasses, to be taken in the morning, an hour before eating. Oil of worm seed produces the same effect, and is ftoen as follows, viz: to a child of one year old, four rops; two years old, six drops; adding two drops for every succeeding year. Drop the oil upon sugar, and grate it into a small quantity of water or tea, which is to be repeated every morning and evening, for three or four days; then give a cathartick. These prescrip- tions are sovereign remedies, when worms become too numerous. ANTI-SCROFULOUS PLASTER. Take of tar, one gill; two yolks of roasted eggs, and the inside of a puff ball—simmer them over a slow fire, ten or twelve minutes; the yolks should be added while warm; then strain off for use. It should be spread on thin leather fbr open, scrofulous tumours, This plaster is a safe and sure remedy for the scrofula, sometimes termed kingsevil. ANTI-SCROFULOUS POWDER. Take of dwarf elder, the roots; sarsaparilla, the CANCER POWDER. BATHING DROPS. 45 roots: vermilion, the leaves and roots; wild lettuce, the leaves and roots of each kind; and moosewood, the bark; equal parts—pulverize and mix. An ounce of this mixture is to be steeped in one quart of pure water, and a gill or more to be taken several times a day, to purify the system, and remove cancerous and scrofulous affections. CANCER POWDER. Take of green ozier, the bark; beech drops, the tops and roots; skunk cabbage, the roots; yellow dock, the roots; prim hage, the bark; princes' pine, the tops and roots; and red clover, the heads and roots; pul- verize and mix—one ounce to be steeped in a quart of water, and a gill or more to be taken several times a day. This cleanses the system from cancerous and scrofulous affections. BATHING DROPS, No. 1. Take of alcohol, or fourth proof spirits, one gallon; one pound of tamarack gum, made fine; and one ounce of cayenne; mix, and infuse them in sand heat three days. From one half to a tea' spoonful may be taken internally, for pains of the breast or stomach, coughs, he. When used externally, one sixth part of spirits of turpentine may be added, which makes it more penetrating—to be applied on the region where there is any pain. The parts should be well mixed when applied. BATHING DROPS, No. 2. Take of alcohol, one quart, and add equal quantities of the oils of wormwood, tan->ev, white or red cedar, and hemlock, as much as the spirits will dissolve; then add one pint of sharp vinegar, and a table spoonful of cavenne. This is to be applied externally, in cases of pains or swellings. 46 RESTORING BITTERS. JAUNDICE BITTERS RESTORING BITTERS, No. 1. Take of unicorn, the leaves and roots; golden seal, the roots; man root, the roots; babery, the bark ofthe roots; and white poplar, the bark; equal quantities- pulverize and mix. Steep half an ounce of this mix- ture, in a pint and a half of gin or spirits, two or three hours; then add half a pint of pure water. Haifa small glass to be taken three or four times a day.— They strengthen and correct the digestive powers, and increase the appetite. A tea spoonful of cayenne add- ed to each potion, converts it into hot bitters, and makes it more stimulating. A small quantity of sweet sicily, angelica, coltsfoot, seeds of caraway, penny- royal, or spearmint, forms them into aromatick bitters, which renders them more agreeable to the taste, and may be added to either of the composition of bitters. RESTORING BITTERS, No. 2. Take of vine maple, the roots; gold thread, the roots; small snake weed, the leaves; hemlock, the in- ner bark; white wood, the bark; and ginseng, the roots; equal parts—pulverize and mix. One ounce of this mixture may be prepared and used as the pre- ceding. RESTORING BITTERS, No. 3. Take of black poplar, the bark; blue scull cap, the leaves; snake weed, the leaves; white snake root, the roots; columbo, the roots; and coltsfoot, the roots; equal quantities—pulverize and mix—to be prepared and taken as the preceding. JAUNDICE BITTERS. Take of alkanoke, the bark; barberry, the inward bark; prickly ash, the bark; black cherry, the bark; RHEUMATICK BITTERS. CATHARTICK PILLS. 4'i and ginsen, the bark of the roots; equal parts—pul- verize and mix. This is to be prepared and taken as the preceding. The above preparations of bitters are celebrated for their peculiar virtues in fortifying and strengthening the stomach: they procure an appetite, and help di- gestion. They are useful in all seasons of the year, but more particularly in the spring, by bracing the de- bilitated system, arising principally from the relaxa- tion ofthe nerves and fibres, produced by warm wea- ther. It should be recollected, that where spirits do not agree, they may be steeped in water, or wine; also, that they should not be given in cases of inflammation or fever, until the cause is removed. RHEUMATICK BITTERS. Take of princes' piue, the tops and roots; cocash, the roots; and black cohush, the roots; pqual quanti- ties—pulverize and mix. An ounce to be infused in one quart of spirits, and half a glass, or a glass, of this preparation, may be taken three or four times a day. CATHARTICK PILLS. Take of the extract of mandrake, thoroughwort, white ash, and white walnut, equal parts; add powders of mandrake, wandering milk weed, and cayenne, enough to form them into a proper consistence to make pills; blend them well together, and roll them in pow- ders of mandrake, or flour, to a common size pill.— From four to eight are a sufficient dose. The extract is obtained in the following manner:—take any quan- tity of barks or roots, put them into a kettle, with wa- ter enough to cover them, and boil them until the water is about half evaporated; then strain off the decoction, and boil or simmer it gradually down to the cousin ence of tar or turpentine. 48 CATHARTICK POWDER. CATAPLASMS. CATHARTICK POWDER. Take of mandrake, the roots; wandering milk weed, the roots; and the tops of the roots of blue flag; equal parts—pulverize and mix. Divide two tea spoonfuls of this medicine into six or eight potions, and give a potion every ten or fifteen minutes, until they are all taken. CATAPLASMS, or POULTICES. The intention of poultices are to sooth the parts that are irritated, to allay pain and inflammation, and to reduce swellings. They never should be applied more than blood warm. Cold swellings require dry stimu- lating poultices, and inflammations require them to be cold and moist. They never should be on more than six or eight hours, and when applied to hot tumours or swellings, they should be changed as often as they be- jcome dry, warm, or painful. COLD CATAPLASMS. Take fine Indian meal, and cold water enough to form a moist poultice. CLAY CATAPLASMS. Take blue or potter's clay, and cold water enough to form a poultice; spread it about an inch thick, and large enough to cover the affected part. This and the preceding are to be applied where there are cases of inflammation. EMOLIENT CATAPLASMS. Take either the fine or coarse Composition Powder; add a sufficient quantity of hot water, and simmer them over a slow fire a few minutes: at the latter end of boiling, add fine powders of high wickup, to make it CATAPLASM*. FINE COMPOSITION POWDER. 40 of a mucilaginous quality. This may be applied to burns, freezes, and tumours, either before or after breaking. DRY STIMULATING CATAPLASMS. Take babery and white lily, one part each; mustard seed and ginger, one part; all made fine—and water enough to form a poultice. After simmering it a few minutes over a slow fire, add a large table spoonful or two of flour, and apply it to cold swelling tumours, or ulcers; it should be kept wet with a strong decoction ofthe first part. FINE COMPOSITION POWJ)ER, No 1. Take of babery, the bark of the roots; butterfly, the roots; crane's bill, the roots; swamp snake root, the roots; swamp plantain, the roots; small lettuce, the roots; and sassafras, the bark of the. roots; equal quantities—to which add one sixteenth part of cayenne —pulverize into a fine powder, and mix. To a tea spoonful of this mixture, add one gill of boiling water and a tea spoonful of sweetening. This potion may be taken several limes a day, in any case. It eases pain, q.sickens the circulation ofthe fluids, and strengthens and fortifies the system in general. It is often used as a preparatory for an emetick; when used for that purpose, it should be taken three or four times, at intervals of about twenty minutes, previously to taking the emetick: the emetick may be taken about ten minutes after taking the third or fourth potion ofthe preparatory; this process should be repeated until it operates sufficiently. FINE COMPOSITION POWDER, No. 2. Take of sweet fern, the bark of the roots; large '■Mtuce, the foots; white lily, the roots; hemlock, the 50 COMPOSITION, CHOLICK, AND COUGH POWDERS. bark; small angelica, the roots; unicorn, the roots; and low buckhorn, the roots; equal quantities—add one sixteenth part of cayenne—pulverize to a fine powder, and mix: to be prepared and taken in the same manner is the preceding. COARSE COMPOSITION POWDER. Take of babery, the bark of the roots; high brier, the roots; winter brake, the roots; moosewood, the back; white lily, the roots; marsh rosemary, tire roots; wild lettuce, the leaves and roots; equal parts—pul- verize into a coarse powder, and mix. To two table spoonfuls, add three half pints of boiling water, and let it steep a few minutes on a slow: fire; to a gill of this preparation, add an eighth part of a tea spoonful of cayenne, and a tea spoonful of sugar, and take it about blood warm. This scours the mucus or slime in the stomach more effectually than the two preceding, consequently it does more execution, as a preparatory to an emetick. CHOLICK POWDER. Take of butterfly, the roots; white cohush, the roots or berries; unicorn, the roots; and cayenne; equal parts—pulverize aud mix. To a tea spoonful, add one gill of boiling water, and take it every ten minutes, until it gives relief. It is to be employed in cases of bilious or wind cholicks. COUGH POWDER. Take of butterfly, the roots; elecampane, the roots; swamp snake root, the roots; white snake root, the roots; wild turnip, the roots; skunk cabbage, the roots; equal quantities—pulverize and mix. A tea spoonful to be taken several times a day, in a gill of hot water, sweetened-' This composition may be prepared in a DIAP1I0RETICK. DIURETICK. EMETICK. syrup, as follows: put half a pound of this mixture, and three quarts of pure cold water, into a vessel pasted tight; bake it in an oven until the water is half evapo- rated; strain off the clear liquor, and add four ounces of sugar, and a pint of brandy or spirits; then put it into a bottle corked tight for use. A small glass to be taken several times a day. These preparations are used for affections of the lungs. DIAPHORETICK or SWEETENING TEA. Take of blue scull cap, the leaves; small snake weed, the leaves; arch angel, (the aromatick kind,) the leaves; cuckold, the leaves and roots; white ver- vine, the tops and roots; and marjoram, the leaves and flowers—mix. An ounce to be infused in a quart of pure water—from a gill to a half pint may be taken every twenty or thirty minutes; to be employed in cases of colds or fevers. It opens the obstructions of the fluids, eases pains, and promotes a copious perspi- ration, if taken (reely. DIURETICK POWDER. Take of dwarf elder, the roots; high queen ofthe meadow, the roots; rushes, the tops; wild carrot, the seed; small lettuce, the leaves and roots; pellitory of the wall, the tops and roots; and swamp snake root, the tops and roots—bruise and mix. One ounce to fe infused in a quart of soft water, and a gill or more taken at once, in ca-es of strangury or gravel, and repeated as often as the patient can bear, till it gives relief. EMETICK POWDER. Take the leaves, pods, and seeds of lobelia, and make them into a fine powder; add a small quantity of cayenne and the oil of wintergreen, and keep them 52 £METICK SOLUTION. POWDER?. in a tight vessel for use. From one half to a tea spoonful may be taken at once, in half a gill of warm water sweetened; repeat the dose till it operates. It should be recollected that boiling water destroys, in a great measure, the emetick quality. It may be cm- ployed in all cases and stages of disease, at any age, and in any situation, with safety. EMETICK SOLUTION. Take of lobelia, the green herb when in blow, one pound, bruised; and proof spirits, one quart; put them ♦into a bottle corked tight for use: Or, steep them in an earthen vessel twelve hours; then strain off the juice, and put it into a tight bottle for use. From one to four tea spoonfuls may be taken at once. It is not so sure to operate as an emetick in this state as in the preceding. This preparation is employed in cases of asthma, lockjaw, spasms, hysterical complaints, he. It ^sometimes excites a strange sensation, for a few minutes, directly after it is taken—it should not, how- ever, excite any alarm, as experience has abundantly proved that no harm ever arises from it, when properly administered. EXPECTORANT POWDER. Take of lobelia, the seeds, two parts; Seneca snake j&dr and wake robin, equal quantities, one part; and mandrake, the roots, onefiart—pulverize fine and mix. Take what would lie on the point of a penknife twice, in half a table spoonful of cold water; repeat every ten minutes, until it causes a nau-ea or spitting. ERYSEPALIS POWDER. Take of cuckold, the leaves, seeds, and roots; ele- campane, the roots; and green ozier, the bark; equal parts—pulverize into a coarse powder, and mix. One BYE WATER. Ifch ointment, lavements. 53 ounce to be steeped in one quart of boiling water, and a gill taken several times a day. EYE WATER. Take of green oYier, the bark scraped fine, one ounce; add three gills of soft water; infuse or steep them a few minutes, and wet the eyes affected, with this decoction, several times a day, applied either warm or cold. It will remove both inflammation and hu- mours of the eyes. ITCH OINTMENT. Take of yellow dock, the roots; elecampane, the roots; and white eliver, the roots, fresh;4 equal quanti- ties—bruise and put them into an earthen" vessel; add as much cream or fresh butter as will cover the whole, and expose them for three days to sand heat; then strain off the decoction into a vessel for use. To be- well rubbed on the parts effected every night, till the disease ceases to be troublesome. aaucmeiits, or €lsstctrjs. Lavements or clysters are a liquid medicine, injected into the rectum by means of a pipe or syringe; they should always be employed in cases of dysentery, cos- tiveness, piles, cholicks, debility of the intestines, he. and should be prepared of such specificks as tend to^ subdue or remove the complaint. They are also used to nourish the body, when there is great difficulty in swallowing, or when the stomach is too weak to re- ceive food. MUCILAGE LAVEMENT. Take a tea spoon three times full ofthe powders of high wickup, or four of the powders of slippery elm, and dissolve it in half a pint of strong tea made ofthe 6* 54 LAVEMENTS. OINTMENT. PLASTER. coarse composition powder. To be used frequently in cases of dysentery, or inflammation ofthe intestines. ASTRINGENT LAVEMENT. Make a strong decoction of the fine or coarse com- position powder. If the nervous system is weak, arid a tea spoonful ofthe powders of lady slipper. To be used in cases of debility, piles, pain in the bowels, he. LAXATIVE LAVEMENT. Take a tea spoonful of the powders of blood root; one of the emetick powders; one of mandrake; half a tea spoonful of cayenne; and half a pint of boiling water; then add one ounce of fresh butter or sweet oil. To be used in cases of cholick or costiveness. NUTRITIVE LAVEMENT. * Take soup, beef tea, or meat jellies: they should be thrown up by a longer tube than common. These are to be used in cases of debility, and as often as circum- stances require. NERVE OINTMENT. Take of bittersweet, the bark ofthe roots; pellitory ofthe wall; and mullein flowers; one pound each, all fresh—bruise them and add one gallon of bear's oil, or 4Pany other soft oil; simmer the whole in an earthen or iron vessel six hours, over a slow fire; then strain it off; add one pint of spirits of turpentine, and keep it close corked for use. To be applied to sprains, bruises, contracted tendons, &c. RUPTURE PLASTER. Take of fresh buckhorn bruised, one part; fresh crane's bill bruised, two parts; and white pine turpen- tine, enough to form a plaster; blend them well to- CATARRH, HEADACH, AND POLYPUS SNUFFS. 55 gether—spread the composition on a thin piece of leather large enough to cover the affected part, and re- new it once or twice a week—to be worn under a truss, and continued some time after the breach is healed. SALVE. Take one pound of beeswax: one pound of salt butter; and two pound? of white pine turpentine—♦ melt them together; then strain it off for use. Fir balsam may be added. To be spread on lint, and applied to fresh wounds or old ulcers—it possesses both a drawing and a healing quality. CATARRH SNUFF. Take the roots of white eliver, and pulverize and sift them through a fine sieve—to. be used several times a day. HEADACH SNUFF. Take the bark of babery roots, or wandering milkweed; pulverize and sift it through a fine sieve. To be used for obstructions or pains of the head. POLYPUS SNUFF. The powders of blood root, used several times a day, proves a sure remedy. The above snuffs may be scented, either with the oil of wintergreen, sassafras, or golden rod, to render them more pleasant. They possess a quality superiour to common snuffs, affording relief without clogging the passages from the head, or afiecting the speech or memory. STRENGTHENING PLASTER, No. 1. Take of the extract of red beech bark, one part; and rosin and turpentine, equal parts; melt the rosin DO TOOTH DROPS AND POWDER. CAUSTICK. and turpentine together, first; then add the extract— stir them until they are well blended. To be spread tm thin leather and applied to the weak parts. STRENGTHENING PLASTER, No. 2. Take the roots of crane's bill, cumfrey and spikenard, fresh; bruise them fine, and add turpentine enough to ^brra a plaster. To be applied as the above. TOOTH DROPS. Oil of marjoram. This hot oil seldom fails to give immediate relief to the pain proceeding from a hollow tooth, at the commencement of the attack. Dip a piece of lint, the size ofthe cavity, in the oil, and place it in the hollow of the affected tooth. TOOTH POWDER. Take the barks of babery, yellow oak, and black alder, equal quantities-«-pulverize and mix—to which may be added one part ginger. To be applied In the powder or decoction, with a brush or the end of the finger. It cleanses the teeth and gums from scurvy or scorbutick matter, gives the enamel a smooth polish, and a white appearance, strengthens the gums and loose teeth, and, if regularly used, prevents them from decaying. ,' VEGETABLE CAUSTICK. Take of babery, the tops and roots; black or yellow ash, the bark; and green ozier, the shrubs and roots, all fresh; burn them; leach the ashes through a small quantity of strong lime; boil the lye down to the con- sistence of turpentine, and put it into bottles corked tight for use, This caustick has a superiour quality and strength, without causing any swelling or in- flammation, which are generally produced by other causticUs. DECOCTIONS. The difference between Decoctions and Infusions consists only in the mode of extracting the qualities of various substances, by the use of water more or less heated. Decoctions are made with boiling water, over a heat producing evaporation. In this way substances are decomposed while their medical properties are ex- tracted, and their volatile or aromatick qualities are dissipated. By this process the peculiar virtues of many plants may be wasted, and the preparation ren- dered less efficacious, than if made by an infusion. Infusions or teas are made by pouring water, either hot or cold, upon the substance after being bruised, and steeping it a proper time in a covered vessel, be- fore it be poured or strained off for use. When any articles possessing volatile qualities are to be used in syrups or decoctions, they should be added when the boiling of the other articles is nearly finished. Syrups differ from decoctions only, in the addition of sweetening and spirits; by which they become more palatable, and will keep longer without fermentation. It should be recollected that the efficacy of medicine depends much on its freshness and purity; and that any alteration made by fermentation, or freezing, ren- der- them not only useless, but very hurtful. The wa- ter used in preparing medicine should be soft and pure. Snow water is purest, aud much to be preferred. Next to this, is distilled, or rain water; and lastly, spring water, when no better can be obtained. Syrups are generally prepared in earthen vessels covered tight with a paste or crust, and baked in an oven: The quantity of spirits added may usually be about one fourth, or one third, of the whole quantity, when prepared; and the sweetening should be suffi- cient to render it palatable. TEMPERANCE. By Temperance, in this place, is meant moderation in the use of food, drink, and exercise. It is the first requisite for preventing disease, establishing health, and obtaining a happy old age. The stomach readily discovers when it has received its sufficiency; and warns us, by its distention and consequent uneasiness, or nausea, when any thing improper has been received. Those, therefore, who desire health, must follow the dictates of common sense, practice a little necessary self denial, nor yield the reins of government to a dainty or insatiable appetite. Moderate exercise is also essential to health. If our exercise be of the most useful kind, it will furnish us with our daily food, and place us beyond the reach of want, besides imparting vigour to the body, and energy to the mind. It excites a general salutary^ action throughout the system, promotes the regular secretions, and gives an appetite and relish for that nutriment which repairs and supports the corporeal machine. The all-wise Creator has made ample provision for the support and comfort of man. He has provided food as the proper remedy for hunger, water for thirst, rest for weariness, and medicine for sickness and pain. Using these gifts according to the intention of the giver, they will prove blessings. But how different is the present race of men from those of ancient times! How degenerate the human constitution! if we may credit the accounts of history. How few attain to old age, spend their days in health, and die a natural death! Has the course of nature changed? Are the elements le-_s pure? Is the earth less bountiful—the seasons less benign? No. But men have become less temperate. They are self indulgent, luxurious, and dissipated; and this accounts for their degeneracy.— GENERAL COURSE OP MEDICINE. 59 Let those who desire the health, the energy, and old age of our forefathers, practice their self denial, adopt their more simple regimen, and be guided by their plain common sense. STEAMING, AND Che Enteral Course ot ^eoicfue. Steaming is extremely useful and necessary in many diseases. It removes obstructions in general, dissolves congealed fluids, promotes the regular secretions, and excites a general action through the system. It relieves pains, reduces febrile and arterial excitement, expels acrimony, putrescence and miasma through the con- ducting apertures of the surface. It may be safely employed in almost any disease, age, op situation. When the patient has a high fever and severe pain in the head, commence tjie operation by first washing the whole external surface with the alkali wash. This operation may be repeated once or twice a day while sweating. Give the alkali draught, first in small quantities and often; i r the expectorant powders.— After the excitement is a little abated, give either ofthe composition powders. After repeating this dose two or three times, once in about twenty minutes, give an emetick. Repeat the doses till it operates effectually. To promote a copious perspiration, give the alkali draught frequently; also, a tea of cayenne. In the mean time the patient should stand or sit over a steam, produced by a hot stoue, partly immersed in a vessel of water. He should be covered with a quilt or cover- let, to confine the vapour. Hemlock boughs, or some bitter herb in the water, reuders the steam more power- ful and pleasant. A little sharp vinegar poured on the hot stone, is beneficial. If the patient be unable to sit up, place a hot stone at each side and near the 60 GENERAL COURSE OF MEDICINE. feet, wrapped first in a wet linen cloth, and a drj' cloth over it. Renew the steam as often as needful to keep up a perspiration. If the patient be very cold and de- bilitated, the hot stimulating medicine should be given more freely, to support the strength, and increase the animal heat. Should the patient feel very weak and faint while under the operation, it usually proceeds from one of the following causes:—1. Nausea at the stomach, occasioned by the natural operation of medi- cine and steam. In which case, give a large draught of alkali made a little stronger than usual, to excite vomiting. 2. The pores may have become too much opened, in consequence of the relaxed state of the nerves and fibres; by which means the heat, the exci- ting cause of motion, escapes too freely. To obviate this, apply a small quantity of cold water to the face or-stomach, which will brace the nerves, and cause the pores to contract. 3. It sometimes is owing to the want of fresh air; which the patient should, in all cases, be allowed. The length of the operation should be prudently re- gulated according to the nature and circumstances of the disease. It may be repeated daily, or every other day, a reasonable length of time; or it may be follow- ed up continually till the disease be removed. I have, in some cases, continued the operations night and day, for the space of three weeks, even when the patients, at the commencement, were very low. Whenever a long operation is necessary, the perspiration should be mo- derate: the patient may frequently take soups, beef tea, or chicken broth; and at the ordinary time for meals, more substantial food. In all cases, th'-y should take food whenever the appetite craves it. At the close of the operation, let the patient be washed all over with spirits, vinegar, alkali wash, or cold water; and put on a dry, warm dress. In cases of much debility, flannel should be worn next to the skin. Exposure to cold and damp places, must be carefully avoided, OIET—OF YOUTH—OF MANHOOD. * i DIET. In treating of the prevention and cure of disease?, something may with propriety be suggested on the subject of diet. Many diseases doubtless might be removed, and many more prevented, without the use of medicine, by a proper attention to diet, would per- sons invariably regard the dictates of prudence. In considering this subject, I shall endeavour to suggest something applicable to the various periods of life, hoping that a word of friendly counsel may not in very instance, at least, prove unavailing.- DIET OF YOUTH. In the period of childhood and youth, the diet should in a great measure consist of what are termed diluents, or aliment in a fluid state. Vegetable food, with fre-»* quent broths o? soups, is the best kind of nourishment. Milk, in its various forms, should constitute a great .u'opc rtion of the ordinary food. Highly seasoned food of every kind is out of place at this period. Thq appetite ordinarily requires no artificial excitements; nor can the system fail of being injured by luxurious and stimulating food. The appetite will not crave suclr food, till it has already become vitiated by an ill-judged species of indulgence. Plain wholesome food is best, and for drink, pure water is preferable in general to any other beverage. DIET OF MANHOOD. The quantity of food requisite for the time of growth may afterwards be in a measure diminished. JFood of a more stimulating nature may, however, become re- quisite, in consequence of the arduous services usually imposed on the man of mature years. A due proportion. of animal food doubtless becomes necessary, especially 62 IKLT--OF MANHOOD--OF OLD AGE. for labouring people. But the sedentary, the studious, and the indolent need be cautioned against indulgence in animal food and stimulating liquors. Intemperance in food or drink is usually followed by a train of evils too numerous and baleful for description. The health is impaired, the mind enfeebled, and habits contracted which bring ruin in their train. A diet moderately simulating may suit.with such constitutions as are delicate and irritable. Fermented liquors, moderately used, may prove salutary for such: but these should be cautiously avoided by the more sanguine and vigor- ous, such as are more liable to inflammatory diseases, A vegetable diet, and water for drink, will contribute much to their health and comfort. Persons of a phlegmatick habit should avoid such diet as tends to produce corpulency. Stimulating food and drink are thought to be less injurious to persons of this description than almost any others. A diet of yoyug meat, with fruits and fresh vegetables has been recommended, as well adapted to persons of a dry habit; also, the use of wine diluted with water. Temperance, both with respect to food and drink, cannot be too scrupulously observed by persons of every age. DIET OF OLD AGE. In old age, or after fifty five, as the second childhood approaches, the habits of youth respecting diet, should in some degree be resumed. Thus, broth or soups and other liquids should constitute a principal part of the nutriment; such, generally, as shall be found easy to digest, with a moderate portion of seasoning. As the appetite fails, it may be excited in some measure, by a diet somewhat stimulating. Well fermented li- quors especially wine is recommended as suitable for this period. The system requires to be cherished and invigorated, except in habits which ?.re likely to be in- jured by such regimen. ult:2 0.' 1-11B SICK. PHLEB0T0MJT. 0^ DIET OF DISEASED PERSONS. In selecting the species of food best adapted to dU eased persons, the following will perhaps be most likely to answer the purpose. Fresh meat, with little or no seasoning, vegetable and meat broths, barley soup, gruel, chickens, or other fowls, oysters, beef tea, milk, rice, jellies, and plain bread puddings. After an emetick, the diet should be of a liquid kind. After the removal of disease, the diet should be more sub- stantial, stimulating, and nourishing. When food of any kind is prepared in water and to be boiled, it should be prepared or mixed cold, and boiled afterwards: thus, when gruel, thickened milk, he. are intended, put the thickening into cold water, and stir it well before putting it over the fire to boil. In this way it will be swelled more, and cooked more equally throughout, than if prepared and mixed in the act of boiling; and it will set lighter on the stomach, "There is one admonition highly necessary—it is this: that persons taking medicines should pay the most implicit regard to the directions given therewith, and in particular to conform in eating, drinking, he for unless the patient will render his own assistance towards the operation ofthe remedy, its efficacy must certainly be weakened, and often retarded, if not totally destroyed. Science may and does teach one how to prepare and apply the productions of Nature, for her aid against diseases; but surely it is not in the power of all the medical men to devise a specifick for inconsi- derate carelessness." i&hlrtototni), or JSiotto Sxttfufl. As bleeding ha? proved far worse than a useless application to the afflicted, it is totally expunged from this system of practice. The fatal and disastrous consequences arising from it daily, ought to convince those who use such unnatural means, that they are not 64 PHLEBOTOMY, OR BLOOD LETTING. only squandering the most precious fluid, but life itself. The following extracts from the Medical Guide, by that able and impartial writer, and friend to the human family, Richard Rees, m. d. of London, will be read with unfeigned satisfaction, by all who are friendly to a right understanding of this important subject. "The operation of bleeding being so frequently performed by farriers and barbers, it is generally re- garded by the publick as trivial with respect to its exe- cution. However, whether we consider its influence on the system, or the niceness of the mode, necessary for effecting it, it is nearly equal in importance to any operation in surgery; and hence many expert surgeons have almost an invincible dislike to it, while the person ignorant of the great nicety, steadiness, and exactness, necessary, as well as the effect on the constitution, performs it with the greatest freedom, but not with uniform success; as is proved by the many melancholy cases that are admitted into our hospitals, in conse- quence of the ignorance of the operator, either by wounding a tendon, or puncturing an artery.* "The symptoms of plethory, and particularly the fulness of pulse, on which popular medical writers have laid so much stress, as indicating the necessity of bleeding, are very fallacious; for inflammation of the lungs, brains, or bowels, is often attended with a small and feeble pulse, which, after the loss of blood, will become full and strong: hence, again, in apoplexy, the pulse is rendered feeble in ct>:iseq:vnce of the compression of the brain, which, frequently after tiie " * \ blacksmith in Herefortls: re, who had obtained aieat celebrity as a bleeder, was requested by his wife to take a little blood from her arm, en account of some slight indisposition. The lancet having penetrated the brachial artery, and his usual means of stopping the flow of blood failing, he had recourse to pressing over the orifice cobwebs and lint, with such force that a considerable portion entered the wound The blood still continuing to ooze out, and the arm being considerably swollen, he gent bei to the Hereford Infirmary ; but the inflammation having extended to the cln st, and mortification commenced, amputation was rendered im- practicable, and the poor woman died the following day ?!" PHLEBOTOMY, OR BLOOD LETTING. 65 evacuation of blood, will so far rise as even to indicate plenitude and strength; and it often happens in drop- sical complaints, where the loss of blood would prove fatal to the patient, the pulse will beat with unusual strength. The pulse of an old person will feel hard and firm, from the rigidity ofthe coats ofthe vessels." "PERIODICAL BLOOD LETTING. "The loss of blood at certain periods ofthe year, is an errour very common among the lower orders of people, and, 1 conceive, extremely inimical to the con- stitution. A celebrated author observes, that 'he who wantonly or capriciously squanders this vital fluid, obstructs, and, as it were, cuts off the sources of his support and regeneration.' The most essential and constituent parts ofthe human frame are formed from the blood;* and though it be true that the blood eva- cuated by periodical bleeding is soon reproduced by the activity of the vital powers, yet this restoration is only brought about with considerable efforts, and at the expense of the whole machine. Those persons, who, from a notion of preventing diseases, suffer them- selves to be bled regularly, once, twice, or oftener, in a year, whether they are indisposed or not, ought to be informed that they are using means wbich, if persisted in, are likely prematurely to bring upon them those very diseases which they profess so much to dread, and appear solicitous to avert. Where the habit has been established, it may be safely and easily overcome by substituting in the place of bleeding, at those periods, a gentle purgative; and in order to prevent its future necessity, to abstain as much as possible from animal food and spiritous liquors. A vegetable. diet affords the same support as meat, and has the very important advantage of not producing plethory." " • « Tire blood is the life of man ;' that is, this frr.fd contains one of (he princip'r* of vitality, oxygen, and distributes nourishment to everyjpai£, and is returned by the superiour and in- li'iiour cava, to the right auricle of the heart, which. 70 THE ABDOMEN. THE STOMACH. becoming distended, contracts and empties its blood into the right ventricle^ The right ventricle then con- tracts and propels the blood through the pulmonary artery into the lungs, there to undergo a peculiar change, and to be conveyed by the four pulmonary veins into the left auricle. The left auricle being dis- tended, evacuates its blood into the left ventricle. The left ventricle propels the blood through the aorta, to be circulated by the arteries, and again to be returned by the veins to the heart." ^irtromen. " The abdomen contains the omentum, the stomach, the large and small intestines, the liver and gall bladder, the mesentary, the lacteal vessels, the thoracick duct, ♦he spleen, the pancreas, the kidneys and suprarenal capsules, part of* the aorta descendens, and vena cava ascendens. "T%e Stomach is situated immediately under the liver, which covers a great part of it above, and latterly; it is placed transversely in the left hypochondres re- gion, from right to left, but somewhat obliquely, so that its left or upper orifice, called cardia, which is continued to the oesophagus, lies more towards the vertebrae; awl the right or lower, called pylorus, which opens into the intestine duodenum, more anteriour. It is composed of three membranes, which secrete a slimy matter, to protect its internal surface. Digestion is performed in the stomach immediately after receiving the food. The food thus mixed with the gastrick juice forms a slimy mass, termed chyme, and as it passes from the stomach into the intestines, its next receptacle, there is separated from it a fluid of a milky appearance termed chyle, and nature has studiously provided that this chyle, or nourishing part of the food, should be con- veyed to the circulation, for the support of the body. The intestines are accordingly furnished with absorbent OF THE INTESTINES. DIGESTION. 71 vessels, termed lacteals, the mouths of which are spread every where over the internal surface, for the purpose of taking up the nutrient part of the digested aliment." "The length ofthe intestines of man is no less than nine times the length of his body, that a great and suf- ficient surface may be exposed for the action of the absorbent vessels; and this is further increased by numerous folds ofthe internal coat, which detain also the fluid in its passage for the same wise purpose; thus the Jntestines, from their situation, their length, their different diameters, thicknesses, and folds, may be com- pared not unaptly to the root of a vegetable, which spreads its fibres to a great extent, and in different directions, to draw nourishment from every part ofthe surrounding soil. This comparison shows the impor- tance of taking proper food, and of its being properly digested or assimilated, for the health and strength of a vegetable depends on the quality of the soil from whence it draws its support. The great purport of taking food to an adult being to support the body in the mutation which it is constantly undergoing, a sup- ply of aliment is found to be necessary about three times in the space of twenty-four hours. As the chyle furnished by this supply is deposited by the nutrient vessels, the old particles are removed; thus, we may be said, while in life, to be in the midst of death. The set of vessels which take up the old matter, termed s absorbents, convey their contents to the mass of blood, from which it is separated by certain organs, and con- veyed out of the body. The organs appropriated for this purpose are the liver, the kidneys, and glands of the intestines. Of these, the liver is the principal. By it is secreted the bile, which may be considered as merely containing the whole feculencies of the blood. It has been asserted that the bile tends to promote the digestion of our food; but, had the Creator intended such an office for this secretion, it would have been emptied into the organ in which digestion is performed, n THE LIVER, THE KIDNEYS, AND BILE. viz. the stomach, and not into the intestines. But so far from its promoting digestion, it is found that the presence of bile in the stomach never fails to disturb that organ, so as to excite nausea, and often violent vomiting. The bile, by being emptied into the upper part ofthe intestines, may be intended to keep up their peristatjck motion. The office of the liver is therefore a most important one in the animal economy. Thus whatever stimulates this organ, and occasions its more vigorous and complete action in the separation of the bile, proves highly useful in the cure of a variety of diseases, by purifying the blood, and keeping up the peristatick motion of the intestines. It is the largest vi?cus in the abdomen, placed in the right hypochon- dres region, and partly in the spigastrick region It is divided into three lobes, is suspended by five ligaments, and is composed of arteries, veins, nerves, absorbents, excretory ducts, and cellular membranes, and is covered by the peritonaeum. "Next to the liver, as separating useless parts from the blood, may be noticed the kidneys. By this outlet is carried off superfluous water, and the aqueous part of our food, which is not appropriated to nourishment, the quantity of which amounts daily to some pounds. Besides the feculent matter contained in the canal of the intestines from the superfluous parts of the food, there seems to be secreted also from the internal surface 6f this part, a feculent matter, which constitutes a part ofthe foeces discharged from the intestines. " The skin may also be an outlet for superfluous mat- ter ofthe watery kind; but this discharge appears to be principally, if not solely, for the purpose of regulating the temperature of the body during the diffeicnt changes that take place in the atmosphere, and under disease. The vicissitudes ofthe atmosphere, more th; n impurity, or any chymical combination, are the rr;;f causes, of disease to tb.e animal frafne." THEIR Causes, Symptoms, ^Treatment, $x. ARRANGE*) IN ALPHABETICAL ORDER. ABORTION. As every woman in a pregnant state is more or less liable to abortion, the greatest care should betaken to guard against it. It not only debilitates the constitu- tion generally; but renders those who have once suf- fered by it more liable to the same misfortune after- wards. It is most likely to take place in the second or third month. Sometimes it occurs later. Ifit happen after the seventh month, the child may be kept alive by proper care. Causes.—Violent exercise and fatigue, by lifting or carrving heavy burdens, &c; falls, bruises, jars, as in jumping; sudden frights or violent emotions; excessive evacuations, vomiting, coughing, convulsions, fits, re- laxations and weakness ofthe nervous system., S.mi-'toms.— The signs of approaching abortion are similar to tho*e of natural labour; such as pains in the back, loins, and lower part of the bowels; nausea or sickness of the stomach; severe chills; pains in the u, ido ofthe thighs; the breast becomes soft; evacua- tions of blood or water from the womb. Pkeventives.—Frequent moderate exercise in the open air will be found useful. Persons of relaxed habits should take solid food, rise early, and avoid damp places. The stomach should be kept in order by the frequent use of the restoring bitters and compo- sition powder. The bowels also should he kept free "'A AGUE--ITS SYMPTOMS, AND TREATMENT. by mild aperients or laxatives. The general course of medicine may be resorted to, in any stage of pregnancy. The cold bath is also very proper, particularly in re- laxations ofthe muscular fibres, he. AGUE. This disease is peculiar to such parts ofthe country as abound with marshes, or impure and stagnant waters. It is supposed to be occasioned by inhaling the effluvia arising from such places, and drinking impure water. This disease generally produces derangement in every part of the bod}'. When there is a clear intermission between the paroxysms or fits, it is termed intermitting fever. The fits usually have a regular periodical re- currence, in some instances recurring every day; in others, every second or third day. The disease is most prevalent in spring and summer. Symptoms.—It begins with a morbid irritation, a loss of appetite and strength; a dullness of spirits and nausea. The countenance becomes wan; the urine high coloured; the habit costive; pain and weakness in the feet and legs; frequent yawning, stretching, he. occur; and cold streaks running up and down the back. The cold fit begins with a remarkable shiver- ing, which agitates the whole body, and continues about an hour. This is gradually succeeded by a degree of heat rising to an intense and extreme degree; with pain in the head, delirium, quickness -of pulse, and thirst. After the heat has abated, a copious perspira- tion ensues, which diminishes the vitality and strength ofthe body. Treatment.—The general course of medicine, in the commencement ofthe attack, proves an immediate and sovereign remedy. If the disease be suffered to prevail long, the habit in consequence becomes more debilitated, the disease, gains strength, the organs of secretion become more morbid and less able to perform APOPLEXY—ITS SYMPTOMS, AND TREATMENT. 75 their office. It becomes necessary under these circum- stances, to produce and maintain a general action, to make free use of the antibilious powder, or cold bath, or both means combined. The patient should take a nutritious and generous diet, and moderate exercise. By such treatment, I have known several patients re- lieved in six hours, even after the disease had become strongly seated. APOPLEXY. An apoplectick fit is a sudden deprivation, in some degree, of sense and of voluntary motion, occasioned by a compression of the brain, in consequence of an over distention of the blood vessels of the head. This disease usually attacks such persons as have passed the middle stage of life. Its victims usually are persons of full and corpulent habits, with a short neck; such as lead an inactive life, indulge themselves in luxury, and make free use of fermented liquors. Symptoms.—Apoplexy is sometimes preceded by headach, giddiness, drowsiness, numbness in the extre- mities, and dimness of sight. More usually without ■ much previous indisposition, the person falls down sud- denly; the face appears florid and bloated; the blood vessels ofthe head and neck appear distended; breath- ing difficult, accompanied by a snorting noise; pro- found sleep; weak pulse at the wrist, While in the head, the arteries beat with increased force. Treatment.—The first and main object should be to diminish the quantity of blood in the head, and to produce an equal balance of blood throughout the sys- tem. The head should be elevated, and the feet and hands placed in warm water. If it can be readily done, scarifying round the head and neck, and between the shoulders, would tend to diminish the unnatural pres- sure. The body ma\ also be washed with the alkali and scoke wash, followed by a moderate steam. The 76 ASTHMA—ITS CAUSES, AND TREATMENT. headach snuff may prove beneficial, by promoting the secretions of the nostrils, and producing sneezing. A laxative lavement, may also be proper. ASTHMA. This disease is one of the most distressing, and when it has long prevailed, one ofthe most difficult to cure. Authors have reckoned several species of this disease; but I choose to consider it as one, viz. a debilitated and diseased state ofthe lungs. Like all other diseases, it has several stages, some of which are more curable than others. When there is a discharge of phlegm from thehmgs, it is called humoural: asthma; when there is no dis- charge, it is called dry Usthma. It appears to be under the influence of the atmosphere, certain temperatures of which excite and irritate the complaint. The re- spiratory organs are thrown into a state of contraction, which prevents the expansion of the lungs. Thus the circulation of the blood through the lungs, being im- peded by the obstructions, it consequently passes im- properly oxygenated. The patient is often attacked on a sudden with difficult-breathing, or wheezing; the vessels of the neck and temples become distended, the countenance livid, the pulse high, which is succeeded by a drowsy stupor and languor ofthe whole body. Causes.—The remote or inducing cause sometimes may be violent exercise or running, which excites the lungs to so high an action as to debilitate their powers. The disease sometimes recurs in consequence of cool- ing the lungs too suddenly, by obstructions of the re- spiratory organs occasioned by chills or colds which congeal the fluids; also, by humours seating on the lungs. Treatment.—The first and principal thing to be attempted is to abate the excitement of the lungs, and diminish the pressure of blood. When the paroxism ASTHMA. BARRENNESS. 77 occurs, give a tea spoonful* of the emetick solution, and repeat the dose every ten minutes till the excite- ment be lowered. The expectorant powders have nearly the same effect. After the paroxism abates, the patient may take occasionally a tea spoonful of the powders of the butterfly root, or the powders of skunk cabbage, or the composition in a tea cupful of hot wa- ter. Also, the general course of medicine may be pursued in any stage of the complaint, and is highly necessary under the evaporation of heat. During this process, the scoke root wash performs a very impor- tant part, by exciting the action ofthe muscles and the moving fibres. This made of treatment has given re- lief in a case where the patient was not expected to live an hour. The diet should be light and easy of diges- tion: vegetables should constitute the principal part. Pure water is the best beverage. BARRENNESS. The inability of propagation is sometimes incident to both sexes, but more commonly to the female. It proceeds from a variety of causes, the more frequejit of which are immoderate evacuations; suppression ofthe menses; disease ofthe ova and womb; debility ofthe system, occasioned by a secret vice; or injuries occa- sioned by frequent miscarriages. All that is to be done by art, is to improve the health, promote moderate secretions, remove local obstructions, and strengthen the nervous system. To aid iu this, the general course of medicine will be useful, with cold bathing and ex- ercise in the open air. I have known several weakly, barren women, become, at length, healthy mothers, by this mode of treatment. * T!.b dose miy be increased to a table spoonful without danger. If often gives a strange, deathlike feeling, which, however, need not give ilarm. 8* ii BLEEDING AT THE NOM BLEEDING AT THE NOSE. A spontaneous discharge of blood from the nose, may arise from a variety of causes: sometimes from an unequal balance ofthe blood, from its being in a very thin state, or from obstructions of the system. It is usually preceded by headach and coldness ofthe extre- mities. It usually afflicts young people of delicate constitutions, chiefly in warm weather. Remedy.—A snuff of the red birth root may be occasionally used. Cold water, sprinkled on the back ofthe patient, so as to occasion shivering, often aflbrds relief. Catnip, bruised, and moistened with spirits or vinegar, and applied across the centre of the nose, gives relief. Should these fall, a general operation of medicine may be tried. BLOOD DISCHARGED FROM THE BLADDER. This commonly proceeds from external injuries, such as blows or strains; in which case the mucilages should be taken. The buckhorn and high wickup, made into a tea, are the most proper. The balsam o fir has also proved particularly serviceable. Half a tea spoonful of this, mixed with a suitable quantity of refined sugar, made into a powder, may be taken three tunes a day. If the disorder proceed from the stone in the bladder, or gravel in the kidneys or ureters, then the diuretick powder will be proper. If ulceration be the cause, (which may be known by a mixture of matter with the bloody discharge,) a decoction of the small life everlasting and swamp.snake root, either combined or used separately, has usually a good effect. If the system be extensively diseased or debilitated, health must be improved by the general course of medicine. BILES. Biles are a sure indication of a diseased body, arising from a virulent state ofthe blood. Their sup- BILES. BURNS AND SCALDS. 79 puration should be promoted by drawing and sweating applications. The leaves of moosewood, or oxbalm, applied fresh, produce a very good effect—also, cab- bage leaves weticd. A plaster made of rosin and pitch should be applied after the swelling is reduced. Preventives.—A tea of burdock root or sarsapa- rilla, taken occasionally, proves beneficial. Cupping directly on the part affected, in an early stage, prevents suppuration. When they appear deep beneath the skin, producing high inflammation in the cellular substance, cold poultice* may be applied to allay the inflammation. After this, an issue may be made on the most prominent part, by the vegetable caustick, in the following manner: Make a paste of rye or wheat middlings; with this form a ring round the place, about % an inch and a half thick, leaving a hole in the centre of a size proper for the issue, into which apply the caustick in quantity sufficient to kill the, flesh down to the af- fected part. This will give vent, and prevent the in- crease ofthe tumour. After which apply the sweating leaves or emollient poultices. After it has come to a suppuration, the wound should be kept clear by sy- ringing it with castile wash, and the powders of blood root sprinkled in occasionally. It may afterwards be dressed with the common salve, or the leaves or poultice. BURNS and SCALDS. The immersion ofthe part in cold water immediately after the accident, affords relief. It should "be kept several hours in that situation. The application of the plaster recommended in the preceding case, or the antiscrofulous plaster, or the emollient poultice—in many instances I have known to afford relief.' Though the injury, at first, appear very trifling, it should not be neglected—trifling accidents are often productive of most serious consequences. A liniment of linseed oil and lime water, answers a very good purpose. This 80 BRUISES AND SPRAINS. CANCER. is made by mixing equal quantities of the linseed oil and the lime water, and is to be applied by means of lint or soft linen. Should there be much pain or in- "X flammation, the patient may require the general course of medicine. N. B. The above treatment is proper for chilblains or freezing. BRUISES and SPRAINS. When the part has sustained much injury, a general perspiration should be produced and continued for a considerable time. During the perspiration, cloths may be applied to the injured part, kept constantly wet with cold water. A tea of arse-smart may be used freely, both internally and externally. Afterwards a strengthening planter may be applied. Superficial • bruises and sprains may be relieved by the bathing drops, No. 2, and the nerve ointment. CANCER. This is one ofthe most formidable diseases that ever attack the human body. When it has once extended its deadly influence to the vital parts, it is more to be dreaded than death itself. Like other diseases, it is no respecter of persons, regarding neither age, sex, nor condition. It has ever baffled the boasted skill of the Faculty, their general remedy being the knife; the use of which usually proves as fatal as the disease. It often commences in the form of a mole of different colours, surrounded with branches or prongs, resem- bling a crab's claw, from which it derives its name. It sometimes begins in the form of a node, either super- ficial or at some depth under the surface, which gradu- ally increases till it becomes so much distended as to break into an open tumour, discharging fetid matter, which excoriates and devours the parts where it spreads. They are often attended with twinging and darting CANCER—ITS CAUSES AND REMEDY. 8i pains, the tumour becomes spongy, by its acrimony corroding some parts, while others projecting, form a very uneven surface, exhibiting the appearance, of a rose. When arrived at this stage, the case is truly alarming, and scarcely admits of a cure. Causes.—The remote or inducing causes are vari- ous. The proximate, is obstructed secretion which often arises from corroding humours, external injuries, the loss of action between the depositing and absorbent vessels. Those which are seated in the stomach, or other internal parts, are occasioned by poisonous drugs taken internally, which, by their corrosive quali- ties, produce a burning humour. Remrdy.—Many pretended remedies have been de- vised for this disease, some of which tend rather to aggravate and increase the morbid irritation; others have been found inefficacious and useless. The fol- lowing is probably the most effectual remedy at pre- sent known—one which I have long been in the habit of using—which in above forty cases has failed only in one; this was forced on my care without any hope. The affected part measured about nine inches across the surface. It was on the breast, strongly attached to the ribs, and immoveable. First, enclose the tumour with a paste of wheat or rye middlings; after which apply the vegetable caustick half* an inch thick or more, on the surface of the tu- mour. Let this be kept on till the strength of the caustick is gone, or till it ceases to act; which is com- monly about two or three hours. Repeat this opera- tion every da\, or every other day, till the caustick has penetrated and subdued the affected part. Alter which apply a moist poultice of Indian meal, renewed several times a day, till the core is loose, which, must be taken off. Then wash the wound with the suds made with castile soap, two or three times a day, and apply the common salve. The fine powders of blood root should !>e used occasionally to prevent a scurf from coating 82 CANCER—ITS REMEDY. CANKER. over the surface of the wound. It often happens that, while under the operation ofthe caustick, certain blood vessels are cut off by the caustick, which require im- mediate attention to prevent the loss of blood. These vessels may be easily contracted by pledgets of lint filled with flour, or the inside of a puff ball, or of sole leather laid over the aperture and gently pressed by the finger, until the vessel is contracted. Arterial blood may be distinguished from venal, by its being more bright and florid, and being sent out with greater force, and as it were, by jerks. The patient should not be left alone any length of time, on account ofthe danger already suggested. During the process of extracting and healing the tumour, the cancer tea should be freely taken; and even a considerable time after the wound is healed. The patient should be kept steady and tranquil, and without much exercise; the body regular by the use of the wandering milkweed, buckhorn, or white ash tea. Diet claims a very important attention. If the constitution be not much reduced, vegetables should form the principal part of the diet. When meat is taken, it should be fresh and as rarely done as will agree with the stomach. But if the patient be much debilitated, a more generous diet will be indispensable. All fermented liquors should be avoided. CANKER. This is an acrid humour excoriating the most tender parts where it is concentrated, which is commonly * about the mouth. It proceeds from a diseased state of * the body, and is conducted to the surface by the lym- phatick vessels. Remi:rv.—A frequent application of the decoction of wild lettuce, white lily, goldthread, or crane's bill, iflbrds immediate relief. < ATARRH. CHOLERA MORBUS. 83 CATARRH. This disease is a morbid affection of the membrane lining the nostrils, fauces, and sometimes the windpipe. It is usually occasioned by a series of colds, or by be- ing long exposed to the cold air^ It commences with a stoppage of the nose, a dull and heavy pain in the forehead, and a thin fluid discharged at the nose. It commonly produces a hacking cough. When the dis- ease has gained strength, attended with high inflamma- tion, it is called influenza. Treatment.—At the commencement ofthe disease, the general course of medicine gives speedy relief. But when the disease has been suffered to continue a considerable time, it often becomes the forerunner of other diseases of a more serious character, such as consumptions and cancers. A frequent use of the catarrh snuff generally relieves the head. The cough powders should be taken several times a day; also, laxatives to keep the bowels free. The diet should be light, and easy of digestion. Pure water is the best beverage. feRiding on horseback is the best exer- cise for this disease. It excites a free discharge of mucus from the head and lungs. CHOLERA MORBUS. This disease is occasioned by an excessive secretion of bile, producing a violent vomiting, *purging, and excruciating pains in the bowels. It is usually attended with acute gripings and pains in the stomach, cramp in the legs, delirium, cold clammy sweats, fainting, irregular pulse, coldness ofthe extremities, troublesome hickups and thirst. It most commonly occurs in warm weather, and frequently proves fatal in forty-eight hours. Causes.—The remote or inducing causes are the eating of early fruit, cucumbers, melons, and such, ge- nerally as become rancid or sour; also, poisons, ex- 84 CHOLERA MORBUS. CHOLICK. cessive drinking, bathing too frequently and too long, exposure to cold, he. Treatment.—Take the antibilious powder, No. 2. as directed, page 44. If the birthroot powders are not readily obtained, use the pearlash and vinegar. After the cause is removed, the patient may take half a glass ofthe restoring bitters or composition powder, several times a day, for two or three days. The diet should be light, yet nutritious. I was once called in where four in one family were attacked with the cholera morbus within the space of thirty hours, two of whom I saw shortly after they were taken, and gave them immedi- ate relief. The other two I did not see till about tweh t hours»after they were taken, at which time their case was deemed hopeless. They were cramped, delirious and helpless, extremities cold, and a weak pulse. By my mode of treatment, they were relieved in a few hours. CHOLICK. So termed from colon, one ofthe intestines which is usually the seat of this disease. It is usually occa- sioned by a constriction or convolution of some inter- nal parts, and ofien proves fatal in three or four days. It is attended with acute pains of the abdomen, a burn- ing round the navel, distention of the bowels, loss of appetite, nausea, or vomiting of bilious and viscid matter, costiveness, thirst, obstructed urine, hickups, fainting, delirium, convulsions, a rupture of the intes- tines, oy mortification. Causes.—The exciting causes are acrid or indiges- tible food taken into the stomach, obstructions of the beliary secretions, acrid bile, hardened faces, the in- volving or running of one intestine into another, ob*» structions of the upper or lower orifice of the stomach. Treatment.—If the seat ofthe disease appear to be nigh, and round the region of the stomach. \he cholick CHOLICK. CONSUMPTION. 83 powders, composition, or an emetick, commonly gives immediate relief. Bathing should also be applied ex- ternally, near the seat of the complaint. If this, after several repetitions, should not afford relief, and the pain be in the bowels, it either proceeds from a con- striction of part of the intestines, hardened faeces, or Trom an involving ofthe intestines. If from constric- tion, he. the laxatives should be administered, either the wandering milkweed, castor oil, or buck thorn. The laxative lavement should also be applied till there be a passage of the bowels. If it arise from an involv- ing ofthe intestines, an injection of tobacco smoke will afford immediate relief. Take a large strong bladder, moisten it in w arm water, then fill a pipe with tobacco, introduce the stein into the neck of the bladder; after adding fire to the tobacco, place a flannel or woollen cloth over, and blow the smoke into the bladder. When filled, put a clyster pipe in the room of the for- mer. When used, care must be taken that the smoke do not pass back and escape. The pressure of the smoke forces apart the involved or twisted intestines, which gives relief. I presume I have prescribed for every kind of cho- lick—I do not recollect any instance in which my pre- scription has not afforded relief within five minutes, except one case of hardened faces, which was occa- sioned by taking large quantities of salts, by which the bowels were rendered torpid. Those persons who are .subject to cholick pains, should occasionally take an emetick, and use the restoring bitters, or composition powder. The antibilious powder, No. 2, is a useful specifick to prevent a recurrence of the . isoast*. The diet should be carefully regulated according to the predisposition of those who are subject to this complp int. CONSUMPTION. This disease bus engaged much of my attention fro:.; jn earlv period of my life; having experienced, a* 9 86 CONSUMPTION. different times, most if not all the variety of symptoms that usually occur in this complaint. This has afforded me every advantage requisite for a fair investigation of the exciting causes of those symptoms, so necessary to be understood in order to effect a cure. Description.—It is a wasting away of the whole body, generally attended with a cough, a hectick fever, and a raising or spitting up of fetid matter from the lungs. t * Symptoms.—It often commences with chills perva- ding the external surface, succeeded by heat; loss of nppetite; shrill voice; pain in the side, and back ofthe shoulders; the patient lying with most ease on the side affected; a pain and pressure ofthe breast, particularly after motion; a long continued dry cough; salt taste in the mouth; a great thirst, and often vomiting after eating. These are the general symptoms of the first stage of consumption. Afterwards the patient begins to raise a greenish, white, and yellow matter, mixed with a bloody matter. Excessive looseness, and an unusual discharge of urine takes place. The patient is frequently attacked with hot flashes, called hectick fever, succeeded by colliquative sweats. A burning heat is felt in the palms ofthe hands and bottoms ofthe feet. The fingers become very small, the nails bent inward; the hair becomes dry and falls ofl'; the pit of the stomach appears drawn in. Towards the conclu- sion, the feet and legs swell, the eyes sink deep into their sockets, and appear glassy; the voice is feeble and hollow; the strength exhausted; a scarlet flush on the coimtenauce; difficulty of swallowing; the rising of the lungs in respiration; and cold extremities. These are the immediate signs of approaching death, which, notwithstanding so many alarming premoni- tions, usually comes unexpectedly. Causes.—The inducing causes are heavy chills and colds, caught in damp houses or beds, or by wetting Cw fret; being long expose*? to heats »nd colds; the CONSUMPTION. 8T indulgence of violent passions, such as grief, anger, fee; sedentary or studious habits; excess in libidinous indulgences; intemperate use of ardent spirits; the in- troduction of poisonous drugs into the system, such as arsenick, mercury, nitre, opium, antimony, copper, and lead; excessive labour; chlorosis or green sickness; also, other diseases, such as asthma, dropsy, catarrh, erysipelas, measles, lues venerea, scrofula, &c. What- ever debilitates, or produces a morbid affection of the organs, may be an exciting cause. Treatment.—In every case and every stage ofthe consumption, there is a great debility of the nervous system, a loss of action in the moving muscles and fi- bres, and in the vessels of the skin, and the blood be- comes more or less vitiated. The first object, there- fore, should be to remove every obstruction, to pro- mote the secretians, strengthen the nervous system and produce and maintain a general action. For this ob- ject, the general course of medicine is well adapted; and it must frequently be followed up fbr a long time, especially in cases of long standing. In the mean time, it must be varied according to circumstances. The cough powders, arse-smart tea, and cayenne, may be used freely; also, the washes, especially the scoke, where there is much debility, or abundance of humours. In this disease, diet requires the utmost attention. It should be nutritious and strengthening: such as beef steaks, rarely done; chickens; veal or beef soup, with die addition of vegetables, barley, or oatmeal; jellies prepared from animal substances; new milk may be taken for supper. Avoid acid, dry food, and all un- ripe fruits. *When the disease appears to have been eradicated, the patient may use moderate exercise in the open air, such as walking, or riding on horseback. Wine and the restoring bitteMfmay be nsed moderately. Avoid fatigue—avoid wet and damp places, and rooms where many people are assembled. To inhale the air in such places, (vitiated by the loss of its usual propor- S8 CONSUMPTION. corns. COSTIVENESS. tion of oxygen,) is very injurious. The patient should retire to rest early, and, by all means, rise early. The body should be kept warm by suitable clothing, but this should not be worn so tight as to compress or give uneasiness to any part, or impede the circulation ofthe blood. • Recapitulation.—From the foregoing, it appears that this disease proceeds from various causes, and has different stages. The first, frequently takes place, and if attended to seasonably, admits of a remedy.— Neglect often proves fatal. The progress of the disease, though slow as that of the seasons, is equally certain; and the patient often remains insensible of danger till his case is past remedy. The enervated system re- quires to be stimulated; the absorbent and secretory vessels must be roused to action, and their action sup- ported and continued by stimulating medicine and ge- nerous diet, till the system, restored to its natural vi- gour, no longer requires the aid of medicine. The patient requires a salubrious air, moderate exercise in dry, clear weather, and clothing comfortable and easy. CORNS. A corn is a hardened portion ofthe skin, occasioned by much pressure and irritation. Treatment.-1—The callous part should be fre- quently immersed in white lie, and pared off. After which apply a plaster of the extract of princes' pine, fresh blood root pounded, or Seneca oil. COSTIVENESS. Causes.—This is often occasioned by taking poi- sonous drugs, causing excessive evacuations ofthe bile,^ and constrictions of the intestines; a deiicient secretion" of the bile; acidity ofthe stomach or bowels; a seden- tary life; humours, or a cold and debilitated stomach. costiveness. cough. 89 Treatment.—The antibilious powder, No. 2, may be taken every morning for a week. The laxatives, wandering milkweed, buck thorn, or blood root, may be taken once or twice a day; also the restoring bitters. The laxative lavement may be used once or twice a day, as occasion may require. If the disease be ac- companied with much headach, an emetick will be serviceable. Should the intestines be overloaded with slime, a purge of the cathartick pills will prove an ef- fectual remedy. When costiveness is accompanied with piles, a tea of crane's bill should be taken freely, and a strong decoction ofthe same used as a lavement. COUGH. Cough is a convulsive action ofthe lungs and trachea or windpipe, excited by an accumulation of serum on the cellular substance of the lungs. It is also often ex- cited by various means without any affection or serum of the lungs. Causes.—The serum, which is usually the exciting cause, is occasioned by colds and chills, congealing, as it were, the fluids, and obstructing the insensible per-, spiration. It is taken up by the lymphaticks, and conveyed by the circulation to the lungs; thence to be discharged through the windpipe. If suffered to re- main long in the system, it becomes acrid and excori- ating, and produces ulcers about the lungs, which are very injurious. This is termed pulmonary affection., and terminates in consumption. Treatment.—For a recent cough, if attended with difficulty of breathing, or much pain, an emetick af- fords much relief. After which, cough powders may be given two or three times in a day. If attended with fever, the emetick solution, or expectorant powders may be taken and repeated every six or eight minutes, till it causes nausea or vomiting. When persons have for a long time been troubled with a cough, («as oftea 90 cough, cramps or spasms. happens in winter,) with wheezing, or shortness of breath, raising a viscid phlegm, they should make fre- * quent use ofthe expectorant and cough powders, about twice a day. Should there be much fever, the general course of medicine will afford relief, and should be followed till the cause is removed. The popular cough medicine, advertised and sold by druggists, I consider an imposition on the publick. Having had an extensive opportunity to learn the ef- fects of such medicine, I am convinced that, out of twenty who use it, scarcely one receives any benefit. Such articles gain popularity, not by their utility, hut hy puffing advertisements; and ignorant people are the chief sufferers by this kind of imposition. As-coughs proceed from various causes, such as obstructed per- spiration, catarrh, erysipelas, pleurisy, dropsy, scro- fula, he, to check the expectoration by those drying cough drops, often proves injurious. A recent cough may be considered a trifling disease, and by timely care may be removed with little trouble and expense. Ulceration, the spitting of blood, and consumption, are consequences of neglect. Persons who are subject to cough, should wear flannel next to the skin, avoid damp places, keep the feet dry, and the body warm. CRAMPS, or SPASMS. Cramps or spasms proceed from various causes- such as, poisons taken into the stomach; indigestion, flatulence, suppression of the menses; constriction of the muscles and nerves; wounded tendons, he. Treatment.—When a spasm is occasioned by ta- king poison, it must be removed by an emetick. If it proceed from indigestion or flatulence, a decoction of the roots or seeds of Angelica will be useful; or a tea spoonful of the powders ofthe root of lady slipper, in a gill of hot water; or one sixth part of a tea spoonful of the powders of golden seal, and the same quantity of croup, cuts. 91 Cayenne, in a gill of hot water; or a tea made of the • flowers of mullein. When it attacks the muscles ofthe legs, relief may often be obtained by exciting the oppo- site muscles to action. CROUP. This disease consists of an inflammation of the mu- cous membrane of the windpipe, occasioning the secre* tion of a very tenacious coagulable lymph, which lines the windpipe, and obstructs respiration. This disease is most incident to children, and usually prevails in the winter and spring, occasioned by a cold, moist atmos* phere. Symptoms.— It commences with a dull pain about the upper part of the windpipe. The respiration be- comes difficult, attended with wheezing and a shrill cough. The face is sometimes livid, and by turns flushed; the swallowing but little affected; great thirst and restlessness. The wheezing increases, and the respiration grows more difficult as the coagulated lymph increases, which sometimes clogs the passage so as to occasion immediate death. Remedy.—Take one handful of fresh chamomile, one handful of saffron blows, either fresh or dry, and three ounces of fresh butter, simmer them together over a moderate fire, till the chamomile and'saffron flowers become crisped. Give a tea spoon|ul of this oil every twenty minutes, till it affords relief. [This dose is for a child one or two years old.] CUTS. The part which is. cut should, if practicable, be im- mediately immersed in.cold water, and should remain under water for half an hour. The edges of the wound should be brought and kept close together by a few stitches, or by a sticking plaster, made of turpentine and rosin, and keep on lint or soft linen cloths, kept L>2 DIABETES. DIARRHffiA. ''' constantly wet with cold water, or dressed with the salve twice a day, and kept clean by washing with castile suds every time it is dressed. For the mode of stopping the flow of blood, see cancer, page 80. If there be much pain excited by the pressure of blood to the wound, the part should be elevated above the other parts of the body, to prevent too great a pressure to- wards the wound. DIABETES. This disease consists of an exce&sive secretion of urine, producing frequent and immoderate discharges of that fluid, sometimes exceeding in quantity and weight the whole of the food and drink taken into the stomach. Causes.—Judging from its effects, I am induced to believe that this disease arises from obstructed perspi- ration, and debility in the perspiratory vessels. I have given relief to persons troubled with this dis- ease by a few operations of the general course of me- dicine. DIARRHCEA, or LOOSENESS. (Flux.) This disease consists in copious evacuations, by stool, of liquid matter. Sometimes the aliment is eva- cuated without being much changed by the digestive powers. The complaint arises from a morbid irrita- tion of the stomach and intestines, occasioned by pu- trescence or acidity of the aliment. It often takes place from the mere effort of nature to free herself from the morbid matter; and it often happens that her ef- forts are effectual, without the aid of medicine. When such aid becomes necessary, emeticks may be proper to cleanse the stomach: after which the restoring bit- ters may be taken thee or four times a day. Should the intestines continue relaxed, the astringent lavements should be frequently used, till the bowe^have recg- DROPSY—ITS causes and treatment. 93 vered their natural tone. The food should be light and easy to digest. Unripe fruit should be avoided? DROPSY. This disease consists in an effusion of water in differ- ent parts of the body, produced by general or local de- bility. Authors have given different names to this dis- ease, according to the situation of the parts which it occupies., When the disease is general, it is termed anasarca; when in the cavity ofthe belly, ascites; when in the chest, hydrothrorax, he. The symptoms of the anasarea, are, a paleness of the skin, which usually becomes glassy and shining— it usually begins in the legs, and gradually extends up- wards i the face becomes bloated, the skin distended, so that it retains for sometime an impression or dent made by the finger. The swelling diminishes when the patient lies in a horizontal position. The face ap- pears bloated, the eye-lids swell, the. urine often high coloured and scanty. As the disease increases the re- spiration becomes more difficult, and the cellular sub- stance more distended and indurated. When the effusion takes place in the cavity of the client, there will be a trembling, palpitation, and anxi- ety about the heart, attended with a dry cough, and an increased difficulty of breathing, when lying down. C.vrsES.—Debility ofthe absorbents, a distention of the lymphaticks, which occasions a leakage; the loss or diminution of animal heat, which is often occasioned by oxres/ive evacuations of blood. Treatment.—Although this complaint is distin- guished by various names, in consequence of its affect- ing different parts ofthe system, still the disease is but one, and requires one general mode of treatment. The main object will be to reduce the effusion of water, and by strengthening the debilitated parts, to prevent its future accumulation. 94 DROPSY.' DYSENTERY. First---scarify the feet and legs with a lancet, ma- king fifty or a hundred, or more marks, no deeper than the scratch of a brier when it draws blood. In the mean time the feet should be immersed in the scoke root waslL, except at the time of making the incisions. With a piece of flannel, wet with the same wash, rub the scarified parts during half an hour or more. Re- peat this operation as often as the case may require; after which wrap the parts in wilted cabbage leaves, or other drawing and sweating leaves, such as moosewood or oxweed leaves. Then endeavour to raise the ani- mal heat, to excite the action of the absorbents, to pro- mote perspiration and the secretion of urine. For this purpose, give one sixth part of a tea spoonful of cay- enne in a gill and a half of hot water; also, a third part of a tea spoonful of pearl ash in half a pint of hot wa- ter; and half a pint ofthe tea made of the diuretick powders. Repeat these doses alternately, often enough to produce a moderate perspiration, and maintain it till sometime after /the complaint is removed. Draughts of scoke root should be kept constantly at the feet; also a hot stone. The alkaline or scoke wash should be used once or twice a day. The food should be dry and solid. The patient should take no other drink besides the abovementioned teas, which should be pre- pared with soft water. After the disease is removed the patient should use a strengthening diet. Thic pro- cess has afforded relief in several cases apparently des<. perate; and I have never known it to fail of effecting a cure. DYSENTERY. This usually commences with a lassitude, chillness, cold extremities,, loss of appetite, restlesness, a flushed countenance, nausea, vomiting, thirst, and a quick pulse; which are succeeded by frequent griping pains ofthe bowels, and evacuations of slime or mucus from DYdENTERY--ITS CAUSES AND TREATMENT. 95 the intestines, often mixed with blood. The disease prevails most in summer and autumn. It may be dis- tinguished from a diarrhoea by the frequent propensity to go to stool, with very small evacuations, attended with severe griping nains in the bowels. In this dis- ease, the stomach having lost its action, is unable to convey the aliment into the intestines. In the mean time, the peristaltic motion ofthe intestines is kept up by the bile flowing into them; and having little or no- thing to act upon, the motion causes a friction on the internal membrane lining the intestines, rubbing off the slimy coating; by which means they become irritated and raw. This occasions the evacuation of blood and mucus; and the bile coming in contact with the raw parts, produces that severe pain and excessive heat which is felt about the colon and anus. When the faeces become extremely offensive, and pass away spontane- ously, the strength being very low, the pulse weak, the thirst and pain ceasing, succeeded by hickups and cold sweats, it is an indication of approaching death. *'-■ Causes.—Putrid air, poor Water, exposure to cold, damp evening air, after a hot day, crude aliment, im- moderate quantities of raw fruit taken into the stomach. When the disease has become very prevalent it is con- sidered contagious. Treatment.—The first step towards a cure is to cleanse the stomach by an emetick, succeeded by a de- coction of crane's bill, winter brake, and one of the compositions or restoring bitters. Bathe the bowels if they are paiued, with the bathing drops, No. 1. The mucilage and astringent lavements should be administered in this case without the addition of cay- enne, or the emetick. Should the disease resist these means, the general course of medicine should be fol- lowed till it gives relief. When this disease ha* be- come strongly seated, it often baffles every effort of medical skill. Therefore it demands attention in its earliest stage, when a cure may be reacUly effected. 96 FAINTING. FELON s. The course of medicine above prescribed should be continued in a moderate degree for some time after die disease has abated, in order to prevent a relapse, which often takes place by some neglect or imprudence, and proves fatal. By the treatment here recommended, many have been relieved after their condition seemed hopeless. One only, under my care, has died of this complaint; and that one, besides the dysentery, was afflicted with a cough, a fever and jaundice, and wa? reduced by the privileged order to a helpless situation. before I visited him. FAINTING. Symptoms.—A fainting fit begins with trembling or an uneasy sensation about the heart; the eye sight /ails, the.respiration grows short and weak, sometimes to appearance wholly suspended, the extremities are cold, and a deathlike paleness appears on the face. Causes.—Excessive evacuations of blood; sudden frights, or passions, external injuries, or violent pain. Treatment—The patient should be placed in a horizontal position, with the head a little elevated, where there is a free circulation of air. The extre- mities should be rubbed with flannel, and cold water sprinkled on the face and stomach. After recovering from the fit, the patient may take a few peppermint drops, restoring bitters, or a cup ofthe composition tea. FELONS. Felons usually seat near some joint ofthe thumb or finger, on the membrane which invests the bone, and is attended with great pain, swelling, and inflammation, which often extends up the arm. Treatment.—Take a small tube, and fill one e-id with the vegetable caustick, and place it directly on the, affected part, where it is most likely to break out Keep it on, till the pain occasioned by the felon abater. GENERAL OBSERVATIONS ON FEVER. ©7 Then apply a moist poultice till the core comes out. After which dress it with the salve in the usual way. FEVER. Fever, or heat, when it becomes a disease, consists in an eftusion or preternatural portion of heat, either general or local. From the multiplicity of names applied to certain diseases, we should suspect that some physicians have supposed that to increase the number of technical terms was the highest service they could render, for perfect- ing the science of medicine. In examining their wri- tings on fever, we find above forty species of fever enumerated, or rather forty different names or phrases used to denote the different varieties of time, manner, and circumstance, in which fever makes its appearance. Thus, we have the acute fever, the nervous fever, the bilious fever, the spotted fever, the scarlet fever, the yellow fever, the remittent, the intermittent, the typhus, the hectkk, the putrid, and a host of other fevers, too numerous to find a place here. Ever since man has become subject to disease, fever has doubtless more or less prevailed, as it occurs in almost every disease. But as there is probably but one kind of heat in the human body, we have reason to suppose there is in re- ality but oue kind of fever, however diversified as to the time, place, order and manner of its appearance. Heat- in the human body cannot be prnperly termed a disease, except when it exceeds the usual temperature of animal heat. When it is local, it may be properly termed inflammation, when general, it may be termed fever. The intended limits of this work will not admit a further explanation ofthe terms applied to this disease. Causes.—There are two ways in which fever may be produced: First, by external colds, which chill the fluids, in consequence of which the pores which con- iv.vt the superfluous heat and perspiratory matter to 10 v8( FEVER--ITS CAUSES AND TREATMENT. the surface ofthe skin, become obstructed. In conse- quence of this obstruction, the heat which is constantly Accumulating by the action of the nervous system, and in a healthy state, passing off through the pores, becomes superabundant and intense. This excites a high arterial action, and a heavy pressure throughout the system, particularly of the blood vessels in the head, it being the immediate cause of the heavy ex- citements in that part. The pulse is often raised to a hundred and twenty or thirty, which, in a state of health, is usually from sixty to eighty. The gastrick juice and slime become parched; first assuming a whitish, then a darkish colour, whence it has sometimes been mistaken for canker. The other means by w hich fever is occasioned, is by inhaling a miasma or contagious vapour, which occa- sions the reduction ofthe vital powers; the nerves be- come relaxed; the organs weak; the secretions mor- bid; the extremities become cold; a sickness or nausea ensues; and the countenance exhibits a pale and dis- tressed appearance. The irritation of the morbid matter excites an increased action of the system, to regain its lost energies; the liver, which is the refiner of the blood, does not perform its office; consequently, the bile is carried in the mass of blood, to the extre- mities, aud gives the skin a yellow tinge. From this appearance, the yellow fever has derived its name. When there is a loss of action, or a debility ofthe ab- sorbents or extremities ofthe veins, so that they do not take up the blood which is sent off by the extremities of the arteries, it remains in spots which turn dark hy the loss of oxygen. From this appearance, the disease is called the spotted fever. Treatment.—To relieve the excessive heat, the first objects are to dissolve the congealed fluids, to open the pores at the surface, and promote perspiration. With this view, first wash the surface with the alkali ,vash If there be much fever, give the alkali draught. FEVER. FLATULENCE. 99 cold. In about ten minutes, give one sixth part of a tea spoonful of cayenne, in a gill and a half of hot wa- ter. After repeating two or three times the doses and wash, if the fever should not begin to abate, give half a table spoonful of the emetick solution, or one third of a tea spoonful ofthe expectorant powders, in one fourth of a gill of warm or cold water. Or, com- mence the general course of medicine, either of which will produce the desired effect. As soon as the pores ofthe skin are open, the superabundant heat will pass off and leave the system in a calm state. The diapho- retick or sweating tea may be taken. The perspira- tion should be continued until the putrescence has all passed ofl', and the matter perspired becomes limpid and clear. Emeticks may be given every day, till the stomach is well cleansed. The bowels should be kept open by mild laxatives or lavements. The strength of the patient, in the mean time, requires to be supported by a nourishing diet. I deem it worthy of notice, that though my practice has been extensive, I have never lost a patient, whose only disease was a fever; and, for this disease, I have seldom had occasion to visit a patient more than once. The excessive heat usually abates within fifteen minutes from the commencement of giving medicine. It may be proper here to observe, that the above stated treat- ment is suited to fevers generally, of whatever name or description. One thing, however, is ofthe utmost con- sequence, viz: that the prescribed course be commen- ced seasonably, in the first stage of the disease; not after the strength of the patient has been exhausted by the progress ofthe disease, or by improper treatment. FLATULENCE. This complaint consists in the accumulation of wind in the stomach, occasioning a distention and uneasiness in that, organ. 100 FLATULENCE. FITS. Causes.—An immoderate use of fermented liquors; overloading the stomach with food; taking unripe fruit, which debilitates the digestive powers, and pro- duces a cold acid humour in the stomach. Treatment.—Take the draught recommended for the cholera morbus, in the morning, soon after rising, for several mornings; at meals, drink a tea of ginger or sweet fern. Half a glass of the restoring bitters may be taken two or three times a day. FITS. Fits consist in a violent spasmodiek contraction oi the nervous system, affecting the mind and visual sense. From the circumstance of persons falling suddenly un- der its influence, this disease is sometimes called falling sickness. It has, as might be expected, acquired a host of names, in consequence ofthe various symptoms with which it appears. The symptoms seldom appear in two patients alike. Causes.—Wounded tendons; tumours in the brain, or membranes; concretions of the skull; enurism of arteries of the brain, from being too much distended; periodical obstructions; irritation of worms; or violent passions. The patient is sometimes attacked sud- denly; and sometimes the fit is preceded by headach, lassitude, or dimness ofthe eyes. Treatment.—If taken in its first stage, one or two courses of medicine will, in general prevent its return. Where the disease is of long standing, give the follow- ing preparation: Take a large handful of southern wood; iwo ounces of Seneca snake root; four ounces ofthe scales of iron or steel, called blacksmith's cinders. Pound the ingredients separately—the cinders should be pounded to a fine dust—mix the articles, add two quarts of spring water, cold, and boil it over a quick fire, eight or ten minutes—strain off the clear liquid, add one third part of spirits, and put it into tight bot- GRAVEL AND STONE. HEADACH* lOt ties for use. Take five table spoonfuls a day; one be- fore breakfast, one in the forenoon, one in the after- noon, and two at night. GRAVEL and STONE. By the gravel we understand small sandlike concre- tions or stones, generated in the kidneys and voided with the urine, often occasioning considerable pain. The particles of gravel, after passing into the bladder, there unite and form larger bodies or concretions, called stone. They sometimes become a stone in the kidneys. When they have a smooth surface, they sel- dom cause much pain, unless they get info the neck of the bladder, and obstruct the passage of urine, or be- come very large. Those of a rough surface often do much injury by producing an irritation of the blad- der, occasioning a slimy discharge, sometimes tinged with blood. Causes.—Impure and hard water, and obstructed secretions—persons who live a sedentary life are most subject to this disease. Symptoms.—A fixed pain about the kidneys and ureters; suppression of the urine; sometimes dis- charging a slimy and bloody water, attended with pain; often an inflammation in the urethra. Treatment.—The diuretick tea may be used freely; it will prevent the disease, or relieve it in its earliest stages. A tea of leatherbush bark is highly recom- mended for this complaint; also, a tea or the juice of rushes and pellitory of the wall. While using the pre- scriptions, the patient should avoid taking other drinks or diluent food. HEADACH. This is a very common complaint, and proceeds from a, variety of causes, such as> suppression of cus- tomary evacuations; foul stomach; obstructed perspi- 10* 102 HEADACH. HEART BURN. HICKUF. ration; too much or too little sleep; intense study; in- temperate eating or drinking; indigestion; distention of blood vessels in the head; or lack of moisture in the membrane lining the skull. Treatment.—This should vary according to the cause. If it proceed from a cold in the head, or from obstructed perspiration, the headach snuff, or the bathing drops will usually afford relief; if from a foul stomach, an emetick will be necessary; if from intes- tinal obstructions, a dose of castor oil, or the cathar- tick pills should be taken. When there is excessive heat or inflammation in the head, relief may often be obtained by the application of cold water. Sometimes cupping round the temples may be useful. The feet should be bathed in warm water, and draughts applied. Should these means fail, the patient should resort to the general course of medicine, until the cause be removed. A BURNING SENSATION OF THE STOMACH, VULGARLY CALLED THE HEART BURN. This is a sharp, burning pain, about the pit of the stomach; proceeding from acidity of the stomach, with some mixture of bile. It frequently rises up into the throat by eructations, giving a bad taste to the mouth. It frequently occurs in pregnancy. Causes.—It is usually caused by indigestion, or weakness in the stomach. It is often occasioned by taking too hearty food, or fermented liquors. Cure.—The alkali draught, taken frequently; the antibilious powder, No. 2; the restoring bitters, taken several times a day; or an emetick. HICKUP. (Hiccough.) This is a convulsive motion of the midriff, usually occasioned by taking hot, stimulating liquids into a, HOOPING COUGH. HYPOCHONDRIASIS. 103 cold, phlegmatick stomach; sometimes by the reverse of this; sometimes by poison. Cure.—When occasioned by taking hot, stimulating liquids, a draught of cold water or milk will generally relieve the complaint very soon. If occasioned by eating or drinking any thing cold, a warm, stimulating application will be most proper. Take two or three. drops ofthe oil of peppermint, on a small lump of su- gar; or a tea of ginger composition, or cayenne. Ei- ther of these will usually give immediate relief. If it be occasioned by taking poison, the stomach must be emptied by an emetick as soon as possible. First, take half a table spoonful ofthe emetick solution; in a few minutes after, take the alkali draught, and repeat it every five minutes, till it produces vomiting. HOOPING COUGH. This disease arises from a contagious effluvia affect- ing the membrane which lines the windpipe. It never attacks the same person more than once. Symptoms.—It commences like a common cough. but increases till it becomes convulsive, attended by a shrill hooping noise, which is the characteristick mark of the disease. The coughing is often attended by vo- miting, bleeding at the nose and lungs. It is seldom accompanied by much fever, nor considered dangerous. Treatment.—Although this disease usually con- tinues a considerable length of time, and consequently often left to take its course, till nature effects a cure; still a considerable benefit may be derived, by taking an emetick, cough powders, expectorant powders, and the alkali draught: all of which may be used mo- derately. HYPOCHONDRIASIS. (Hypochondriack Affection.) The seat of this disease is in the stomach and bow* els; these parts becoming disordered first, the others 104 HYPOCHONDRIASIS. HYSTERICUS. suffer from their connexion. The brain and nervous system appear particularly affected. The disease is characterized by dyspepsia; languor and want of en- ergy; sadness and fear from uncertain causes; the im- agination replete with unhappy forebodings respecting future events; and from the slightest change of feelings apprehending great danger, perhaps death itself. Symptoms.—These are too numerous for descrip- tion: scarcely two persons being affected alike. It usually attends a sedentary life, and arises from vari- ous causes. The most usual are sorrow, fear, or ex- cess of any ofthe passions; too long continued watch- ing; irregular diet; luxurious and debilitating indulgen- ces; immoderate use of coffee, tea, and ardent spirits. Treatment.—In order to effect a cure, we should admit as realities, all the imaginary evils of which the patient complains: endeavouring to raise his courage, and lead him to engage in some useful and pleasing pursuit. "Hence we learn the superiour advantages of those situations in life which more immediately call for intellectual exertions and bodily exercises. Indus- try seldom fails to place us above want, and activity serves us instead of physick." After two or three ope- rations in the general course of medicine, and the cold bath for several mornings, the patient should take fre- quent exercise on horseback, or in a carriage. Also, take daily two or three doses of the restoring bitters. Let the diet be fresh and strengthening; and the pa- tient must abstain from those habits which tend to bring on the complaint. HYSTERICKS. (Hysterick Passions.) This disease is most common to females of delicate minds, and irritable nerves. It affects the plethorick and robust as well as the debilitated; and most com- monly at the time of menstruation. Symptoms.—It often begins with a heaviness or de- jection of mind, with pain in the left side of the abdo- HYSTERICUS, indigestion. 105 men, with a sense of distention advancing upwards into the stomach, and finally into the throat, producing a Sensation as if a ball were rising up and threatening suffocation. The patient often experiences a drowsi- ness or insensibility; sometimes agitated with various emotions, beating the breast with the hand, striking the hands together, sighing, laughing, or weeping, &c.— The patient experiences a temporary delirium or in- sanity. Cuases.—Obstruction or suppression of customary evacuations; a disordered state of the stomach, or strong excitement ofthe mind. Treatment.—A tea of boneset, green wheat, or motherwort, usually affords relief. When the nerves are much agitated, a dose or two of lady slipper has a good effect. Costiveness should be obviated by ca- tharticks. INDIGESTION. (Dyspepsia.) This may be considered rather as a symptomatick than a primitive disease. It proceeds from debility and relaxation ofthe stomach and intestines. People who are addicted to dram drinking, who make frequent use of catharticks, or live an indolent life, are most liable to this disease. Description.—Want of appetite, distention ofthe stomach and bowels, attended with pain and flatulency, nausea and vomiting, heart burn, concretions of acid or rancid taste, sick headach, costiveness. At length, the body becomes emaciated and debilitated, for the want of its proper nourishment. Causes.—Too frequent use of spiritotrs liquors; taking poisonous drugs, such as opium, mercury, an- timony, lead, nitre, arsenick, vitriol, copperas, &c.; poor diet; oppressing the stomach with too* great a quantity of food; anxiety of mind, intense application to study, &c; a sedentary inactive life; unripe and 106 DYSPEPSIA, OR INDIGESTION. crude aliment; too great variety of food, to which the stomach is not accustomed. This disease is often at- tributed to a redundancy or a deficiency of bile in the stomach; and persons thus diseased resort to drastick purges or poisonous emeticks, which have as great a tendency to increase the disease, as any other means. The bile is never concerned in the digestion of food. It is conveyed from the liver by a duct into the intes- tines, stimulating them to a proper discharge of the faeces. It is therefore that a certain quantity of bile should be regularly secreted to aid the intestinal evacu- ations, which should take place as often as once in twenty-four hours. When drastick purges are given, they excite a too violent and profuse secretion of bile, occasioning an exhaustion which it requires a consider- able time to replenish. Consequently, the body be- comes more debilitate^ and the bowels more costive. The same consequence follows from taking poisonous vomits, such as emetick tartar, vitriol, or antimony. These act on the stomach hwsuch a way as usually to produce a spasmodick action ofthe abdominal muscles, causing a redundancy of bile to flow into the stomach, thence to* be thrown out in the operation of the emetick. A frequent repetition of this practice can scarcely fail to ruin the most healthy constitution, and to bring on the train of evils usually accompanying indigestion. In order to health, the human body requires its proper quantity of salutary, well digested food, as much as vegetables require a fruitful soil. The vegetable de- riving nutriment through the absorbent parts called roots, flourishes according to the richness of the soil where it grows. In animals, intestines perform the same office as roots do in vegetables. The food, after being masticated, is received into the stomach, to un- dergo the process of digestion; thence to be conveyed through the intestines. The chyle being taken up by the absorbents, termed lacteals, is conveyed into the INDIGESTION. JAUNDICE. 107 n.ass of blood, thereby to be distributed to every part of the body, for its nourishment and support. Treatment.—This should vary according to the cause of the disease. If it proceed from the use of too weak food, a more substantial diet should be substitu- ted, with a frequent use of the restoring bitters. The diet should be gradually reduced to a plain, common regimen, consisting of a due proportion of animal and vegetable food; and for beverage, using pure water. If the disorder proceed from debility, it may be proper to stimulate the appetite a little by the restoring bitters, wine, and food seasoned with cayenne pepper sauce. Ginger tea, or pure water, should be taken at meals. The bowels should be kept free by aperients; the sto- mach should be kept clean and warm by occasional emetick^, and hot medicines. The flesh of young ani- mals, being easiest to digest, is most suitable for food; and proper exercise w ill be found very serviceable as a preservative of health, as well as the means of obtaigi- ing sustenance. Such people as are obliged to earn their bread by their daily labour, usually enjoy better health than the indolent and self indulgent, though sur- rounded by all the luxuries which wealth can purchase. \JAUND1CE. (Bilious Complaint.) This disease arises from an obstruction of the biliary duct, owing to a sluggish or toipid state of the liver. The bile not passing, as it ought, through the duct into the intestines, it is taken up by the absorbents, and carried with the mass of blood to the surface. This gives the skin a yellow appearance. It is usually at- tended with loss of appetite, drowsiness, and costive- ness. It first makes its appearance in the white of the eyes, in the nails of the fingers, and in the urine. Treatment.—The first thing to be attempted is to produce a general action through the system, by means of the general course of medicine. This process may 108 ring's evil, or scrofula. be followed till the disease is removed. The jaundice bitters, and anti-bilious powders, well followed, will also relieve the disease. The anti-bilious powder, No. 2. taken in the morning, has a good effect in dissolving concretions in the biliary duct. KING'S EVIL. (Scrofula.) "The Latins term this disease scrofula, from scrofa, a hgg, because it has been observed in the swine. It ft named the king's evil, in consequence of Edward the confessor, and other succeeding kings, both of England and France, pretending to cure it by touch. The last that practised this delusion was Queen Anne. In the London Gazette, of the year 1707, is inserted a pro- clamation inviting her scrofulous subjects .to the regal touch." This disease is nearly allied to the cancer, but not quite so obstinate. The tumour usually seats on the glands of the neck, directly under the right ear. It sometimes seats in the ligaments, of a joint, and then it is termed -tvhite swelling. W7hen the lungs become tiie seat of the disease, it is called pulmonary consumption. Sometimes it effects every part of the system. It is generally occasioned by a debility of the absorbent and secretory or depositing vessels. Treatment.—If the tumour be near breaking, apply a poultice of roasted onions, leeks, or rye meal and molasses; if not, burn a piece or two of touchwood, sometimes called punk. Apply a moist poultice of In- dian meal till it discharges; then dress it two or three times a day, with the anti-scrofulous plaster, until it be healed. Proceed in the same manner with every suc- ceeding tumour. A tea ofthe anti-scrofulous powder should be taken freely every day during the above ap- plications, and continued sometime afier the complaint has subsided. A strengthening and pure diet and be verage should be taken, and the cold bath frequentlj used. f MEASLES. CHLOROSIS. 109 N. B. The foregoing method of treatment will re- lieve cancers and wens. MEASLES. This disease is highly infectious; and the constitu- tion that has once been under its influence, is not liable to a second attack. Symptoms.—It usually begins with dullness or low- ness of spirits, and shiverings, succeeded by heat and headach; a sense of heat about the eyes, being unable, sometimes, to bear the light; a nausea at the stomach; a dry skin and quick pulse. About the fourth or fifth day, red pimples begin to break out on the face, and then on the different parts ofthe body. These increase and run together, forming large blotches. In the mean time a fever and cough begin and prevail, and the re- spiration sometimes becomes very difficult. Two or three days afterwards the eruptions begin to change and disappear, and in a short time they entirely go off in a kind of branny scales from the sca.fskin. Treatment.—The stomach should first be cleansed by an emetick; after which a moisture should be pro- duced on the surface, and kept up by stimulants; for which use the diaphoretick tea, cayenne, cough pow- ders, or composition. Use the whole or a part. The patient must carefully avoid taking cold. This treat- ment will seldom or never fail of producing happy ef- fects : its utility has been evinced by the success uni- f„\'v:)y attending it. CHLOROSIS. (Green Sickness.) This is a disease which affects young females who labour under a retention or suppression of the menses. It is attended with general debility and lassitude. The face changes its vivid freshness to a pale green sallow colour. A difficulty of breathing occurs, and nausea •?nd vomiting, with various symptoms of indigestion: 110 GREENSICKNESS. hemorrhage. some-time's an unnatural appetite for eating chalk, lime, coals, and other things of an injurious nature. Treatment.—This complaint requires immediate relief—otherwise, fatal consequences will follow; such as, dropsy, delirium, or consumption. After an ope- ration ofthe general course of medicine, let the patient take a tea spoonful of the powders of the root of red cohush, in a gill of hot water, once in thirty minutes; or half a tea spoonful of white birth root powders, in a gill of warm water, every hour. Also, a tea of Ange- lica seeds or roots, green wheat, cedar boughs, hemlock boughs, pennyroyal, mugwort or winter clover. Be-" fore retiring to bed at night, the patient should stand or sit over a steam bath of hemlock boughs, or some bitter herbs; and have draughts applied to the feet. The general health should be improved by a strength- ening diet and exercise in the open air. FLOODING. (Hcemorrhage.) When immoderate and unusual evacuations take place from the womb or other parts, it is termed flooding. Causes.—It often arises from injuries, violent exer- cise, debilitation of the system, the indulgence of vio- lent passions, or from abortion. Treatment.—Since in this complaint there is a ge- neral debility, cqM surface, and unequal circulation, let the patient first take a tea ofthe flowers of yarrow, or any other part of that herb, or of the roots of blue flag. After being washed in the alkali wash, let a mo- derate steam be applied round the body, to open the surface and produce an equal circulation ofthe blood. After taking a few draughts of the above tea, take the composition, and restoring bitters, which will be effi- cacious MUMPS. PALPiiAlION g« the heart. Hi MUMPS. This disease it seems is communicated by the atmos- phere, and often becomes epidemick. It is not consi- dered dangerous, except by taking cold, and a conse- quent change of locality. Symptoms.—It usually begins with cold chills and shivering, succeeded by fever and headach, nausea, vomiting, he.; afterwards, an external swelling takes place in the jaws, sometimes only one at a time. This increases till about the fourth day; from that period it gradually decreases, till it entirely disappears. Treatment.—An emetick may be employed in the commencement; afterwards, stimulants and diapho- reticks. The alkali draught and composition, answer a very good purpose. The bowels should be kept re- gular by laxatives. When the disease changes its local- ity, the general course of medicine must be resorted to t PALPITATION OF THE HEART. This arises from an unequal balance of blood, and debility ofthe nerves. The beating is often so violent as to be seen on the outside of the clothes. Causes.—It may arise from various causes; such as excessive evacuations of blood; distention or enlarge- ment ofthe blood vessels, termed enurism; wrenches or strains of the breast; overdoing, by excessive exercise; taking poison, ike. Treatment.—The strictest attention must be paid to the exercise, which should be very moderate. Vio- lent exercise tends to increase the morbid irritation, and debilitate the injured parts. A tea of slippery elm, buck horn, sweet fern, and alkanoke, either separately or combined, may be taken daily. The composition powder and restoring bitters may be taken occasionally. A large strengthening plaster should be applied over the region ofthe heart. The patient should use-a ve- getable diet, and avoid all fermented liquors. 112 PALSY. PILES. PLEURISY. PALSY. This disease consists in a diminution or cessation of muscular action. Sometimes the whole body is af- fected; but more frequently one side only, and some- times only a limb. Corpulent people are most liable to this complaint. Causes.—Debility of the nervous or vascular sys- tem; compression of the brain; overloading the sto- mach; immoderate use of spirits; laborious exercise; loss of vitality; taking poison, &c. Treatment.—This disease is, such as to admit of no delay, if a cure is expected. If the general course oL medicine were in all cases immediately applied and fol- lowed up for a few days, few would sustain much per- manent injury from the paralytick shock. PILES. (Haemorrhoids.) Of these there are two kinds, called the open and blind piles. The disease consists in small tumours situated about the anus. When these tumours dis- charge blood, they are termed open; when there is no discharge, they are called blind piles. Causes.—It may proceed from costiveness; from humours; active purges, such as aloes; or debility of the rectum. Treatment.—The bowels should be kept regular by the powders of wandering milkweed, or buck thorn" berries. The erysipelas tea should be taken freely for a considerable time. An ointment made of fireweed and fresh butter, simmered, may be applied to the tu- mours; washes or lavements made of green ozier, wild lettuce, crane's bill, and white lily, applied, give relief. PLEURISY. This consists in an inflammation of the pleura, a membrane which lines the chest or thorax. It usually PLEURISY. PREGNANCY. 113 commences with the symptoms of a fever, such as cold shiverings, sickness, pain in the head, and thence to the side; drowsiness, difficult respiration, restlessness, a dry cough, &ic. which are succeeded by a fever. Causes.—Sudden heats and colds; external injuries; long exposure to cold air; immoderate drinking; ob- structed perspiration, fee. Treatment.—The general course of medicine gives immediate relief in almost any stage of the disease^ By this course, several have been relieved, even after they were supposed to be dying—after having had their bodies almost drained of blood, besides being otherwise unmercifully handled. PREGNANCY. (Child-bearing.) I do not introduce this as a disease, though attended with much indisposition, and a variety of complaints which require great attention and medical aid. "It is, in general, the source of many disagreeable sensations, and often the cause of diseases which might be attended with the worst consequences, if not properly treated." The prevailing symptoms are pains in the head and stomach, nausea and vomiting, fainting, loathing and longing, he. which are owing to heterogeneous parti- cles of viscid humours, or a phlegmatick habit. To obviate those symptoms, the party should go through the general course of medicine, and, if necessary, repeat the course at any stage. The composition powders and restoring bitters may be taken daily, to correct and strengthen the stomach and appetite. In the latter stage of pregnancy, about six weeks before labour, the party should take a tea of bloodvein, w inter clover, and one fourth of a tea spoonful of white birth rOot, once or twice a day, in a gill of warm water sweetened. The whole should be discontinued a few days before labour. During pregnancy, the party should use a nutritious diet, and moderate exercise, avoiding fatigue 11* 114 REMARKS ON BLEEDING IN PREGNANCY. and contaminated air, and thus acquire as much strength as possible in reserve for the approaching hour of trial. A celebrated writerobserves, "Pregnant women are often afflicted with the heart burn, sickness and vomit- ing, especially in the morning; likewise both the head- ach and toothach, are very troublesome symptoms of pregnancy. Every other disorder to which a woman, during the state of pregnancy, is liable, is chiefly, if not entirely, owing to a deficiency of heat and blood; which may easily be gathered from the consideration of the expense she is at for the nutrition of the foetus, and the formation of its appurtenances. If two ounces of blood were drawn every day from a person ever so healthy, for forty weeks together, let it be left to com- mon sense to determine whether such a one can stand in need of supernumerary venesections during that time. It is on this account that their faces appear so thin, and various disorders attack them, which origin- ate from a want of blood. If a woman with child is bled, says Hippocrates, miscarriage is endangered; the larger the foetus, the more certain and expeditious will be the abortion. Experience confirms the truth of this observation. I knew many ladies who used phlebo- tomy during their pregnancy, and miscarried; but on the omission of it, went out their full time, and were delivered of- healthy children. That all do not mis- carry who are bled, is true; and indeed nothing is more to be wondered at than the inexhaustible resources of nature, by which she can recover herself from such ill- timed evacuations. To use phlebotomy because the periodical visits disappear, is absurd and puerile; for it cannot be a manly argument, that we ought to lavish away that fluid which nature demonstrates her want of, by her care to preserve it. Bleeding is always hazard- ous and improper during pregnancy, and frequently brings on convulsions and death. To this.rash and inexcusable imprudence it is owing, that such numbers- child birth. 115 of women, who even go their full time, die in childbed." To confirm the above sentiments, (if it were neces- sary to confirm the obvious dictates of common sense,) I could adduce several facts which have fallen within my observation—facts which prove, to my entire satis- faction, the impropriety of bleeding in such cases as are alluded to in the above quotation. CHILD BIRTH. From a consideration of the many, and sometimes fatal sufferings of that perilous occasion, and a belief that those sufferings may, by some precautions, be in some degree mitigated, I am induced to suggest a few things which may prove beneficial, and perhaps rescue some from undergoing the ccesarian operation.* The ordinary time of particrition is well known to be about nine, solar months after conception. The symptoms of approaching labour are a descent of the womb and abdomen; pains in the loins or small ofthe back and groins; frequent inclination to discharge urine, or a tenesmus, succeeded by a trembling of the limbs, shivering, and sometimes a flushed countenance. A tea of winter clover and cayenne should be taken alternately, during labour, so as to produce a moist surface. The patient should walk about, or keep in an erect position, as long as may be convenient, and lend her efforts to increase the power of he. pains. Too frequent examination or interference should be avoided; nor should there be more attendance than is necessary. Fresh air should be enjoyed, and afcsuit- able means used for cherishing and preserving the wo- man's strength. The head of the child naturally de- scends to the orifice of the womb, and is.generally v pressed forward by every throe. When'the crown of * " A birth where the child is cut out of the womb." From motives of delicacy, I cannot be so particular on this subject'as some wuuld perhaps consider desirable. 116 " child birth, rheumatism. the head can be felt, the labour is one third advanced. Assistance, may now be given, though nature alone is able to perform the exclusion, which is often af- fected by one throe, Where nature is weak, she is consequently slow in her operations. In such cases aid is necessary, and should be rendered with deliberation; haste and violence are often productive of serious, if not fatal consequences. When the child is born it should be laid on the side, so as to give a free pulsa- tion to the circulation through-the string. After the pulsation has ceased, the navel string should be tied with two ligatures to prevent haemorrhage; one about three inches from the child, the other an inch or two further. Then cut the navel string between the li- gatures. The secundines or afterbirth, if not already taken, should be extracted by the most gentle means. If it is attached to the womb, or strongly enclosed by the contraction of the womb, place the patient over a steam of hemlock boughs, or bitter herbs; and give a strong tea of cayenne alone, or mixed with hemlock, winter clover, Or some other medicines; which will soon be effectual. After which, a free use of cayenne, com- position, and bitters, should be administered, to keep a natural perspiration, till the general health be esta- blished. ivhcumnttsnt. This disease occurs most frequently in autumn and spring. It often occurs in the other seasons also, when there are frequent and sudden changes in the tempera- ture ofthe atmosphere. When this disease attacks the joints, attended with swelling and much pain and fever, * it is called acute rheumatism. When there is not much pain, swelling, or inflammation, it is termed chronick rheumatism. RHEUMATISM. RICKETS. 117 ACUTE RHEUMATISM. Symptoms.—This species commences with swelling of the joints, attended with severe pain and* inflamma- tion. It often attacks some joint in every*limb, so that the patient is unable to move in arfy direction. Causes.—It is generally occasioned by exposure to • sudden changes of heat and cold, or continuing long in wet clothes, which obstructs the insensible perspiration in those parts. Treatment.—Cupping round the joints affords much relief; after which, moderate perspiration may be produced and continued by the alkali wash and draught, with other diaphoreticks, such as cayenne, diaphoretick tea, powders of skunk cabbage, princes4 pine, black cohush, &ic. CHRONICK RHEUMATISM. This species generally afflicts the aged, and usually seizes on the tendons in the back, shoulders, and hips. It is attended with much stiffness, and a dull heavy pain which shifts from one part to another. Causes.—This disease usually arises from strains occasioned bv lifting, carrying heavy burdens, he.; or from long exposure to cold and wet. Treatment.-—The rheumatick bitters and bathing drops generally afford relief. They may be used three or four times a da}-. Should they prove ineffectual, the generalconrse of medicine must be tried and repeated till relief be obtained. RICKETS. This disease is peculiar to such young children as have, unfortunately, not had good nursings An en- largement ofthe head and abdomen are the first symp- toms of this disease; succeeded by a wasting or de- caying of the other parts, except the large joints. 118 RUPTURE. ERYSIPELAS. Treatment.—The first step towards effecting a eure is to repair the digestive powers, so that the food may nourish the body, and excite muscular action. For this purpose it will be necessary to cleanse the stomach with an emetick, and to wash the surface with the alkali and scoke wash. Two or three tea spoon- fuls of lime water may be given twice a day; also, the composition and restoring bitters. The cold bath should be used every second or third morning, till the cure is effected. RUPTURE. This disease consists in a protrusion or bursting out of some part ofthe belly, forming a soft tumour. Causes.—It most commonly proceeds from some heavy compression or severe strains of the abdomen; tight swathing ofthe body; carrying heavy burthens; sneezing, he. Treatment.—The patient should be kept as still as possible, in a horizontal position. After returning the prolapsed parts into the cavity, apply the rupture plas- ter over the injured part. It should be compressed by a truss or by bandages to prevent its returning. The plaster should be removed once in three or four days, and the part washed with brandy or high wines, till the breach is healed. A tea made of rupture wort, crane's bill, high wickup, and buckhorn should be taken for a considerable time, either the whole of them combined, or a part used separately. The patient should avoid taking any thing into the stomach which will occasion flatulence or wind. The diet should be nourishing and strengthening, such as jellies, he. Costiveness should, if possible, be prevented, ERYSIPELAS. (St. Anthony's Fire.) This disease is an inflammatory affection, principally ofthe skin when it makes its appearance externally, and ERYSIPELAS. SALT RHEUM. 119 ot the mucus membrane when it is seated internally, A person who has once been affected with this disease will be more subject to its future attacks. It some- times returns periodically. Symptoms.—It usually begins with shivering, suc- ceeded by heat and a drowsy sensation, sometimes de- lirium ; the eyelids swell, and the skin appears red and rough. About the second day, small blisters rise on the skin, filled with water. The disorder usually comes to its height about the fifth day. Two or three days afterwards, it begins to go off in large branny scales. It sometimes attacks only one side ofthe body at a time. Causes.—It is brought on by all the causes that are apt to excite inflammation, such as injuries of all kinds, the external application of stimulants, exposure to cold, and obstructed perspiration. Treatment.—After going through two or three thorough operations of the general course of medicine, the patient should take freely a tea made of the erysi- pelas powder, for a considerable length of time, to prevent a recurrence ofthe disease. SALT RHEUM. This disease is a species of erysipelas. It prevails in the cold season, and disappears, in a great measure, in the warm. Symptoms.—It appears in large blotches, dischar- ging a fluid, which spreads and excoriates the adjacent parts. Sometimes it breaks out all over the body in spots, but most commonly about the hands. It is at- tended with an itching and a burning sensation. Treatment.—Spread a plaster large enough to cover the affected part, made of rosin and white pine turpentine, ofthe consistence of shoemaker's wax. On the plaster sprinkle some powders made of equal quan- tities of burnt alum and rosin, made fine and mixed 120 scaldhead. strangury. well together. After the plaster has been on two days, spread the same plaster over with a new coat of pitch and powders, and keep it on one day. After renewing it once a day, for two or three days, let the plaster stay on as long as it will; which will prove an effectual cure. This application will remove most cutaneous eruptions, SCALDHEAD. This disease is also a species of erysipelas, and is easily communicated from one person to another, by means of a hat or comb, previously worn by one so diseased. Its virulency causes the hair to become drv and thin—the appearance ofthe skin is blue and scaly. Treatment.—At an early stage of the disease, it may be cured by such ointments as the following: Take four ounces of sassafras, the bark of the roots; four ounces of blackberry brier, the bark ofthe roots; four ounces of elecampane, the roots; all collected fresh and washed; add one pound of fresh butter or hog's lard. Simmer them over a slow fire, four hours; strain it off into an earthen vessel for use. Previous to applying the ointment, the hair on the diseased part should be wholly cut off. The ointment may be rub- bed over every morning and evening. If the disease be of long standing, the head must first be shaved, and rubbed over with a little soft oil /w fresh butter, to soften the scales; which, by washing with castile soap suds, will come off. After this, apply the plaster and powders recommended for the salt rheum, during seve- ral days before using the other ointment. In the mean time, the patient should make free use of the erysioe-g las tea. STRANGURY. This disease consists in a difficulty or inability 0H»; discharging urine. It attends the gravel or stone, and ofteu happens in consequence of blistering. SWEATING. venereal disease. 12i Treatment.—Let the patient drink freely of ti, diuretick tea; and let a hot stone, wrapped in a cloth wet with vinegar and water, and a dry cloth wrapped round the whole, be laid near the bowels. The alkali wash and draught may be used in addition to the above prescriptions. PROFLSE SWEATING. Excessive perspiration is often the effort of nature U. relieve herself of morbid affections. It also happens in consequence of debility and relaxations ofthe system, and often excessive in pulmonary consumption, hectick fever, and ague and fever. The nerve's being relaxed, and the pores open, profuse perspiration ensues, and with it a great share of^animal heat escapes. This oo* casions the diminution of strength which follows pro- fuse sweating. This difficulty may be obviated by re- porting to the cold bath, or by washing the body with cold water or spirits. This may be done with perfect safety, even when the perspiration is most profuse. A potion of hot bitters, or other hot medicine, may be given a little before or after the cold application. Mo- derate astringents may be used, both internally and ex- ternally; of which, the alkanoke, sweet fern, crane's bill, and swamp snake root are the most proper. VENEREAL DISEASE. (Lues venerea. Syphilis.} This disease is distinguished by different names, ac- cording to the appearance it exhibits in its different stages. When the disease is local, the morbid matter acting in its simplest mode, it is called gonorrhea, or rtlap. In its more diffused and confirmed state, it is called lues venena, syphilis, cj-c. The venereal disease is always occasioned by a poi- : on, the nature of which is not understood, except by its effects. The smallest particle of this poison is suf- ficient to bring on the most violent disorder over the 12 li2 VENEREAL D1SEASL whole body. It is communicated, by actual contact, and may infect any part of the surface ofthe body, es- pecially such parts as are most tender, or have been wounded or ulcerated. A clap is merely a running or discharge of mucus matter, occasioned by coition with an infected person. It usually begins from four to six days after receiving the infection, with a discharge, at first of a white or yel- lowish colour, usually attended with a painful scalding sensation in discharging urine. The inflammation fre- quently increases for some days after its first appear- ince, with pain in the groins, he. After the pain and inflammation have abated, the discharge, assuming a whiter appearance, will gradually diminish, and when Cue parts have had time to recover their strength, it will finally disappear. When the venereal poison becomes mixed with the general mass of fluids, appearing in different parts 01 the body, it is considered the real venereal disease. Nature then seems to make no effort to effect a cure. The disease progresses till checked by the power of medicine. If left to take its course, the poison will dif- fuse corruption through the whole system. The dis- order makes a more rapid progress in some constitu- tions than in others. In persons affected with scorbu- tick, scrofulous, or other chronick diseases, pulmonary consumption, he. it often proves destructive. The symptoms of the confirmed disease are pains in the bones, those especially of the head, arms, and shius; which pains are always most violent when in bed. Swellings and ulcers frequently attack the genitals— also, the inside ofthe lower part ofthe throat; whence they advance by the palate to the cartilage ofthe nose. Dry, scabby eruptions sometimes appear on the skin, or hard pktules covered with a yellowish scab of a branny appearance, attended with itching. Similar sores may, indeed, arise from scrofulous humours, but .^icb arc fov !hHe to inflame and to contain matter, 1LNERF.AL DISEASE. I3S* ';iian the venereal kind. When venereal sores are seated on the bone, such as the large bones of the legs, the fore arm?, or-skull, they produce a caries or rotten- ness, atteudetl with severe pains, especially in the night time. Treatment.—This disease may be cured in the first stage by a few simple means; but if"neglected, it be- comes a serious malady, and often proves fatal. The discharge, cajled gonorrhea, should be promoted by the expectorant powders, which should be taken three times a day, so as to produce a salivation, but not to vomit. The diuretick tea should be taken freely, or a lea of swamp snake root, ginseji, sarsaparilla, and dwarf elder, to allay the inflammation; and injections : hould be thrown up the urethra, made of swamp snake root and crane's bill, not very strong. After the gleet Las subsided, a linseed tea may be taken, or ten or fif- teen drops of fir balsam, dropped on sugar,, taken twice or three times ,a day, for several days. When the system generally has become affected with the virus, the patient should go through several opera- tions in the general course of medicine—in the mean time, using the scoke root wash freely, and, in the in- termediate spaces, use the teas and expectorant pow- ders. ' In case of venereal sores where there is much fungous flesh, (if where it is practicable,) a plaster or coat of the vegetable caustick should be applied, to produce a fresh wound, which will be much easier to heal. After which, apply poultices of boiled or roasted scoke root, or the common salve, keeping them wel] cleansed with castile soap and water, aud the blood root powders. I deem it not improper to mention, in this place, that I have, by this mode of treatment, effected cures in se- veral inveterate cases, on which many of the profes- sional doctors had exhausted their skill. I will state a case or two: A young man came to me with a venereal disease of several years' standing. He had a large {21 VENEREAL DISEASE. WHITES. sore which broke out on his neck, directly over the j*i- gular vein, about three inches in diameter. Ho said he had just come from the medical president of the county, who had informed him that he durst not do any thing more, for fear of bursting the jugular vein; the consequence of which would be immediate death. He had been under his care about four months, and grew worse. I undertook for him, and in about fifteen days his cure was effected. m Another man came, having four large sores which broke out at once, on one of his legs, a few days pre- vious,*which immediately turned black, and discharged a strong fetid matter. From their putrid appearance, one would suppose they had been of a year's standing, or more. He informed me the infection had been in his system for several years. He had applied to seve- ral doctors, whose method was to stop the^ progress of the disease, by reducing his system. 1 applied the ye getable~cauStick To each sore, and proceeded according to the above directions. This was five years ago, since which time he has had no recurrence ofthe disease, WHITES. (Fluor Albus.) This disease consists in the efflux or secretion of a white humour or mucus from the vagina of women, arising from debility. Causes.—It may be occasioned by a sedentary or inactive life, weak or watery diet, excessive use of tea or coffee, or by fr^pieut miscarriage;-. It is attended with considerable pain and weakness about the loins. It brings on a train of other disease-, such as dropsy, consumption, &c. unless seasonably removed. The eftlux ceases during the time of menstruation. There are but few of the sex who do not experience more or less of this disease. Treatment.—Take a tea spoonful of the powders ot red birth root, mix them with a gill of new milk, steep :t on warm embers a few minutes; but it must not boil. WHITE SWELLINGS. WORMc. 125 Let the patient take three or four tea spoonfuls every half hour, till it is all used. Let the same dose be pre- pared and taken every day, till theVure is effected.— The general course of medicine and cold bathing may be useful. Moderate exercise and a nutritious diet will be highly necessary. WHITE SWELLINGS. This disease is usually seated in the knee, ancle, el- bow, or about the neck. Causes.—It may arise from rheumatick affections, a scrofulous habit, hard water, external injuries, bathing in water when the body is oyer heated, &c. It begins with acute pain, and is followed by swelling. Treatment.—The first requisite is to prevent the formation of matter, ease the pain, and reduce the swelling. A plaster made of turpentine and rosin, sprinkled over with Cayenne will be a suitable applica- tion. A few issues also will prove beneficial. All hot applications must be avoided. . WORMS. The species of worms most prevalent in the human body are four, namely—(1) The teres, or round anct long worms, which occupy the stomach and intestines:, (2) The ascarides, or small, round and short worms, which commonly occupy the lower intestines: (3) The whitecambrick worms, which chiefly occupy the stomach* and (4) The tape worm which takes possession of the whole intestinal canal. Symptoms.—The more usual symptoms are, indi- gestion, a hard, full, distended belly; pains about the. navel—swelling of the partition of the nose; the eyes dull and heavy; grinding of the teeth; starting during sleep—itching about the nose; an insatiable appetite j itching about the rectum; with some degree of fever. Causes.—"As worms are generally found only in persons of weak digestive organs, indigestion may be 1.2* 126 WORMS--TREATMENT. noticed, if not the principal cause, at least as favouring their generation. There is nothing, however, in the ecnnomy of animals more involved in mystery, than the generation of these parasitical animals. Were they found to live in situations out of the bodies of living animals, one might readily suppose that their eggs were taken into the body with the food or drink, and there gradually evolved into animals. This however is not the case; they are evidently incapable of existing any length of time in any situation except within a living animal body, which appears to be the proper place for their growth and residence. We'might therefore be led to another supposition, viz: That they are really formed from the matter contained in the intestines, which previously had no regular organization; but this idea is evidently different from all analogy in the for- mation of animals. The origin therefore, of such ani- mals, is a subject of much obscurity. That they are not produced by ovula of animals, taken in with the food, is not only obvious from their being found in the liver and brain, but from the frequency of another kind of animal, so commonly generated in the kidneys, brain and liver, named hydatids." Treatment.—The indications of cure are, firstclear the stomach and intestines of redundant slime; and af- terwards to strengthen the stomach and bowels, so a$ to destroy the disposition to their generation. The stomach may be cleansed first by an emetick; then give the wormseed oil or powder, morning and evening, for three or four days: then r cathartick of mandrake or butternut. After which give a decoction of Indian hemp roots, black alder bark or berries, or wandering milkweed. While taking the above medi- cine, lime water also, half a gillatatime, may be taken several times a day. POISONS. There are three classes of Poisons, viz:—Vegetable, Mineral, and Animal. VEGETABLE POISONS. There are, in this country, several indigenous vege- tables, which, if taken to much extent, prove fatal. To this class belong the cicuta, or poison hemlock, musk- rat root, poppy, and stramonium or henbaue, which are the most deleterious with which I am acquainted. The less dangerous are ivy, laurel, white eliver, and poison sumach or dogwood. The symptoms which they produce are great thirst, delirium, vomiting and spasms. Their properties being immediately extract- ed by the digestive powers, their effect is immediate, and often proves fatal in a few minutes or hours; speedy evacuation is therefore highly necessary. The emetick iolution has proved, in many instances, a very active and sovereign specifick in removing the poison, after all hopes were lost^ Should the sensibility of the sto- mach be so much diminished as to render an emetick inert, and vomiting become impracticable, the patient should be made to take, frequently, small quantities of vinegar, and the alkali draught, and kept in motion to prevent sleep. MINERAL POISONS. EXTRACT FROM THE MEDICAL GUIDE. " Arsenick is the most powerful [poison,] and there- fore, for the purpose of destroying life, is generally em- ployed. The solution of mercury, copper, lead, and antimony, in different acids, are likewise, in no great quantity, actual poisons." l~8. AMMAL POISONS. , As these poisonous articles possess the most virulent properties, and have a great effect to injure the solids, they should be counteracted, or speedily evacuated.— The symptoms are similar to the preceding, but the effects are much worse, as these poisons possess an excoriating quality, which debilitates the nerves, and renders the bones carious, brittle, and painful; causes the teeth to become loose and fall out; produces that burning sensation and affection, termed " Cancer in the stomach;" causes the limbs to wither; diminishes the vital heat and energy of the whole system; creates some ofthe most deplorable and fatal diseases, such as consumption and lockjaw; and often produces imme- diate death. Treatment.—The first step taken should be to un- load the stomach by an emetick; after which the general course of medicine may be employed and continued, to assist nature to throw off her potent enemy. Avoid giving or taking acids. ANIMAL POISONS. There are several species of insects and serpents in this country, which possess a fixed poison. The most fatal effects arise from the bite of the rattle-snake and copperhead—the manner in which the former commu- nicates the virus is by throwing himself straight for- ward from a coil, the distance of his length, with his fangs projecting from his mouth, which convey a virus that takes immediate effect on the slightest incision. Symptoms.—The parts begin to swell, turn spotted, and tend upwards, accompanied with much pain. Treatment.—The leaves and roots-of the vermilion, bruised and laid to the affected part, and a strong de- coction of the same taken inwardly, has proved a» sovereign remedy. The consumption brake, used in the same manner, has a similar effect—also, cupping, or a draught of scoke root, if applied immediately tc v:;LiiAL POiiONS. "29 the part affected, have a powerful effect in extracting the poison. HYDROPHOBIA. (Canine Madness.) EXTRACTS FROM BUCHAN, PAGE 477. "The creatures naturally liable to contract this dis- ease are, as far as we vet know, all ofthe ^og kind,viz. s'oxes, dogs, and.wolves. Hence it is called the rabie3 <:anina, or dog madness." - "The symptoms of madness in a dog are as follow At first he looks dull, shows an. aversion to food and company: he does not bark as usual, but seems to mur- mur, is peevish, and apt to bite strangers: his ears and tail droop more than usual, and he appears drowsy: afterwards he begins to loll out his tongue, and froth at the mouth, his eye< seeming heavy and watery : he now, if not confined, takes off, runs panting along with a kind of dejected ;sSr, and endeavours to bite every one he tneeti. Othe^dogs are said to fly from him. Some think this a certain sign of madness, supposing that they know him by the smell; "but .[t is not to be de- pended on. If he escapes being killed, he seldom runs above two ar three days, till he dies exhausted with. heat, hunger, and fatigue. •• .< . " This disease is most frequent after long, dry, hot seasons; and such dogs as live upon putrid stinking carrion, without having enough of fresh water, are*most liable to it. " When any person has been bit by a dog, the strict- est inquiry ought to be made whether the animal was really mad. Many disagreeable consequences arise from neglecting to ascertain this point. Some people have lived in continual anxiety for many years, be- cause they had been bit by a dog which they believed to be mad; but, as he had been killed on the spot, it was impossible to ascertain the fact. This should in- duce us, instead of killing a dog the moment he has hif any person, to do ail in our power to keep him 180 .\SJMAL POISON J. alive, arieast till we can be certain whether he be mati or not." " Many circumstances may contribute to make peo- ple imagine a ~dog mad. He loses his master, run about in.quest of him, is set upon by other dogs, and perhaps by men. The creature, thus frightened, beat, and abused, looks wild, and lolls out his tongue as he runs along. Immediately a crowd is after him; while he, finding himself closely pursued, and taking every One he meets for an enemy, naturally attempts to bite him in self-defence. He soon gets knocked on tin head, and it passes currently that he was mad, as it i- then impossible to prove the contrary." " This poison is generally communicated by v wound, which nevertheless heals as soon as a common wound; but afterwards it begins to feel painful, and as the pain spreads towards the neighbouring parts, the person becomes heavy and listless. His sleep is unquiet with frighful dreams; he sighs, looks dull, and lovea aolitude. These are the forerunners, or rather the first symptoms of thats^dreadful disease occasioned by the bite of a mad dog." Treatment.—The blue scull cap has, in many in- stances, proved a sovereign specifick for this deplorable disease. It should be taken every day, for seven or eight weeks, with the addition of small doses of sul- phur.r One ounce of the dried herb, steeped in a quart of pure water, is the proper quantity to be used daily. The general course of medicine may be resorted to in any stage—likewise, the cataplasms recommended in :tlje preceding.. *&aww3L The following certificates are inserted as speci- mens of the utility ancfefficacy of the foregoing system of practice. A few only have been selected from the many hundreds which might be produced, as it is pre- iiuned that the specificks recommended in this work, f judiciously applied, will give the most satisfactory ..{proof. ftertt'fteates. On the 27th of June, 1923,1 had a leg broke, in consequence of a load- ed waggon running over it. I employed two doctors of the regular order, under whose care I grew worse It became more and more out of shape, and very much swelled and inflamed—large blisters arose over most parts ofthe surface, which turned of a dark colour—the skin was purple, and to appearance, the leg was fast approaching to mortification. My whole system became deranged and indisposed by the pains which I constantly endured. After continuing in this deplorable situation about five days, Dr. David Rogers accidentally called on me, to whom I submitted my case His prescriptions immediately arrested the progress of the disoi* dcr, and gave a healthy appearance ; he reduced the swelling and inflam- mation, brought the skin to its natural appearance, and set the leg. In four days after he commenced I was in a comfortable situation, and have reason to believe that the preservation of my leg, and probably my life, « owing to bis superior skill. One of the doctors reported that I should los« my life if I should not hare ray leg taken off. WILLIAM CHATHAM. Fayette, Jone I, 1824. 1 was afflicted with the scrofula or king's evil, so as to be unable to uoo.a for about a year and a half. I employed four regular doctors, from whose prescriptions I received no benefit; after which I applied to Dr. David Rogers, who remoTed the disease in about two weeks, The disease had spread through the whole system, and broke out in different parts of the body. It is about three years since the cure was effected, during which time there has been oo recurrence of the disease. CURTIS HURDi GORiiAM, Jgit $, 1824. '* -UPLNDIM. I wry^ttftcked with the acute, or inflammatory rheumatism, so os in I c Unable to move any part of my system, except my head ; the joints of my wrists, knees, and ancles were very much swelled and inflamed Tin pain was so excessive that I could not sleep except a few minutes aftei being worn out by the agonies that I underwent. After suffering a wee!; in this deplorable situation, Dr. Rogers visited me once, after the third call, who gave me immediate reliefTiobi my pains. Within three days I was able to walk about, and in two weeks commenced labour. 11 is more than two years since, during which I h>oe had no recurnnce of the discas* , JOHN VAN WORMER. Middlesex, July 3, 1S24. I do hereby cutify, that about eight years since, I was seized with a can- cer in my breast, which increased with considerable rapidity, and was at- tended with considi rable pain—it broke out n,:d discharged in..tier by the use of a medicine which was known,to cure cancers ; it healed ; within G months afterwards it broke out again, ard the same application was made, but to no effect, after witch I applied to Doctor David Rogers. who, 1 believe, completed a perfect cure in eight weeks after he began. The cancer measured four inches by three across, and extended to the libs. It is nearly five years since, in which time 1 have nit felt the least returning symptom 1 now enjoy good health through the benificence of Divine Providence. SARAH HOARD. Middlesex, July 3, 1S24. I, John Taylor, of the town of Phelps, county of Ontario, and state of New-Verk, do hereby certify, that on the twenty-thiid of November, one thousand eight hundred and twenty-one, 1 was attacked with a cholick.— The disorder increased, and after ei.during eiulit hours pain, I called on one of the most eminent physicians in Geneva, in the regular order. I continued bis prescriptions twenty hours without relief. J then called on Doctor David Rogers, who removed the cause within three minutes after he began to prescribe. During the complaint, I suffered as much pain, seemingly, as a man could, and live The pain was so intolerable, that 1 had not my senses half the time. Within an hour and a half after he began, 1 was restored to an appetite, and without the least pain. JOHN TAYLOR. Phelps, Feb. 7, 1824. In the year 1816, 5th Month, my daughter Bathsheba was seized wifh a violent cold, which produced a cough, a high fever, and a j>ain in the side. I called on several physicians—their medicine had no effect to raise, hut to reduce. She became universally debilitated, emaciated, and so weak, that she could not walk, and was confined to her bed, with- out hope of recovery. In this situation I called on Doctor Rogers ; and soon after he began to prescribe, she began to raise and recover With- in two months after he began 1o prescribe, the was restored to perfect bealth. SAM'L. LTJNDV. Junius, Sd Month; 1822. *sM f \ *■ , 270 ■-■I -v *