THE FAMILY ADVISER; OR A PLAIN AND MODERN PRACTICE OF PHYSIC CALCULATED FOR THE USE OF FAMILIES WHO H AVE NOT THE ADVANTAGES OP A PHYSICIAN, AND ACCOMMODATED TO THE DISEASES OF AMERICA HENRY WILKINS, M. D. (JEfjc <£Dition. TO WHICH IS ANNEXED, MR. WESLEY’S PRIMITIVE PHYSIC* REVISED. JVETF-YORK: PUBLISHED BY J. SOULE AND T. MASON FOR THV METHODIST EPISCOPAL CHURCH IN THE UNITED STATES. •Mm C.Totten, printer. 1813. PREFACE. THE substance of the following pages is chief y drawn from those excellent authors, Home, Cullen, and Bride ; whose names alone are a sufficient recommendation:—■ They were compiled at the request of our friend Mr. As bury. The work contains a good description of each disorder, and its remote causes, as far as known. The proximate cause is generally omitted, being unintelligible to those who are not acquainted with medicine, of little use, and much disputed by Physicians, The cure is as simple as possible, so as not to interfere with efficacy: few medicines being recom- mended, and no compounds where they could be omitted. To this is prefixed the manage- ment of the sick, about which the attendants arc usually much at a loss. Such medicines as are frequently used are put at the end, numbered and referred to, IV PREFACE. which prevents frequent ; repetition but those that are not so general, are inserted in the reading. Will not this be much more agreea- ble to the reader, than a general reference or a general insertion ? A few disorders are omitted, because they are not proper to this country, or because they are unmanageable, even in the hands of Phy- sicians, or for other as good reasons : other- tvise it comprehends as many disorders as Dr. Cullen has treated on. It is recommended to the Methodist Society in particular, by their Friend. Philadelphia, 1793, THE AUTHOR. THE FAMILY ADVISEE. CHAP. I. Fevers admit of a twofold distinction: first, with respect to their duration ; as into Continued, Remittent and Intermittent Fe- vers. OF FEVERS IN GENERAL. Continued fevers go to their end, without any very obvious change for better or worse, in a period of twenty-four hours. Remittent fevers either obviously abate at some period or periods during twTenty-four hours, or are like a number of short contin- ued fevers linked together, abating once in the course of two or three or more days. Intermittents go perfectly off every day, and return the next, which is called a Quo- tidian ; or every other day, leaving an inter- mediate well day, called Tertians ; or eve- ry fourth day inclusive, leaving two well days, called Quartans. In this manner they go and come till they change, or finish their course. The second distinction respects the state of the system ; as Inflammatory, Nervous and Putrid Fevers. %**IILY ADVISER. Inflammatory fevers show more or less the symptoms of general inflammation ; strong action and an absence of every symptom of putridity and insensibility ; they are most commonly continued. Nervous fevers show a general debility, insensibility, and irregularity, without any symptoms of the fluids tending much to dis- solution ; though a slight and slow tendency is observable, after they have continued for some time. Putrid fevers sometimes show signs of in- flammatory action for a while ; but these quickly give way to symptoms of putrefac- tion, viz. blackness of the gums and tongue ; from being lined with foetid secretions: a blackness and foetor of what is discharged by vomiting, which usually attends ; and the same appearance of many of the secretions and excretions, particularly the stools; to which may b 6 added a quick succeeding de- bility. CHAP. 11. INFLAMMATORY FEVER. THIS fever most frequently attacks the young in the vigour of their life ; such as are of a rustic sanguine athletic constitu- FAMILY ADVISER. iion, who indulge themselves in living free- ly : though sufficient causes will bring it on in some degree, in almost any constitution and way of living. It attacks at all seasons, but most frequently in the spring and begin- ning of summer. Causes. Heat and cold alternately, or variously applied, fatigue, anger, immode- rate use of spirituous liquors,‘watching, &c. &c. Symptoms. It discovers itself by a lassi- tude, with a dull sensation of the body, de- bility, alternating chills and heats, tremors, pains throughout the whole body, but more particularly about the shoulders, back, knees and head. These are succeeded by an in- tense and burning heat, an inextinguishable thirst, inflamed eyes, tumefaction or fulness of the face, sickness and vomiting, inquie- tude, anxiety, full and strong pulse, dry skin, red (though sometimes watery) urine ; rough, dry, yellow, or dark coloured tongue, covered with a crust; difficult breathing, costiveness, cough, watching, delirium, stu- por ; and if the fever is not checked, a co- ma, or constant tendency to sleep, tremors, partial convulsions, as of the hands, &c. hiccough, involuntary discharges of the bel- ly and bladder take place, and close the scene in death. This is a description of it in its most violent degree. In the greatest number ol cases, we meet with it far more FAMILY ADVISER. moderate ; a strong pulse, sick stomach, and thirst being the chief symptoms. Management. The patient should be confined to his bed, in a cool, dark and si- lent room; the coolness to be regulated by the season. He should abstain from all kinds of meats and strong drinks. For food; panada, barley, jellies, light unsea- soned puddings and pies, may be given in small quantity. For drink; lemonade, vin- egar and water, barley water, herb teas with lemon juice, apple water, tamarind water,or jelly and water, may be given largely. Cure. If the fever be violent, and the patient as described in the first paragraph of the case, from half to two thirds of a pint of blood should be taken away (according to the age and customs of the patient,) as quick as possible ; which may be repeated the next day in lesser quantity, if the fever has not abated. After the first bleeding let him take one ounce of Glauber’s salts, which will fre- quently exclude the necessity of another bleeding. After this the bowels should be opened daily, if required, by a common clys- ter. If after one bleeding and a dose of salts, the fever does not go off, which it sel- dom does, let the patient have one of the powders, No. 1. every two hours, provided they will remain on his stomach : but if they will not, give the saline mixture No. 2. two table-spoonfuls every two hours : and after FAMILY ADVISER. 9 this has been given some lime, if the pa- tient’s skin becomes soft and moist, it should be continued in, otherwise lay it aside and try the powders again. If these, when giv- en for a day or two, do not lessen the fever, or if they will not remain, and the saline mixture is ineffectual, and withal bleeding has been practised as far as prudent; it will then be necessary to put a blister on the back of the neck, and to soak the patient’s feet in lukewarm water for an hour, if he can bear it; after this try the powders, or the mixture again, and they will then have their only chance, and in many cases will be effectual. In the slighter cases of this fever, such as 1 have said, we most commonly meet with, if the patient will allow of it, one bleeding will be proper, after which, or in such as will not allow bleeding, give a puke ; two grains of tartar emetic divided into three doses and taken in half an hour, or fifteen grains of ipecacuana, of half a table spoon- ful of antimonial wine will anstver; after which give the powders or the mixture, and open the bowels with a dose of salts. After the fever has gone off, which usually is at- tended with a sweat, if the patient is much reduced, let him take a lea-spoonful of bark in port wine, or in water every three hours till he has taken an ounce, after which he may take one or two more at longer intervals. 10 FAMILY ADVISER. He should use gentle exercise in a carriage, and return gradually to his business and diet. There is a fever which has the name of synochus, which in the first stage is of the above type, but after a while quickly chan- ges to the putrid, to be hereafter described. In such a case all the management and cure above should be relinquished as soon as the change is observed, and the management and cure for the putrid immediately adopted. CHAP. 111. NERVOUS FEVER. THOSE of relaxed fibres and weak ner- vous system, are the persons most subject to this fever. Causes. Excessive evacuations, repeat- ed salivations* immoderate venery, depres- sions of the mind from grief, watching and night study, humid stagnant air of subterra- neous apartments, indigestible food, espe- cially such as is unfit for nutrition; as of cold watery fruits and vegetables ; thin cloathing, rainy seasons, soft moist win- ter, &c. Symptoms. This fever approaches with dejection of mind, loss of appetite, oppres- sion, sleeplessness, involuntary groans* re- peated sighs, fear, unusual lassitude after FAMILY ADVISER. 11 motion, and alternate successions of cold and heat. After some days, a swimming or pain in the head comes on with sick stomach and vomiting of insipid phlegm, great weakness, moderate heat, insensibility to thirst; fre- quent, weak, and sometimes intermitting pulse ; a moist tongue, sometimes red, and at other times covered with a white or yel- lowish tough mucus ; dry lips, oppression about the breast and difficult breathing, pale watery or whey-like urine : a dull sense of pains about the breast and head, dozing, de- lirium, redness and warmth of the face, whilst the feet are cold 5 a tendency and dis- position to be easily and frequently disturb- ed by dreams : after these have taken place and continued some time, they are followed by immoderate sweats, and wasting laxes, great dulness and slothfulness of the exter- nal and internal senses, anxiety and faint- ing. And now nature being exhausted by the disorder, the tongue trembles, the ex- tremities from a coldness become cold, the nails turn livid, sight and hearing perish, the delirium turns to a coma, the belly and bladder are involuntarily evacuated, topical convulsions come on, and death closes the scene, usually before the fourteenth day.— The symptoms increase in the evening.— The delirium is only a muttering continual- ly: quite different from the delirium of the 12 FAMILY ADVISER. former fever: though in this there is gen- erally a great insensibility, and towards the end a loss of sight and hearing, yet at times in the beginning there is a great and preter- natural sensibility to light and noise ; some- times an eruption like millet seed appears without any alteration for better or worse. A continuance of this fever has brought on temporal idiotism, which vanished with the debility. Management, The patient should be confined to his bed in an airy darkened room, and kept agreeably warm or cool, ac- cording to the season. His room, bed and body clothes, face, hands and feet should be kept clean. His diet should be light though nourishing, and given frequently, rather than in large quantities at once : it should be mild : chicken water and broth, or beef tea may be given, if the patient desires it, and (lie effect proves it to be useful ; but the general stock of food should consist of the various preparations of mild, digestible, nou- rishing vegetables, sufficiently well known to every housekeeper; these should be suit- ed to the patient’s appetite ; and changed so as not to pall him with any one. Wine and water may be used from the beginning, though then it may only be given to allay the thirst, and should be made weak : five or six times a day a cup full may be given, even though the patient do not ask for it; but as FAMILY ADVISER* 13 the strength fails, it should be made strong- er and stronger, and given in as large quan- tity as a person in health could take.— When the wine has not the effect of increas- ing the symptoms, and rendering the pulse too quick, it may be safely continued in— Claret is supposed to be the best. Cure. A gentle vomit of 12 grains of ipc- cacuana in a little w’ater may be given in the beginning, and may be repeated the next day. The bowels should be opened with thirty grains of rhubarb, and costive- ness «ontinual!y prevented by small doses of the same medicine. A blister should he applied to the side early in the disease, and when it has drawn, the water let out, and the part dressed with a eolewort leaf, or a little Turner’s cerate ; after this another may be applied to the other side, or to the back ot the neck, provided no bad symptoms follow the first; if they do, blisters should be laid aside till a state of insensibility comes on, when they sho.uld be applied successively, as long as they are attended with advantage, if the patient’s skin be dry in the begin- ning, let him take three or four grains of James’s powder in thick syrup three or four times a day, washing it down with snake- root tea ; yet not so as to sweat the patient. If the James’s powder is not to be had, one eighth of a grain of tartar emetic may be used in its. stead. When the debility in- 14 creases, let. the patient begin and take two table-spoonfuls of the decoction of bark No. 3. every hour or two, putting a little mint- water with it, and when (he patient has tak- en this some time, let him take (he bark in substance with wine : one tea-spoonful of bark in two table-spoonfuls of old claret every two or three hours : this, or No. 4, should be continued in till the patient per- fectly recovers. When the patient has been much harrass- ed for want of sleep, have his feet bathed at evening in tepid water, and give him ten or fifteen drops of laudanum. This practice may be continued as long as it proves effec- tual in. procuring sleep. In those cases that proceed from excessive evacuations (here is little hope, and scarce any thing should be attempted, but the strengthening plan. The patient should carefully shun all the causes, and use a generous diet with regular varied exercise of body and mind, and be sparing of his strength. FAMILY ADVISER. CHAP. IV. PUTRID FEVER. THOSE who are of a relaxed habit and gloomy disposition; those who have been debilitated by living upon bad victuals, by vinery, famine, labour, or loss of rest, &c 4. FAMILY ADVISER, 15 easily take this fever, (which is caused by putrid contagion or noxious air) and diffi- cultly emerge from it. Symptoms. An intense consuming though remitting heat, particularly inwards ; small, frequent, and unequal pulse without strength; throbbing of the arteries that run along the neck and temples ; great prostration of strength, heaviness without sleep ; and when sleep does takes place, little or no refresh- ment is gained from it ; an anxious, deject- ed, and desponding mind, nausea, and vom- iting of black bile, pain of the head and tem- ples, redness of the eyes, and pain about their sockets ; dusky countenance, noise in the ears, interrupted breathing, with sighs and foeted breath; pains about the stomach, joints and back, difficulty of lying in one posture, trembling, delirium. At first the tongue is whitish, but quickly changes black- ish, whilst the lips, teeth and gums are be- set with a tough disagreeable mucus; an inextinguishable thirst attends with a bitter mawkish taste, which is communicated to the drink. The urine, on the increase of the disorder, becomes blackish or red with a sediment: the sweats become foetid, the stools livid, black or bloody, and very foe- tid : and if the fever goes on, a thrush and ulcers attack the mouth and throat : blood is discharged from different parts, a hie- 16 cough and other partial convulsions come on, which death scarce ever fails to follow. Management. The patient should have fresh air admitted by keeping the door of his chamber open, if it is not too cold, and by opening his windows, if it is summer time, and the weather clear. Saltpetre or vinegar should be burned upon the hearth in winter, and boughs of trees and flowers thrown about the room in summer. FAMILY ADVISER. His hands, face and feet should be wash- ed daily in vinegar and water, or wine and water; he should be shaved frequently, and shifted in bed and body clothes as frequent- ly as can be afforded, if it is daily; in fine, the greatest attention should be paid to cleanliness. His food should be mostly of acid vegetables, such as please his appetite and stomach best. His drink should be port wine diluted; this he should drink more and more of, as he becomes more de- bilitated, so as to make it his drink and med- icine : a quart a day may be used ; this he should continue in for some time after he has recovered, though in smaller doses : a fresh airing every day, after recovery, will be highly useful. Cure. An emetic of eight grains of ipe- cacuana and one of tartar emetic, or half a table-spoonful of antimonial wine, should be given as quick as possible, besides this, ' wenty-five or thirty grains of rhubarb, or FAMILY ADVISER. 17 two drachms of cream of tartar, should be given in a little jelly, to open the bowels, after which the decoction of bark, No. 3. should be given: two table-spoonfuls with a little mint water, every hour; if (he sto- mach bears this well, and the symptoms of putrefaction and debility increase, the bark xn substance should be used : a tea-spoonful in lemon juice and mint water every hour. But if the stomach does not bear the bark, or if the heat and fever be considerable, apply a blister to the breast, and give a dose of the saline mixture, or one of the following pills, between the times of taking (he bark, viz. camphor beat to an impalpable powder with common spirits, twenty-four grains, powdered seneca root as much if make them up with svrup. If the stomach still refuses the bark in the above ways, try it in triple quantities in clys- ters, or try the vinous tincture, No. 4. The bark is the only chance, we are therefore to persist in its use till a cure is made. Three drops of oil of vitriol in a glass of water every hour, may be tried where the delicacy of the stomach, or fever, will not admit any preparation of bark ; but as it is apt to gripe, it should never be used when the bowels are affected. Clysters of salt, sugar, and decoction of bitter herbs are to be used to keep the bow- els regular, or some of the gentle purges 18 FAMILY ADVISLK. mentioned above ; but it will be often best to use first one and then the other, accord- ing to circumstances. In case this fever should be .of a remittent form, the remis- sions should be greatly attended to, and a double quantity of bark given if possible. Sometimes a lax with distension of the belly comes on after a while ; in such a case, the belly should be fomented with bitter herbs, boiled and applied warm, and one grain of ipecacuana, with five drops of laudanum, given every two hours. Sometimes spots break out in this fever, then it has been termed the Spotted-Fever 5 at other times there is a yellowness of the skin, then it is termed the Yellow or West- India Fever. In this last case the symp- toms of putridity are in this country more lenient, and a considerable vomiting some- times hinders the giving of medicine : in this case a blister to the breast and the effer- vescing saline mixture hove been found ef- fectual to stop the vomiting ; but in general the treatment is the same as recommended above. In the end of these fevers, some physi- cians recommend blisters to rouse the pa- tient : if they are applied the skin should not be peeled off as is sometimes done, but only opened to discharge the water, and then dressed with Turner’s cerate. But the be- ginning or hrst stage is the most proper for blisters. FAMILY ADVISER. CHAP. V. REMITTENT FEVER. CAUSES. Exposure to the sun for hours together, or the effects of a cool even- ing, and other similar causes after fatigue or summer heat. Thus there is no difference in the real causes of this fever and intermit- tents, except in the degree and mode of their application. Symptoms. Alternating cold and heat, fol- lowed by a continued heat and a fever: some- times a delirium comes on at the first attack. The patient is distressed with thirst and vomiting, usually of bile ; pain of the head, back, and joints ; the region of the stomach swells, and becomes painful; the tongue is white and moist, and the patient is harrass- cd with sleeplessness ; the skin and eyes are of a yellow cast; the pulse is sometimes a little hard, and seldom full; the bowels arc sometimes bound, sometimes loose: with >hese symptoms the fever usually proceeds, for 2,3, 4,5, 6,7, or 8 days, at one of which times, after a little sweat it remits, and the patient becomes evidently better. After a few hours have elapsed, commonly in the evening, the accession comes on, sometimes with, at other times without a chill, and so goes on as before; in this 20 FAMILY ADVISER. manner, that, is, by accessions and remis- sions, the fever goes on to its final period. A copious sweat or discharge of blood from the nose, or an universal yellowness, commonly attend the conclusion of it. After the fever has gone off, a great light- ness of the head attends, so that the patient can scarce walk: rheumatic pains, and drop- sical swellings sometimes follow. Management. The patient should be kept cool and airy ; he should have plenty of acid drinks, as lemonade, jelly, tamarind, water, and for food be should have toasted bread moistened with a little tea, baked fruits, rice, sago, barley, &c. but these, though proper, will seldom have a place, as the patient can scarce ever contain on his stomach what his little appetite inclines him to take ; but the toast has often been found to stay, when nothing else would. Cure. If the vomiting be considerable, a little comomile tea may be given to pro- mote it a moment or two, that a remission may be procured to give the saline mixture No. 2, one table-spoonful every hour.'— When this sits on the stomach pretty well, ten drops of antimonial wine and a little mint water may be added to each dose, and the medicine continued : but if the vomiting be only slight, the best way to procure a re- mission of the symtoras will be to give an emetic, one tea-spoonful of antimonial wine FAMILY AUVISEK. 21 may be given every ten minutes until it op- erates, or 12 grains of ipecacuana may be given at once \ after which the mixture may ■be given in the manner directed, with anti- monial wine. If the vomiting resists every thing given, or if a remission does not take place in a few days, blisters should be used; on the breast in the first case, on the back of the neck in the last. Sometimes a bundle of mint stewed in wine, and applied to the breast, has been found useful in checking the vomiting, therefore it may be tried be- fore a blister. Costiveness should be regularly obviated by taking a tea-spoonful or more of cream of tartar, or by using the common clysters of salts, sugar and milk occasionally. When the patient has suffered for want of sleep, after giving a clyster, and bathing the feet in lukewarm water for half an hour, ten or fifteen drops of laudanum may be given in a dose of the saline mixture, No. 2, and this should be done after noon before the increase of the fever, for it usually makes some in- crease towards night. When the fever remits, the decoction of bark should be given, two table-spoonfuls every hour, and if the accession is postpon- ed by it, the bark in substance should be giv- en, as long as the accession is absent; in some cases it will put it oil' altogether ; then, as 22 FAMILY ADVISER. well as when the fever ceases, the bark should he given in large quantities, until the patient recovers his strength. When a lax attends, four grains of rhubarb and one of ipecacuana with two drops of lau- danum, may be given every three or four hours instead of the saline mixture. When great sweats attend in the end, it may be necessary to add five drops of elixir of vitriol to each or every other dose of bark; in case a headach follows, apply a small blister behind the ear, and repeat it if ne- cessary. The patient should be very care- ful in avoiding the causes of this fever, or he will experience a relapse. CHAP. VI. INTERMITTENT FEVER, (COTTWIOnIy) FEVER AND AGUE. CAUSES. The relaxing heat of sum- mer, especially when accompanied with moisture and bad air of marshy places, will so relax the surface and expose the extreme vessels to the air, that nothing more than the usual effect of common air is necessary to bring on the fever ; at other times, when the predisposition is not so great, a cool air will produce it. Symptoms. A languor, with yawning and stretching, coldness, sick stomach, rigors and tremors, usually attend the commence- FAMILY ADVISER. 23 rucnt j the cold with shivering continues in a very considerable degree, for one, two, or three hours, when it begins to give way, first to flushes..and then to a continual burn- ing heat and fever, with a full pulse and thirst. Pain of the head and frequently of the joints, attended sometimes with a deliri- um. After this has continued for some time, a sweat breaks out, which becomes profuse, and this* is succeeded by an intermisson of a part, a whole, or two days according to the type. Seepages. In the intermission, the patient is affected with scarce any thing but debility. The fever returns again at the end of the time mentioned, with the same symptoms, and so goes on to its end, unless it changes its form. Quotidians come on in the morning, and usually attack the deli- cate and irritable. Tertians come on about noon, and usually attack the more robust and vigorous. Quartans come on in the af- ternoon, and most commonly attack the aged and torpid. Management. Sometimes the ague so re- duces the patient, that it will be necessary to keep him warm and give a little wine; but this is seldom the case. In common, nothing is necessary but to lie down. In time of the fever, lemonade and other acid drinks, or warm teas may be used ; the for- mer will be most grateful. 24 FAMILY ADVISEE. In the intermissions, port wine and water,, and a strengthening easy digested diet will be proper. Cure. In the beginning of the cold stagey if the patient is able to take a puke, he should take one : three grains of tartar em- etic in a gill of water, may be taken in the course of forty minutes, if required to take all: or 15 grains of ipecacuana in a spoon- ful of water, or a teaspoonful of antimoniai wine every fifteen minutes ; either of these may be used : the tartar is the most active and effectual, but acts too rough with some. When this has been taken, and the fever come on, a sweating should be encouraged, by taking about three pints of warm drink in the course of two hours, to which one hundred drops of antimoniai wine may be added, to make it more effectual. In case the patient cannot take a puke, let him take an Anderson’s pill to open his bowels before the time of the ague, and when the fever has come on and continued awhile, let him take fifteen drops of laudanum, and fifteen of an- timoniai wine, in a cup of warm tea, every half hour, for three times. But when nothing forbids a puke but the person’s inclination, he may take just be- fore the fit or after it is over some time, the following powder; twenty grains of rhubarb, and five of calomel in a little syrup, and when FAMILY ADVISER. 25 the fever comes on, take the warm drink as above. These medicines will prepare for the ex- hibition of bark, which should be given im- mediately after the sweat goes off. Any of the preparations may be given, but the pow- der is the best; it may be given in mint water, milk or wine ; one tea-spoonful every hour till the ague comes on again ; then it should be laid aside till this is over, when it is to be given again ; the patient should not cease under an ounce and a half, or two ounces. If, when this has been taken the ague does not cease, another puke should be used as before. In all cases the bowels should be kept open by Anderson’s pills or rhubarb. Sometimes twenty drops of laudanum giv- en before the ague, will put it off, and some- times giving it just before the patient is ex- pected to sweat, will prepare for the bark ; sometimes a quantity of snake root tea at the same time will prove effectual; and in many cases bitters, of horehound, dogwood, rue, &c. will do as well as bark. The fever and ague, after it has continued for some time, is apt to associate custom with its causes of recurrence : and thus it will frequently continue through such sea- sons as it would not have begun in. In such cases as these almost any alteration in the system will lessen or remove it ; thus keep- FAMILY ADVISER, ing the patient under expectation, fear or joy, have often removed it; and thus the im- position of old women have often been effec- tual, when the faith of her patient has roused his expectation, and fixed his attention.— Though such things may at times be allow- ed, yet I would caution every prudent per- son to keep his skin to himself, and not let ignorant quacks fill up their lack of knowl- edge upon him, with the virulence of an ar- senical plaster, or a more dangerous bolus. CHAP. VII. HECTIC FEVER. CAUSES. Violent racks of the con- stitution from any cause, absorption of mat- ter from ulcers, excessive relaxation, and delicacy of any part that is exposed to irri- tation, as the lungs, stomach, and bowels: all these causes are attended with general debility, and particular relaxation of the parts that defend the tender extreme vessels, from the irritations which act about them. Symptoms. The fever usually comes on in the forenoon, sometimes with considera- ble chills or coldness, which last some time ; this is succeeded by heat, a quick, small, and weak pulse in general, though some- times there is some hardness in it, especially in those who are not much reduced, and ear- ly in the complaint ; this sometimes lessen? FAMILY ADVISER. 27 towards evening, and again increases at night; at other limes it continues on with- out any very obvious change till towards morning, when it intermits or greatly remits with a profuse sweat which lasts a consider- able time : the sweats do not appear in the first stage, that is in profusion. A headach usually attends the fever, as also a sick sto- mach, both of which grow better in the in- termission, or remission. The tongue is usually clean in this fever, the belly at first is often bound, but in the end a lax almost always attends. The pa- tient wastes away gradually, his feet swell, particularly at night,, his hair falls off, his nails become crooked and thick, his face sharp, and a general failing takes place in every thing but his expectations of getting better, and his understanding, which usual- ly remain to the last. This is the most usual form, but there is some variety owing to the variety of the parts affected, and the state of the patient. Management. The patient should have the lightest and most nourishing food given him in small quantities at a time, and at such times chiefly as the fever is absent or slight, thus his breakfast or dinner at ten o’clock, should contain most of what he should eat. Milk is very proper when the stomach will receive it: sometimes it may be most agree- able when diluted with water and sweetened. FAMILY ADVISER. at other times it may sit better when boiled. Custards, light puddings, chicken water and broth, beef tea, rye mush, corn mush, with the common vegetables of the grain kind, are mostly proper. Weak wine and water in the absence of fever; barley water and sage tea at other times, will be proper for drink. The patient should be kept clean, and when his strength admits, he should be aired in a chair, and at all times have access to pure air. Cure. In many cases it will be needless to attempt any thing but a removal of the cause, when the fever will quickly cease : but in general both the one and the other are to be combated* For treating the cau- ses I refer to the places where they are treated of (though some of them could not have a place in this book, as they belong to surgery) for the treatment of the fever alone, the debility should be removed and the fever interrupted : for the first, when nothing for- bids, bitters and bark are necessary ; also elixir of vitriol, which may be given to six- ty drops a day. These are to be taken whilst the fever is off, or when it has greatly remitted, just before the time when the return is expected, and again after it has commen- ced, one of the following powders may be given ; ipecacuana two grains, magnesia one tea-spoonful, mix them and give it in a little camomile tea. When a lax comes on, there FAMILY ADVISER. 29 is little hope, but the following may be giv- en ; columbo root one drachm, pour one gill of boiling water upon it and in a quarter of an hour strain it off; to this 20 drops of laudanum may be added ; this may be used in the course of eight hours, and repeated. Rice will now be the best food. CHAP. VIII, INFLAMMATION OF THE EYE. CAUSES. These act either externally or internally, though frequently both take place in producing the affection. The externals are violence, dust, cold winds, changes from heat to cold, viewing minute objects or bright bodies ; metallic fumes, great heat, especially when accom- panied with moisture ; night reading, &c. The internal causes are, checked excre- tions, as the menses, &c. repulsion of some eruptive disorders, long continued ulcers dried up, immoderate use of spirituous li- quors and spices, fevers, measles, scrophula, venereal disease, &c. &c. Symptoms. Redness, swelling, stiffness, and pain of the ball of the eye or the lids ; both from an inflammation of the vessels (hat pass over and through them, being filled with too much blood, or with red blood, in- stead of the fine white parts of it. FAMILY ADVISER. When the inflammation is considerable, a fever attends; and in such cases there is danger of the effects, unless speedily pre- vented by curing the disease. Management, In no case a cure can be hoped for, unless the causes be removed, which in many cases will be followed with an immediate cure. If any body be lodged in the eye, it is to be extracted, and if ano- ther disease be the cause, it must be cured by the means directed for such disease. In every case the patient should avoid exercis- ing his eyes any more than what there is ne- cessity for : He should confine himself to a dark room, or apply a fold of green silk over his eyes, and use an umbrella in the summer. His food should be light and mostly vegetable, in all cases without pep- per or mustard. His drink should be cool- ing and acid, without any mixture of spirit. His room should be cooled with sprinkling in the summer time. Cure. If there be a fever, or if the in- flammation be considerable, and the patient able to bear bleeding, he should loose half a pint of blood, which may be repeated if ne- cessary ; this should be followed by a dose of salts, or if the patient’s case dues not re- quire bleeding, or other circumstances pre- vent it, the salts then should be the first thing. All this is to be done after the cause is removed, and thus in many cases where FAMILY ADVISER. 31 removing the cause will be the chief means of cure, they will have no place ; as where the inflammation proceeds from the venereal disease, sorophula, &c. One of the fever powders, No. 1. when the fever continues, or the inflammation remains obstinate, giv- en every four hours, will be serviceable.— The belly should be kept regular by cream of tartar or small doses of salts, or of jalap and nitre : as jalap fifteen grains, nitre twen- ty-five, mix them. For external applica- tions, a blister behind the ears is most effec- tual, and to the eyes the following ; sugar of lead twelve grains to half a pint of water, or as much white vitriol to an equal quantity of water: to either of which when the inflam- mation has continued, and the former reme- dies have been used, may be added a table- spoonful of brandy. These external applications (the blister excepted) will be proper in every case and time. The weakness that follows requires that the patient use either a general or to- pical cold bath, and avoid much application and exposure. CHAP. IX. INFLAMMATION OF THE BRAIN. THIS is either a symptomatic disorder as when it follow's in the course of a prima- ry affection; or it is original, being prima- ry itself—of this alone I shall treat, that re- quiring the treatment of the concomitant dis- order. FAMILY ADVISER. It usually attacks in the heat of summer those of an irascible disposition, who are in their youth and given to study. Causes. Drunkenness, watching, long exposure to the sun, anger, excessive cogi- tation, grief, care, vehement desires, exter- nal violence, certain poisons, and suppres- sions of particular discharges ; as the piles, the discharge after parturition. Symptoms. It begins with rigors, which are followed by heat, pain, and throbbing of the head, disturbed sleep, noise within the head and ears, inflammation and pain in the eyes, with inability to bear the light and noise, and a bloated countenance—the pulse is low, oppressed and quick, often weak as well as low, though sometimes it is hard : the patient continues without any sleep for a long time, sometimes till the eighth day ; the arteries along the neck perceptibly throb, and blood sometimes issues by drops from the nose ; great debility, anxiety and sigh- ing attend, yet the patient is subject to an- ger, fierce delirium, startings and convul- sions. When the disorder has ceased, a swimming and heaviness of the head, weak eyes, and a great delicacy of hearing attend, for a considerable time. FAMILY ADVISER. Management. The patient should be con- fined in an airy, darkened, silent and cool room ; his bed should be hard, and his head somewhat raised upon it. He should have plenty of acid, cool drinks, without any mix- ture of spirit. His food should be of pana- da, barley, jelly, &c. The causes of the dis- order must be carefully removed. Cure. The patient should be bled pret- ty freely, and this may be repeated again and again in less quantities, during the first forty-eight hours: provided the symptoms demand it, and the patient be able to bear it: (he pulse will usually be the best guide; for if this does not sink very low, there will be no danger from bleeding. A dose of salts should be given after the first bleeding, and it may be necessary to repeat this the next day. Clysters may be given daily, such as No. 5. one of the fever powders No. I. may be given every three hours, be- gining after the operation of the first dose of the salts. The patient’s head should be shaved and washed with cold vinegar and water. If the delirium runs on after the above evacuations, a large blister should be applied to the crown of the head, and when this has drawn, others, if necessary, may be applied to the ankles. When the patient has suffered some time; for want of sleep, the feet should be bathed half an hour or twice as long, in water mod- FAMILY ADVISER, erately warm, and if this is ineffectual, let him have ten or fifteen drops of laudanum, or a tea-spoonful of paregoric at night, with this care, that if it makes him worse, to dis- continue it; but if it has the desired effect, to persist giving it every night, if required. A nourishing diet and the use of wine should be gradually entered into, after the symptoms of danger are perfectly gone, in order to prevent the succeeding symptoms of^ebility. Great care will be necessary to avoid the causes of this disorder, as slighter ones may cause a relapse or repetition. CHAP. X. QUINSEY. CAUSES. The application of cold to the neck or throat, a stream of cool air ap- plied with force to the very part; as in rid- ing and running: these causes produce their effect more certainly when preceded by heat. Exercising the parts that suffer, as in singing, and loud speaking : acrids, mechan- ic bodies, suppressed evacuations, or artifi- cial evacuations, that have been long used, neglected. Symptoms. This complaint usually ap- pears with redness and swelling of the FAMILY ADVISER. glands situated on each side of the palate ; one is usually most swelled in the beginning, and as this declines, the other increases: a pain that shoots towards the ear attends, with feverish symptoms, and a strong full, quick pulse : the patient feels a disagreea- ble clamminess, and the tumour is usually tipped with whitish mucus. In some cases the external parts are much swelled; sometimes scarce any tumour is to be perceived by looking into the mouth, and at the same time the difficulty of swallowing and pain may be very considerable ; in the worst cases the breathing becomes very dif- ficult, the tumours closing up the passage almost entirely : then the patient sits with his mouth open, his drink regurgitates through his nostrils, and he is ready to stran- gle every minute for want of a free respira- tion, which is totally impeded when the pa- tient dies. What is usually termed a sore-throat, is a lesser degree of this same affection, there- fore the same remedies may be used, omit- ting the iiuost general and powerful one of bleeding. Management. The patient should be, kept neither hot nor cold : he should have a light vegetable diet of a fluid preparation 5 his drink should be of the acid kind, and not cold or warm, but just aired. His head should be kept up in bed, or he may sit up 36 FAMILY ADVISER. altogether ; speaking, and every exertion of the throat should be avoided, and the causes should be removed. Cure. The patient should be bled pretty freely, and this may be repeated the next day if necessary : he should take a dose of salts as soon as possible, and then a blister should be applied under the throat, of a slim form, so that it may reach from ear to ear: the bowels should be regularly kept open : before the tumour has become very consid- erable, fifteen grains of ipecacuana will be of great service. In such patients as do not allow of bleeding, this may be the first medicine. Warm water and vinegar should be in- spired from a prefer machine for the pur- pose, or from a funnel put over a wooden bowl of water and vinegar; the mouth should be frequently gargled with astringent ■washes, as sage lea and vinegar; or alum- vinegar and honey, or decoction of oak bark and saltpetre. Scarifications with a lancet are necessary where there is danger of choaking; and likewise to let out the mat - ter when the tumours have suppurated. If the patient is liable to frequent returns of this affection, 1 would advise him to use the cold bath daily ; at any rate to wash his neck, and habituate himself to wear nothing out a very thin stock or ribband, instead of a large neckcloth. FAMILY ADVISER. 37 CHAP. XI. THIS disorder has for its cause, specific contagion, and therefore attacks all ages and constitutions. Symptoms. It begins with chills, which are followed by an intense and burning heat, a swimming and pain of the head, a trouble- some sensation in the throat, sickness and vomiting, looseness, inflamed and watery eyes, tumid and flushed face, with a stiflhess of the neck, a small, frequent, and irreg- ular pulse, foetid breath, and a disagreeable taste. Very soon while spots appear on the glands each side of the palate, and these with the palate appear red, swoln and glos- sy : these spots spread and unite, covering almost all of the mouth with thick sloughs, which falling oft’, leave ulcers in their pla- ces ; the redness and tumour are sometimes extended to the internal parts of the nose. On the second day, or later, efflorescences appear on the skin, which are sometimes in such small eminences as scarcely to be seen, but more usually spread in red patches, so as to cover the w'hole skin : beginning first about the face and neck, and so extending to the extremities, which feel stiff and swelled ; this usually continues about four days, and then goes off with a peeling of the skin.— PUTRID SORE THROAT. 38 FAMILY ADVISER. The glands about the neck are sometimes swelled to an alarming degree. As the com- plaint advances, discharges of blood from different parts are frequent, and sometimes a gangrene takes place at the beginning of the windpipe, or of the oesophagus, the chan- nel which leads to the stomach. The patient’s voice is hoarse and flat, though his swallowing is not usually much impeded ; with these symptoms it runs on from twro to seven or more days, increasing every evening. Management. For food, drinks, and gen- eral management, the same may be used as directed for the putrid fever, only a less de- gree of cold will be requisite in this. Cure, Ten grains of ipecacuana should be given early in the complaint: three grains of calomel in a little honey, may be given once or twice the evenings after the puke, and if the first dose produces more than two stools, it should be checked by giv- ing ten drops of laudanum. This medicine will often prove very efficacious, without producing any discharge. Some of the pre- parations of bark, or the powder, which is best, should be given every twro hours after the puke, and to the end of the complaint. The throat should be frequently washed with the following : one hundred drops of elixir of vitriol, or twenty drops of oil of vitriol to half a pint of water, and one spoonful of 39 honey. Spring water coloured with indigo has been found useful as a gargle. Port wine should be given to a pint, or quart a day, with the bark. If the tumour in the in- side of the throat be considerable, a blister should be laid on the outside. FAMILY ADVISER. For the swelling of the legs, which some- times follows, the patient may use eight drops of elixir of vitriol with each dose of bark, four times a day. CHAP. XII. CROUP OR HIVES. CAUSES. Foregoing disorders, as the measles and the whooping cough; cold moist air from the water. It most frequently happens to such as live in seaport towns ; and to children, from the time they are weaned to their twelfth year. Symptoms. It sometimes comes on with the symptoms of a common cold only ; but the peculiar symptoms are a hoarseness, and ringing sound of the voice, at the same time there is an uneasiness or pain in the throat, and a whizzing noise in breathing, as if the passage was too much straitened for the air; the patient has a cough that is either dry, or accompanied with the dis- charge of flakes of phlegm, like a membrane; the pulse is quickened, and an uneasy sense of heat attends. By looking into the throat, 40 FAMILY ADVISER. a redness and flakes of phlegm like those discharged, may sometimes be perceived.— It has happened that the patient has been taken off without scarce any complaining, in three, four, or five days. Management. The patient should not be kept cold, nor disagreeably warm, he should have a spare thin vegetable diet, with light aeid, or bitter drinks, as teas of various herbs. In time of coughing, he should be raised and assisted, to keep him from strang- ling. Cure. The patient should take a puke as quick as possible. (If he is twelve years old, ten grains of ipecacuana, and half a grain of tartar emetic, will not be too much, for there is a great degree of insensibility in the stomach in this complaint; if he is only four years old, let him have half as much, or one tea spoonful of antimonial wine, to be repeated every quarter of an hour, till it operates.) After taking the puke, he should take four grains (if twelve years,) of calo- mel, and ten of jalap, the evening of the same day ; after this, for three or four days, he should take one day the puke, and the next the purge; after the first puke and purge, a blister should be laid on the back of the neck. Throughout the complaint, the steams of warm vinegar, or of water in which there is a large lump of lime slacking. FAMILY ADVISER. 41 (which is supposed to be a solvent) may be drawn into the throat; warm teas, and soak- ing the feet, may be used to restore the per- spiration to the surface. CHAP. XIII. THE MUMPS. CONTAGION is the cause of this com- plaint. Symptoms. It makes its appearance with the usual febrile symptoms, of chills suc- ceeding heat, and quickened pulse; this is shortly followed by a swelling, at the corner of the lower jaw, of a moveable, glandular nature; in a little time it diffuses itself over the whole neck ; sometimes both sides are affected. It continues increasing till about the fourth day, and then declines with the fever. As the swelling recedes, some ,tu- mour is apt to take place in the testes of males, and in the breasts of women. Some- times when this has not taken place or when it has been repelled by imprudent applica- tions, the fever has continued or increased with delirium. Management. The palient should be kept upon a low vegetable diet, and not expose himself to cold. The above in general will be sufficient, but when the circumstance mentioned takes place, it. will bo necessary 42 to direct something more than the above for a Cure. We should apply warm stewed bitter herbs, or warm bread and milk poul- tices to the parts ; and if the fever and de- lirium be considerable, the patient should be bled if he be able to bear bleeding; oth- erwise a puke should be the only evacuent, viz. fifteen grains of ipecacuana, more or less, according to the patient’s age. Be- sides this or these, it may be necessary to apply a blister to the back of the neck. In slighter cases, the puke and fomentations will be sufficient. In all cases, costiveness should be prevented by clysters, castor oil, or salts. FAMILY ADVISER. CHAP. XIV. PLEURISY, OR INFLAMMATION OF THE INTER- NAL PARTS OF THE BREAST. THE end of winter, spring and beginning of summer are the usual times that this dis- ease is prevalent; all ages and most consti- tutions are liable to it, but the plethoric, and those of a rustic constitution, who have seen twenty years, and not exceeded sixty, are most liable. Causes. Cold and heat applied alter- nately, or unequally, straining or injuring of the parts, &c. 43 Symptoms. It usually begins with chills, which are followed by heat, quick, strong, and full pulse, head-ach, difficult breathing, dry cough at the beginning, though some- times it begins moist : towards the end, or after it has continued, it is always moist, and sometimes a very considerable quantity of yellow mucus is discharged : this is not un- frequently streaked with blood. Most fre- quently, a pungent pain attacks the side, about the middle of the sixth or seventh rib, but if the pain should attack any other part of the chest, and should not be so vio- lent, yet accompanied with the other symp- toms, particularly the full, strong and quick pulse, we arc to consider the complaint as the same. FAMILY ADVISER. Management. This should be identically the same with what is directed in Chap. 11. only with the addition of mucilaginous and syrup drinks to allay the cough : as of flax- seed, and mallow tea with honey : a little lemon juice will make it very agreeable. Cure, From half to two-thirds of a pint, or more of blood, should be taken away on the first appearance, and if the symptoms continue, it may be repeated in eight hours. After the first bleeding a dose of salts should be given, and small doses of the same, or common clysters may be given regularly to prevent costivencss. Immediately after the patient’s first bleeding, a blister should be applied as near as possible to the pained part, and one of the fever powders No. 1, giv- en every hour, beginning after the operation of the salts is over. If after the blister has drawn, the pulse continues up, and the pain has not considerably abated, the second bleeding should be immediately made, and if in half an hour after that, the pain does not give way, a second blister should be ap- plied on a fresh part, or on the opposite side. The powders should be continued every two hours. But in general, one bleeding, a blister, the powders, and keep- ing an open belly, will be sufficient. Noth- ing but a relaxation of the pain and fever, should induce the patient to omit any of the above remedies, for life and death are pretty certainly fixed to the narrow compass of a few days. If the pulse is strong, and bleed- ing has been omitted as long as six or seven days, it would be then better done than let alone ; but if the pulse flags, and the patient has had a frequent shivering about the last days, it will then be better, if not the very safety of the patient, to forbear. At such a time a blister might be applied without any injury, but if a suppuration has taken place, it will be of no service; however those who are not proper judges had better make the application, lest there might have been an insufficient inflammation to suppurate in that time; and with this the patient may FAMILY ADVISER. FAMILY ADVISER. 45 use what will be proper in the last case of every pleurisy when the cough is trouble- some : a tea-spoonful of paregoric in a lit- tle flax-seed, or other tea, once in four or five hours. In the latter stages, it may be necessary to support the patient’s strength with decoctions of bark, and a light nourish- ing diet. Seneca snake-root tea, the pleurisy root, or common salt-petre taken to one fourth of an ounce a day, in whey or gruel, may some- times alone, and often after a bleeding, re- move a pleurisy ; but they should only be tried, when the person cannot procure the above prescribed remedies. CHAP. XV. BASTARD OR SPURIOUS PLEURISY, THIS usually attacks the aged, those of a phlegmatic full habit, who have injured their constitutions by excess of drinking, particularly, and are liable to the vicissi- tudes of the weather, from being much expo- sed. Cause, The long application of cold suddenly succeeded by heat, and heating drinks; this, with the predisposition laid down above, is the chief, if not the only cause. Symptoms. It makes its appearance with chills and flushes, which are followed by a FAMILY ADVISER. slight fever, with a soft, not very frequent pulse. The heat of the patient is not usu- ally much increased; a pain affects the side, or breast, which is not very pungent, but rather dull and extending; a violent pain in the head, sick stomach, and some- times vomiting, are more or less present.— From the beginning it is common for a cough, straightened breathing, and spitting of tough mucus, to attend. An erysipela- tous redness often appears on the checks, and a looseness attends the advanced stage of the disease. The patient is apt to be hea- vy and drowsy ; thus though there be a pain in the side, and a fever, it is easily distin- guished from a true inflammatory affection of the breast. Management. The patient should be kept tolerably warm, his diet should be light and nourishing, and in the beginning, if the feverish symptoms are not considera- ble, he may have weak wine and water for his drink ; in the end it will always be pro- per, for the patient frequently becomes fain- ty, and is not able to take any thing besides. Lemonade may be used, when wine and water cannot be given for (he fever; and when lemons cannot be got, vinegar and wa- ter, or cyder and water. Cure. Bleeding, though it may some- times be proper, as when the patient is of a more robust habit, and belter constitution FAMILY ADVISER. 47 than what is described above, and when he has been accustomed to bleeding, and with- al the pulse and pain are not low, yet it should be used sparingly and cautiously, otherwise, in ninety cases out of one hun- dred, it would be injurious. In the begin- ning it will be proper to give ten or twelve grains of ipecacuana ; or a tea-spoonful of antimonial wine, every fifteen minutes until it operates ; a blister may be put on at the same, time, as near as possible to the pain ; the puke may be repeated once or twice if necessary, and sometimes it will be necessa- ry to lay on another blister close by the for- mer ; twenty grains of jalap, or thirty grains of rhubarb, or a table-spoonful of castor oil, or four or five grains of calomel may be used to remove any costiveness that is pres- ent: this should be attended to throughout. For the cough, two drachms of gum am- moniac, dissolved by trituration in a mor- tar, with half a pint of water, may be given, one table-spoonful every hour; or an ounce: of syrup (commonly called oxyme,) of squills, in as much water, may be given in the same way. Seneca snake-root or pleurisy root tea may be used, if the above cannot be procur- ed. To either of these medicines at night a dozen drops of laudanum may be added, in order to allay the cough, that the patient may rest; and if the cough is very frequent in 48 FAMILY ADVISER. the day, a few drops may be taken every now and then. Towards the end when the patient grows weak, he should use about sixty drops of elixir of vitriol a-day, and use a decoction of bark or some good bitters. Great care will be requisite to prevent the return of this disorder, when the wea- ther is favourable to produce it. CHAP. XVI. SPASMODIC STITCH, OR INTERCOSTAL RHEU- MATISM. THIS complaint is prevalent when the changes of weather are frequent, as in the spring and fall. It usually attacks the young, those under forty years, those who are of a delicate, effeminate constitution, rather than those of a broken state of health. Exposure to cold, more particularly after heat and damp cloudy weather are the causes. Symptoms. It begins with a lancinating pain, most frequently about the ribs of one side ; this remits awhile, and then returns again, so as almost to make the patient scream out. After awhile it becomes fixed, and does not abate, though it is apt to ex- tend, and even to change its place, so that FAMILY ADVISER. 49 the muscles of the breast are frequently at- tacked, and there are pains in other parts that point out a rheumatic affection ; with the above a fever, sometimes pretty smart, at other times less, attends. In most cases the pulse is not strong, but easily stopped by pressing it, to what it is in true pleurisy. Frequently a cough attends, which is apt to increase towards the end of the other symp- toms, at which time it is accompanied with spitting of yellow tough mucus ; some de- gree of costiveness usually attends, and most of the symptoms are worse at night. The breathing is not in general affected so much as in pleurisy, little or no cough at- tends ; the head is usually much affected with pain, and as the pain of the side de- clines, the knees or back are sometimes at- tacked, if not before. Management. The patient should be kept on a vegetable moderate diet. His drink may be warm herb teas. Cure. If tire patient be pretty full of blood, and his pulse tolerably strong, it will then be prudent and useful to lake away half a pint or more of blood. A blister should be laid over the part, a dose of cas- tor oil, or of fifteen grains of jalap and as much cream of tartar should be given to open his bowels : if the pain continues, some proper sweating medicine should be given, as four grains of camphor beat up with ho- 50 FAMILY ADVISER. ney into a bolus, to which two grains of ipe- cacuana may be added, this much should be taken every three or four hours, washing it down with seneca snake-root tea, or warm balm tea: or in the place of these, a lea- spoonful of paregoric and twenty dr . of antirnonial wine maybe taken ever inree hours ; using plenty of warm tea in the ner- vals. This last mixture will be proper for the cough taken in the same quantity and times. CHAP. XVII. INFLAMMATION OF THE STOMACH. CAUSES. External violence, high sea* soned food, acrid medicine or poisons; hard bodies swallowed, as of glass or stone ; cold drink, when the body is heated ; distension from an over quantity of food that is of diffi- cult digestion ; inflammations of the adja- cent parts extending to the stomach; be- sides these causes, a translation of affection in other disorders are causes; as in the gout, small pox, measles, St. Anthony’s fire : but these require a treatment connected with the primary affection, which cannot be treat- ed of here. Symptoms. A violent, pungent, and some- times throbbing pain at the pit of the stom- ach, with burning and painful vomiting ; a hiccough, anxiety and difficult breathing 5 FAMILY ADVISER. 51 great weakness ; after taking any thing into the stomach the pain increases, and it is dis- charged by vomiting; the pulse is common- ly small, hard and quick. Management. The patient should be kept from swallowing any thing but mild drinks, as barley water, milk and water, &c. he should keep himself as still as possible in a dark room. Cure. If any thing that is acrid, or that may injure the stomach mechanically, has been taken in, it should be evacuated as quick as possible by taking plenty of warm water, and applying a feather to the throat,to induce immediate vomiting 5 but if the vom- iting is already considerable, it should not be solicited after vomiting; if the cause be some acrid, it should be diluted with muci- laginous drinks, as gum arabic dissolved in water; or oils may be given, as sweet oil or almond oil; at the same time it should be counteracted by a proper medicine. Thus if it be vitriol, or spirit of salt, or aqua fortis, let the patient take a table-spoonful of salt of tartar, or if he can get none of that let him get a piece of chalk and eat it. If it be arsenic, two tea-spoonfuls of precipitate sulphur may be swallowed. After this, or where these have not been required from the nature of the cause, the patient should loose a pint of blood, and in case the pain continues, and the pulse does not sink and 52 FAMILY ADVISER. intermit, half as much more may be taken away in eight hours following; a blister af- ter the first bleeding should be applied to the left side, and clysters of oil, sugar, milk, and a little saltpetre, should be injected eve- ry three hours : four grains of sugar of lead in a little water may be given every two hours the first day; nothing but the medi- cine mentioned, should be applied by the mouth. CHAP. XVIII. INFLAMMATION OF THE INTESTINES. CAUSES. Besides most of the causes of the preceding disease, may be added, cold applied to the belly : long and violent cholic, and hernia, commonly termed a rup- ture. Symptoms. A fixed pain, sometimes spreading over the belly, at other times fix- ed about the naval, fever, costiveness and vomiting. Management. The patient should have light, liquid preparations of vegetables for food, and his drink should be jelly and wa- ter, or apple water, or lemonade, or mo- lasses and water with a little vinegar: these, or any of them, may be taken plenti- fully. Cure. He should be bled as quick as possible : the quantity should be pretty FAMILY ADVISER. large, proportioning it to (he habit of the patient ; this may be repeated in eight hours, if the symptoms demand it, and the pulse allow it. After the first bleeding, a blister should be applied over the pain, and a clyster of oil, molasses, milk, and glaubc-r salts injected : this may be repeated every three or four hours with small quantities of of salts after the first time; eight grains of nitre, if it does not excite vomiting, may be given in a little drink every hour. If the inflammation should suppurate and dis- charge matter downwards, nothing should be used but the mildest, nourishing spoon- diet of broths, &c. CHAP. XIX, ACUTE INFLAMMATION OF THE LIVER. CAUSES. External violence, from bruis- es and contusions, especially such as have occasioned a fracture of the skull at the same time ; violent passions, excessive summer heats, too much exercise, cold ap- plied externally or internally. Symptoms. A pungent pain of the right side, shooting up to the shoulder, a cough for the most part dry, tention of the right side over the liver, hard dry gums, vomit- ing, weakness, difficulty of breathing, watch- ing, costiveness, hiccough, and a hard, full, quickened pulse. 54 Sometimes there is a difficulty of lying on the left side : sometimes the eyes, tongue, and urine are tinged with bile. Management. The causes should be at- tended to, and removed as far as possible. Light vegetable food, and acid drinks should compose the patient’s diet. He should be kept cool and still. Cure. The patient should be bled early in the disorder, and this may be repeated if necessar}7; a dose of salts should be given to open his bowels, after which cream of tartar may be used constantly for the same purpose, or clysters may be used of No. 5, A blister should be applied over the pained part, after the first bleeding, and after that, the parts around may be frequently foment- ed with warm stewed herbs, as mallows, horehound, wormwood, &c. If after the use of these, the fever continues with the pain, the following pills may be used until they affect the patient’s mouth : Calomel twenty- four grains, tartar emetic two grains, make them up with syrup into twelve pills : one of which may be taken morning, noon, and night. From the beginning, if the fever be con- siderable, one of the fever powders, No. 1. should be given every two hours, except when other medicine is to be given. FAMILY ADVISER. FAMILY ADVISER. 55 CHAP. XX. OBSTRUCTION OF THE LIVER. CAUSES. Intermitting and remitting fevers, exposure to frequent colds, sitting up of nights, obesity, &c. Symptoms. A dull, heavy sensation and lention of the right side, little or no fever, difficulty of lying upon the left side, yellow eyes and cosliveness. Management. Avoid or remove the cau- ses, live upon a simple vegetable diet, and watery drinks. Cure. If the patient be pretty full, or if accustomed to bleeding, blood letting may be once performed: ten grains of ipecacu- ana may be given at the distance of two or three days, for several times. The bowels should be kept open by the pills, No. 6. taken regularly so as to an- swer the purpose : the side should be fre- quently fomented with a warm decoction of bitter herbs, and one of th 6 calomel pills, in chapter xix. given every second night, till they affect the gums. 56 FAMILY ADVISER. CHAP. XXI. CAUSES. External confusions, violent, long continued riding, strains of the back. Spanish flies taken inwardly, or applied outwardly on a blister, stones that have formed in the cavities of the kidney, pass- ing out. Symptoms. Fever, pain about the part, which may be distinguished from rheuma- tism, by the former not being much in- creased by motion ; a retraction of the tes- ticle on the same side, a numbness of the thigh and leg on the same side, vomiting, colic pains, costiveness, redness of the urine and small discharges of it at a time. Management. The patient should have plenty of light, mucilaginous drinks, as flax- seed tea, mallow tea, and gum arabic dissolv- ed in water ; these should be drank warm, his food should be broths and vegetables. Cure. The patient should be bled once or twice, proportioning the quantity to the age, habit and custom of the patient. The small of the back should be frequently fo- mented with warm decoctions of bitter herbs. His bowels should be opened with a dose of castor oil ; and emollient clys- ters of oil, molasses, and milk should be in- jected every two cr three hours ; besides INFLAMMATION OF THE KIDNEYS. FAMILY ADVISER. 57 these, sixty grains of Glauber salts in lem- on-juice may be given, every two hours, throughout the continuance of the heat and fever. CHAP. XXII. THIS attacks at all seasons, but rarely at any other time than the spring and fall, when the vicissitudes of weather are great. Causes. Cold applied to the body, when unusually warm, or cold applied partially to the body. Symptoms. A pain affects some of the joints, and sometimes the mucles, so as to extend from one joint to another. Some- times almost every joint in the body is af- fected, and then the complaint comes on with chills, and fever, with a strong pulse, for the most part full. In some cases, the fever precedes the pains, at other times, it is the contrary; the joints affected become red and swelled ; the fever and pains usuab ly increase at night. If the general affec- tion continues long, the patient’s senses be- come somewhat impaired for a while. Management, The patient should bo kept cool, except when under the operation of sweating medicine, then he should lie be- tween blankets ; he should be kept from all but fight vegetable food, and cool acid, or ACUTE RHEUMATISM. 58 warm herb drinks, which may be given plen- tifully ; and when the complaint has gone off, he should wear flannels till warm weath- er returns, and then use bathing. Cure. The patient should be instantly- bled, as freely as his habit and age will bear, and his complaint demands ; this may be re- peated in smaller quantities, for once or twice in the course of four days, if necessa- ry. After the first bleeding, a dose of salts should be given, and when that has done operating, one of the powders, No. 1. should be given every two hours. If this does not answer, let him have twelve grains of Do- ver’s powders (which may be had at the apothecaries’ shops) for two or three nights, lying then between blankets. If any pain still continues, it may be looked upon as verging to chronic rheumatism, and the fol- lowing may be given; one hundred drops of volatile tincture of guaiacum, in a little water three times a-day In general, nothing can be done (hat will be of service as an outward application ; however, a little Castile soap dissolved in water may be used to satisfy. In slighter cases, the bleeding may be omitted, and the salts, with a common sweat of seneca tea, used. FAMILY ADVISER. FAMILY ADVISER. CHAP. XXIII. CHRONIC RHEUMATISM. THE former disease is apt to terminate in this; especially when the patient is ad- vanced in years : cold is the common cause of it. Symptoms. A pain of some of the joints, or about the junction of the bones, with a stiffness of the part. No redness or swell- ing, like that from inflammation affects the part, though after a long continuance an enlargement of the joints is apt to take place. Little or no fever attends here, heat lessens the pain, and cold increases it; quite contrary to what takes place in the preceding complaint. When the pains fix about the small of the back, the affection is termed a Lumbago; when about the hip, in which case the patient becomes somewhat, lame, a Sciatica. Management. The part affected, if pos- sible, should be constantly wrapt in flannel, the patient should use wine with any food he may chuse, which will agree with his stomach. Cure. Ninety drops of volatile tincture of guaiacum, should be taken in a little water, four limes a day : if this does not an- swer, the following pills may be used till 60 FAMILY ADVISER. they produce some effect; twelve grains of calomel and twelve grains of opium, to be made into one dozen pills, one to be taken morning and evening, washing it down with a large quantity of Virginia snake-root, lig- num vitse, or sassafras tea. Besides these, there are other common remedies, which are less certain, as a decoction of prickly ash, mustard whey, balsams, &c. In what is called the sciatica, twelve drops of spirit of turpentine, in a little honey, taken night and morning, is particularly effectual. The external remedies in rheumatism, arc spirits of camphor, spirits of hartshorn and oil: oil and spirits of turpentine, electricity applied by insolation, and drawing sparks : the flesh brush, cold water dashed on. How- ever, this last is more effectual in cases that are between the inflammatory and chronic, where one joint is chiefly affected. CHAP. XXIV. TOOTH ACH. CAUSES. A general cold, cold air ap- plied to the cheeks in an unusual and sud- den manner, acrids, sweets, or acids applied to the teeth, the acrid matter of a rotten tooth, extraordinary violence, as in break- ing hard substances, blows, &c. Besides these, there are certain disposing causes tin- FAMILY ADVISER. 61 dev which the usual exposure vve are con- stantly liable to, is a sufficient cause ; as a nerve being laid bare, by rotting or extrac- tion of a tooth, pregnancy, hysteric disposi- tions, &c. Symptoms. These are various in differ- ent circumstances. In the tooth ach that proceeds from common cold, there are fre- quently symptoms of a rheumatic affection of the adjacent parts, the pain extending from the tooth to the face, and along up to the temple, with a throbbing of the arteries and redness ; sometimes a little swelling of the face, and withal a feverishness. In most other cases a violent pain of the tooth, with a little inflammation of the gum are the only symptoms except that about the termination, the face, (in relaxed habits) is apt to swell. Management. The patient should care- fully avoid every cause, and confine him- self to his room. In the case of rheumatic symptoms, his food and drink should be of the weakest and lightest kind, and a silk handkerchief should be applied over his face. In the other cases, the face should be wrapped in flannel, and no change made in the food or drink. The tooth should be stopped with lint. Cure. In the first case it will be the best way to aim at the removal of the cold, by giving a dose of salts, and taking a sweat of 62 FAMILY ADVISER. weak whey, with a tea-spoonful of salt-pe- tre. After this a small blister applied to the part will be most effectual; or instead of this, sweating the part with hot herbs, or a hot stone, wrapt in moist or dry rags, may be useful. In general, in such a case, it will be of little use to apply any thing to the tooth itself till the above has been first done, then a little laudanum and spirits may be held in the mouth. In all the other cases, topical applications are more effectual.— The chief of these are opium, camphor, oil of cloves, and other warm essential oils ; with these, electricity, burning the tooth, applying a hot iron to the ear, and many other means have been at times effectual. But it is often necessary with these to give small doses of laudanum, and apply a blis- ter, and when these fail, extracting the tooth ; which may be done at any time, by a careful trusty operator: but if this does not relieve, the pain passing to another tooth, the patient should not insist upon that being drawn, but commit all to patience. The best manner of applying topicals is to insert the medicine into the hollow, and cover it with lint or wax. FAMILY ADVISER. 63 CHAP. XXV. THE GOUT. THE causes of the gout, for better com- prehending them, may be placed under four heads. 1. The prime which are the use of excessive quantities of high seasoned ani- mal food, and the liberal use of wine and other spiritous liquors. These are suppos- ed to produce their effect, by causing an ac- tion in the extreme vessels, (which are em- ployed in nutrition) in degree and constancy above what they were constructed to bear, so that as soon as the body ceases to yield, which is at the end of growth, the vessels from being over excited, are overcome, and suffer an indirect debility and relaxation. 2. The predisposing causes ; under which a less degree of the above brings on the complaint, because they aim at the same point: they are, indolence, hereditary deli- cacy of the parts that suffer in the gout (from a general similarity to the parent) and that tendency in the animal economy which produces a robust and gross habit. These causes would, when they had proceeded to a certain extent, bring on the gout: but it is seldom the case, that it is not helped on by what may be called 64 FAMILY ADVISER. 3. The exciting causes; as venery, de- bauchery, cold applied to the feet, indi- gestion, much application of mind, night- watching, passions excessive evacuations, changing of habits, debilitating diseases, bruises or strains of the parts that suffer in gout; the use of acids and acid fruits, &c. All these act by debilitating gene- rail)' or topically, and this being always ac- companied with a relaxation, exposes the injured parts to the irritation of the air in an uncommon manner. The irritation of the air brings about 4. The proximate or immediate cause ; which is a superabundant afflux of the ner- vous or vital principle, to the parts most de- bilitated or most exposed (to the common irritations ;) usually the extremity of the joints, or ball of the great toe. This afflux of vital principle has two effects, Ist, As there is no sensation without the presence of this principle, so in the abundance of it, the sensation is exquisite. 2dly, As there is no circulation without it, and the circula- tion is in proportion to it, so, in the abun- dance of it, the circulation is increased to inflammation, and the tender parts are for- ced, and filled faster than they can propel the blood ; hence congestion, redness, and pain of the joint, and in such parts as are not plentifully furnished with vessels, the muscular fibres arc contracted to a spasm. FAMILY ADVISER. 65 A CEASING of the sweat to which the feet have been accustomed, an unusual cold- ness of the legs and feet, a frequent numb- ness, alternating with a prickling sensation all along the course of the extremities, fre- quent cramps of the legs, and a swelling of the veins. Whilst these symptoms take place in the parts mentioned, the whole body is affected with a degree of torpor and lan- guor : the functions of the stomach in par- ticular are more or less disturbed, the appe- tite is diminished, and flatulency with other symptoms of indigestion felt. These symp- toms take place for some days before the fit of the gout comes on, but often on the day preceding the fit the appetite becomes great- er than usual: the fit usually begins about three o’clock in the morning, with pain af- fecting one foot, most commonly at the ball of the great toe, but sometimes in other parts of the foot; with the coming on of the pain, there is usually more or less of a cold shiv- ering, which as the pain increases gradually gives way to heat and fever, which lasts as long as the pain does. From the first at- tack (he pain becomes more violent till the next midnight, after which it gradually re- mits, and after continuing about twenty-four hours, usually ceases, with a sweating and sleep. THE SYMPTOMS OF THE REGULAR GOUT. The next morning after the remission, a swelling and redness is to be perceived in the part affected, which after continuing some days, gradually abates. But though the pain ceases at the end of twenty-four hours, it usually returns every evening, with less and less violence and fe- ver, and again abates in the morning: this recurring continues some days, and then goes off very entirely, (ill the third, second, or next spring, following. This is the case in the first attack of the gout ; but the re- turns become more frequent, till at length after some years the patient is never clear of it, except a month or so in the summer season: after the gout has continued, the pain does not remain in one joint, but shifts about until it has attacked almost ev- ery joint in the body. After a fit is over, the patient feels him- self recruited in body and mind. As the gout proceeds, the pains become less severe and more continued, and the other affections are more considerable, so that the stomach is very much affected with sickness. 66 FAMILY ADVISER. After the first fits of the gout, the joints remain supple; but in the advanced state they become stiff and motionless, with earthy concretions. In those who have suffered much with the gout, a complaint of the kidneys frequently alternates with the gouty affections. FAMILY ADVISER. MANAGEMENT BETWEEN THE FITS. IF it be early in the complaint, or the pa- tient not debilitated, gentle continued bodi- ly exercise and a diet of vegetables and milk should be used ; but if the patient is already much injured by it, neither of the above will be safe. His exercise should then be gestation, for walking would injure the parts too much, and other exercise would be fatiguing: his diet should be of the most nourishing vegetables, milk and light meats, which last may be used more and in proportion to the debility, and if this be considerable, it will be necessary to use good Madeira, diluted, for drink; other- wise, all spiritous liquors should be abstain- ed from. The causes mentioned should as much as possible be avoided, and the patient should keep his bowels regular with a little sulphur, castor-oil, lenitive electuary, or any mild opening medicine; which 'are to be used at all times, to prevent or remove the costiveness. In general, it will be found useful after a fit not to rise soon, but to keep warm in bed most of the morning, and to go to bed early. 68 FAMILY ADVISER. TREATMENT IN THE FIT. AT this lime very little can be done to advantage. If the patient is vigorous, and the inflammation and pain considerable, blood-letting may be once performed, though sparingly. Scarce any thing solid should be taken for diet, and when the patient has suffered much from want of rest, fifteen drops of laudanum in one tea-spoonful of spirits of nitre dulcified, may be taken at night. Applying poultices of bread and milk to the parts, will sometimes give ease to a small extent, and in a violent case may be tried; carded wool should always be ap- plied. When the inflammation has gone off, and a stiffness remains, it will be of service to use the flesh-brush to rub the parts with, and after the fit to take regularly some of the preparations of steel, mentioned here- after. OF THE ATONIC GOUT, OR GOUT OF THE STOMACH. IN such patients as have brought the gout on themselves, this peculiarity seldom hap- pens till late in the disorder, when the sys- tem is generally debilitated, and there is little disposition to inflammation. In such a slate the stomach is usually much debilita- FAMILY ADVISER. 69 ted, and liable to be acted upon by a slighter cause than what would bring on an affection of a joint. From the above circumstances of debili- ty, general and topical, as well as from the stomach being defended from the applica- tion of the common air (which produces the re-action, or inflammation in the regular gout) it happens that the gout of the stomach is a very different affection from the regu- lar gout; being a case of deficient and irreg- lar action of the part, instead of an inflam- mation and excessive action as in the regu- lar ; and hence requiring very different rem- edies. Symptoms. Loss of appetite, indigestion, flatulency, nausea and vomiting, acid eruc- tations, pains and cramps in different parts, which yield upon the discharge of wind; costiveness, though sometimes loseness, co- lick pains and hypocondriac symptoms (which consist in a great attention to the slightest symptoms, and an apprehension of danger) an absence of inflammatory affec- tions of the joints, and of fever. Management. The patient’s food should be a mixture of animal and vegetable, of the most nutrient and digestible kind, taken rather at many times than in large quanti- ties. Wine and water, or spirit and water should be his drink : it will be of great ad- vantage to keep close to the bed, except 70 FAMILY ADVISER. when the patient is able, and the wea- ther good, then he should ride in a carriage daily. Treatment. Fifteen grains of rust of steel, with as much pounded orange-peel, may be taken with mint water, or a little spirit of lav- ender, four or five times a-day. A tea-spoonful of saline aromatic spirit will also be of service to take a few times a-day. If indigestion prevails much, fourteen grains of ipecacuana may be given every five or six days, or large draughts of strong camo- mile tea, which will frequently have the same effect. A third variety of the gout is, when the inflammation has appeared first in its usual place (the joints) but from improper treat- ment, bad management, exposure, and oth- er less observable causes, it leaves the joints, and fixes upon the stomach or some other part. This is called the Retrocedent Gout.— When the stomach receives the affection, a great anxiety, sickness and vomiting attend; if the lungs, an asthmatic affection is the product: if the heart, fainting; if the head, an apoplexy. When the stomach or bowels are attack- ed, wine, with spices boiled in it, should be given plentifully, or if this is not sufficient, spirits with spices in large doses. In slight- er cases, less doses of spirits, in which gar- FAMILY ADVISER. 71 lie has been steeped, may be given : with this the patient’s feet may be steeped in a strong hot mixture of spirits and water, and blisters laid on the ankles; volatile aromatic spirits, and assafoetida, are also proper to be given, but they are less powerful than spirits and spices. When the vomiting is troublesome, it may be encouraged with camomile tea, and after- wards restrained by twenty or thirty drops of laudanum with a drachm of spirits of nitre dulcified: vitriolic asther and musk are some- times useful. When any of the other parts are affected, a blister should be immediately applied, and the bath of spirits and water applied to the feet. If the patient is able to bear bleed- ing, it should be performed when the head or lungs are affected. In all cases, a gentle de- termination to the surface should be aimed at, by giving one tea-spoonful of saline aro- matic spirits every two hours ; or spirits of nitre dulcified and laudanum every two or three hours. The fourth and last variety of the gout is the Misplaced. That is, when the patient, instead of a regular affection, is immediate- ly (without any preceding affection of the joints) affected with an inflammation of the lungs, the bladder, or the lowrer end of the last gut; in this last it brings on the piles : when it affects the bladder, it brings on 72 FAMILY ADVISER. strangury or a difficult discharge of urine. These affections are to be treated as di- rected in the chapters for them ; remember- ing the constitution and situation of the pa- tient. During every species costiveness should be removed by three or four grains of aloes, or twenty-five of rhubarb. And between every affection, the system may be strength- ened by the following medicine; half a wine-glass full of which may be taken twice a day, at eleven and at four o’clock ; port wine one quart, rusty iron or iron flakes, one handful, cinnamon, one ounce ; let them remain one week, and then use them. Observations. Ist. It appears, that a pri- mary gout is the consequence of a general injury done to the system; but that the stomach and extremities suffer chiefly, be- cause the stomach is particularly injured by the prime causes, and the extremities are more exposed (from their distance from the heart, and other causes) to the irritation of the air, which far exceeds common notice and opinion. 2dly, It is also plain, that those who are much predisposed to the gout by hereditary constitution of the parts, cannot possibly es- cape it; because that quantity of food which is necessary for nutrition, will produce an ac- tion, that the vessels usually injured in the gout cannot support through life. FAMILY ADVISER. 73 3dly, A fit of the gout is a change in the system, which aims at a removal of the in- jury ; only being unbounded and excessive, not produced by any internal conscientious power, but by physical laws. CHAP. XXVI. THE SMALL POX. THE small pox is of two kinds ; the dis- tinct and the confluent: as they demand a very different treatment, I shall not confound them, but treat of them separately. THE DISTINCT SMALL POX. THE cause of this is a specific conta- gion. Symptoms. About eight days after inoc- ulation, and probably the same time after taking it the natural way, a fever appears of the continued inflammatory kind: after this has continued about three days, a dis- tinct eruption of small pimples, like flea- bites, appear on the face: these increase and extend, so that about the end of the fifth day the eruption is completed and ex- tended to the extremities: from the first eruption the fever usually declines, and at the finishing of the eruption it ceases.— faring the fever, children are frequently af- 74 FAMILY ADVISER. flicted with starting, and if kept warm, with fits. About the eighth day after the eruption, these pimples have increased to spheroidal pustules, filled with matter, with a red mar- gin around each. Before the pustules arc quite filled, a swelling of the face takes place, which sub- sides as soon as the pustules are filled: a swelling of the wrists and feet succeeds the above, just in the progression of the erup- tion ; during this period a sore throat is com- mon. After the pustules are fully ripe and yel- low, they then cither pour out the matter, from a small rupture at their top, or the mat- ter is absorbed, leaving an empty fiat bag: the former is usually the case with those on the face; the latter with those on the arms and thighs ; in this way they decline till they are perfectly dried up, which takes place from eight to sixteen days (from the lime they begin to decline) according to the size and number of the pustules ; pits are frequently left behind. Management. The patient should be kept cool, both by going into the air, and thinning his cloathing. However, the custom of ex- posing to bad weather, extreme cold, and pulling off from children the flannels which they have been long used to, has occasion- ed the tyorst consequences : a medium there- FAMILY ADVISER. fore is to be observed. Those who are in a good state of health should live chiefly on vegetables, what meat they do use should by all means be fresh ; but those who are weakly should not alter their food, so as to weaken themselves, but only choose such as they always should, viz. digestible mild food. This should be the management until the fever commences, when they should use ■nothing but light spoon aliments, such as barley, gruel, panada, custard, jelly, &c.— Spirituous drinks should be altogether avoid- ed : at the time of the fever such drinks as the following may be taken more or less, in pro- portion to the height of the fever, viz. lemon- ade, cream of tartar dissolved in water and sweetened, jelly and water, apple-tea, made by pouring boiling water on undressed red-streaked apples, sliced very thin ; the drink to be sweetened ; these drinks, absti- nence, and vegetable food, with the direc- tions for keeping the patient cool, may be observed until the number of pocks and fa- vour of the disease be determined, after which they may be gradually relinquished; the exposure first, and then the others, and the proper habits returned to. The first week in May is probably the best time for inoculation,. in (he stales of Pennsylvania, Delaware, and Maryland; farther southward, April ; farther north- ward, the latter end of May : but avaricious 76 PAMILY ADVISER. aims have been the cause of adopting an earlier season. It is upon the whole, in large towns, safest to inoculate before teeth- ing, but only because of the danger of taking it the natural way ; where that is not to be feared, then from the fifth to the twelfth year is far preferable ; if any thing be amiss, we can then stand some chance of rectifying it by suitable treatment, but with infants we can only deplore their state, when the com- plaint takes an unfavourable turn. Treatment. To those who are pretty hearty, or of a full habit, between the time of inoculation and fever, two doses of Glau- ber salts, or cream of tartar, sufficient to procure four or five stools and not more, may be given : but to those who are lean or wreakly, no purgatives should be given, only costiveness should be removed by a little cream of tartar, or the pills No, 6. If they have not a passage every day, this will be necessary ; or if they have a passage every day, and the stools should be hard and diffi- cultly passed, the pills, or a clyster of oil, sugar, milk, and a little scraped Castile soap, which is probably the best, is to be given. If at the commencement of the fever, the patient feels much oppression at the sto- mach, uneasiness and giddiness, it will be proper to administer an emetic of two grains of tartar emetic, dissolved in a cup of warm FAMILY ADVISER. 77 water, or of ten grains of ipccacuana ; at the same time he should have fresh air: when the fever has commenced, if it runs high, it will be proper to give a dose of salts, which may be taken at two or three portions : if this does not lessen the fever, take four grains of tartar emetic, and put them into a quart of apple or other tea ; three table- spoonfuls of this to be given every hour, till the eruption appears, keeping him cool with- al. If the eruption appears numerous, and the pulse be usually strong, a dose of salts will be of use, as it will bring many of the pim- ples to nothing; after this nothing more will be necessary, but to keep the bowels regular with small doses of any mild medi- cine. When the pocks have dried away, if any sore or undulatory motion of the muscles take place, a few pills of the following form may be given: calomel twelve grains, opium three grains, honey enough to form them into twelve pills, one of which may be taken night and morning. If the arm inflames much, pour cold water on it daily, for ten minutes together. N. B. All the above prescriptions of med- icine arc for grown person's. 78 FAMILY ADVISER. THE CONFLUENT SMALL POX. SYMPTOMS. In this the fever is more violent than in the former, the pulse being quicker and more contracted ; a disposition to coma, or a deep drowsiness, is almost al- ways present with the incipient fever, and a delirium is a frequent symptom : infants are frequently attacked with tits in the first days : vomiting is here a common symptom : early in the third day, the pimples break out in clusters, and these are frequently preceded or accompanied with an efflorescence like St. Anthony’s fire. When the eruption is completed, it is found to be much more numerous in the face than on the body ; the pocks are less emi- nent ; at the end of the eruption the fever does not go off, but only remits, to increase with more violence, when the pocks have ac- quired their summit; this is called the se- condary fever : the pimples soon turn to vesicles filled with whitish or brown water, instead of yellow matter as in the distinct : the pocks are very irregular, and run into one another in many places, so as to form one large flat pock, covering almost the whole face; wherever there is any space be- tween them, it rs not florid, but pale and Shrivelled, FAMILY ADVISER. 79 The swelling of the face, that sometimes attends the distinct, is here always present at an earlier period, and rises to a greater height; the discharge of saliva is generally great about the same time; both subside about the tenth or eleventh day, counting from (he attack of the incipient fever. With infants a lax is common instead of a saliva- tion. The pocks over the body, though distinct, are generally flat, and upon the whole, there is a great tendency to putrefaction. The management of this should be much the same as that directed for the distinct, except that towards the latter end, when the patient grows weak, and symptoms of putridity prevail, then the patient should have for drink, sixty drops of elixir of vi- triol, to one pint of spirits and water, or wine and water, and a moderate degree of warmth should be kept up. Great atten- tion should be given to keep the room clean, sweet, and ventilated, as directed for the putrid fever. Treatment. When the symptoms appear as laid down, with considerable fever; give one sixth of a grain of tartar emetic in ap- ple-tea, or common drink of any kind, every hour. From the fifth day* onward, till the eruption be completed, give twenty drops of * The day is always reckoned from the attaok of the incipient fever. FAMILY ADVISER. laudanum, every morning and nighl, taking care to remove (he costivencss it occasions, by giving cream of tartar, or castor oil daily, if necessary. When the secondary fever comes on, the same treatment with tartar emetic and laudanum should be used, until the symptoms of putrefaction and weak pulse take place, then all should be dropped, for bark and port wine, which may be given every hour, so that the patient may take a pint of wine and one ounce of bark from morning till bed time. From the eighth day to the eleventh, when the fever is violent, blisters should be laid on successively, without any respect to the pocks ; the wrist, thighs, back of the neck, and breast, are proper places; when the swelling in the throat threatens suffocation, a blister should be applied over the throat, and the throat gargled with a mixture of one drachm of elixir of vitriol, to half a pint of sage tea and a little honey ; or instead of this, with vinegar and water. If the fits, that usually attack children, happen but once or twice, nothing need be done but to keep them cool; but if they are frequent, they are likely to destroy the pa- tient ; then as large a dose of laudanum as the child can take, should be given. The bark, with (he vitriol and water, should be continued for a considerable lime FAMILY ADVISER. 81 after the disease, to strengthen the sys- tem, though it should be used in a less quantity. CHAP. XXVII. THE CHICKEN POX. THIS disorder appears to arise from a specific contagion in the air; like the small pox, it never returns. Symptoms. The patient is generally, for one or two nights, or nights and days, af- fected with fever, which almost always is slight; at no certain period, though perhaps always before the third day, the pocks ap- pear on the face, and over the body; they are never very numerous, though some- times pretty large. In the course of four days they are at their summit, when they are about the size of a large brister shot, and much of the same form, filled with yel- lowish or white water. They sometimes come out successively instead of a great many at once. Management. The patient should be kept cool, especially when in bed; light vegetable food, and cooling acid drinks, should be used. Treatment. If the fever be worthy at- tention, the bowels should be opened with a dose of cream of tartar or of salts, every day till it ceases, and the acid drinks given plen- tifully. FAMILY ADVISER. CHAP. XXVIII. THIS disorder arises from specific con- tagion, and never has been known to attack the same person twice. It usually makes its appearance about January, and again ceases at midsummer. Nevertheless, it is not altogether adherent to any particular times, for it continues throughout the year, though less extensively. Symptoms. It comes on like a common fever, with a cold stage succeeded by a hot one: a nausea, anxiety and vomiting, are pretty generally attendants. Sometimes at the beginning, the fever is sharp and violent, but before the eruption it is most generally so, which happens about the fourth day; with these a hoarseness, cough, difficult breathing, swelling of the eyelids, acrid dis- charges from the eyes and nose, with sneez- ing, take place : generally a drowsiness at- tends the beginning. The eruption appears first on the face in small points like flea- bites, which soon may be observed by sight or feeling, in clusters, spreading themselves over the whole body ; the face appears a little turgid during the first two days of the eruption ; after this the eruption changes its colour from a scarlet to a brown, and soon goes off very entirely, leaving a scurf. The THE MEASLES. FAMILY ADVISER, 83 fever sometimes goes off, when this desqua- mation takes place, but more commonly continues with the cough for some time after the disorder has gone through its stages, and not unfrequently the cough and difficulty of breathing increase towards the end, so as to mark an inflammation of the lungs. After the desquamation, a lax or sweating usually lakes place, and continues for some time. Management. The patient should avoid heat, but on the other hand, should not ex- pose himself so much to the cool air, as in the small pox. He should live on a low ve- getable diet, and cool acid demulcent drinks, such as flax-seed tea, with lemon juice : barley water boiled with prunes is also very good, especially for the cough. Treatment. If the fever that precedes the eruption is considerable, it will in. adult patients, be proper to bleed, but in children, a purge or two of salts will be generally suf- ficient. From the beginning, the drinks mentioned above and syrups may be given to allay the cough; but these are seldom sufficient; it will therefore be necessary, from the lime of the eruption, to give one tea spoonful of paregoric, twice a day, and two at night in common drink. This treat- ment and keeping the bowels open regular- ly, with gentle medicine, as salts and manna, in small doses, cream of tartar, castor oil, &c. should be continued in. When the desqua- FAMILY ADVISER. mation or peeling of the skin takes place, if the difficulty of breathing mentioned in the description, comes on, with a strong pulse ; then the patient should be bled freely, and a blister laid afterwards on the side, as in a pleurisy, and with these, one of the powders No. 1. may be given every two hours, or if it be a child, a sufficient quantity of antimo- nial wine, to be taken at intervals of two hours : during such a state the paregoric should be omitted. If the patient is unable to bear bleeding, the case then cannot be very violent; then purging and blistering with the powders may be used : gentle ri- ding and bark are proper to restore the pa- tient when much reduced. CHAP. XXIX. THE SCARLET FEVER. THIS complaint cannot possibly be sep- arated from the putrid sore throat, as the affection of the throat, eruption of the skin, and low or putrid fever, which are the chief symptoms, are attendants on both : added to this, the same contagion will affect one person with what is judged to be the putrid sore throat, and another with the scarlatina. It is therefore probable that the scarlatina is only an affection of less magnitude, some- times owing to the lenity of the general con- tagion, and then causing scarlatina universal- FAMILY ADVISER. 85 ly, and at other times owing to the diversity of constitutions attacked.—Hence, for the cures, &c. I refer to what I have said of the putrid sore throat, Chap. xi. But it fre- quently happens that the scarlatina is so slight as to shew no putrid symptoms but rather inflammatory : then all that will be required will be a blister to the throat and keeping the bowels open with cream of tar- tar. CHAP. XXX. st. Anthony’s fire. CAUSES. A hereditary disposition there- o, or a peculiar delicacy of the membrane that suffers the inflammation ; passions of the mind, a sudden cooling of the body after being heated by the sun, spirituous liquors taken freely, hot drinks or hot baths, check- ed evacuations, moist air, and perspiration any how stopt, generally excite the disease in those predisposed. Symptoms. It commonly comes on with shivering and succeeding heat with fever: the pulse is generally quick, sometimes hard and full : a confusion of the head and some degree of delirium frequently attend, but a drowsiness almost always, which sometimes increases to a comatose state.—After these smyptoms have continued from one to three a redness most commonly on the face PAiMILY ADVISER. appears, which increases with a swelling, that turns white upon pressing it with the finger. This goes on to increase, though it commonly abates in one part a little, to in- crease in another; in this manner it some- times extends all over the head, and swells the eye-lids, so as to produce temporary blindness. It is not an uncommon case for blisters to arise on the swelling, filled with yellow or whitish serum, which break after a while, and leave the part underneath blackish, and veryready to turn gangrenous ; the skin be- tween these blisters peels off; matter is sometimes discharged from the eye-lids : the inflammation and fever usually continue about ten days, and then go off; when the fever goes on violently, and the inflamma- tion extends, it is apt to produce an apo- plexy. These are the symptoms of a perfect dis- ease, but slighter affections arc not unfre- quent, even with little or no fever. Management. The patient should be kept cool, in proportion to the greatness of the fever; acid drinks and vegetable diet should be used throughout. Treatment. When the case agrees with what is laid down above, half a pint or more of blood should be taken away, which may be repeated, if the habit allow, and the pulse and inflammation require it: after bleeding. FAMILY ADVISER. cooling purgatives should be administered ; one ounce of Glauber salts may be divided into four parts, one of which should be given every two hours, mixing it with lemon juice, which covers the bad taste. This practice of administering salts may be followed for some days ; they not only open the bowels, but temperate the heat and fever; in slighter cases bleeding should be laid aside, and the medicines given as directed. Whenever there are any symptoms of pu- trefaction, as a low weak pulse, dark colour- ing of the tongue and mouth, acrid and black spots underneath where the blisters stood ; then all evacuations, (except keeping the bowels regular with a little rhubarb) should be laid aside, and twelve grains of columbo root given every hour 5 when this can be kept on the stomach well, and does not have sufficient effect, as much bark should be given, and the dose increased as necessity requires, or as it will sit on the patient: wine and water, and vitriol and water, made by putting two tea-spoonfuls of elixir of vi- triol to a pint of water, may be drank alter- nately and freely. The patient is almost always wanting some topical application, for this physicians have thought that meal sprinkled on the part, is the only proper application: this, wien the inflammation is considerable, sits 88 FAMILY ADVISER. agreeably, and has some effect in softening the skin, and if sprinkled on very slightly when the blisters discharge, it dries up the humour; however patients are not content with it, therefore apply either of the follow- ing with a rag moistened in it: half a pint of strong tea of camomile flowers, or worm- wood tops, fifteen grains of white vitriol, and a tea-spoonful of laudanum or a strong solution of alum. Sometimes from neglect, the part suppu- rates ; then it should be poulticed with bread and milk till it is ripe, when it should be opened and dressed with lint spead with wax and oil melted together; this need on- ly be applied over the sore. Bark and vitriol, with fresh air, gentle exercise in a carriage in fair weather, will be proper to brace up the habit in the end. THE ESSERA, OR NETTLE RASH. CHAP. XXXI. THIS generally attacks those of a deli- cate constitution, especially such as have a fine skin, the excessive irritability of which appears to be a cause of the disease. From the above it would appear, that wo- men and children are the chief subjects of it; which is agreeable to observation. Symptoms. It usually comes on in the njgtit, producing great restlessness a,nd itch- FAMILY adviser. 89 iug. In the morning considerable red emi- nences are to be observed on some parts of the body, usually about the upper arms, neck, and breast ; their forms are irregular, some being like the stroke of a whip, others like the sting of a musqueto. It is not un- frequent for them to disappear in the course of the day, and return again at night i the time of continuance is various, as they some- times continue for a week, and sometimes for a year or more. They have never been known to have any dangerous effect; the itching being all that is disagreeable, which at times is so troublesome as to prevent sleep. Management. The patient should use exercise, bathing, and every proper means to remove such a delicacy of constitution. Cure. This has been too little attended to, or perhaps we should ere this have dis- covered some simple medicine that would remove it. I have seen mercury recommended, and in a few cases which I have treated, it was always attended with success, rjQwelve grains of calomel, and as many of sulphur of antimony, may be made into a dozen pills, one of which may be taken for six nights following, after which they may be used only twice a week ; if the patient’s gums become sore, they should be omitted : -dSlhiops mineral is also a proper medicine, 90 FAMILY ADVISER* twenty grains may be used every other night for twenty days. Perhaps if common sulphur was tried ev- ery night, it would have an equally good effect. To guard against the returns of it, bark may be used; and some weeks after using the medicines ‘prescribed, the cold bath. CHAP. XXXII. BLEEDING AT THE NOSE THOUGH this complaint attends at any age, and may trouble any constitution, yet it does not make the disorder I mean to treat of, except when it attacks young peo- ple, and especially those who are full of blood. The animal osconorny finds it proper not to increase the different parts equally from the time of conception, but increases cer- tain parts successively; this increase is brought about by a determination of blood to these parts; hence the different periods of life, that we see fluxes of blood making their appearance may be easily accounted for ; and hence this complaint in the youth- ful, and the following complaint immediately after that period. It requires attention, or it will soon be accompanied with very disagreeable cir- cumstances. FAMILY ADVISER. Symptoms, A head-ach, redness of the eyes, florid countenance, and throbbing of the temporal arteries, usually precede for a while before the effusion, but immediately before it a fulness of the face, and itching at the nose take place; besides these, fre- quently more general symptoms are observ- able ; as costiveness, pale urine, coldness of the feet, and shivering: this is a descrip- tion which suits the most perfect state of the complaint. The quantity of blood discharged is va- rious Management. At the time the bleeding comes on, the patient should be placed in a stream of cold air, and be supported erect; he should avoid talking or blowing his nose. In the intervals he should avoid heat, stooping his head, or walking fast, more es- pecially after eating : his exercise should be gentle and constant, and this may be partly in riding and walking, and partly in the occupation of his business, if that be mechanical. The cold bath may be used daily, in which he may remain some time ; this has, besides a bracing property, a ten- dency to make the patient lean ; a little care should be used in the beginning; no cap should be worn on the head, to keep the water from that part. He should live upon a vegetable diet chiefly, and use cold water for his constant drink. 92 FAMILY ADVISER. Cure. In beginning to treat the patient', if he has not already lost much blood, a few ounces may be taken from him, a little before the time of the bleedings coming on, and ever afterward a dose of salts may be used at the same time; and it may be ob- served in general, that it will be necessary to keep the bowels very regular. If after toe salts have been taken, the disposition is not removed, one of the fever powders. No. 1, may be used every two hours, for two days, and large quantities of lemon juice taken between each dose. When the bleeding comes on, it may be suffered to continue till six ounces have been discharged, provided the patient be full of blood, but if otherwise, it should be slopped immediately, by pouring cold water on his head, hands, and testicles, and by drinking cold water ; at the same time using dossils of lint, dipt in a strong solution of alum and water, or in any common astrin- gent, and applied up the nose : a piece of sponge is sometimes of service : a wrcak so- lution of blucstone has sometimes stopped the bleeding, after other things have failed. But in many cases neither of the above will answer, then the patient’s life is in danger, and the following simple method may be used by any common person, who has the least degree of presence of mind ; take a needleful of silk, wax it and tic to one end FAMILY ADVISER. 93 of it a dossil of well scraped lint, about as large as a thumb; get a piece of cat-gut string several inches long, grease it a little, push this cat-gut through the bleeding nos- tril into the mouth, till you observe it come out near the throat, lay hold of it with a pair of narrow pincers or forceps, or in their stead, with a dull pair of scissars, and draw it till you have both ends in your hands ; tie a knot in the end that you have drawn through, and to this knot fasten your silk and draw back the cat-gut till you have drawn the dossil of lint, against the orifice of the passage that leads into the throat, then you need only stop up the nostril with another dossil of lint, which will shut up the passage altogether, and hinder any more blood from coming out.—The lint should be kept in for three or four days. The cat-gut is only for the purpose of getting the silk through, which is too limber of itself: in pushing the cat-gut through, you are not to push it upwmrds, as the nos- trils apparently lead, but directly backwards, aiming at the upper part of the throat where it comes out: the nostrils turn at about half an inch after you have pushed it upwards. By the stated returns of this complaint, and the habit of the patient as well as by the quantity, you may easily distinguish it from what is termed, a passive flowing of blood from the nose. 94 FAMILY ADVISER. In this complaint, the usual topical appli- cations for the other kind are sufficient; but with this the cold bath may be used, which is an effectual remedy, from my own expe- rience ; with this, or without it, tincture of iron No. 7. may be used. CHAP. XXXIII. SPITTING OF BLOOD* CAUSES. Besides the predisposition mentioned in the preceding chapter, we may consider, as exciting causes, suppressed evacuations, sudden changes of the air from heavy to lighter, violent efforts, compres- sion in different parts, &c. Symptoms. After some general disorder, as flatulency, chills, &c. a fulness is often felt about the chest. From the blood being poured out, an irritation is made, to relieve which, the patient hawks or coughs, by which means he discharges a little frothy, reddish, and somewhat saltish spittle: this sensation often returns again, and the spittle is thrown out of a deeper red.—ln this manner the patient usually discharges the blood for some hours or days, when it ceas- es for that period. But it sometimes hap- pens, that the rupture is more considerable, and the pure blood is discharged in such quantities, as to excite vomiting : in such a case the patient’s life Is in immediate dan- FAMILY ADVISER. 95 ger. A cough usually follows the bleed- ing, which returns sometimes every week, and so on at every period between that and a year. Management. This should be exactly as described for the preceding disorder, only that the cold bath should not be used, as we have not sufficient experience to recommend it, and the cold should be here very mode- rate, as when it is severe, it determines the blood to the lungs, which is to be avoided. Treatment. If the patient be able to bear it, blood should be taken away, though not in profusion. As soon as the bleeding takes place, this should be followed by a dose of Glauber salts. And ever afterwards when we apprehend from the symptoms before described, that the bleeding is about to re- turn, we should anticipate it by the repeti- tion of the salts, which I have seen attended with the best success. When the bleeding is copious, besides the management of exposing the patient to cool air, let him take a tea-spoonful of common, salt, and repeat it when necessary. This has been often effectual, and may be carried in the person’s pocket, when repeated small./ bleedings plague him, or ten'grains of alum every hour. In the intervals nitre should be given to reduce and cool the system, ten grains in flax-seed tea may be given three or four times a day ; after the commotion has FAMILY ADVISER. ceased, the country air should be used.— It is sometimes necessary to take a tea- spoonful of paregoric elixir at night, in the morning, and at noon, to quell the -cough. CHAP. XXXIV. CONSUMPTION, CAUSES. A hereditary, natural, or ac- quired debility of the lungs, may be looked upon as causes of this fatal disorder: under such circumstances, almost any irritation upon those parts will establish the con- sumption; and it is somewhat doubtful if any cause will do the same, without the pre- disposition. Symptoms. Cough, pain about the breast, spitting of nauseous matter at all times of the day, which is sometimes streaked with blood ; a fever which comes on at noon, fre- quently with shivering, and almost always with coldness, which remits towards the af- ternoon, to exacerbate or renew its violence at night, continuing with the other affections, and after a while being followed in its second fit towards morning with a copious sweat. The pulse in this fever, which is a hectic, is quick and most generally weak, though in its first attack some degree of hardness is to be felt. The fever is always kindled by taking much food at a time. Towards the FAMILY ADVISER. 97 end of the consumption a lax takes place which generally carries oft' the patient. Management. The patient should live upon a light digestible diet; milk, vegeta- bles, spoon-meats, puddings, pies, &c. are proper ; these should be taken in small quantities at a time, and used the oftener, on that account. The teas and drinks pre- scribed for fevers are the proper drinks to be used. Exercise in a carriage or sailing, are al- most indispensibly necessary ; the country air is so far preferable to the town, that the former will sometimes alone perfect a cure, and the latter resist every means. Cold should be guarded against, and for this as well as other reasons, a flannel shirt should be worn. Cure. If the patient is not low and thin, he should be bled every week for three or four times, taking away about a quarter of a pint of blood each time, till all signs of increased action or hardness are gone from the pulse ; if they give way at the first bleeding no more is to be used. After this, or when this is not allowable, eight grains of ipecacuana should be given every four days, or as many times as they appear to be beneficial; when this has been done, the patient should take twenty drops of elixir of vitriol, early in the morning, at ten o’clock, and again after the noon fever has abated. 98 FAMILY ADVISER. and before the evening one has come on.— To allay the cough take two ounces of pare- goric, two grains of tartar emetic, or when tartar does not agree, two ounces of the spirits of nitre dulcified : two small tea- spoonfuls may be used at night, and half that quantity taken at any lime in the day when it. is troublesome. When the pain in the breast is considerable, blisters may be used ; a seton should be put in the side in the be- ginning. The bowels should be kept regular, with small doses of castor oil, sulphur, magnesia, or cream of tartar. The above prescriptions, although the best and simplest that can be recommended, frequently fail, and when the disease threat- ens to resist them, a sea voyage should be recommended as the only refuge. It is not unfrequent that the consumption is combined with other affections, then we must have regard to these affections, or no cure can be expected. But such cases are so complex, that they require the judgment of an able physician. FAMILY ADVISER 99 CHAP. XXXV. A LAXITY of the gut, affected, natural, or acquired, /disposes to this complaint, so much that slight causes bring it about. The following are found to be the usual causes, viz, much walking or riding, cos- tiveness, long continuance in an erect pos- ture, strong purges, suppressed, natural or artificial evacuations ; falling down of the gut, drinking large quantities of watery li- quors, grief, obstruction of the liver, preg- nancy, high living, &c. Symptoms, The symptoms of this disease being not always alike, have made some va- riety and distinction of it. Thus there is the blind piles, when the tumour is not visi- ble ; the common piles, when tumours ap- pear without bleeding ; and the bleeding piles, when they discharge blood. Howev- er, there are general symptoms which are common to all 5 as, a pain and swimming in the head, stupor, sick stomach with pains in the bowels and back, which frequently pre- cede, and in some cases a fever also: a sense of fulness and itching are the local symptoms: these are soon relieved in the bleeding piles, when that takes place, and frequently the establishment of the tumour. THE PILES. 100 FAMILY ADVISER, is attended with an alleviation of the syrup- toms. Sometimes blood only comes away with the stools ; but at other times a considerable constant discharge alarms the patient. This affection is apt to return at stated intervals, and to increase. Management. All the causes as far as possible are to be avoided, and temperance is strictly to be observed by the plethoric ; light vegetable food, and cool acid drinks are propel during the affection. Much at- tention should be given to regularity, and especially in keeping the bowels in a pro- per state. In lean patients a flannel shirt is often necessary. Cure. It is frequently the case, that this discharge is salutary, and therefore a doubt arises in the minds of some people, about administering medicines to check it.' Hence, whenever the discharge is small, and attend- ed with benefit, nothing need be done to check it ; but whenever it is profuse, it then threatens a greater injury than it is likely to relieve ; then, as well as when it returns often, it should be checked by applying cloths dipped in cold water or vinegar to the neck, hands, thighs, and to the part it- self; if this does not relieve it, dip a sponge in alum and water, or in a decoction of galls, and apply it to the part, and if neces- sary, give twelve grains of ipecacuana in a FAMILY ADVISER. 101 little water immediately. When nothing but tumours are present, and they are pain- ful or large, wash them with the following wash : to half a pint of lead-water add two lea-spoonfuls of laudanum. This may be used three or four times a day. Open the bowels in all cases with sulphur, or sulphur and cream of tartar mix- ed in equal quantities with honey; two tea- spoonfuls may be taken eyery two hours: in slight cases this is frequently sufficient alone. CHAP. XXXVI. CAUSES. High living, excess in drink and venery, shocks from falls, dancing, pas- sions, neglecting abstinence in the time of menstruating, inflammatory fevers, other evacuations checked, costiveness, cold ap- plied to (he feet, frequent miscarriages, dif- ficult labours, neglecting to nurse, living too warm, drinking much tea or coffee, purg- ing, &c. Symptoms. An immoderate flowing is usually preceded by head-ach, giddiness, and difficult breathing, a shuddering imme- diately precedes the discharge, with this al- so a pain in the back, and feverishness fre- quently attend. IMMODERATE PLOWING OF THE MENSES. 102 FAMILY ADVISER. After a large discharge, a general debili- ty ensues; the pulse becomes weak, the stomach sick, respiration difficult upon the least motion; the feet cold and swoln, es- pecially towards evening, when a fever takes place of the hectic kind. Palpita- tions, fainting, fearfulness are not uncom- mon symptoms : the whites frequently fol- low. The above symptoms take place more or less, sooner or later, according to the pro- fusencss and repetition of the discharge. Management. The causes of this com- plaint discover to us, that it may take place in two states of the system, one when it is overloaded or plethoric, the other when it is debilitated; each of which require separate management. In the former case, cold, abstinence, and cool drinks should be used with vegetable diet in the intervals: in the latter good nourishing food, port wine, and exercise are to be used. In all cases the causes are to be removed or obviated ; motion in time of flowing is to be strictly avoided. Cure. In the intervals the management prescribed will be sufficient. In the period, the patient should be kept cool ; ten grains of alum may be given every half hour ; sponges dipped in cool vinegar may be applied to the small of the back, and to the parts, and if this does not answer, FAMILY ADVISER, 103 len grains of ipecacuana may be given m a little water; after this give ten drops of • elixir of vitriol every hour: to correct the laxity that succeeds, ten grains of rust of iron may be taken four times a-day aod in cases of much debility, the Peruvian bark also. When the menses return more frequently or flow more plentifully than natural, the pa- tient should be on her guard, look for the causes and obviate them. CHAP. XXXVII. SYMPTOMS. A discharge of whitish mucus flows instead of the menses, or after them, and continues longer and longer, till it becomes pretty constant. Treatment. As when this case takes place, debility is generally present, a nour- ishing diet may be used, with port wine and water, more or less in proportion to the de- bility, and gentle regular exercise. Cure. The steel, as recommended above, is one of the best remedies ; with this, topic- al applications should be made with a sy- ringe. Decoction of Peruvian bark, oak- bark, or galls are proper. THE WHITES. 104 FAMILY ADVISE*, CHAP. XXXVIII. CAUSES. Cold is one of the most com- mon causes, either when applied to the bo- dy during menstruation, or when it has at a preceding time brought on the complaint called a cold ; diseases of much pain or ac- tion in other parts, debility, excessive evac- uations, low passions of the mind, are also causes. OBSTRUCTED MENSES. As the disorder is so well marked, I need not mention the symptoms that ensue in those who have once had the menses, but shall confine myself to the symptoms that take place in girls who have never had them, al- though they have passed over the proper time. This is called properly a retention of the menses. The patient after the age of thirteen, but how long after is uncertain, is affected with a loss of appetite, sluggishness, lassitude and debility ; the countenance becomes pale or swarthy, and the body universally flaccid, the legs swell, especially at night, and the belly sometimes swells also, whilst pains af- fect the head, back, and other parts ; respi- ration is generally laborious. Management, It is clear that neither the management nor the cure can be conducted on a single plan : In the plethoric, and thpsc FAMILY ADVISER. 105 who have cold as a cause, low diet should be prescribed, with thin drinks, cool air, and rest ; but in those emaciated, nourishing food, wine and exercise should be strenuous- ly enforced. Cure. In those of the former case, that is, those who are full of blood, or have much remaining strength, perhaps nothing will re- lieve sooner than blood letting ; with this salts may be used, and if the menses do not return at the usual period, at that very junc- ture let the patient take four grains of calo- mel, and as many of aloes, in a little honey, and repeat the dose next night if necessary. Those who are emaciated, or have a reten- tion, should take ten grains of steel every six hours, and a couple of doses of bark daily, till the period arrives ; and then, if necessary, take the boluses as directed,— A decoction of madder has been often used with success. CHAP. XXXIX. CAUSES. Obstructed menses, and other evacuation suppressed ; enlargement of the spleen or liver, erosions of the stomach by poisons, small glass, &c. and violent straining to vomit. Symptoms. Some pain about the stomach-, VOMITING OF BLOOD. 106 FAMILY ADVISER. anxiety and vomiting of black grurnous blood, without coughing. Management. The patient who is sub- ject to this, should live regularly and abste- miously, and endeavour by every means to counteract such causes as admit of assist- ance, and use proper medicines for the same purpose. In time of a discharge, the patient should retire from all close places, into cool and fresh air. Cure. Whatever may be the cause, we are to use the same means to stop an excess- ive discharge. Besides the treatment men- tioned before, we may use gentle astringent medicines, as ten grains of alum dissolved in in water, every half hour, till the vomiting has ceased some time ; after which a decoc- tion of oak-bark may be used for some days, in the same quantity, and made in the same manner as the decoction of No. 3. When an enlargement of the spleen or liv- er is the cause, little hope remains of a cure ; but the patient should not neglect to try the Virginia sulphur springs, which are very powerful deobstruents. When suppressed evacuations are the cause, the means direct- ed for them should be administered ; when acrids have been taken into the stomach, they should be changed if possible, by their proper antidotes, or enveloped in some mild mucilage, as mucilage of gum arabic, or in FAMILY ADVISER. 107 oil, or syrups. When vomiting is the cause a few drops of laudanum in mint water, will put a stop to it. CHAP. XL. DISCHARGE OP BLOOD PROM THE URINARY CAUSES. The passage of a stone, hard riding, blows on the small of the back, sup- pression of the piles, acrid medicines, as can- tharides taken internally, or absorbed from a blister, or some putrid diseases, as the con- fluent small pox. Symptoms. A quantity of red or coffee co- loured blackish urine is discharged, some- times with pieces of clotted blood, like a worm, sometimes the blood is diffused through the urine, and remains so : at other times it; is deposited in the bottom of the pot; some- times much pain attends, as when a stone is passing along the ureters, at other times there is none. PASSAGE, Management. The patient is to be advis- ed to lay in a reclined posture, and to avoid all stimulating meats and drinks ; the causes are to be removed, before a cure can be ex- pected. Barley, rice, panada, gruel, pud- dings, and things of this sort, are to be his nourishment. Cure. A plenty of, mucilaginous drinks Zvc to be used, as barley water, flax-seed tea, 108 FAMILY ADVISER. mucilage of gum arabic, mallows tea, &c. and if the discharge continues, alum whey may be used. In the case of putrid diseas- es, vitriol and bark are to be administered freely. CHAP. XLI. COLD. CAUSE. Cold applied partially or gen- erally to the body, especially after an in- crease of heat. Symptoms. It frequently makes its ap- pearance with a difficulty of breathing thro7 the nostrils, a sense of fulness and stoppage there ; this is followed by a pain in the fore- head, stiffness and redness of the eyes and discharge from the nose. When the affec- tion is any worse, the patient is subject to chills and feverishness, which is considera- ble towards evening, a hoarseness, sore throat, cough, flying or fixed pains of differ- ent parts, and not unfrequently some difficul- ty of respiring. The cough in the beginning is usually dry, but as the other symptoms give Avay, it be- comes moist, more easy, and attended with a discharge of whitish or yellow mucus, which is most frequent; this goes off at dif- ferent periods, according to the patient’s age> glate, &c. FAMILY ADVISER* 109 Management. The patient should con* fine himself to the house, in a temperate room, and live upon vegetables and cool acid mucilaginous drinks, as barley water or flaxseed tea sweetened, and acidulated with lemon juice or vinegar. Cure. If the feverishness and difficulty of breathing are considerable, bleeding should not be omitted ; with or without this, a dose of salts should be taken, after ivhich sweat- ing should be practised ; one of the powders No. I. may be given every hour, washing it down with warm whey or tea ; or instead of these, ten drops of antimonial wine, and as many of paregoric every half hour for eight or ten times. The latter is a good medicine to take every night to lull the cough, for this purpose, thirty drops of the wine, and sixty of the elixir may be taken, when the patient is disposed to rest. If pains remain in the head, a blister to the temples is the surest relief; if in the limbs a tea-spoonful of the volatile or sim- ple tincture of guaiacum may be taken two or three times a day, in a little water.— Riding in good weather, or sailing, is of great service as soon as the patient can go about. 119 FAMILY ADVISER, CHAP. XLII. INFLUENZA. THE cause of this is a specific conta- gion, proceeding from some very general alteration in the air. There is no doubt of its being communicated from one person to another. Symptoms. The most common symptoms are those of the common cold described above, attacking a whole town or neighbour- hood at once. But that is not its constant form ; for sometimes it puts on the appear- ance of a pleurisy, with'a strong pulse, at oth- er times a pain in the side with a weak pulse, whilst in a third case if has produced all the symptoms of a low nervous fever. Management. This is in general to be di- rected as in the common coid: but when it has the form of a low fever, wine and water should be the constant drink. Cure. In some of the most violent cases, especially when the patient’s habit has been full, it has been necessary and useful to bleed, and blister the pained part •, this latter need never be neglected, where the pain is fixed. Vomits of ipecacuana, antimonial wine, or tartar, are always serviceable, and interrupt the disorder sooner than any other medicine. Gentle sweating with whey, and a little an- timonial wine, is never to be neglected. FAMILY ADVISER. Ill This is to be used after vomiting, when that is intended. The bowels should be kept regular by small doses of castor oil, Glauber salts, cream of tartar or jalap. When the cough is trou- blesome syrup of squills may be used, one tea-spoonful every three hours; or what in some cases answers better, the following mixture : paregoric elixir one tea-spoonful, antimonial wine twenty drops ; this may be taken twice or three times in the course of a day. Honey and vinegar boiled together spermaceti and loaf sugar, extract of liquo- rice, &c. are frequently useful to take in the mouth every quarter of an hour. In the case of a low fever, wine and bark are to be given freely, after giving a gentle dose of ipecacuana. If the stomach refuses bark, elixir of vitriol is to be used in its stead, ten or fifteen drops every hour. Riding or sailing is here as useful as in the former case. CHAP. XLIII. SYMPTOMS. Sometimes a fever makes the attack, at other limes the bowels are pri- marily affected ; first, with costiveness and flatulency, then with gripes and frequent painful efforts to stool, when nothing of a FLUX. 112 FAMILY ADVISER. natural sort is discharged, but slime of a whitish, bloody, or blackish colour, in con- siderable quantities. In some few instances a lax has preceded. Whatever is voided of the natural kind, is generally in small hard balls. The stomach in general is disordered, and that from the beginning ; but it goes off as the complaint proceeds downwards, which it generally does, till all is fixed in the lower end of the last gut, where it produces that troublesome effort of it, called tenesmus.— The feverish symptoms continue a consid- erable time, remitting and then acceding again. Whenever the disease takes a putrid turn, which it is apt to do, it may be known by the feetor and blackness of the discharges, a lowness of the pulse and general debility. Management. Great attention should be paid to cleanliness, by removing the cham- ber furniture, and shifting the bed clothes often ; the patient Should live upon digesti- ble vegetables, as rice, barley, &c. and milk preparations, as thickened milk, light puddings, chicken wrater, and light broths may also be used, if the patient is fond of them. And for drinks, teas, jelly and water, and apple water; which may be taken milk warm. Cure. To procure regular natural stools, is half the cure ; for w'hich purpose a table- spoonful of castor oil is to be given every hour, till it produces that effect; this may be repeated every other day, for several times, as the patient may require ; after this, if the patient is very sick, eight grains of ipeCa- cuana may be given ; after which two grains of ipeeacuana may be adminstered every two hours, so as not to interfere with taking the oil, as long as the fever lasts. After the use of these medicines for some time, lauda- num may be given to relieve the pain, fifteen drops morning and night, mixed up with two grains of ipeeacuana. If the above medicines are not handy, or if there is any objection to them, the follow- ing may be used; a dose of salts and manna, once or twice in the beginning, after which, put two grains of tartar emetic, or a table- spoonful of antimonial wine in a quart of apple tea, and take it in small quantities, every quarter of an hour, so as to consume the whole in a day; after taking it till the fever is removed, then use the laudanum. When the complaint has a putrid turn, as well as to remove the debility after a com- mon case, twelve grains of colurnbo root should be taken every two or three hours. If the disease leaves a looseness, a decoc- tion of logwood ortormentil should be used. FAMILY ADVISER. 114 FAMILY ADVISER. CHAP. XLIV, THIS disorder most commonly attacks the aged, such as have large heads, short necks, corpulent habits, and indolent dispo- sitions, who have fed high and used much strong drink. If, in addition to these, they have had a suppression of any evacuation, as the piles, they can scarce expect to es- cape an apoplexy. Symptoms. Sometimes a head-ach and swimming of the eyes, with other affections of the head precede ; at other times, it sud- denly attacks the patient as he reclines his head, or makes some effort, with a loss of internal and external sense, and almost total deprivation of voluntary motion. The pa- tient’s face often becomes flushed and swoln, his eyes red, his pulse full and slow, his breathing somewhat difficult, with snoring. The time that this state lasts, is uncer- tain ; sometimes the patient comes to his senses in a few hours, with a vomiting and swreat, at other times he lays days, and fre- quently never recovers. Management. The patient should be laid on a bed with his head raised as high as it conveniently can be: his neckcloth should be stripped oft', and he should be placed in a cool room. If the fit continues long, a little APOPLEXY. 115 water may be poured down his throat, if pos- sible, twice or three times a day; when he is on the recovery, his diet should be as light as possible. There are some cases which may be term- ed apoplexy, which demand treatment only from the surgeon, as when it depends upon a fracture of the skull. FASIILY ADVISER Cure. The patient should be bled as freely as his constitution will allow: this may be done at different times rather than at once. After bleeding, a clyster of Cas- tile soap, dissolved in water should be given, one drachm of soap to a pint of water, or instead of that, two table-spoonfuls of anti- monial wine in as much water. These may be used every six hours, for several times. If these do not bring him to himself, a large blister should be applied to the back of his neck, and sinapisms made of mustard, vinegar, and crumbs of bread, applied to the soles of his feet. As soon as the pa- tient is able to swallow a pill, six grains of aloes, and as much soap made into a bolus or pills, should be given him every day, so as to keep his bowels in regular motion. Gentle exercise should soon be used, and increased till the patient is perfectly well : proper exercise and abstinence are the only securities against a return. When the dis- order ends in a palsy, which it sometimes 116 does, the cure directed for palsy is to be fol- lowed. Lethargy and Coma, which are species of this disorder, are to be treated in the same way, having respect to the degree of the disorder and the patient’s habit, and directing the evacuations in proportion to them. FAMILY ADVISER. CHAP. XLV. PALSY. CAUSES, Compression of a nerve in its origin or course, certain narcotics taken internally, exhalations from lead and arsenic in their preparations, excessive venery, old age, &c. Symptoms. A loss of sensation or ability of motion in the part affected, which is some- times one half of the patient, as the right side, or from the hips downwards ; at other times, only a small part is affected, as the hand, the arm, the leg. Management. This is to be according to the patient’s habit: If he is full, a low diet is to be used; if he is low, a stimulating diet and spirituous drinks should be used. The causes are, if possible to be removed. Cure, In full habits it is often necessary to purge with jalap, or aloes, and some- times even to let blood: wdicn these have been used, and likewise when they have not FAMILY ADVISER. 117 been necessary, stimulating medicines are to be used. A table-spoonful of mustard-seed may be the first, which will give the patient a gentle vomiting: after this, any of the fol- lowing may be tried, as tney may best suit: from one to two tea-spoonfuls of volatile tincture of guaiacum in water, three times a day ; or ten drops of tincture of cantha- rides, three times a day in broth or muci- lage ; ten drops of spirit of turpentine in honey, three times a day ; infusions of horse radish and mustard ; electricity ; frictions ; external applications of spirit of sal ammo- nic and oil; applications of flies, made by putting a lump of blister plaister to twice as much common wax and oil plaister; and lastly, by drinking the water of Berkley springs, which is probably as effectual as any. CHAP. XLVI. CAUSES. Excessive exertions, heat, large evacuations, excessive passions, as fear, anger, joy, &c. suddenly depriving the body of any compression, distension, or pain, that it has been for some lime accus- tomed to, violent pain, affections of the stomach, disagreeable smells, sights, &c. Symptoms. Sometimes a langour, an anx- iety, a giddiness and dimness precede ; at FAINTING. FAMILY ADVISER. other limes the fainting comes on suddenly ; the patient turns pale, and sinks away, ap- pears dead; the pulse being either imper- ceptible, or very low ; the breathing in the same state. A cold sweat often breaks out, and stands in drops upon the patient’s forehead, which is as cold as a corpse. After lying a few minutes in that state, the patient, begins to recover, and vomits, or is sick at the sto- mach. Management, The patient should be laid out on a hard bed, in a stream of cool air. If the cause requires attention, it is to be re- moved as quick as possible. Cure. The patient should have his face sprinkled with cold water, and his hands, arms, and legs rubbed in the direction of the circulation, that is, towards the heart. Hartshorn should be applied to the nose and temples, and twenty or thirty drops given internally. As soon as the patient begins to recover, a little good wine should be giv- en him, and if much debility remains after- wards, it should be removed by bark. CHAP. XLVII. OYSPEPSY, OR CONFIRMED INDIGESTION. CAUSES. The large use of coftee, tea, or any warm watery drinks; of tobacco, ardent spirits, opium, bitters, spices and acids; putrescent food, over eating, frequent unnecessary vomiting or purging ; some dis- orders, as intermittent fevers, fluxes, &c.— And indolent life, much application of mind, excessive venery, long exposure, without exercise, to cold moist air. FAMILY ADVISER. Symptoms. The great variety of symp- toms in this affection together with the caus- es, is the reason that no two persons are iden- tically alike affected ; but nevertheless, the general or fundamental symptoms are al- ways alike ; these I shall set down ; a loss of appetite, distension of the stomach with wind, eructations after eating especially, heart-burns, sometimes a vomiting, frequent pains about the stomach, and often a deject- ed mind. Management. Avoid all the causes, use the most digestible meat in small quantities at a time, avoid all flatulent vegetables, use wine and water, brandy and water, or por- ter, if it will sit well on the stomach ; use gentle, constant, and varied exercise, taking care to avoid exposure in cold or damp weather. Cure. This is either palliative or radi- cal ; the latter is not to be expected in a short time, nor at all unless with great atten- tion. The palliative consists in removing the present disagreeable feelings from time to time. FAMILY ADVISER. The most troublesome 'ymptoms are the wind and acid on the stomach, and the cos- tiveness ; for the wind and acid, a little magnesia, chalk, or lime water, with some essence of mint, should be taken occasion- ally. For the costiveness, the patient should be provided with a box of pills made with jalap or rhubarb : or with extract of white walnut bark, these may be taken occasionally ; rid- ing over agrcable country seats is one of the most effectual remedies against a dejected mind. For the radical cure, we are to attempt the removal of the debility in the fibres of the stomach; for which purpose the waters of Berkley springs, or of any chalybeate springs, are the most promising ; when these cannot be used, any of the following medi- cines may be used, as shall best suit. Half a wine glass full three times a day, of the tincture No. 7, or two tea-spoonfuls of No. 8, in a little water, or in spirit and water, three limes a day; or twelve grains of columbo root three or four times a-day ; or a table? spoonful of the tincture ofbark. No. 4. three times a day. FAMILY ADVISER. 121 CHAP. XLVIII. CAUSES. Sudden application of cold to the body when warm and much relaxed ; lacerations of the tendons or nerves of the foot, and of some other parts ; exposure of the muscles to the air, after the skin has been taken off by a gangrene or otherwise. Sy/irobable, that the number of fits will be greatly lessened by temperance, and avoiding extremes on either hand. CHAP. L. ST. VITUS’S DANCE. THIS is a convulsive affection, partly under the influence of the will : it affects the patient’s leg, or arm, or both. It makes him limp along, and in taking a cup of wmter, or applying it to his mouth, he usually per- forms some uncommon gestures, carrying it quickly one way and then another, before he gets it to his mouth. It is apt to termi- nate in palsy. Children from eight to twelve are the subjects of it. Cure, The patient should live sparingly, and be purged if he is full. Besides this, cold bathing and a vomit of ipecacuana, 126 taken two or three times, will be of service. Sometimes electricity is of service. FAMILY ADVISER. CHAP. LL PALPITATION OF THE HEART. IT is not when this is a symptom, but on- ly when it is a primary affection, that it belongs to this head. Causes. Obstructions in the large blood- vessels, excessive irritability or mobility of the heart, affections of the mind and exces- sive evacuations. Management. The patient should live on a nourishing diet, if he is weak habitual- ly, or has bf,en weakened by disorder: much motion, sudden start*, straining, and all exposure should be avoided. Cure. When it is certain that an ob- struction in the large vessels is the cause, there can be no cure expected only pallia- tive, and that by avoiding all excess and extremes. In the other cases, strengthening the hab- it with bark, steel, wine, and gentle riding, are what will prove effectual to remove it; and for a temporary medicine, pills of assa- foelida, or a few drops of laudanum may be used. FAMILY ADVISER. 127 CHAP. XLH. BY this I do not mean every difficulty of breathing, but only that which returns pe- riodically, depending upon a certain pecu- liar constitution of the lungs. It usually ob- serves the changes of weather in its returns, and seldom or never goes off entirely. Symptoms. It often begins with a light- ness across the breast, flatulency, and im- pediment in respiration, ivhich continues until the patient can scarcely get sufficient breath to live. Sometimes a large quantity of frothy spit is discharged, at other times little or none. Whenever any phlegm is discharged, which the patient generally makes many efforts to do, it is attended with relief. ASTHMA. Management. The patient use light food, such as will not produce flatu- lency : his drink should be of the cooling kind. He should be in a place where there is a free admission of air, yet not exposed to cold. Curt, A vomit of ipecacuana should be given in the beginning; after which twenty rops of laudanum in a little mint water; this may be repeated in six or eight hours, if necessary. The bowels should be immediately open- ed, and kept open with common clysters. If much fever attends the asthma, it may be proper to take away some blood, if the patient is sufficiently able to bear it; and also to lay a blister to the back. Gentle riding is proper, after the fit has passed over. As tea and coffee are supposed to be injurious to asthmatics, they may use milk and water in their stead. FAMILY ADVISER. CHAP. LIU. THIS often begins like a common cold, but proceeds on till the cough becomes more like a convulsion ; the patient’s breath is so forced out of his lungs, that it returns with a whizzing or hoop ; after which he often pukes and finds relief. After some time there is a considerable discharge of mucus. HOOPING GOUGH. Management. The patient, if full, should live on a low diet for some time ; milk in its various preparations is proper, and should form the chief of the patient’s diet. Gentle riding is of service in good weather. Cure. Gentle pukes of ipecacuana, or tartar emetic, should be given every two or three days for several times : after which, small doses of ontimonial wine every night: the bowels should be kept open with cream FAMILY ADVISER. 129 of tartar, or jalap. When the cough has continued for some time, and the patient grows weak, he should take bark daily. A blister is sometimes necessary, when the patient’s breathing becomes much inter- rupted, or when the returns of coughing are violent and frequent. CHAP. LIV. CAUSES. Costiveness, cold applied to' the belly or feet, indigestible food, acrids, &c. CHOLIC. Symptoms. Pain in the belly, usually about the naval, with costiveness, flatulen- cy, and often vomiting. Cure. When much fever attends, it will be prudent to bleed, but when there is noth- ing but a quick or frequent pulse, we need not order bleeding, but endeavour to open the bowels with a common clyster, or with a spoonful of castor oil, given every three hours, till it operates ; after which ten drops of laudanum may be given in some mint wa- ter, every hour, for four times if necessary. ]f the pain does not abate for this, the pa- tient should be put into a tub of warm water for half an hour. If the stomach does not bear the oil, let the patient lake, a quarter of an ounce of cream of tartar, and fifteen or twenty grains 130 FAMILY ADVISER. of jalap. The opening medicines should be often repeated in less doses, to prevent a relapse, and remove the costiveness, which the laudanum occasions ; salts and manna, or manna and senna, are also very good purges. The patient should use riding, to prevent returns, and avoid all food that has a ten- dency to flatulency, or to produce coslive- ness. CHAP. LV. CHOLERA MORBUS, OR VOMITING AND PURG- ING OF BILE. THIS violent disorder happens at the end of summer, usually after loading the stomach with acid fruits. Cure. The patient should take large doses of camomile, or balm, or sage tea, to wash out the stomach : after which he should take ten drops of laudanum, in some mint or cinnamon water every half hour, for five or six times if necessary. If this docs not have the desired effect, a blister should be laid on the breast, and a large bundle of mint stewed in wine or spirit, laid over and about it. The patient should be kept as warm as he can, so as not to be disagreeable. Great care should be taken to avoid the night air, and acid fruits, which FAMILY ADVISER. 131 rather promote the secretion of bile, than correct it when secreted. This same disorder, with very little vari- ety, is very common to children in large towns. They should be immediately car- ried out into the country air, without waiting for an alteration of the disorder, and also dipt in water fresh front the well. For a medicine, they may have, if five years old, thirty drops of laudanum put into half of the mixture, No. 2. One tea-spoonful of this, and one of weak mint water, may lae taken every half hour, for three or four times : the mint as above may be immedi- ately applied to the stomach : but the chief dependence is to be put in port wine, given every hour and increasing the dose : one tea-spoonful is enough to begin with. After the disorder has gone off, bark or columho, should be taken to strengthen the stomach. CHAP. LVI. CAUSES. Over-eating, bad food or water, large quantities of sweets or acids, poisons, over purging, bile in the summer time, matter discharged into the intestines, cold applied to the belly or feet, teething, passions of the mind, &c. LAX, OR LOOSENESS. 132 FAMILY ADVISER. Management. The causes, as far as pos- sible should be removed, the patient should avoid damp or cold air, by dressing warm, as with flannel next the skin ; all food that has a laxative quality, should be avoided. Sago, rice, milk, eggs, light broths, and di- gestible meats should be used; for drink, wine and water, and warm teas are proper, as sage, balm, mint, &c. Cure. To perform this, we should keep up a free perspiration, by giving three times a day half a grain of opium, with one grain of ipecacuana: let the patient lie down for one hour after taking this. After using this prescription for some days, astringents are to be used, as ten or fifteen grains of tor- mentil root twice a day, or thirry grains of gum kino twice a day, or oak bark made in- to a decoction, and used in the same quan- tities as the Peruvian bark, or six grains of alum every two hours. CHAP. LVII. CAUSES. Passions of the mind, espe- cially grief, large evacuations obstructed menses, great irregularities, of any kind.— These scarce ever fail to bring it on, in those subject or predisposed to it. Symptoms. Some disorder is generally felt in the belly, which is succeeded by the HYSTERICS. FAMILY ADVISER. 133 sensation of a ball rising up till it gets fixed in the throat: with this, the patient is also writhed to and fro by convulsions, which cease after some minutes, to return again.— In the intervals, the patient sometimes lies in a sleepy state, at other times comes to her- self and talks. In this manner they continue for some time. Management. The patient should be kept from hurting herself during the fit; her food should be of the lightest kinds. If she is full, nothing but water drinks should be used, but if otherwise she should have wine and water: exercise is of material consequence to pre- vent relapses. Cure, When the patient is of a full habit, or when the affection proceeds from obstruct- ed menses (provided this docs not proceed from debility) some blood should be taken away, after which the bowels should be open- ed with a common clyster. If the convul- sions still continue, ten drops of laudanum should be given in some sage tea, or mint water, which may be repeated three or four times if necessary. In lean patients, a tea- spoonful of the tincture of assafoetida given three or four times a day, is what is general- ly used : sometimes a small puke of ipeca- cuana will put an end to the fits. Those who are in this latter case, should use bark, sUel, or bitters, with a nourishing diet, and gentle FAMILY ADVISER. exercise, to prevent returns ; whilst those who are in the contrary state, should live ab- stemiously, keep their bowels open, and use much exercise. CHAP. LVIII. SYMPTOMS. The wound festers, and after some time, seldom under a week or two, the patient becomes languid and deject- ed. He then begins to dread water, and cannot swallow it without great agonies and convulsions of the face: after some time, he cannot bear the sight of it. He doses and frequently starts from his slumber; and sometimes raves so as to need confinement. BITE OF A MAD DOG. Cure. The wound should be cut out, if it is on a part that admits of it; if not, let it be filled with gun powder, and this burned ; after which it should be kept open for a month, by sprinkling it with red precipi- tate, and dressing it with a salve made with wax, oil and rosin. But if this has been neglected, there is no way left, but to sali- vate the patient, by rubbing one drachm of mercurial ointment on him every six hours till he spits freely ; after which it may be applied every other night, so as to keep up a plentiful spitting for a week or ten days. This, if done in time, will often prevent the affection. FAMILY ADVISER. 135 CHAP. LIX. DROPSY. CAUSES, Obstructions of the liver, compression of the blood vessels from any cause, large evacuations, suppressed natural evacuations, cold and moisture long applied, hard drinking, general debility, particular debility of what is called the lymphatic sys- tem, rupture of a lymphatic, &c. Symptoms. A suppression of urine, drought, swelling of the belly, or the body in general, which usually retains the impres- sion of the finger; towards the end, fevers come on with a looseness, which puts an end to the patient’s miserable life. Management. The patient should live upon light digestible food, and observe the greatest regularity ; his drink should be wine and water, if he is thin or debilitated: gentle exercise should be constantly used. Cure. It will be very well in the begin- ning, if the patient’s state admits of it, to give two or three small purges, composed of twenty grains of jalap, with a quarter of an ounce of cream of tartar: if this does not answer, we should try medicines that promote the urinary secretion; for which purpose two grains of powdered squills may be given twice a day, or half an ounce of cream of tartar dissolved in a quart of wa- 136 FAMILY ADVISER. ter, may be taken in the course of the morn- ing. An infusion of horseradish and garlic, in spirit, has been sometimes of use; also strong cider, iron flakes, and mustard-seed put together. From ten to twenty drops of an infusion of tobacco, in a little mint water, twice a day, have been used with success : also a tea- spoonful of salt-petre in a little gin, twice a day. If none of the above medicines have the desired effect, there is but little chance of a recovery. However, after every thing else has been tried to no purpose, rubbing the belly, when the dropsy affects that part, with warm oil for a long while every day, before a fire has proved effectual. Bitters and steel are always useful, and should be taken with the other medicines, only at another hour. There is a kind of dropsy which affects only the cavity of the breast, which is known by the noise the water makes, when the pa- tient turns over; by is affecting the pulse so as to make it irregular in its strokes : by its affecting the respiration, and disturbing the patient in the night with a sensation of oppression. It is to be treated as the other dropsies. FAMILY ADVISER. 137 CHAP. LX. SYMPTOMS. It makes its appearance generally between the ninth and twenty- fourth month, in the following manner ; the child becomes sedate, and grows lean, whilst the head grows somewhat out of form ; the teeth come out slowly, turn black, and fall out: in a little time the child becomes alto- gether misshapen, some parts growing whilst others pine away ; the stools are liquid and after a considerable time a fever comes on, which continues till it puts an end to the pitiable object. But when it is not so bad, the child re- covers as he grows, till he recovers all but his shape Management. The child should not be kept longer than usual at the breast, he should have a portion of meat for his diet, much tea should be avoided; he should be carried out every day for exercise, when the weather permits, and great attention should be paid to keeping him clean. Cure If the weather is not very cold, let the child be dipped every morning in water immediately from the well: give him a tea-spoonful of the tincture No. 7. three or four times a day, and let him take two or, three grains of rhubarb, when costive. RICKETS. 138 Bark is also a good medicine, if the child can be prevailed on to take it. If there is much acid on the stomach, give a little crabs eyes, or magnesia. FAMILY ADVISER. CHAP. LXI. CAUSES. Concretions of the bile, stop- ping up the duct, tumours, spasms of the gut into which the bile is emptied, as in cholic and obstructions of the liver. JAUNDICE. Symptoms, An universal yellowness, which begins in the white of the eyes, whit- ish stools, and pains about the right side, and sometimes a swelling at the same place. Management, The patient should live mostly on vegetables, except when very thin. Gentle exercise should be constantly used ; the drink should be wine and water, when in the above state, but if full, nothing but water should be used. The patient should carefully avoid cold and moisture. Cure. A gentle emetic should be tried, and if it is of service, or does not do harm, it should be repealed; this is best suited where there are gall stones : but if the liver be obstructed, the patient should take one grain of calomel every night and morning, till his gums feel sore. When much pain attends, twelve or fifteen drops of laudanum may be given twice a day. Bitters are often useful; also, elixir of vi- triol, to forty drops a day. Soap has some- times been useful, taken in pills ; but the chief dependence is to be put in diet and exercise. FAMILY ADVISER. 139 When there is any fever, the saline mix- ture, No. 2, should be used as there directed. PRESCRIPTIONS. FEVER POWDERS, NO. 1. Take one hundred grains of clean salt- petre, and one grain of tartar emetic ; beat the salt fine, and mix the tartar well with it; divide it into five powders. One of these is generally given every two hours, in a cup of water or tea. Take two tea-spoonfuls of salt of tartar or salt of wormwood, dissolve it in six table spoonfuls of water, and add lemon or lime juice to it, or pure vinegar gradually, until it ceases to bubble ; sweeten it.—Two ta- ble-spoonfuls every hour is generally the dose, SALINE MIXTURE, NO. 2. 140 DECOCTION OF BARK, No. 3. FAMILY ADVISER. To one ounce of bark, add half a gallon of water, and boil it in about two or three hours to three gills: strain it through a coarse rag whilst hot. Dose; Two table-spoonfuls every two hours. Pour a quart of Port or Madeira wine on two ounces of bark ; in six days it will be fit for use. TINCTURE OF BARK, NO. 4. Dose: A small wine glass full from two to six times a day. To one pint of milk add of lard or oil, mo- lasses, and Glauber or table salt, each one table-spoonful; warm it to the heat of blood, and use it at once. MILD CLYSTER, KO. 5. COMMON LAXATIVE PILLS, NO. 6. Take thirty-six grains ot aloes, and twen- ty-four of Castile soap: make them into twelve pills with a little honey ; one or two are a dose. TINCTURE OF STEEL, OR IRON, NO. 7. On a handful of the flakes that fly off round the anvil (in a blacksmith’s shop) pour a quart of port wine : let it stand a few weeks, and then use half a wine glass full, once, or twice, or three times a day. FAMILY ADVISER. 141 BITTERS, NO. 8. On an ounce of gentian root, finely cut, and half an ounce of orange peel, pour a pint of good brandy : let them stand five days, and then use about two tea-spoonfuls in a little water, three times a day. DOSES. For a grown person a youth of 12 a child of 3 a babe Laudanum. Drops. 10 to 25 4 to 8 2 to 4 1 to l i Tart. Emet. Grains. 2 to 4 I i to 2* 1 to li Ipecacuana. Grains. 8 to 18 6 to 10 4 to 6 1 to 2 Chalybeate. That which is impregnated with iron., Coma. A disordered state like sleep* Congestion. A collection of humours. Contusion. Pressure, squeeze, crush. Constricted. Drawn together, bound. Debility. Feebleness, weakness. Decoction. That which is made by boiling. Delirium. A confusion of the internal senses. Demulcent. Softening. Desquamation, A peeling off. Exacerbate. Sharpening up, increase. Efflorescence. An appearance of ruddy spots. Exhalation. Vapour, fume. Eminence. Raised above a level. Eructation. A belching. Fauces, The posterior cavity of the mouth. EXPLANATION OF DIFFICULT WORDS. FAMILY ADVISER. Flaccid. Relaxed, loose. Gestation. Passive exercise, as riding; Grumous. Clodded. Intermittent. With an interval. Laceration. Tear, rent. Mucilaginous. Jelly-like, slimy, viscous. Narcotic. That which destroys sense and stupifies, Nausea. Sickness at the stomach. Obesity. Fatness, Ossify. To turn to bone. Palliative. That which mitigates, lessens. Peripneumonia. Inflammation round the lungs. Pustules. Pimples with matter in them. Radically. From the root, the bottom. Remit. To lessen or cease partially. Respiration. The act of breathing. Sedate. Given to inactivity, quiet. Sloughs. Mortified spots. Spheroidal. Like a sphere. Suppurate. rl o turn to matter. Topical. Confined to a place or part. Torpor. Slowness. Turgid. Swelled, bloated. Undulate. To proceed like waves. Ventilated, Exposed to the wind. Vesicles. Pimples with water in them, like bladders. CONTENTS OF THE FAMILY ADVISER. APOPLEXY .... PAU4 Asthma - - - - - 127 Bleeding at the nose 90 Bite of a mad dog - - - 134 Catarrh. See cold and influenza Croup or Hives - - - - 30 Chicken Pox - - - e 81 Consumption - - - 97 Cold - 108 Cholic ..... 129 Cholera Morbus, or vomiting and purging of bile, 130 Discharge of ulood from the urinary passage 107 Dyspcpsy, or Indigestion - - - 118 Dropsies - - - - - 135 Doses - - . - - 141 Essera, or Nettle Rash 88 Epilepsey, or common Fits - . - 122 Fever; in general .... 5 Fever inflammatory ... - 6 N rvous - - - - 10 Putrid ' .... 14 Remittent - . - - 19 Hectic - - - - 26 Scarlet .... 84 Flux - - - -11 L Fainting - - - - - 117 Gout ..... 63 Gout, Regular 66 4tinic 68 Retrocedent - - - - 70 Mi placed 71 Hives ... - 39 Hooping Cough - - 128 144 CONTENTS. Hysterics - 132 Inflammation of the eye 29 of the Brain - - - 31 of the Stomach . - - 50 • of the Intestines » - 52 of the Liver - - - 53 of the Kidneys 56 influenza - - - - - 110 Jaundice - 138 Locked Jaw - - - - 121 Lax or Looseness - - - . - 131 Mumps 41 Measles - - - - 82 Menses, Profuse - 101 Obstructed - - - 104 Obstructed Liver 55 Pleurisy, true 42 Bastard - - - 45 Piles - - - - - 99 Palsy - - - - - 116 Palpitation of the Heart - - - 126 Prescriptions .... 139 Putrid Sore Throat - - - - 37 Quinsey 34 Rheumatism, Intercostal - - - 48 Acute - - - 67 Chronic - - - 59 Rickets - - - - 4L - 137 Sciatica - . - - 59 Small Po*, Distinct - - - - 73 Confluent - - - 78 St. Anthony’s Fire - - - 85 Spitting of Blood 94 St. Vitus’s Dance - - - 125 Tooth Ach . - - - - 60 Vomiting of Blood - 105 Whites - 103 PINTS'. PRIMITIVE PHYSIC: OR AN EASY AND NATURAL METHOD OF CURING MOST DISEASES. BY JOHN WESJjEY, M. Jl. Homo sum: humani nihil a me alienum puto. THE TWENTY-EIGHTH EDITION, CORRECTED. New- York: PUBLISHED BY J. SOULE AND T. MASON, FOR THE METHODIST EPISCOPAL CHURCH IN THE UNITED STATES. John C. Totten, printer; 1818. PREFACE, HEN man came first out of the hands of the great Creator, clothed in body as well as in soul, with immortality and incorruption, there was no place for physic, or the art of healing. As he knew no sin, so he knew no pain, no sickness, weakness, or bodily disorder. The habitation wherein the angelic mind, the Divinse particula Auras abode, though originally formed out of the dust of the eartn, was liable to no decay. It had no seeds of corruption or dissolution within itself. And there was nothing without to in- jure it : heaven and earth and all the hosts of them were mild, benign and friendly to human nature. The entire creation was at peace with man, so long as man was at peace wdth his Creator. So that well might “ the morning stars sing together, and all the sons of God shout for joy.” 2. But since man rebelled against the Sovereign of heaven and earth, how entirely is the scene changed ! The incorruptible frame hath put on corruption, the immortal has put on mortality. The seeds of weak- ness and pain, of sickness and death are now lodged in our inmost substance ; whence a thousand disorders continually spring, even without the aid of externa! violence. And how is the number of these increased by every thing round about us! The heavens, the earth, and all things contained therein, conspire to punish the rebels against their Creator. The sun and moon shed unwholesome influences from above; the earth exhales poisonous damps from beneath; (he beasts of the fields, the birds of the air, the fishes of the sea are in a state of hostility: the air itself that surrounds us on every side, is replete with the sh fts of death : yea, the food we eat, daily saps the founda- tion of the life which cannot be sustained wi'hout it. So has the Lord of all secured vhe execution of his decree—“ Dust thou art, and unto dust thou shalt re- turn.” 4 PREFACE, 3. But can there nothing- be found to lessen those inconveniences, which cannot be wholly removed? To soften the evils of life, and prevent in part Ihe sickness and pain to which we are continually expo- sed ? Without question there may. One grand pre- ventive of pain and sickness of various kinds, seems intimated by the great Author of nature in (he very sentence that entails death upon us : “ In the sweat of thy face shalt thou cat bread, till thou return to the ground.” The power of exercise both to pre- serve am restore health, is greater than can well be conceived; especially' in those who add temperance thereto ; who if they do not confine themselves alto- gether to eat either “ bread or the herb of the field” (which God does not require (hem to do) yet steadily observ- both that kind and measure of food, which ex- perience shews to be most friendly to strength and health. 4 It is probable, physic, as well as religion, was in the first ages chiefly traditional: every father deliver- ing down to his sons, what be bad himself in like manner received, concerning the manner of healing both outward hurls, and the diseases incident to each climate, and the medicines which were of the great- est efficacy for the cure of each disorder. It i» cer- tain, this is the method wherein the art of healing is pro«erved among the Americans to this day. Their diseases are exceeding few ; nor do they often occur by reason of their continual exercise, and (till of late) universal temperance. Bu< if anv are sick or bitten by a serpent, or torn by a wild beast, the fathers im- mediately tell their children what remedy to apply. And it is rare that the patient suffers long; those medicines being quick, as well as generally infal- lible. 5. Hence it was, perhaps, that the ancients, not on- ly of Greece and Pome, but even of barbarous nations, usually assigned physic a divine original And in- deed it was a natural thought, that He who had taught it to the very beasts an i birds, the Cretan Stag, the Egyptian Ibis, could not he wanting to teach man, Sanctius his animal, mentisque capacius altar. Yea, sometimes even by those meaner creatures ; for it was easy to infer, “If this will heal that creature, whose flesh is nearly of the same texture with mine, then in a parallel case it will heal me.” The trial was made : the cure was wrought; and experience and physic grew up together. 6. As to the manner of using the medicines here set down, 1 should advise, as soon as you know your distemper (which is very easy, unlecs in a complication of disorders, and then you would do well to apply to a physician that fears God) First, use the fir-t of the remedies for that disease, which occurs in the ensu- ing collection; (unless some other of them be easier to be had, and then it may do just as well.) Second- ly, after a competent fimej if it takes no effect, use the second, the third, and so on. I have purposely set down (in most cases) several remedies for each dis- order ; not only because all are not equally easy to be procured at all times, and in all places: but like- wise the medicine that cures one man, will not always cure another of (he same distemper. Nor will it cure the same man at all times. Therefore it was necessary to have a variety. However, 1 have sub- joined tlie letter (I) to those medicines which some think infallible. Thirdly, Observe all the time the greatest exactness in your regimen or manner of liv- ing. Abstain from all mixed, all high-seasoned food. plain diet, easy of digestion ; and this as sparing- ly as you can, consistent with ease and strength.— Drink only water, if it agrees with your stomach : if not, good, clear, small beer. Use as much exercise daily, in the open air, as you can without weariness. Sup at six or seven on the lightest food ; go to bed early and rise betimes. To persevere with steadi- ness in this course, is often more than half the cure. Above all, add to the rest (for it is not labour lost) that old, unfashionable medicine, prayer And have faith in God who “ killeth and maketh alive, who bring- eth down to the grave, and bringeth vp.” 7. For the sake of those who desire through the blessing of God to retain the health which they have recovered, I have added, a few plain, easy rules, chief- ly transcribed from Dr. Cheyne. PREFACE. 6 PREFACE. 1. 1. The air we breathe is of great consequence to our health. Those who have been long abroau in easterly or northerly winds, should drink some thin and warm liquor going to bed, or a draught of toast and water. 2. Tender people should have those who lie with them, or are much about them, sound, sweet, and healthy. ‘.•5. Every one that would preserve heallh, should be as clean and sweet as possible in their houses, clothes, and furniture. li. 1. The great rule of eating and drinking is, To suit the quality and quantity of the food to the strengdi of our digestion ; to take always such a sort and such a measure of food, as sits light and easy on the stomach. 2. All pickled, or smoked, or salted food, and ail high- seasoned, are alone unlit for aliment. 3. Nothing conduces more to health, than absti- nence and plain food, with due labour. 4. For studious persons, about eight ounces of ani- mal food, and twelve of vegetable, in twenty-four hours, are sufficient. 5. Water, though the wholesomest of all drinks, yet if used largely in time of digestion, is injurious. 6. Strong, and more especially spirilous liquors; are a certain, though slow poison, unless well diluted and cautiously used. 7. Experience shews, there is very seldom any dan- ger in leaving them off all at once; unless in time of particular diseases, as of debility. 8. Strong liquors do not prevent the mischiefs of a surfeit, nor carry it off so safely as water. 9. Malt liquors (except clear small beer, or small ale, of a due age) are exceeding hurtful to tender per- sons. 10. Coffee and tea are extremely hurtful to persons who have weak nerves. 111. 1. All persons should eat very light suppers ; and that two or three hours before going to bed. 2. To go to bed about nine, and rise at five should be a general practice. IV. 1. A due degree of exercise is indispensably ne- cessary to health and long life. PREFACE. 2. Walking* is the best exercise for those who are able to bear u; riding for those who are not. The open air, tv hen the weather is fair, contributes much to the be*.: ,flt of exercise. 3. We may strengthen any weak part of the body by constant exercise. Thus the lungs may be strength- ened by moderate speaking; the digestion and the nerves by ruling ; the arms and hams, by strongly rub- bing them daily. 4. The studious ought to have stated times for ex- ercise, at leas' two or three hours a-day: the one half of this before dinner, the other before going to bed. 5. They should frequently shave, and frequently wash their feet in cold water. 8. Those who read or write much, should learn to do it chiefly standing; otherwise it will impair their health. 7. The fewer clothes any one uses, by day or night, the hardier he will be; but the habit must be begun in youth. 8. Exercise, first, should be always on an empty sto- mach ; secondly, should never be continued to weari- ness ; thirdly, after it. we should take care to cool by degrees ; otherwise we shall take cold. 9. The flesh brush is a most useful exercise, especi- ally to strengthen aay part that is weak. 10. Cold bathing is of great advantage to health : it prevents abundance of diseases. It promotes per- spiration, helps the circulation of the blood, and pre- vents the danger of taking cold Tender people should pour water upon the head before they go in, and walk in swiftly. To jump in wuh the head foremost is too great a shock to nature. It is best to use it imme- diately after rising. V. i. Costiveness cannot long consist with health. Therefore care should be taken to remove i! at the be- ginning by a gentle medicine : and when it is remov- ed to prevent its return, by soft, cool, open diet; as of vegetables, acid or sweet. 2. Obstructed perspiration (vulgarly called catch- ing cold) is one great source of diseases. Whenever there appears the least sign of this, let it be removed by gentle sweats or purges. VI. 1. The passions have a greater influence on health than most people are aware of. 2. AH violent and sudden passions dispose to, or ac- tually throw people into acute diseases. 3. The slow and lasting passions, such as grief and hopeless love, bring on chronic diseases, and low fe- vers. 8 PREFACE. 4, Till the passion which caused the disease is calmed, medicine is applied in vain. 5. The love of God, as it is the sovereign remedy of all miseries, so in particular it effectually prevents all the bodily disorders the passions introduce, by keeping the passions themselves within due bounds. And by the unspeakable joy, and perfect calm, serenity and tranquility it gives the mind, it becomes the most pow- erful of all the means of health and long life. London, June 11,1747. TO THE MEMBERS OF THE METHODIST EPISCOPAL CHURCH. Friends and Brethren, The grand interest of your souls will ever lie near our hearts ; but vve cannot be unmindful of your bodies. In several parts of this extensive country, the climate, and in others the food, is unwholesome ; and frequently, the physicians are few, some of them unskilful, and all of them beyond the reach of your temporal abilities. A few small publications excepted, little has been done by physical books, in order to remove these inconveniences, and even those have been written in Europe, and do therefore partake of the confined ideas of the writers, who could not possibly be fully acquainted with the peculiarities of the various diseases incident to a people that inhabit a country so remote from theirs. Simple remedies are, in general, the most safe for simple disorders, and sometimes do wonders under the blessing of God. In this view we present to you now, the Primitive Physic, published by our much honoured friend John Wesley. But the difference be- 10 ADDRESS, ing in many respects great between this country and England, in regard to climate, the constitution of patients, and even the qualities of the same simples,—we saw it necessary for you, to have it revised by physicians practising in this country, who at our request have added cautionary and ex- planatory notes where they were necessary, with some additional receipts suitable to the climate. In this state we lay the publication before you, and earnestly recommend it to you. As we apply all the profits of our books to charitable purposes, and the promoting the work of God, we think we have some right to intreat you (except in particular cases) to buy only our books, which are recom- mended by the Conference, and signed with our signatures : and as we intend to print our books in future within the states, and on a much larger scale than we have hitherto done, we trust we shall be able soon to sup- ply you with as many of the choicest of our publications, as the time and temporal abili- ties of those of you, who do not live a life of study, will require. We remain, dear brethren, as ever, Your faithful pastors, THOMAS COKE, FRANCIS ASBURY. A COLLECTION OF RECEIPTS. We would inform our readers, that the receipts and notes inclosed in brackets, as this is, are insert- ed by the physicians who revised the copy for this impression : and also, that the prescriptions mark- ed * are better than the others.] 1. Abortion * (to prevent.) *Women of a weak or relaxed habit should use solid food, avoiding great quantities of tea, and other weak and watery liquors.— They should go soon to bed, and rise early ; and take frequent exercise, but avoid fa- tigue. If of a full habit, they ought to use a spare diet, and chiefly of the vegetable kind, avoiding strong liquors, and every thing that may tend to heat the body, or increase the quantity of blood. In the first case, take daily half a pint of a decoction of lignum vitas: boiling an ounce of it in a quart of water for five min- utes. *[ln the first case, the cold bath used two or three times a week, from the beginning1 to the sixth month of pregnancy, is deemed effectual. In the latter case, bleeding at the arm in the fourth and seventh months may be used.] PRIMITIVE PHYSIC. In the latter case, give half a drachm of powdered nitre, in a cup of water gruel, ev- ery five or six hours: in both cases she should sleep on a hard mattrass, and be kept cool and quiet. The bowels should be kept regular by a pill of white walnut extract. 2. For an Ague.* Go into the cold bath just before the cold fit. Nothing tends more to prolong an ague, than indulging a lazy indolent dispo- sition, The patient ought, therefore, be- tween the fits, to take as much exercise as he can bear ; and to use a light diet, and for common drink, zome ant? water is the most proper, *When all other means fail, give blue vitrol, from one grain to two grains, in the absence of the fit, and repeat it three or four times in twenty-four hours. Or, boil yarrow in new milk, till it is len- der enough to spread as a plaster. An hour before the cold fit, apply this to the wrists, and let it be on till the hot fit is over. If another fit comes, use a fresh plaster. This often cures a quartan : *Or put a tea-spoonful of salt of tartar in- to a large glass of spring water, and drink * An ague is an intermitting fever, each fit of which is preceded by a cold shivering, and goes off in a sweat. it by little and little. Repeat the same dose the next two days, before the time of the fit. *Or a large spoonful of powdered Camo- mile flowers: *Or a tea-spoonful of the spirits of harts- horn in a glass of water: Or, eat a small lemon, rind and all. *ln the hot fit, if violent, take eight or ten drops of laudanum : if costive, with an An- derson’s pill, *Dr. Lind says, an ague is certainly cur- ed by taking from ten to twenty drops of laudanum, with two drachms of syrup of poppies, in any warm liquid, half an hour after the heat begins. PRIMITIVE PHYSIC. It is proper to take a gentle vomit, and sometimes a purge, before you use any of these medicines. If a vomit is taken two hours before the ft is expected, it generally prevents that fit, and sometimes cures an ague, especially in children. It is also proper to repeat the medicine, (whatever it be) about a week after, in order to prevent a relapse. Do not take any purge soon after. The daily use of the fiesh brush, and frequent cold bathing, are of great use to prevent relapses. have been cured by wearing a waistcoat, in which bark was quilted. [Those fevers which abate their violence at times, that there appears an absence of 14 the fever for a certain period between two fits, are called intermittcnts, says Galen.— The length of the period determines the name, as quotidian, tertian, double tertian, quartan. The spring intermittcnts seldom need the grand specific remedy, viz. the Peruvian bark, in this climate, as by admin- istering a vomit of twenty grains of ipeca- cuana, or of eight grains of the former, and one of tartar emetic mixed fora grown per- son, the succeeding heat of the season ef- fects the cure, and often without medicine. The fall intermittcnts seldom put on a regu- lar form at first in adults, but arc generally remitting fevers ; but even though they ap- proach nearer to a continual fever, the pa- tient seldom needs bleeding, and perhaps never in regular intermittcnts. In either case a vomit as before mentioned, the first opportunity in remitting, and two hours be- fore the fit in an intermitting fever, with warm diluting drinks in the time of the fit, and when intermitting regularly, the bark may be applied, after the operation of the vomit, and the fit is over.—Children gene- rally need only to be purged before the use of the bark, with jalap or rhubarb : the dose of these may be thirty grains for a grown person, and half the quantity for one of nine years old, and in proportion. After the fever regularly intermits, and the sto- mach has been cleansed and the body kept PRIMITIVE PHYSIC. PRIMITIVE PHYSIC. 15 open, the Peruvian bark may be given, (un- less some inflammation or obstruction pre- vent) immediately after the fit, two ounces, and often one is generally sufficient, thus : Divide an ounce of powder of the bark into twelve doses ; let the sick man or woman take, one every two hours between the fits, and continue them after the return of the next; or, boil an ounce of the bark in a pint and a half of water gently down to a pint, strain off the liquid, and lake a wine glass full every two hours ; or—To an ounce of the bark in powder add four or five spoon- fuls of proof spirit and a pint of boiling wa- ter, let them infuse two or three days : to use as the former. But it is best in sub- stance when it can be taken.] 3. St. Anthony’s Fire.* *Take a glass of tar water, warm, in bed, every hour, washing the part with (he same. Tar water is made thus.—Put a gal- lon of cold water to a quart of Norway *St. Athony’s fire is a fever attended with a red painful swelling-, full of pimples, which afterwards turn into small blisters, on the face or some other part of the body. The sooner the eruption is, the less the danger. Let your diet be only water gruel or barley broth, with roasted apples. 16 PRIMITIVE PHYSIC. tar. Stir them together with a flat slick for Jive or six minutes. After it has stood cov- ered for three days, pour ojf the zuater clear, bottle and cork it. Or, take a decoction of elder leaves as a sweat; applying to the part a cloth dipt in lime water, mixed with a little camphorated Spir ts of wine. Lime water is made thus,—lnfuse a pounu vf good quick lime in six quarts of spring water for twenty-four hours. Decant and keep it for use. *or, take two or three gentle purges.— No acute fever bears repeated purges bet- ter than this, especially when it affects the head : meantime boil a handful of sage, two handfuls of elder leaves (or bark) and an ounce of alum in two quarts of forge water, to a pint. Wash with this every night.— See extract from Dr. Tissot. If the pulse be low and the spirits sunk, nourishing broths and a little negus may be given to advantage ; dressing the inflamma- tion with greasy ointments, salves, &c. is very improper. Bathing the feet and legs in warm water is serviceable, and often relieves the patient much. In Scotland the common people cov- er the part with a linen cloth covered with meal. PRIMITIVE PHYSIC. 17 4. The Apoplexy.* *To prevent, use the cold bath, and drink only water. In the fit put a handful of salt into a pint of cold water, and if possible pour it down the throat of the patient. He will quickly come to himself. So will one who seems dead by a fall. But send for a good physi- cian immediately. If the lit be soon after a meal, vomit and bleed. *A seton in the neck, with low diet, has often prevented a relapse. *There is a wide difference between the sanguineous and serous apoplexy; the lat- ter is often followed by a palsy. The former is distinguished by the countenance ■appearing florid; the face swelled or puffed up : and the blood vessels, especially about the neck and temples, are turgid : the pulse beats strong: the eyes are prominent and fixed ; and the breathing is difficult and per- formed with a snorting. This invades more suddenly than the serous apoplexy. Use large bleedings from the arm or neck ; bathe the feet in warm water; cupping on the back of the head, with deep scarification. The garters should be tied very tight to *An apoplexy is a total loss of all sense and volun- tary motion, commonly attended with a strong pulse, Lard breathing and snorting 18 PRIMITIVE PHYSIC. lessen the motion of the blood from the low- er extremities. *A scruple of nitre may be given in water, every three or four hours. *When the patient is so far recovered as to be able to swallow, let him take a strong purge ; but if this cannot be effected, a clys- ter should be thrown up with plenty of fresh butter, and a large spoonful of common salt in it. In the serous apoplexy, the pulse is not so strong, the countenance is less florid, and not attended w’ith so great a difficulty of breathing. Here bleeding is not so neces- sary, but a vomit of three grains of emetic tartar may be given, and afterwards a purge as before, and a blister applied to the back of the neck. 'This apoplexy is generally preceded by an unusual heaviness, giddiness, and drow- siness. 5. Canine Appetite.* “ If it be without vomiting, is often cured by a small bit of bread dipt in wine, and ap- plied to the nostrils.” Dr. Schomberg. 6. The Asthma.f Take a pint of cold water every morn- *An insatiable desire of eating-. •j An Asthma is a difficulty of breathing returning at intervals, from a disorder in the lungs. In the com- mon (or moist) asthma, the patient spits much. PRIMITIVE PHYSIC. ing, washing the head therein immediately after, and using the cold bath once a fort- night : Or, cut an ounce of stick liquorice into slices ; Steep this in a quart of water four and twenty hours, and use it, when you are worse than usual, as common drink. I have known this give much ease. Or, half a pint of tar-water twice a day. Or, live a fortnight on boiled carrots only. It seldom fails ; Or, take from ten to twenty drops of elisir of vitriol, in a glass of water, three or four times a day. Elixir of vitriol is made thus. Drop gradually four ounces of strong oil of vitriol into a pint of spirits of wine, or brandy ; let it stand three days, and add to it ginger sliced, half an ounce, and Jamaica pepper, whole, one ounce. In three days more it is ft for use. Or, into a quart of boiling water, put a tea-spoonful of balsamic aether; receive the steam into the lungs, through a fumigator, twice a day. Balsamic aether is made thus. Put four ounces of spirits of wine, and one ounce of balsam of tolu into a vial, with one ounce of cether. Keep it utcll corked. But it will not keep above a week. For present relief, vomit with twelve grains of ipecacuana. 20 PRIMITIVE PHVSIC. 7. A Dry or Convulsive Asthma. Juice of radishes relieves much: so does a cup of strong coffee ; or garlic, either raw or preserved, or in syrup : Or, drink a pint of new milk morning and evening. This has cured an inveterate asthma. Or, beat fine saffron small, and take eight or ten grains every night.—Tried. Take from three to live grains of ipccacu- ana every week. Do this, if need be, fora month or six weeks. Five grains usually vomit. In a violent fit,.take filteen grains. In any asthma, the best drink is apple- water; that is, boiling water poured on sli- ced apples. The food should be light and easy of di- gestion. Ripe fruits baked, boiled, or roast- ed, are very proper; but strong liquors of all kinds, especially beer or ale, are hurt- ful. If any supper is taken, it should be very light. *AII disorders of the breast are much re- lieved by keeping the feet warm, and pro- moting perspiration. Exercise is also ol very great importance ; so that the patient should take as much every day as his strength will bear. Issues are lound in general to be of great service. Dr. Smyth, in his Formula, recommends mustard whey as common drink, in the PRIMITIVE PHYSIC. 21 moist asthma; and a decoction of the mad- der root to promote spitting. The decoction is made thus.—Boil one ounce of madder, and two drachms of mace, in three pints of water, to two pints, f/ien strain it, and lake a tea-cupful three or four times a day. 8. To cure Baldness. Rub the part morning and evening, with onions, till it is red, and rub it afterwards with honey. Or, wash it with a decoction of box-wood: Tried. Or, electrify it daily. 9. Bleeding at the Nose (to prevent.) Dissolve two scruples of nitre in half a pint of water, and take a tea-cupful every hour, if the patient is plethoric. *To cure it, apply to the neck behind and on each side, a cloth dipt in cold water: Or, put the legs and arms in cold water: Or, wash the temples, nose, and neck, with vinegar. Or snuff up vinegar and water. *Or foment the legs and arms with it: Or steep a linen rag in sharp vinegar, burn it, and blow it up the nose with a quill: *Or, apply tents made of soft lint dipped in cold wmter, strongly impregnated with a solution of alum, and introduced within the nostrils quite through to their posterior aper- tures PRIMITIVE PHYSIC. Or, dissolve an ounce of alum powdered, in a pint of vinegar; apply a cloth dipt in this, to the temples, sleeping the feet in warm water. In a violent case, go into a pond or river. Tried.—See extract from Dr. Tissot. 10. Bleeding of a Wound. Make two or three tight ligatures towards the lower part of each joint: slacken them gradually: Or, apply tops of nettles bruised : Or, strew on it the ashes of a linen rag, dipt in sharp vinegar and burnt: Or, take ripe puff-balls, break them warily, and save the powder. Strew this on the wound and bind it on. /•—This will stop the bleeding of an amputated limb. [Or, take of blue vitriol and alum, each an ounce and a half, boil them in a pint of wa- ter till the salts are dissolved, then filter the liquid and add a drachm of the oil of vitriol: a soft rag maybe dipped in this, and appli- ed up the nose; or any bleeding we can come at.—Buchan. Or, use the agaric of the oak.l 11. Spitting of Blood.* Take two spoonfuls of juice of nettles ev- ery morning, and a large cup of decoction of nettles at night for a week: Tried. *[Eat a table-spoonful of fine common salt every morning' fasting, or a tea-spoonful every three hours, until the bleeding stops.] PRIMITIVE PHBSIC. Or, three spoonfuls of sage-juice in a little honey. This presently stops either spitting or vomiting blood : Tried. Or, twenty grains of alum in water every two hours. 12. Vomiting of Blood. Take two spoonfuls of nettle juice. This also dissolves blood coagulated in the stomach.)—Tried. Or, take as much salt-petrc as will lie up- on half a crown, dissolved in a glass of cold water, two or three times a day. 13. To Dissolve Coagulated Blood. Bind on the part for some hours, a paste made of black soap and crumbs of white bread: Or, grated root of byrdock spread on a rag : renew this twice a-day. 14. Blisters, On the feet, occasioned by walking, are cured by drawing a needle full of worsted through them, clip it off at both ends, and leave it till the skin peels of. 15. Biles. Apply a little Venice turpentine : Or, an equal quantity of soap and brown sugar well mixt. 24 PRIMITIVE PHYSIC. Ora plaster of honey and wheat flower: *Or of figs : Or, a little saffron in a white bread poul- tice. —Tis proper to purge also. 16. Hard Breasts. Apply turnips roasted till soft, (hen mash- ed and mixed with a little oil of roses.— Change this twice a-day, keeping the breast very warm with flannel. 17. Sore Breasts and Swelled. *Apply lead water. Or, boil a handful of camomile, and as much mallows in milk and water. Foment with it between two flannels, as hot as can be borne, every twelve hours. It also dis- solves any knot or swelling in any pert, where there is no inflammation. 18. A Bruise. Immediately apply treacle spread on brown paper: Tried. Or, apply a plaster of chopt parsley mixt with butter : Or, electrify the part. This is the quick- est cure of all. 19. To prevent swelling from a Bruise. apply a cloth, five or six fold dipt in cold water, and new dipt when it grows warm : Tried. PRIMITIVE PHYSIC. 25 20. A Burn or Scald. If it be but skin deep, immediately plunge the part in cold water, keep it in an hour, if not well before. Perhaps four or five hours : Tried. Or electrify it. If this can be done pre- sently it totally cures the most desperate burn. Or, if the part cannot be dipt, apply a cloth four fold, dipt in cold water, changing it when it grows warm. 21. A deep Burn or Scald. *Apply inner rind of elder well mixt with fresh butter. When this is bound on with a rag, plunge the part into cold water. This will suspend the pain till the medicine heals. ©r, mix lime-water and sweet oil, to the thickness of cream, apply it with a feather several times a-day. This is the most effec- tual application I ever met with. - Or, put twenty-five drops of Goullard’s extract of lead, to half a pint of rain-water; dip linen rags in it, and apply them to the part affected. This is particularly service* able if the burn is near the eyes. 26 PRIMITIVE PHYSIC. 22. A Cancer.* four grains of white arsenic in a pint of water, one table-spoonful every morning in molasses or milk must be taken. 23. Chilblains (to prevent.) *Wear socks of Chamois leather, or silk. Bathe the feel often in cold water, and when this is done, apply a turnip poultice. 24. Children. weakness, dip them in cold water, every morning, at least till they are eight or nine months old. No roller should ever be put round their bodies, nor any stays used. Instead of them, when they are put into short petticoats, put a waiscoat under their frocks. Let them go barefooted and bare-headed till they arc three or four years old at least. ’Tis best to wean a child when seven months old, if it be disposed to rickets. It should lie in the cradle at least a year. No child should touch any spirituous or fermented liquor before two years old.— Their drink should be water. Tea they *To prevent the rickets, tenderness, and *A cancer is a hard, round, uneven, painful swell- ing', of a blackish or leaden colour, the veins round which seem ready to burst. It comes commonly with a swelling as big as a pea, which does not at fny.t give much pain, nor change the colour of the skin. PRIMITIVE PHYSIC. should never taste till ten or twelve years old. Milk, milk-porridge, and water-gruel are the proper breakfasts for children. 25. Chin-Cough, or Hooping-Cough. Rub the feet thoroughly with hog’s lard, before the fire, at going to bed, and keep the child warm therein : Tried. Or, rub the back, at lying down, with old rum. It seldom fails : Or, give a spoonful of juice of penny-roy- al, mixt with brown sugar candy, twice a-day : Or, half a pint of milk, warm from the cow, with the quantity of a nutmeg of con- serve of roses dissolved in it every morning. Or, dissolve a scruple of salt of tartar in a quarter of a pint of clear water : add to it ten grains of finely powdered cochineal, and sweeten it with loaf sugar. Give a child within the year, the fourth part of a spoonful of this, four times a-day, with a spoonful of barley-water after it.— Give a child two years old half a spoonful: a child above four years old a spoonful.—■ Boiled apples put into warm milk may be his chief food. This relieves in twenty-four hours, and cures in five or six days. *Or, take two grains of tartar emetic, and hall a drachm of prepared crab’s claws powdered: let them be mixt very well to- gether. 28 PRIMITIVE PHYSIC. One grain, one grain and a half, or two grains of this composition, may be added to live or six grains of magnesia, and given in a small spoonful of milk and water in the forenoon, between breakfast and dinner, to a child a year old. *At night, if the fever is very high, half the former dose of this powder may be giv- en, with from five to ten grains of nitre. In desperate cases, change of air will have a good effect. 26. Cholera Morbus, i. e. Flux and Vom- iting of Bile.* *Boil a chicken an hour in two gallons of water, and drink of this till the vomiting ceases : Or, decoction of rice, or barley, or toast- ed oaten-bread. *lf the pain is very severe, steep the belly with fl-annels dipt in spirits and water. *The third day after the cure, take ten or fifteen grains of rhubarb. 27. Chops in Women’s Nipples. Apply balsam of sugar: *[ After tbe bowels are well emptied by large and frequently repeated draughts of the Ist and 2d prescrip- tions under this head, instant relief, in an extreme low fainty state, may be obtained by taking from 25 to 30 drops of liquid laudanum in a glass of mint tea. This is a dose for grown persons; if under 15 years of age, it must be proportioned accordingly.] *Or apply butter of wax, which speedily heals them. PRIMITIVE PHYSIC. 29 28. Chopt Hands (to prevent.) Wash them with flour of Mustard. *Or, in bran and water boiled together. 29. (To Cure.) Wash them with soft soap, mixt with red sand : Tried. Or, wash them in sugar and water: Tried. 30. Chopt Lips. Apply a little sal prunelhe. 31. A Cold. Drink a pint of cold water, lying down in bed: Tried. Or, a spoonful of treacle in half a pint of water; Tried. Or, to one spoonful of oatmeal, and one spoonful of honey, add a piece of butter, the bigness of a nutmeg : pour on gradually near a pint of boiling water : drink this ly- ing down in bed. 32. A Cold in the Head. Pare very thin, the yellow rind of an or- ange. Roll it up inside out, and thrust a roll into each nostril. 33. The Cholic (in the Fit.) Drink of camomile tea : 30 PRIMITIVE PHYSIC. Or, take from thirty to forty grains of yel- low peel of oranges, dried and powdered in a glass of water. *Or, take from five to six drops of oil of aniseed on a lump of sugar. *Or, apply outwardly a bag of hot oats : *Or steep the legs in hot water a quarter of an hour: *Or, take as much Daffy’s elixir as will presently purge. This relieves the most vi- olent cholic in an hour or two. dCF’Daffy’s Elixir is made thus :—Sena two ounces, jalap one ounce, coriander seed half an ounce : Geneva, or proof spirit, three pints : let them digest seven daps : strain and add loaf sugar four ounces. 34. The Dry Cholic (to prevent.) Drink ginger tea. 35. Cholic in Children.* Give a scruple of powdered aniseed in their meat: Tried. Or, small doses of magnesia. *Or a drachm of anisated tincture of rhu- barb, every three hours till it operates. subject to daily and severe cholic pains, should take the breast sparingly, and chiefty be fed on simple t hicken broth. Strong mallows root tea taken frequently, is an excellent "medicine in this com- plaint.] PRIMITIVE PHYSIC. 31 36. Bilious Cholic.* Drink warm lemonade: Or, give a spoonful of castor oil.t 37. An Habitual Cholic. *Wear a thin, soft flannel on the part. 38. An Hysteric Cholic.J Mrs. Watts, by using the cold bath two and twenty times in a month, was entirely cured of an hysteric cholic, fits, and convul- sive motions, continual sweatings and vomit- ing, wandering pains in her limbs and head, with total loss of appetite. *Take 10, 15, or 20 drops of balsam of Peru on fine sugar: if need be twice or thrice a-day. Or, in extremity, boil three ounces of burdock-seed in water, which give as a clyster : ; y ' *Tliis is generally attended with vomiting a green- ish or frothy matter, with feverish heat, violent t-.irst, a bitter taste in the mouth, and little ami high colour- ed urine. •jrTake one table-spoonful of Castor oil, mixed with a spoonful of lemon juice or sharp vinegar sweetened, every hour until it purges. This is a safe, easy, and effectual purge, not only in all those complaints where the bowels are the seat of disease, hut also in the in- termitting and remitting bilious fevers incident to warm climates.] Jls attended with a violent pain about the pit of the stomach, with great sinking of the spirits, and often with greenish vomitings. 32 *or, twenty drops of laudanum in any pro- per clyster; which gives instant ease. [ln this disorder there often is such a vom- iting, that no medicine for the present can be contained on the stomach long enough to be advantageous. A little warm water may be given at first; then cover the sick with an extraordinary quantity of bed- clothes ; when she becomes warm, the vom- iting ceases ; then a grain of opium may be taken, and if the complaints are not relieved thereby in half an hour, it may be repealed. A day or two after, a warm purge should be taken : Tried.] PRIMITIVE PHYSIC. Use the cold bath daily for three or four tveeks. 39. A Nervous Cholic.* 40. Cholic from the Fumes of Lead, or White Lead, Verdigrease, &c. In the fit, drink fresh melted butter, and then vomit with warm water : *To prevent or cure. Breakfast daily bn fat broth, and use oil of sweet almonds fre- quently. Smelters of metals, plumbers, &c. may be in a good measure preserved from the *This, some term the dry belty-ach. It often con- tinues several days with little urine and obstinate costiveness. A cholic with purging-, some term the watery gripes. PRIMITIVE PHYSIC. 33 poisonous fumes that surround them, by breathing through cloth or flannel mufflers two or three fold, dipt in a solution of sea salt, or salt of tartar, and then dried. These mufflers might also be of great use in many similar cases. 41. Windy Cholic. Parched peas, eaten freely, have had the most happy effects, when all other means had failed. 42. To prevent the ill effects of Cold. The moment a person gets into a house with his hands or feet quite chilled, let him put them into a vessel of water, as cold as oan be got, and hold them there till they be- gin to glow. This they will do in a minute or two. This method likewise effectually prevents chilblains. 43. A Consumption. One in a deep consumption, was advised to drink nothing but water, and eat noth- ing but water-gruel, without salt or sugar. In three months time, he was perfectly well. Take no food but new butter-milk,churned in a bottle, and white bread. I have known this successful. Or, use as common drink, spring water and new milk, each a quart *, and sugar can- dy two ounces. PRIMITIVE PHYSIC. Or, boil two handfuls of sorrel in a pint of whey. Strain it, and drink a glass thrice a-day ; Tried. Or, turn a pint of skimmed milk with half a pint of small beer. Boil in this whey about twenty ivy-leaves, and two or three sprigs of hyssop. Drink half over night, the rest in (he morning. Do this, if need- ful for two months daily. This has cured in a desperate case; Tried. Or take a cow-heel from the tripe-house ready dressed, two quarts of new milk, two ounces of hartshorn shavings, two ounces of isinglass, a quarter of a pound of sugar- candy, and a race of ginger. Put all these in a pot, and set'them in an oven after the bread is drawn. Let it continue there till the oven is near cold ; and let the patient live on this. I have known this cure a deep consumption more than once. Or, every morning cut up a little turf of fresh earth, and lying down, breathe into the hole for a quarter of an hour. I have known a deep consumption cured thus. “ Mr. Masters of Evesham, was so far gone in a consumption, that he could not stand alone 1 advised him to loose six ounces of blood every day for a fortnight, if he lived so long ; and then every other day ; then every third day ; then every fifth day, for the same time. In three months he was well.” (Dr. Dover.) Tried. This precrip- PRIMITIVE PHYSIC. lion will not be safe in any case but where the pulse continues pretty strong, and there are signs of inflammation. Or, throw frankincense on burning coals, and receive the smoke daily through a pro- per tube into the lungs: Tried. Or, take in for a quarter of an hour, morning and evening, the steam of white rosin and beesAvax, boiling on a hot fire shovel. This has cured one avlio was in the third stage of a consumption. Or, the steam of sweet spirit of vitriol dropt into warm water. Or, take morning and evening, a lea- spoonful of while rosin powdered and mixt with honey. This cured one in less than a month, who Avas very near death. Or, drink thrice a day lavo spoonfuls of juice of water-cresses. This has cured a deep consumption. In the last stage, suck an healthy Avoinau daily. Tried by my father. *For diet, use milk and apples, or water- gruel made Avith fine flour. Drink cyder- Avhey, barley-Avater sharpened Avith lemoa juice, or apple-water. So long as the tickling cough continues, chew well and swallow a mouthful or lavo, of a biscuit, ora crust of bread twice a-day. If you cannot savulloav it, spit it out. This will always shorten the fit, and tvould often 36 PRIMITIVE PHYSIC. prevent a consumption. See extract from Dr. Tissot, page 37. 44. Convulsions. Use the cold bath : *Or, take a tea-spoonful of valerian root powdered, in a cup of water, every even* ing. *Or, half a drachm of misselto powdered, every six hours, drinking after it a draught of strong infusion thereof. 43. Convulsions in Children. Scrape piony roots fresh digged. Apply what you have scraped oft' to the soles of the feel. It helps immediately. Tried. 46. Convulsions in the Bowels of Chil- dren. Give a child a quarter old, a spoonful of the juice of pellitory of the wall, two or three limes a-day. It goes through at once, but purges no more. Use the syrup if the juice cannot be had. 47, Corns (to prevent.) Frequently wash the feet in cold water. 48. Corns (to Cure.) Apply fresh every morning the yeast of small beer, spread on a rag : Or, after paring them close, apply bruis- PRIMITIVE PHYSIC. ed ivy-leaves daily, and in fifteen days they will drop out: Tried. Some corns are cured by a pitch plaster. All are greatly eased by steeping the feet in hot water wherein oat meal is boil- ed. This also helps dry and hot feet. Rise early every morning : Or, boil in a pint and a half of broth, half a handful of mallow leaves chopt; strain this and drink it before you eat any thing else. Do this frequently, if needful. Or, breakfast twice a week or oftener, on water-gruel with currants : Tried. *Or, take the bigness of a large nutmeg of cream of tartar mixt with honey, as often as you need. *Or, take daily two hours before dinner, a small tea cupful of stewed prunes : Or, use for common drink, water, or tre- acle beer, impregnated with fixed air: Or, live upon bread made of wheat flour, with all the bran in it. Or, boil an ounce and a half of tamarinds i.n three pints of water to a quart. In this strained, when cold, infuse all night two drachms of sena, and one drachm of red rose leaves. Drink a cup every morning when costive.—Sec Dr. Tissot. 49. Costiveness. 50. A Cough. Make a hole through a lemon and fill it 38 PRIMITIVE PHYSIC. with honey; roast it and catch the juice. Take a tea spoonful of this frequently; Tried. [Or, take a table-spoonful of molasses each night and morning, and drink, in com- mon, molasses and water : Tried.] Or, take Spanish liquoviceltwo ounces, salt of tartar half an ounce ; boil the liquo- rice in three pints of water to a quart. Add the salt to it when it is blood warm. Drink two spoonfuls of this every two hours. It seldom fails: Tried. I have known this cure an inveterate moist asthma. Or, at lying down keep a little stick- liquorice like horse-radish between the cheek and the gums. I believe this never fails. Or, peal and slice a large turnip, spread coarse sugar between the slices, and let it stand in a dish till all the juice drains down. Take a spoonful of this whenever you cough. *Or, take a spoonful of syrup of horc- hound, morning and evening : Tried. Or, take! from fifteen to twenty drops of elixir of vitriol, in a glass of water, thrice a-day. This is useful when the cough is at- tended with costiveness, and relaxation of the stomach and lungs. Or, powder an ounce of spermaceti fine. Work it in a marble mortar with the yolk PRIMITIVE PRVSIC. of a new laid egg; mix them in a pint of white wine and take a small glass every three hours. Or, Vlrink water w'hitened with oatmeal four times a-day. Or, keep a piece of barley-sugar, or sugar- candy constantly in the mouth. 51. Violent Coughing from a sharp and thin Rheum. Work into old conserve of roses, as much as you can of pure frankincense powdered as fine as possible. Take a bolus of this twice or thrice a-day. It eases presently, and cures in two or three weeks. Or, take half a grain of the inspissated milky juice of sowthistle, once or twice a- day. It has the anodyne, and antispasrao- dic properties of opium, without its narcot- ic effects Or, it may be made into lauda- num. in the same manner that opium is, and five or six drops taken on a lump of sugar, thrice a-day. The milky juice of all the sowthistles, dandelions, and lettuces, have nearly the same virtues. *Or use milk diet as much as possible. 52. The Cramp (to prevent.) Tie your garter smooth and tight under your knee at going to bed : I never knew this fail. Or, take half a pint of tar-water, morn- ing and evening; *Or, be electrified through the part that uses to be affected. This generally pre- vents it for a month : sometimes for a twelve- month. Or, to one ounce and a half of spirits of turpentine, add flour of brimstone and sul- phur vivum of each half an ounce ; smell to it at night, three or four times. PRIMITIVE PHYSIC# 53. The Cramp (to Cure.) *Chafe the part with Hungary water : Or, hold a roll of brimstone in your hand. 1 have frequently done this with success. 54. A Cut. Keep it closed with your thumb a quarter of an hour. Then double a rag five or six times, dip it in cold water, and bind it on : Tried. 55. Deafness. Be electrified through the ear : Tried. Or, use (he cold bath : Or, put a little salt into the ear : Or, drop into it a tea-spoonful of salt water : *Or, three or four drops of onion juice, at lying down, and stop it with a little wool. 56. Deafness from Wax. *Syringc (he car with warm water: Tried. PRIMITIVE PHYSIC. 41 57. Deafness with a dry Ear. *Mix brandy and sweet oil; clip black wool in this, and put it into the ear. When it grows dry, wash it well in brandy : dip it and put it in again. 68. Delivery. After delivery in child-birth, (he mother’s milk is the only proper purge for the child. Let it begin to suck ten or twelve hours after the birth. 69. A Diabetes.* D rink wine boiled with ginger, as much and as often as your strength will bear. Let your drink be milk and water. All milk- meats are good : *Or, drink three or four times a-day, a quarter of a pint of alum posset, putting three drachms of alum to four pints of milk. It seldom fails .to cure in eight or ten days. (Dr. Mead.) 60. The Dropsy.f Use the cold bath daily, after purging : * A diabetes is a frequent and large discharge of pale and sweetish urine, attended with a constant thirst, and a wasting of the whole body. f A dropsy is a preternatural collection of water in the head, breast, belly, or all over the body. It is attended with a continual thirst. The pari swelled pits if you press it with your fingers. The urine is pale and little. *or, rub the swelled parts with sallad-oil by a warm hand, at least an hour a-day.— This has done wonders in some cases : Orf cover the whole belly with a large new sponge dipt in strong lime water, and then squeezed out. This bound on often cures, even without any sensible evacuation of water. PRIMITIVE PHYSIC. Or, apply green dock-leaves to the joints and soles of the feet, changing them once a-day. Or, mix half an ounce of amber with a quart of wine vinegar. Heat a brick (only not red hot) and put it into a tub. Pour them upon it, and hold the parts swelled over the smoke, covering the tub close to keep in the smoke. The water will come out incredibly, and the patient be cured ; Tried. Or, eat a crust of bread every morning fasting; Tried. Or, mix a pound of the coarsest sugar with a pint of juice of pellitory of the wall, bruised in a marble mortar. Boil it as long as any scum rises. When cool, bottle and cork it. If very bad, take three spoonfuls at night, and two in the morning, it seldom fails : Tried. Or, make tea of roots of dwarf elder.— It works by urine. Every twelve or four- teen minutes (that is, after every discharge) drink a tea-cupful.—l have known a dropsy cured by this in twelve hours time. One was cured by taking a drachm of ni- tre every morning in a little ale. Tar water drank twice a-day has cured many ; so has an infusion of juniper ber- ries roasted, and made into a liquor like cof- fee : PRIMITIVE PHYSIC. 43 Or, three spoonfuls of the juice of leeks, or elder leaves : Tried. *Or, half a pint of decoction of butcher’s broom (intermixing purges twice or thrice a week.) The proper purge is ten grains of jalap, with six of powdered ginger. It may be increased or lessened according to the strength of the patient. Or, of the decoction of the tops of oak- boughs. This cured an inveterate dropsy in fifteen days : Or, take sena, cream of tartar, and jalap, half an ounce of each. Mix them and take half a drachm every morning in broth. It usually cures in twenty days. This is nearly the same with Dr. Ward’s powder. I suppose he took it from hence. lie says it seldom fails either in the watery or windy dropsy. Or, steep half an ounce of jalap in a gill of Geneva for twelve hours. Draw it off. Divide it into three parts, and lake it every other morning. Then put a large spoonful of syrup of marsh mallows into half a pint of stale beer, and when it has boiled a little, cool it, and drink it at lying 44 down in bed. Do this three times. This has cured many. Or, be electrified: this cures dropsies supposed incurable. amazingly little is yet known even of the human body ! Have not dropsical per- sons been continually advised to abstain from drink as much as possible ? But how can 7ve. reconcile this with the following undeni- able facts, published in ike medical transac- tions ? PRIMITIVE PHYSIC. Jane Roberts, aged twenty, was at last constrained to take to her bed by a confirm- ed ascites anasarca. In this desperate case, she drank as much as she would, first of small beer; and when that failed, of thin milk.— After awhile her skin cracked in many places : and she continued drinking and leaking till she was quite well. A middle aged man in the west of Eng- land, drank every day five or six quarts of cyder: and without any other medicine was totally cured in a few weeks time of a dropsy long supposed to be incurable. A farmer aged seventy, in a confirmed as- cites, was given over for dead. Being des- perate, he drank three quarts of cold water, every four and twenty hours. His whole food meantime was sea-biscuit, sometimes with a little butter. For sixteen days he seemed worse. Then he discharged for near a week a vast quantity of water, and PRIMITIVE PHYSIC, 45 was soon free from his disease, which never returned. 61. Drowned. Rub the trunk of the body all over with hot salt. It frequently recovers them that seem dead.—See extract from Dr. Tissot, page 150. And blow into the lungs. 62. The Ear-ach, without Inflammation. Rub the ear hard a quarter of an hour: Tried. *Or, be electrified : Or, put in a roasted fig, or onion, as hot as may be: Tried. Or, blow the smoke of tobacco strongly into it. But if the ear-ach is caused by an in- flammation of the uvula, it is cured in two or three hours, by receiving into the mouth the steam of bruised hemp-seed, boiled in water. 63. Ear-ach from Cold. Boil rue, or rosemary, or garlic, and let the steam go into the ear through a funnel. 64. Ear-ach from Heat. Apply cloths four double and dipt in cold water, changing them when warm, for half an hour. 65. Hard Wax in the Ear, Is best dissolved by warm water. PRIMITIVE PHYSIC. 66. Eyes bleared. Drop into them the juice of crab-apples. 67. A Blood-shot Eye. *Apply linen rags dipt in cold water twro or three hours : Or, blow in white sugar-candy, finely powdered: Or, apply boiled hyssop as a poultice.— This has a wonderful efficacy. 68. A Bruise in the Eye. Apply as a plaster, conserve of roses. 69. Clouds flying before the Eye. Take a drachm of powdered betony eve- ry morning. *Or, be electrified. 70. Blindness, Is often cured by cold bathing ; Or, by electrifying : Tried. This has cured even a gutta serena of twenty-foilr years standing. 71. Dull Sight. Drop in two or three drops of juice of rotten apples often. 72. Films. Mix juice of ground ivy with a little ho- PRIMITIVE PHYSIC. ney, and two or three grains of bay salt,— Drop it in morning and evening. 73. Hot or Sharp Humours. Apply a few drops of double-refined su- gar, melted in Brandy : Tried. Or, boil a handful of bramble-leaves with a little alum, in a quart of spring-water, to a pint. Drop this frequently into the eye.— This likewise cures cankers or any sores. Or, lay a thin slice of raw beef on the nape of the neck : Tried. 74. Eyes or Eye-lids Inflamed. Apply as a poultice, boiled, roasted or rotten apples, warm. *Or, wormwood tops with the yolk of an egg : This will hardly fail. *Or, beat up the while of an egg with two spoonfuls of white rose-water, into a white froth. Apply this on a fine rag. changing it so that it may not grow dry, till the eye or eye-lid is well: Tried. *Or, dissolve an ounce of fine gum arabic in two or three spoonfuls of spring water : put a drop into the inner corner of the eye, from the point of a hair pencil, four or five times a-day. At the same time take as much salt-petre as will lie upon a six-pence, dissolved in a glass of wTater, three or four times a-day; abstaining from all strong 48 PRIMITIVE PHYSIC, liquids as much as possible, till cured.— White bread poultices applied to the eyes in an inflamed state, frequently occasion total blindness. *After the inflammation is subsided, if weakness still remains, dip a finger in the white copperas eye-water, and rub round the eye three or four times a-day—(QX’All acrid eye-waters, and powders, put into the eyes when they are inflamed, horribly in- crease both the pain and inflammation. 75. A Lachrymal Fistula.* Apply a poultice of fine leaves of rue : Or, wash the eye morning and evening with a decoction of quince-leaves. 76. Pearl in the Eye. Apply a drop of juice of celandine with a feather thrice a-day : *Or, dissolve a little sal ammoniac in rose-water. Keep this three days in a cop- per vessel. Drop it twice a-day into the eye. Or, reduce separately, to the finest pow- der possible, an equal weight of loaf-sugar, cream of tartar, and bole artnoniac; mix them together, and put a little into the eye. (without blowing it in) three or four limes a-day. *This disorder in the inner corner of the eye, cau- ses the tears to flow involuntarily. When it is confirm- ed, only a surgeon can cure it PRIMITIVE PHYSIC. 49 77. Sore-Eyes. Drink eye-bright tea, and wash the eyes with it. 78. An excellent Eye-water. *Put half an ounce of lapis calaminaris powdered, into half a pint of French white wine, and as much white rose-water, drop a drop or two into the corner of the eye. It cures soreness, weakness, and most diseases of the eyes. I have known it cure total blindness. 79. Another. *Boil very lightly one tea-spoonful of white coperas scraped, and three spoonfuls of white salt in three pints of spring water. When cold, bottle it, in large vials without straining. Take up the vial softly, and put a drop or two in the eye morning and eve- ning:. It answers the intention of almost all the preceding medicines ; it takes away red- ness or any soreness whatever; it cures pearls, rheums, and often blindness itself. 80. Another. Stamp and strain ground-ivy, celandine, and daisies, an equal quantity : add a little rose-water and loaf-sugar. Drop a drop or two at a time in the eye, and it takes away all manner of inflammation, smarting, ilch- PRIMITIVE PHYSIC. ing, spots, webs, or any other disorder what- soever, yea though the sight were almost gone. 81. An Eye-water, which was used by Sir Stephen Fox, when he was sixty years of age, and could hardly see with the help of spectacles ; but hereby in some lime he recovered his sight, and could read the smallest print without spectacles, till above eighty. Take six ounces of rectified spirits of wine, dissolve it in one drachm of camphire, then add two small handfulls of dried elder flowers. In twenty-four hours after it is in- fused, it is ready for use. Take out a lit- tle in a tea-spoon : dip your finger in it, and bathe your forehead over your eyes, and each temple with it several times, morn- ing and night, and twice more in the day constantly. Mean time dip, a soft rag in dead small beer, new milk warm, and daub each eye a dozen times gently, morning and evening. If it is a watery humour, you may with your finger wet the eye-lids two or three times a-piece: but be sure to shut your eyes, for it makes them smart and burn ex- cessively. If you have the tooth-ach or swelled face, rub it well in on the part, and it PRIMITIVE PHYSIC. 51 will take away the pain. It will cure any bruise also, if used immediately : Tried. It will cure any inflammation in the eyes. 82. Weak Eyes. *Wash the head daily with cold water : Tried. [Or take of white vitriol half a drachm, rose water six ounces to dissolve it, and fil- ter the water ; to touch the eye often. The temples and around the eye may be touched with camphorated spirits. the eyes are inflamed, the patient should be blooded or purged; and if neces- sary, blisters behind the ears, or a seton to the back of the neck.] 83. Fainting, on letting Blood, Is prevented by taking before it some good broth : *Or, by lying on the bed during the ope- ration. 84. The Falling Sickness.* Be electrified: Tried. *Or, use the cold bath for a month daily : Or, take a tea-spoonful of piony-root dri- ed and grated fine, morning and evening for three months: *ln the Falling Sickness the patient falls to the ground, either quite stiff, or convulsed all over, utter- ly senseless, gnashing of his teeth, and foaming at the mouth. 52 PRIMITIVE PHYSIC. * Or, half a spoonful of valerian root pow- dered.—lt often cures in twic e taking ; Or, half a pint of tar-water, morning and evening, for three months : Or, a glass of juice of piilitory of the wall, every morning: Tried. Or, take five or six drops of laudanum, fasting, for six or seven mornings. This has cured many: *Or, use an entire milk diet for three months : it seldom fails. Or. leaves of assarabacca powdered,— ... T his is the famous Major’s snuff. One who is subject to the falling sickness, may prevent a fit if he feels it coining, by this simple experiment. Let him always carry with him a piece of metal as broad as he is able to hold between his teeth, when his jaws are stretched to the utmost. When he feels the fit approaching, let him imme- diately put this between his teeth, so as to keep his jaws at their utmost stretch. In about a minute this will bring him quite to himself, and prevent the fit for that time. If one put this metal between the teeth of one that is in the fit, and force them open, til! his jaws are at the utmost stretch, the fit will immediately go off, and the patient very soon recover. 85. The falling of the Fundament. Boil a handful of red rose-leaves in a PRIMITIVE PHYSIC. quarter of a pint of red wine : dip a cloth in it and apply it as hot as can be borne,— Do this till all is used.* 86. A falling down of the Womb, May be cured in the manner last men- tioned : *Or, wear a pessory of cork, and take twice a-day a tea-cupful of the decoction of the bark, with ten drops of elixir of vitriol. 87. Extreme Fat. *Use a total vegetable diet. I know one who was entirely cured of this, by living a year thus: she breakfasted and supped oa milk and water (with bread) and dined on turnips, carrots and other roots, drinking water. 88. A Fever. [ln the beginning of any fever, if the stom- ach is uneasy, vomit ; if the bowels, purge ; if the pulse be hard, full, or strong, bleed.] Drink a pint and a half of cold water ly- ing down in bed: I never knew it do hurt. *Or, thin water-gruel sweetened with ho- ney, with one or two drachms of nitre in each quart. *[Oi! org&ase the ends of the fingers well, and re- duce it immediately by a gentle continued pressure on the part. This can always easily be done as soon as the accident happens. PRIMITIVE PHYSIC. The best of all jalaps in a fever is this : Toast a large thin slice of bread, without burning ; put it hot into a pint of cold water: then set it on the fire till it is prelt}' hot. In a dry heat it may be given cold, in a moist heat, warm ; the more large- ly the better :—Tried. Or, for a change use pippin or wood sor- rel tea, or pippin posset drink: or wood sorrel posset-drink. [To prevent catching any infectious fe- ver, do not breathe near the face of the sick person, neither swallow your spittle while in the room. Infection seizes the stomach first.] *Ur, use Dr. Boerhaavc’s fever powder, viz. eight ounces of nitre, a quarter of an ounce of camphire, half a quarter of an ounce of saffron, and eight grains of cochi- neal. These are to be powdered, raixt to- gether and kept dry in a bottle. Ten grains taken on going to bed abates feverish heat, and procures rest. Ten grains are to be taken every three or four hours for a con- tinued fever. 89. A High Fever, Attended with a delirium and vigilia, has been cured by plunging into cold water;, which is a safe and sure remedy in the be- ginning of any fever. Such a delirium is often cured by apply- PRIMITIVE PHYSIC. ing to the top of the head, a treacle plaster : Tried. 90. A Fever with Pains in the Limbs. Take twenty drops of spirits of hartshorn in a cup of water twice or thrice in twenty- four hours : Or, drink largely of cinquefoil tea. 91. Rash Fever. Drink every hour a spoonful of juice of ground-ivy. It often cures in twenty-four hours.—Use the decoction when you have not the juice. 92. A Slow Fever. Use the cold bath for two or three weeks daily. [ln putrid or nervous fevers, though they do not intermit, yet after proper evacua- tions, the bark may be advantageously giv- en, thus : Take of the powder of the bark two ounces, orange-peel an ounce and a half, Virginia snake-root three drachms, English saffron four scruples, cochineal two scruples ; infuse them in twenty ounces of best distilled spirits: and the sick may take from a drachm to half an ounce occa- sionally in his lucid intervals.— Huxham.— Tried.] Boil a handful of rue and wormwood in 93. A Worm Fever. 56 PRIMITIVE PHYSIC. water; foment the belly with the decoction, and apply the boiled herbs as a poultice; repeat the application night and morning. This frequently brings away worms from children, who will take no interna] medi- cine : and is likewise serviceable, if the fe- ver be of the putrid kind. 94. A Fistula. Wash muscle shells clean : burn them to powder; sift them fine; mix them with hog’s lard ; spread it on clean washed leath- er, and apply it. This cured one that was thought to be at the point of death. Or, have a vessel so contrived that you may sit with the part in cold water a quar- ter of an hour every morning. 1 have known a gentleman of seventy years cured hereby. Or, put a large stone of unslackcd lime into four quarts of water, let it stand one night; take four ounces of roch-alum, and four ounces of white coperas, calcine them to dryness, then powder them as fine as pos- sible ; take three pints of the above water, and put the powder into it, and boil it for half an hour, then let it cool and bottle it for use. Let the fistula be syringed with this often, a little warm : and make a tent to fit the place, and dip it in the water, and apply it twice a-day. Cover it over with a plaster of diaculum. ’This cures the piles. PRIMITIVE PHVSIC. This water will destroy the qallosity of the edges of the fistula which otherwise would prevent its healing, and if managed as above, will heal it up at the same time; but an operation is the only certain means. 95. To destroy Fleas and Bugs. Cover the floor of the room with leaves of alder, gathered while the dew hangs up- on them: adhering to these, they are killed thereby. Or, powder stavesacre, and sprinkle it on the body, or on the bed. 96. Flegm. To prevent or cure, take a spoonful of warm water, the first thing in the morning. 97. Flooding (in Lying-in.) Cover the body with cloths dipt in vine- gar and water, changing them as they grow warm. Drink cooling acid liquors. This is a complaint which is never to be thought little of. Sometimes a violent flood- ing comes on before delivery; and the only way to save both the mother and child, is to deliver the woman immediately : which be- ing done, the flooding will generally cease. Sometimes a slight flooding comes on some weeks before labour; and here, if the pa- tient be kept cool, her diet light, and small doses of nitre often repeated (an ounce di- 58 PRIMITIVE PHYSIC. vided into thirty parts, and one given every four hours) she will frequently go her full time and do well: but if it should become excessive, delivery should be effected as soon as may be. *lf a flooding should come on after a de- livery, the patient should be laid with her head low, kept cool, and be in all respects treated as for an excessive flux of the men- ses. Linen cloths which have been wrung out. of vinegar and water, should be applied to the belly, the loins, and the thighs.— These must be changed as they grow dry ; and may be discontinued as soon as the flooding abates. Sometimes the following mixture will do great things, viz. syrup of poppies two ounces ; acid elixir of vitriol one drachm. Mix and take two table- spoonfuls every hour. But large doses of nitre given often (a scruple every hour) is generally the most efficacious. But when all other things seem to have no effect, cold water dashed upon (he patient’s belly will stop the flooding immediately. 98. A Flux. Receive the smoke of turpentine cast on burning coals. This cures also the bloody flux, and the falling of the fundament. Or, put a large brown toast into three quarts of water, with a drachm of cochineal powdered, and a drachm of salt of worm- PRIMITIVE PHYSIC. wood. Drink it all in as short a time as you conveniently can. This rarely fails to cure all fluxes, cnoiera morbus, yea and inflammations of the bowels : Tried. Or, take a spoonful of plantane-seed bruised, morning and evening, till it stops : *Or, ten grains of ipecacuana, three morn- ings successively. It is likewise excellent as a sudorific. Or, boil four ounces of rasped logwood, or fresh logwood chips, in three quarts of wa- ter to two ; strain it and drink a quarter of a pint, sweetened with loaf sugar, warm, twice a-day. It both binds and heals : Or, take a small tea-cupful of it every hour; this is to be used in the end of the complaint. Or, boil the fat of a breast of mutton in a quart of water for an hour. Drink the broth as soon as you can conveniently. This will cure the most inveterate flux. Tried.—See extract from Dr. Tissot, page 124. 99. A Bloody Flux. [ls attended with a fever, griping, or great pain in the intestines.—As this fever is na- ture’s effort to discharge some offensive mat- ter by stool, therefore often it will be neces- ry to assist her by bleeding and purging; or laxative medicines; or else it will be unsafe 60 PRIMITIVE PHYSIC. to stop the flux, but when the former medi- cines have been used with mutton broth : the drink may be water boiled with one fourth milk, and drank cold. In old dyssen- teries, fruit and milk may be a proper diet: Tried.] Or, take a large apple, and at the top pick out all the core, and fill up the place with a piece of honey-comb (the honey be- ing strained out) roast the apple in embers and eat it, and this will stop the flux imme- diately : Or, grated rhubarb, as much as lies on a shilling, with half as much of grated nutmeg, in a glass of white wine, at lying down eve- ry other night: Tried. Or, take four drops of laudanum, and ap- ply to the belly a poultice of wormwood and red roses boiled in milk. In a dysentery, the worst of all fluxes, feed on rice, saloup, sago, and sometimes beef tea, but no flesh. To slop it lake a spoonful of suet melted over a slow fire. Do not let blood. A person was cured in one day, by feeding on rice-milk, and sitting a quarter of an hour in a shallow tub, having in it warm water three inches deep.—See ex- tract from Dr. Tissot, page 125. PRIMITIVE PHYSIC. 61 100. To prevent (or stop a beginning) Gangrene. Foment continually with vinegar, in which dross of iron (either sparks or duikers) has been boiled. 101. The Gout in the Stomach. “ Dissolve two drachms of Venice trea- cle in a glass of mountain wine. After drink- ing it go to bed. You will be easier in two hours, and well in sixteen.” (Dr. Dover.) Or, boil a pugil* of tansey in a quarter of a pint of mountain. Drink it in bed.— 1 believe this never fails. *To prevent its return, dissolve half an ounce of gum guaiacuin in two ounces of sal volatile. Take a tea-spoonful of this every morning in a glass of spring-water. This helps any sharp pain in the stomach. Dr. Bcerhaaxe. N. B. I knew a gentleman who was cured many times by a large draught of cold wa- ter. 102. The Gout in the Foot or Hand. Apply a raw, lean beef-steak. Change it once in twelve hours, till cured : Tried. pugil is as much as you can take up between your thumb and two fore fingers. 62 PRIMITIVE PHYSIC. 103. The Gout in any Limb.* Rub the part with warm treacle, and then bind on a flannel smeared therewith.— Repeat this, if need be, once in twelve hours. Th is has cured an inveterate gout in thirty-six hours. Or, drink a pint of strong infusion of elder- buds, dry or green, morning and evening. This has cured inveterate gouts. Or, at six in the evening, undress, and wrap yourself up in blankets. Then put your legs up to the knees in water, as hot as you can bear it. As it cools let hot wa- ter be poured in, so as to keep you in a strong sweat till ten. Then go into a bed well wanned, and sweat till morning. I have known this cure an inveterate gout, in a person above sixty, who lived eleven years after. The very matter of the gout is fre- quently destroyed, by a steady use of Myn- sicht’s elixir of vitriol. [Or, take gum guaiacura four ounces, salt petre two ounces, dissolve them fourteen days in two pounds of Jamaica spirits ; take two spoonfuls morning and evening. But *Regard them not who say, the gout ought not to be cured. They mean it cannot. I know it cannot by their regular prescriptions. But I have known it cured in many cases without any ill effects following 1 have cured myself several times. PRIMITIVE PHYSIC. the grand medicine will be temperance and exercise.] ' 104. The Gravel. Eat largely of spinach ; Or, drink largely of warm water sweeten- ed with honey : Or, of pellitory of the wall tea, so sweet- ened : Or, infuse an ounce of wild parsley seeds in a pint of white wine for twelve days.— Drink a glass of it fasting, three months.— To prevent its return, breakfast for three months an agrimony tea. It entirely cured me twenty years ago, nor have 1 had the least symptom of it since. 105. The Green Sickness.* Take a cup of decoction of lignum guaia- cum, (commonly called lignum vitae) morn- ing and evening : Or, grind together into a fine powder three ounces of the finest steel-filings, and two ounces of red sugar candy. T ake from a scruple to half a drachm every morning.— I See Dr. Tissot. 106. To kill Animalcula that cause the Gums to waste away from the Teeth. Gargle thrice a-day with salt and water. "[ls known by a depraved appetite, shortness of breath, pallid countenance, soft swelling'of the body, palpitation of the heart and retention of the menses.] 64 PRIMITIVE PHYSIC. 107. To make the Hair grow. Wash it every night with a strong decoc- tion of rosemary. Dry it with flannel:— Tried. 108. The Hcad-aeh. Rub the head for a quarter of an hour: Tried. Or, be electrified ; Tried. Or, apply to each temple the thin yellow find of a lemon, newly pared off': *Or, pour upon the palm of (lie hand a lit- tle brandy and some zest* of lemon, and hold it to the forehead : Or, a little aether : Or, if you have taken cold, boil a hand- ful of rosemary in a quart of water. Put this in a mug, and hold your head (covered with a napkin) over the steam as hot as you can bear. Repeat (his till the pain ceases : Tried. Or, snuff up the nose camphorated spirits of lavender: Or, a little juice of horse-radish. 109. A Chronical Head-ach. Keep your feet in warm water a quarter of an hour before you go to bed, for two or three weeks : Tried. *Zest is the juice of the peel squeezed out PRIMITIVE PHYSIC.. 65 Or wear tender hemlock leaves under the feet, changing them daily : *Or, order a tea-kettle of cold water to be poured on your head, every morning, in a slender stream : Or, take a large tea-cupful of carduus tea, without sugar, fasting, for six or seven mornings: Tried. 110. A Head-ach from Heat. Apply to the forehead cloths dipt in cold water, for an hour : Tried. 111. A Nervous Head-ach. Dry and powder an ounce of marjoram and half an ounce of assarabacca: mix them and take them as snuff, keeping the ears and throat warm. This is of great use even in a cancer : but it will suffice to take a small pinch every other night, lying down in bed. 112. A Violent Head-ach. Take of white wine vinegar and water, each three spoonfuls: with half a spoonful of Hungary water. Apply this twice a-day to the eye-lids and temples. Use cold bathing. Or, apply to that part of the head shaved, a blister. 113. A Hemicrania.* *This is a head-ach which affects but one side of the head. PRIMITIVE PHYSIC. 114. Stoppage in the Head.* Snuff up the juice of primrose, keeping the head warm. 115. The Heart-Burning.* Drink a pint of cold-water : Tried. Or, drink slowly decoction of camomile flowers. Or, chew five or six pepper-corns a little : then swallow them : Or, chew fennel or parsley and swallow your spittle.—Sometimes a vomit is needful. Or, a piece of Spanish liquorice. 116. The (Hiccough to prevent.) Infuse a scruple of musk in a quart of mountain wine, and take a small glass eve- ry morning 117. (To Cure.) Swallow a mouthful of water, stopping the mouth and ears : Tried. Or, take any thing that makes you sneeze : Or, two or three preserved danisms : *Or three drops of oil of cinnamon, on a lump of sugar : Tried. Or, ten drops of chemical oil of amber dropt on sugar, and then mixed with a little water. :,:A sharp gnawing pain in the orifice of the sto- mach. PRIMITIVE PHYSIC. 67 118. Hoarseness. Rub the soles of the feet before the fire, with garlic and lard well beaten together, over night. The hoarseness will be gone next morning. Tried. Or, take a pint of cold water lying down : Or, swallow slowly the juice of radishes; Or, half a pint of mustard-whey, lying down : Or, a tea-spoonful of conserve of roses, every night: Tried. Or, dry nettle roots in an oven. Then powder them finely, and mix with an equal quantity of treacle. Take a tea-spoonful of this twice a-day : Or boil a large handful of wheat-bran in a quart of water; strain and sweeten it with honey. Sip of it frequently. 119. Hypochondriac and Hysteric Dis- orders. Exercise and a little good wine. Five grains of assafeetida, twice a-day. Or, cold bathing.* 120. The Jaundice. Wear leaves of celandine upon and un- der the feet. Or, take a small pill of Castile soap eve- ry morning for eight or ten days : Tried, *ln the absence of an attack. 68 PRIMITIVE PIIYSICi Or, beat the white of an egg thin : take it morning and evening in a glass of water. I. Or, half a pint of strong decoction of net- tles : Or, of burdock leaves. Or, boil three ounces of burdock-root, in two quarts of water to three pints. Drink a tea-cupful of this every morning. 121. Jaundice in Children. *Take half an ounce of fine rhubarb, pow- dered. Mix with it thoroughly, by beating, two handfuls of good well cleansed currants. Of this give a lea-spoonful every morning. 122. The Iliac Passion.* *Apply warm flannels soaked in spirits of wine : Or, hold a live puppy constantly on the belly. (Dr. Sydenham.) Or, immerge up, to the breast in a warm bath : Or, take, ounce by ounce, a pound and a half of quicksilver.—See Dr.Tissot page 120. Inflammations in general are more cer- tainly abated by smart purging than by bleeding.! *ln this violent kind of cholic the excrements are supposed to be thrown up by the mouth in vomiting. f [Besides the use of the first, second and third pre- scriptions under this head, take castor oil, as directed in the note to Billious Cholic. PRIMITIVE PHYSIC. 69 123. An Imposthume. *Put the white of two leeks in a wet cloth, and so roast them in ashes, but not too much. Stamp them in a mortar with a little hog’s grease. Spread it thick, plaster-wise, and apply it, changing it every hour, till ail the matter comes out. /. 124. The Itch * Wash the parts affected with strong ruin: Tried. Or, anoint them with black soap. *Or, steep a shirt half an hour in a quart of water, mixed with half an ounce of pow- dered brimstone. Dry it slowly, and wear it five or six days. Sometimes it needs re- pealing : Tried. Or, beat together the juice of two or three lemons, with the same quantity of oil of ro- ses. Anoint the parts affected. It cures in two or three times using. 125. The King’s Evil.f Take as much cream of tartar as lies on a sixpence, every morning and evening : *This distemper is nothing1 but a kind of very small lice, which burrow under the skin. Therefore ifnward medicines are absolutely needless. Is it possible any physician should be ignorant of this? fit commonly appears first, by the thickness of (he lips, or a stubborn humour in the eyes, then come hard swellings, in the neck chiefly ; then running sores. 70 PRIMITIVE PHYSIC. Or, drink for six weeks half a pint of a strong decoction of devil’s-bit: Tried. Or, use the diet drink, as in the article Scorbutic Sores. I have known this cure one whose breast was as full of holes as an honey comb: Or, set a quart of honey by the fire to melt. When it is cold, strew into it a pound and a half of quick-lime beat very fine, and sifted through a hair-sieve Stir this about till it boil up of itself into a hard lump.— Beat it when cold, very fine, and sift it as be- fore. Take of this as much as lies on a shil- ling, in a glass of water, every morning, fast- ing, an hour before breakfast, at four in the afternoon, and at going to bed : Or, make a leaf of dried burdock into a pint of tea. Take half a pint twice a-day, for four months. 1 have known this cure hundreds. The best purge for the king’s evil, is tinc- ture of jalap, which is made thus:—Jalap in powder, three ounces: Geneva, or proof spirits, one pint. Let them infuse seven days. A tea-spoonful or two is sufficient for a child ten years old, in a morning, fast- ing : and repealed once a week, so as to keep the stomach and bowels clean, will fre- quently cure the king’s evil. But all vio- lent purges, or w'hen repeated 100 often, are pernicious. PRIMITIVE PHYSIC, 71 126. Lameness from a fixed Contrac- tion of parts.* Beat the yolk of a new-laid egg very thin, and by a spoonful at a time, add and beat up with it three ounces of water. Rub this gently into the parts fora few minutes, three or four times a-day. 127. Legs Inflamed. Apply fuller’s earth spread on brown pa- per. It seldom fails : Or, bruised turnips. 128. Legs sore and running. Wash them in brandy, and apply alder leaves, changing them twice a-day. This will dry up all the sores, though the legs were like an honey-comb: Tried. Or poultice them with rotten apples:— Tried. But take also three or four oure-es. 129. Leprosy.f Use the cold bath : Or, wash in the sea often and long : Or, mix well an ounce of pomatum, a *[Anoint the part well with sweet oil, and rub it in with the baud, continuing- the friction for half an hour or an hour, every night and morning, until well. Or, bind the caul of a newly killed animal, close on the part; to be repeated if necessary.] -fin this disease, the skin in many parts is covered with rough, whitish, scaly pustules ; and if these are rubbed off, kind of scaly scurf. 72 PRIMITIVE PHYSIC. drachm of powdered brimstone, and half an ounce of sal prunellae ; and anoint the parts so long as there is need : Or, add a pint of juice of house-leek, and half a pint of verjuice, to a pint and a half of posset-drink. Drink this in twenty-four hours :—lt often cures the quinsy, and white swellings on the joints : Or, drink half a pint of celery-whey, morn- ing and evening. This has cured in a most desperate case: Or, drink for a month a decoction of bur- dock leaves, morning and evening ; Tried. 130. Lethargy* Snuff strong vinegar up the nose : Or, rake half a pint of decoction of wa- ter-cresses, morning and evening. 131. Lice (to kill.) Sprinkle Spanish snuff over the head. Or, wash it with a decoction of amaranth. 132. For one seemingly killed with Lightning, a Damp, or suffocated. him immediately into cold water: *Or blow strongly with bellows down his throat. This may recover a person seem- *[A lethargy is a constant inclination to dose, or be asleep, witn little or no fever. 1 PRIMITIVE PHYSIC. 73 ingly drowned. It is still better if a strong man blows into his mouth. 133. Lues Venerea. Take an ounce of quicksilver every morn- ing, and a spoonful of aqua sulphurala in a glass of water, at five in the afternoon.— 1 have known a person cured by this, when supposed to be at the point of death, who had been infected by a foul nurse, before she was a year old. J insert (his for the sake of such in- nocent sufferers. 134. Lunacy. Give a decoction of agrimony four times a-day: Or, rub the head several times a-day with vinegar; in which ground-ivy leaves have been infused : *or, lake daily an ounce of distilled vin- egar : Or, boil juice of ground-ivy with sweet oil and white wine into an ointment. Shave the head, anoint it therewith, and chafe it in warm every other day for three weeks. Bruise also the leaves and bind them on the head, and give three spoonfuls of the iuice warm every morning. 'This generally cures melancholy. The juice alone, taken twice a-day, will cure : 74 PRIMITIVE PHYSIC. Or, electrify : Tried. 135. Raging Madness.* Apply to the head cloths dipt in cold wa- ter : *or, set the patient with his head under a great water-fall, as long as his strength will bear : Or, pour water on his head out of a tea-kettle : Or, let him eat nothing but apples for a month : Or, nothing but bread and milk : Tried. 136. The Bite of a Mad Dog. Plunge into cold water daily, for twenty days and keep as long under it as possible. This has cured even after the hydrophobia was begun.! Or, mix ashes of trefoil with hog’s lard, and anoint the part as soon as possible.— Repeat twice or thrice at six hour’s dis- tance. This has cured many: and particularly a dog bit on (he nose by a mad dog. Or, mix a pound of salt with a quart of water. Squeeze, bathe, and wash the wound *lt is a sure rule, (hat all madmen are cowards and may be conquered by binding- only, without beating. (Dr. Mead.) He also observes, that blistering the head does more harm than good. Keep the head close shaved, and frequently wash it with, vinegar. fif this be really a nervous disorder, what wonder if it should be cured by cold bathing. PRIMITIVE PHYSIC. with this for an hour. Then bind some' salt upon it for twelve hours. The author of this receipt was hit six times hy mad dugs, and always cured him- self by this means. Or, mix powdered liver wort, four drachms : black pepper two drachms ? di- vide this into four parts, and take one in warm milk for four mornings fasting. Dr. Mead affirms he never knew this faii: but it has sometimes failed. Or, take two or thrccspoonfuls of the juice of rib-wort, morning and evening, as soon as possible after the bite. Repeat this for two or three changes of the moon. It has not been known to fail. [To prevent the disorder in those who have been bitten:—Cauterize the wound, and dress it twice a day with digestive, and once a day with mercurial ointment. Tis- sot. Wash the wound well, and dress it every day with salt. Keep the wound open forty days.] 137. The Measles.* ’lmmediately consult an honest phy- sician. *Drinkonly (hin water-gruel, or milk and water, the more the belter : or toast and wa- ter, *This distemper is always preceded by a violent cough, often fourteen days ‘before the red spots come out. PRIMITIVE PHYSIC. If (.be cough be very troublesome, take frequently a spoonful of barley-water, sweet- ened with oil of new almonds newly drawn, mixed with syrup of maiden-hair. * After the measles, take three or four purges and for some weeks take care of taking cold, use light diet, and drink bar- ley water, instead of malt-drink. See ex- tract from Dr. Tissot, page 82. 138. Menses Obstrueted Be electrified : Tried. Or, take half a pint of strong decoction of penny-royal, every night at going to bed : Or, boil live large heads of hemp, in a pint of water, to half. Strain it, and drink it at going to bed, two or three nights. It seldom fails: Tried. *Or take from three to four grains of calomel, in a pill, for two or three nights, taking care not to take cold. It purges: Tried. Lei any of these medicines he used at the regular times as near as can be judged.— See Dr. T issot. 139. Menses Profuse. Drink nothing but cold water, with a spoonful of fine flour stirred in it. At that time drink a glass of the coldest water you can get, and apply a thick cloth dipt in cold water; PRIMITIVE PHYSIC. 77 Or, put the feet into cold water : Or, apply a sponge dipt in red wine and vinegar: Or, bleed in the arm. Stop the orifice often with the finger, and then let it bleed again : Or, boil four or five leaves of the red holy-oak in a pint of milk, with a small quantity of sugar. Drink this in the morn- ing ; if the person can afford it, she may add a tea-spoonful of balm of Gilead. This does not often fail : *Or reduce to a fine powder half an ounce of alum, with a quarter of an ounce of dragon’s blood. In a violent case, take a quarter of a drachm every half hour. It scarce ever fails to stop the flux before half an ounce is taken. This also cures the whites. [lf the strength will admit, take a little blood from the arm; the body should be kept loose. Let her take a tea-cupful of alum-whey every three or four hours—made thus : Put two drachms of powdered alum into a pint of milk, boil it till the curd is well separated, then strain off the whey and bottle it. The like medicine in floodings, and in the whites has been found often use- ful : Tried,] 140. To resolve coagulated Milk. Cover the woman with a table-cloth, and PRIMITIVE PHYSIC. hold a pan of hot water, just under her breast; then stroke it three or four minutes. Do this twice a day, till it is cured. 141. To increase Milk. Drink a pint of water going to bed : Or, drink largely of pottage made with lentils. 142. To make Milk agree with the sto- mach. If it lie heavy, put a little salt in it; if it curdle, sugar. For bilious persons mix it with water. 143. A Mortification (to stop.) *Apply a poultice of flour, honey, and water, with a little yeast. [A gangrene is when any part of the body, from the violence of the inflammation is not actually dead, but is in a state of dying. Galen. The inflammation should be abated by bleeding, if the fever admit, and by cool- ing, opening medicines: the parts around touched with vinegar, lime-water, or cam- phorated spirits, and scarified. Apply a poultice of biscuit of fine wheat flour boiled with milk to the gangrened part, and take the bark freely. 13. N, No oily substance should ever touch a bone, sound or unsound, but foul bones PRIMITIVE PHYSIC. 79 should be dressed with spirits, as tinc- ture of myrrh. &c.] 144. Nervous Disorders. When the nerves perform their office too languidly, a good air is the first requisite. The patient also should rise early, and as soon as the dew is off the ground, walk: let his breakfast be mother of thyme tea, gathered in June, using half as much as we do of common tea. When the nerves are too sensible, let the person breathe a pro- per air, let him eat veal, chickens, or mut- ton. Vegetables should be eat sparingly; the most innocent is the French bean ; and the best root, the turnip. Avoid all sauces. Sometimes he may breakfast upon a quarter of an ounce’of the powder of valerian root infused in hot water, to which he may add cream and sugar. Tea is not proper. When the person finds an uncommon oppression, let him take a large spoonful of the tincture of valerian root. _ This tincture should he made thus : Cut to pieces six ounces of wild valerian root, gathered in June, and fresh dried.— Bruise it by a few strokes in a mortar, that the pieces may be split, but it should not be beat into powder : put this into a quart of strong while wine ; cork the bottle and let it stand three weeks, shaking it every day ; then press it out and filer the tincture through pa» per. PRIMITIVE PHYSIC. N. B. The true wild valerian has no bad smell: if it has, cats have urined upon it, which they will do if they can come at it. But I am firmly persuaded, there is no remedy in nature for nervous disorders of every kind, comparable to the proper and constant use of the electrical machine. 145. Nettle Rash.* Rub the part strongly with parsley. 146. Old Age. Take tar water morning and evening : Tried. Or, decoction of nettles : either of these will probably renew the strength for some years : Or, be electrified daily : Or, chew cinnamon daily, and swallow your spittle. 147. An old stubborn Pain in the Back. Steep root of water-fern in water, till the water becomes thick and clammy. Then rub the parts therewith morning and even- ing. Or, apply a plaster, and take daily bal- sam of capivi. *A slight fever (which sometimes lasts for weeks or months) attended with -tching and smarting, and an eruption just like that occasioned by nettles. In Georgia we called It the prickly beat. PRIMITIVE PHVSIC. 81 148. The Palsy.* Be elecrlficd daily for three months, from the places where the nerves spring, which are brought to the paralytic part. If the parts beneath the head are affected, the fault is in the spinal marrow. If half the body, half the marrow is touched. Or, use the cold bath if you are under fifty, rubbing and sweating after it. Or, shred white onions and bake them gently in an earthen pot, till they are soft : spread a thick plaster of this, and apply it to the benumbed part, ail over the side, if need be. I have known this cure a person of sev- enty-five years old. Or, take tar-water, morning and even- ing: Or, boil white and red sage, a handful of each in a quart of white wine. Strain and bottle it. Take a small glass morning and evening. _ This helps all nervous disorders. Or, take a tea-spoonful of powdered sage lying down in bed. 149. Palsy of the Hands. Wash them often in decoction of sage, as hot as you can bear : Or, boil a handful of elder-leaves, or two *A palsy is the loss of motion or feeling', or both, in any particular part of the body. 82 PRIMITIVE PHYSIC. or three spoonfuls of mustard-seed in a quart of water. Wash often in this, as hot as may be. 150. Palsy of the Mouth. *After purging well, chew mustard-seed often : Or, gargle with juice of wood-sage. 151. Palsy from working with White Lead or Verdigrease. Use warm baths and a milk diet. 152. The Palpitation, or Beating of the Heart. Apply outwardly a rag dipt in vinegar. Or, be electrified : tried. Or, take a decoction of mother’s wort every night. 153. Phlegm (see Flegm.) 154. The Piles (to prevent.) Wash the parts daily with cold water. 155. The Piles (to cure.) Apply warm treacle : Or, a poultice of boiled brook lime. It seldom fails : Or, varnish. It perfectly cures both the blind and bleeding piles : Tried. Or, fumigate with vinegar, wherein red PRIMITIVE PHYSIC. 83 hot flints have been quenched. This sob tens even schirrous tumours. [Take flour of sulphur half an ounce : cream of tartar half an ounce ; conserve of roses an ounce, with syrup enough to make an electuary; take the bulk of a nutmeg thrice a-day, and touch the parts with the following linament. Take burnt cork two ounces; digestive ointment, half an ounce ; linseed oil enough to make it into a lina- ment : Tried.] 156. The inward Piles Swallow a pill of pitch, fasting. One pill usually cures the breeding piles : Or, eat a large leek, boiled ; Or, take twice a-day, as much as lies on a shilling, of the thin skins of walnuts, pow- dered. 157. Violent bleeding Piles. Lightly boil juice of nettles, with a little sugar: take two ounces. It seldom needs repeating. 158. The Pleurisy.* Use a decoction of nettles ; and apply the boiled herb hot, as a poultice. 1 never knew it fail. Or,' a plaster of flour of brimstone and white of an egg: Tried.—Sec Dr. Trssot, page 38. *A pleurisy is a fever attended with a violent pain in the side and a pulse remarkably hard. PRIMITIVE PHYSIC. In disorders of this kind, Dr. Huxbarn advises, “ Sip almost continually thin whey, barley-water, or hyssop tea, sharpened with lemon juice, or vinegar and water. If the spitting stop suddenly, take a little vomit. Likewise camphorated vinegar, with syrup of elder or raspberries is good. To appease the cough take often, a little at a time of roasted apples, of strawberries, raspberries or currants.” [There is also a bastard pleurisy, which is an inflammation of the muscles among the ribs attended with little or no fever.— In the true pleurisy the'pain is greatest in inspiration, and is most perceived when the unaffected side is lain on, attended with a constant fever, short cough, and sometimes a spitting of blood; these symptoms do not attend the bastard pleurisy. This last disorder seldom needs bleeding, as does the true pleurisy ; the work is better done by a vomit and acidulated barley-water. Cut the pleurisies in North America do not ad- mit of such large bleedings as in Europe, nor can the patients bear such large doses of medicines : the diet in the true pleurisy should be slender, cool, and diluting: a bladder filled with warm milk and water, ap- plied to the side, may be renewed when cool; he may drink a decoction of seneca rattle-snake root, &c. There are also pains in the sides which are mostly from flegm, and are carried off by warm diluting drinks, where bleeding would be hurtful, especially in the fall of the year.] PRIMITIVE PHYSIC. 159. To one Poisoned. *Let one poisoned by arsenic, dissolve a quarter of an ounce of salt of tartar in a pint of water, and drink every quarter of an hour as much as he can, till he is well. *Let one poisoned by opium, take thirty drops of elixir of vitriol, every quarter of an hour, till the drowsiness or wildness ccases. *Or take a spoonful of lemon-juice every half hour. *Let one poisoned with mercury subli- mate, dissolve an ounce of salt of tartar in a gallon of water, and drink largely of it.— This will entirely destroy the force of the poison, if it be used soon. Nothing cures the African poison, but a decoction of the roots of the sensitive plant. 160. Polypus in the Nose. *Powdcr a lump of alum, and snuff it up frequently. Then dissolve powdered alum in brandy: dip lint therein, and apply it at going to bed. 161. A Prick or a Cut that festers. Apply turpentine. PRIMITIVE PHYSIC. 162. Ptyalism.* A very violent and stubborn disorder of ibis kind was cured by chewing perpetually a Hide dry bread, and swallowing it with the spittle. 163. An easy Purge. Drink a pint of warmish tvater fasting walking after ; Or, a soft egg with a tea-spoonful of salt: Or, infuse from half a drachm to two drachms of damask rose-leaves dried, in half a pint of warm water, for twelve hours and take it: *or, infuse three drachms erf sena, and a scruple of salt of tartar, in half a pint of riv- er-water for twelve hours. Then strain and take it in the morning. Wild ash is a plant of the very same na- ture as sena. Its leaves taken in (he same quantity purge full as well, and do not gripe as sena does. It is therefore preferable to that which is brought from Turkey or Italy. The wild-ash is called in the north of England, round tree, quicken, quick- beam, or wiggan tree, the leaves should be gathered when the tree is in flower. 164. A stronger Purge. Drink Haifa pint of strong decoction of dock-root: *A continual spitting. PRIMITIVE PHYSIC. 87 #or, two drachms of the powdered root of monks rhubarb, with a scruple of ginger. 165. The Quinsy.* Apply a large white-bread toast, half an inch thick, dipt in brandy, to the crown of the head, till it dries : Or, bleed, purge, and blister. 166. Quinsy of the Brcast.f Take from eight to twenty drops of laud- anum, lying down in bed : Or, make an issue in the thigh. To prevent. Wear washed wool under the feet. To cure. Use the cold bath with rub- bing and sweating : Or, apply warm steams Or, rub in warm treacle, and apply to the part brown paper smeared therewith : change it in twelve hours : Tried. Or, drink half a pint of tar-water, morn- ing and evening : Or, steep six or seven cloves of garlic, in half a pint of while wine. Drink it lying 167. The Rheumatism.t *The quinsy is a fever attended with difficulty of swallowing-, and often of breathing-. fTliis is known by a sudden unaccountable pain and difficulty of breathing, seizing a person in the night, or on any violent motion. {Rheumatic pains are generally most violent as S'/on as yoa are warm in bed. PRIMITIVE PHYSIC. down. It sweats and frequently cures at once. *Or, take two cloves of garlic, and one drachm of gum amraoniacum: beat them, together in a marble mortar, with a little water, so as to make three boluses, take one of (hem night and morning, and drink sassafras tea freely ; *Or, mix flour of brirostone with honey, in equal quantities. Take three spoonfuls at night, two in the morning, and one after- wards, morning and evening, till cured— This succeeds oftener than any remedy I have found ; * Or, live on new milk-whey and white bread for fourteen days. This has cured in a desperate case : Or, pound the green stalks of English rhu- barb, in May or June, with an equal quan- tity of lump-sugar. Take the quantity of a nutmeg of this three or four times a-day.'— This seldom fails.—See Dr. Tissot, page 61. In a stubborn rheumatism, let your diet be barley-gruel, with currants, roasted ap- ples, fresh whey, and light pudding. [Rub an ounce of camphire, with two ounces of Florence oil, in a mortar, till the camphire be entirely dissolved, to rub the parts affected.—Buchan.] *Take of Florence oil, an ounce; spirit of hartshorn, half an ounce; shake them fogcthcr. Pringle says, a flannel moisten- 89 ed with this, and applied to the pained part in rheumatism, or to the throat in quinsy, is generally efficacious.] PRIMITIVE PHVSIC. 168. To restore the Strength after a Rheumatism. Make a strong broth of cow-heels, and wash the parts with it warm twice a-day. It has restored one who was quite a crip- ple, having no strength left either in his leg, thigh, or loins. *Or, mix gum guaiacum (in powder) with honey or treacle : take two or three lea-spoonfuls, (or as much as you can hear without purging) twice or thrice a-day.— This is the best medicine 1 have met with for the chronic rheumatism : *Or, dissolve one ounce of gum guaiacum in three ounces of spirits of wine. Take sixty or eighty drops on loaf sugar two or three times a-day,—This is Dr. Hill’s es- sence of bardana. *Or, drop thirty drops of volatile tinc- ture of guaiacum on a lump of sugar, and lake this in a glass of water every four hours. It usually cures in a-day : Tried. 169. Rickets.* (to prevent or cure.) ’■'Wash the child every morning; in cold water. *[fn the rickets the child is emaciated, except the head, knees, and belly, which are swelled, and the ribs are depressed.] PRIMITIVE PHYSIC. 170. Ring-worms.* Apply rotten apples : or pounded garlic : Or, rub them with the juice of house-leek : Or, wash them with hungary water cam- phorated : Or, twice a-day with oil of sweet almonds and oil of tartar mixed. 171. ARupture.f Foment with hot aqua vitae for two hours. Or, take agrimony, spleen-wort, Solo- mon’s-seal, strawberry-roots, a handful of * Vulgarly called tetters. f[A rupture, if old and irreducible, is to be sub- mitted to, and can only be alleviated by suspension in a bag-truss made of soft linen. If recent, its reduc- tion should be attempted instantly by gentle continu- ed pressure on the part: this is best done by the per- sons own hands, while his body is thrown into a re- cumbent posture. If this does not succeed, try the last article under this head, and if the rupture still cannot be replaced, but a considerable degree of pain comes on, with sickness at the stomach, and fever, draw a pint of blood from the arm, and if the person’s strength will at all admit it, repeat it again in six hours, taking one table-spoonful of castor oil every hour until it works, continue the use of the above- mentioned article, and inject a pint of the decoction of mallows or camomile in milk and water, strained and well sweetened with brown sugar, as a clyster. If after twelve or fourteen hours, all these methods fail either to return the rupture or procure stools, and the pain and sickness at the stomach rather in- crease, with a beginning restlessness, (he case be- comes highly alarming and dangerous, and no time is each; pick and wash them well ; stamp and boil them two hours, in two quarts of white wine in a vessel close stopt. Strain and drink a large glass of this every morn- ing and an hour after drink another. It commonly cures in a fortnight. A good truss mean time is of great use. “ I place,” says Dr. Riviere, “ a broad plank sloping from the side of the bed to the ground. On this 1 lay the patient upon pillows, with his head downward. Then I foment the part for half an hour, with cloths four times doubled, steeped in cold water, gently touching it with my fingers. After- wards I bind on it, many times doubled, a cloth shaped like a triangle, wet in cold PRIMITIVE PHYSIC. to be lost; steep a quarter of an ounce of strong to- bacco in a pint of boiling water an hour, strain it of!' and inject it as a clyster. This may cause great sick- ness and faintness, so as to alarm the by-standers not a little, but is not dangerous, and will frequently suc- ceed when every thing else fails. After the rupture is reduced, a well-fitted steel truss should afterwards be always worn, and the omission of it for an hour while in an erect posture may bo fatal. It is strongly recommended, in every recent case of this kind, to call in a physician of experience as early after the accident as possible, as a chit urgical opera- tion ma}' be absolutely necessary to save the person’s life. The above directions are intended chiefly for those who cannot be benefitted by the immediate at- tendance of a physician of skill and reputation, no other should be trusted to in a case of so much impor- tance. 92 water. The gut is generally restored to its place fn a few hours. Jf not, 1 repeat the operation twice c-day, and in two or three days the disease is cured.” PRIMITIVE PHYSIC. 172. A Rupture in Children. Keep its bowels open with rhubarb and apply a soft band. 173. A Scald Head. Apply daily while wine vinegar : Tried. Or, a little blue ointment. After the cure, give two or three gentle purges. If a proper regard was paid to cleanli- ness in the head and apparel of children, the scald head would seldom be seen. 174. The Sciatica,* Is certainly cured by a purge taken in a few hours after it begins : Or, use cold bathing, and a sweat, togeth- er with the flesh-brush twice a-day : Or, boil nettles till soft. Foment with the liquor, then apply the herb as a poul- tice,— I have known this cure a sciatica of forty-five years standing : Or, apply nettles bruised in a mortar : Or, a mud made of powdered pitcoal and warm water. This frequently cures sores, *The sciatica is a violent pain in the hip, chiefly in the joint of the thigh-bone. PRIMITIVE PHYSIC, weakness of limbs, most disorders of the legs, swelling and stiffness of the joints.— It cured a swelling of the elbow-joint, though accompanied with a fistula, arising from a caries of the bone. See Dr. Tissot, p. 6G- 175. Inflammation and Swelling of the Scrotum. Apply lead water. 176. A Scorbutic Atrophy.* Use cold bathing :—Which also cures all scorbutic pains. 177. Scorbutic Gums. *Wash them daily with a decoction of Peruvian bark, adding a little tincture of ro- ses, with a solution of myrrh, *[Wash them with cold water, then with tincture of red roses, with as much sweet spirit of salt mixed with it as can be con- veniently borne; Booerhaave. Or, wash them with tincture of myrrh : Tried.] 178. Scorbutic Sores. A diet-drink—Put half a pbund of fresh shaved lignum guaiacum (called by the block-makers lignum vitas) and half an ounce ofsena, into an earthen pot that holds six quarts •, add five quarts of soft water, *Such a degree of the scurvy as causes the flesh to. waste away mie a consumption 94 PRIMITIVE PHYSIC. and lute the pot close. Set this in a kettle of cold water, and put it over a fire till it has boiled three hours. Let it stand in the kettle till cold. When it has stood one night, drink daily half a pint, new milk warm, in the morning, fasting, and at four in the af- ternoon. Wash with a little of it. In three months all the sores will be dried up: Tried. 179. The Scurvy.* Live on turnips for a month : Or, lake tar-water morning and evening for three months : Or, three spoonfuls of nettle juice every morning: Tried. Or, decoction of burdock. Boil three ounces of the dried root in two quarts of water to three pints. Take half a pint daily, unless it purges too much, if so, take less. A decoction of the leaves (boiling one leaf four minutes in a quart of watei) has the same effect: Or, take a cupful of the juice of goose- grass, in a morning, fasting, for a month : it is frequently called ha riff, or cleavers.— Last year I knew many persons cured by it. *The scurvy is known by heaviness of body, weari- ness, rottenness of gums, and yellow, lead, or violet- coloured spots on the legs or arms. N, B. A scurvy attended with costiveness, (which is most common) is termed a hot scurvy : one attended with looseness, a cold scurvy. PRIMITIVE PIIVSIC. or, pound into a pulp of Seville oranges, sliced, rind and all, and powdered sugar, equal quantities. Take a tea-spoonful three or four times a-day : Tried. Or, squeeze the juice of half a Seville orange into a pint of milk over the fire.— Sweeten the whey with loaf sugar, and drink it every morning, new milk warm. To make any whey, milk should be skimmed, after it is boiled. *Or, pour three quarts of boiling water, on a quart of ground malt: stir them well, and let the mixture stand covered close, for four hours : strain it oil' and use this as common drink : in hot weather, brew this, fresh every day. It will hardly fail. Or, take morning and evening, a spoon- ful or two of lemon juice and sugar. “■ It is a precious remedy and well tried.”—Dr. Macbride. Water and garden cresses, mustard and juice of scurvy-grass, help in a cold scurvy. Wh en there is a continual salt taste in the mouth, take a pint of lime-water morning and evening. 180. A Broken Shin. Bind a dry oak-leaf upon it; Or, put on a bit of white paper moistened with spittle. It will stay on till the place is well: Tried. This cures a cut also. PRIMITIVE PHYSIC. 181. Shingles.* •Drink sea water every morning for & week ; toward the close, bathe also : Or, apply pounded garlic. [lt is necessary that the body should be purged and kept loose, then touch the part, twice a-day with the following: Take mus- tard-seed powdered fine, and best writing ink, as much as will make it into a lina- mcnt: Tried.] 182. Sickishness in the Morning. Eat nothing after six in the evening : Or, drink half a pint of water impregna- ted with fixed air. 183. Sinews shrunk. Rub them with warm oil. Apply pounded all-heal,—lt seldom needs repeating. Or, a bit of white paper with spittle. 184. Skin rubbed off. 185. Small Pox. Drink largely of toast and water. Or, let your whole, food be milk and wa- ter mixed with a little white bread : Tried. Or, milk and apples. Take care to have a free, pure, and coo 4 *A kind of ring-worm, which encircles the body like a belt of a hand’s breadth. PRIMITIVE PHYSIC. 97 'air. Therefore open the casement every day : only do not let it chill the patient. “ There may be pustules a second time coming out and ripening like the small pox, but it is barely a cutaneous disorder. “In violent cases bleed in the foot; bathe the legs in warm water, twice or thrice a- day, before and at the eruption ; and apply boiled turnips to the feet. Never keep thp head too hot. *“ In very low depressed cases wine may be given ; and if the pustules lie buried in the skin, a gentle vomit. In many cases a gentle purge of manna, cream of tartar d* rhubarb. “ In the crude ichorose small pox, a dish of coffee now and then, with a little thick milk in it, has often quieted the vexatious cough. “ After the incrustation is formed, change the sick, but let it be with very dry warm linen.” Dr. Huxham. 186. A long running Sore in the Back, Was entirely cured by eating betony in every thing : Or, take every morning two or three spoonfuls of nettle juice, and apply nettles bruised in a mortar, to the part. This cures any old sore or ulcer. I. 98 PRIMITIVE PHYSIC, 187. A Sore Leg. Bind a diaculum plaster, an inch broad, round the leg, just above the sore, and fo- ment it morning and evening, with hot wa- ter. Any sore is healed by a plaster of mut- ton-suet : even though it fester or breed proud-flesh* 188. A Sore Mouth. Apply the white of an egg beat up with loaf-sugar: Or, gargle with the juice of cinquefoil : *Or, boil together a pound of treacle., three yolks of eggs, an ounce of bole armo- niac, and the quantity of a nutmeg of alum, a quarter of an hour. Apply this to the sore part: Tried. 189. A Sore Throat. Take a pint of cold water lying down in bed: Tried. Or, apply a chin-stay of roasted figs : *Or, a flannel sprinkled with spirits of hartshorn to the throat, rubbing hungary- water on the top of the head : Tried. Or, snuff a little honey up the nose. An old sore throat was cured by living wholly upon apples and apple-water. *Lay nitre and loaf-sugar mixed on the tongue. PRIMITIVE PHYSIC. 99 190. A Putrid Sore Throat. Lay on the tongue a lump of sugar dipt in brandy ; Tried. [This fatal disorder, especially among young children, begins with an ague and sore throat, sometimes a gangrene is be- gun in the palate, or near it in twelve hours, and it sometimes kills in 24 hours : a vomit should be given as soon as the disorder is known, and occasionally repeat- ed, the body kept loose; a gargle used of barley-water and honey (or honey of roses) and salt petre ; and when the gangrene is discovered, the mouth-water should be made as strong as the patient can bear it, with volatile spirit of sal armoniac, or some other volatile spirits; and the little patient of- ten have his mouth washed with it, and so- licited to drink barley-water, and take a paration of the bark : Tried.] 191. A Sprain. *Hold the part in very cold water for two hours : Tried. *Or, apply cloths dipt therein, four times doubled, for two hours, changing them as they grow warm : *Or, bathe it in good crab-verjuice : *Or, boil bran in wine-vinegar to a poul- tice. Apply this warm, and renew it once in twelve hours. 100 PRIMITIVE PHYSIC. 192. A venomous Sting. Apply the juice of honey-suckle leaves : Or, a poultice of bruised plantane and ho- ney : Or, fake inwardly, one drachm of black currant-leaves powdered. It is an excellent counter-poison. 193. The Sting of a Bee. Apply honey* 194. Sting of a Nettle. Rub the part with juice of nettles. Rub the part with the bruised leaves of house-leek, water-cresses, or rue : Or, apply treacle, or sweet oil: Or, bruised onions, or garlic. 196. Sting of a Bee or Wasp in the eye. 195. Sting of a Wasp. Apply carduus bruised with the white of an egg : renew it if it growrs dry. 197. Sting in the Gullet. Beat wrell together, with a spoon, .some honey and sweet oil with a little vinegar; swallow a spoonful every minute till ease is procured. 198. A Stichin the Side. Apply treacle spread op a hot toast:— Tried. 199. Accidental Sickness, or pain in the Stomach. PRIMITIVE PHYSIC. 101 Vomit with a quart of warm water. 200. Pain in the Stomach from bad di- gestion. Take fasting, or in the fit, half a pint of camomile tea. Do this five or six morn- ings : Or, drink the juice of half a large lemon immediately after dinner, every day. Dr. Mead. *Or, from twenty to forty drops of elixir of vitriol in sage tea, twice or thrice a-day : Or, in the fit a glass full of vinegar : *Or take two or three tea spoonfuls of stomachic-tincture, in a glass of water, thrice a-day. ynC(lire is mac]e thus : Gentian- root sliced, one ounce ; orange peel dried, half an ounce; cochineal fifteen grains; of proof brandy, one pint; in three or four days it is fit for use. This is useful in all di orders that arise from a relaxed sto- mach. 201. Choleric hot Pains in the Stomach. Take half a pint of decoction of ground- ivy with a‘tea-spoonful of the powder of it, five or six mornings. I. 102 PRIMITIVE PHYSIC. 202. Coldness of the Stomach. Taks a spoonful of the syrup of the juice of carduus benedictus, fasting, for three or four mornings: /. Or, chew a leaf of carduus every morning, and swallow the spittle ; Tried. 203. Pain in the stomach, with cold- ness and wind. Swallow five or six corns of white pepper, for six or seven mornings : Tried. 204. Stone (to prevent) Eat a crust of dry bread every morning : Tried. Or, drink a pint of warm water daily, just before dinner. After discharging o*e stone, this will prevent the generating of another. Stoop down and raise yourself up again. If you feel pain, as if cut thro’ the middle, the pain is not from the stone, but rheumatism; beware of costiveness. Use no violent diuretics. Mead is a proper drink. Or, slice a large onion ; pour half a pint of warm water upon it. After it has stood twelve hours, drink the water. Do this every morning till you are well. 205. In a raging Fit. Beat onions into a pulp and apply them as a poultice, to the back, or to the groin PRIMITIVE PHYSIC. 103 It gives speedy ease in the most racking pain : Tried. Or, apply heated parsley. 206. Stone (to ease or cure.) Boil half a pound of parsnips in a quart of water. Drink a glass of this, morning and evening, and use no other drink all the day. It usually cures in six weeks. Or, take morning and evening, a tea- spoonful of onions, calcined in a fire shovel into white ashes, in white wine. An ounce will often dissolve the stone.” Or, take a tea-spoonful of violet-seed powdered, morning and evening. It both wastes the stone, and brings it away. Or, drink largely of water impregnated with fixed air.* Those who have not a convenient appa- ratus, may substitute the following method ; Dissolve fifteen grains of salt of tartar in six spoonfuls of water, to which add as much water, acidulated with oil of vitriol, as will neutralize the salt. They are to be gradu- ally mixed with each other, so as to prevent the effervescence or dissipation of the fixed air, as much as possible. 207. Stone in the Kidneys. Boil an ounce of common thistle-root, [*Some have been much relieved by drinking- a pint of cold water fasting in the morning, and again at bed-time.] 104 and four drachms of liquorice, in a pint of water. Drink half of it every morning. PRIMITIVE PHYSIC. 208. Stoppage in the Kidneys. Take decoction, or juice, or syrup of ground-ivy, morning and evening : Or, half a pint of tar-water. Or, twelve grains of salt of amber in a little water. 209. The Stranguary. Sit over the steam of warm water Or, drink largely of decoction of turnips sweetened with clarified honey : Or, of warm lemonade : Tried. *Or, dissolve half an ounce of salt-pctre in a quart of water ; drink a glass of it eve- ry hour. 210. Sunburn (smarting.) Wash the face with sage tea. 211. Afresh surfeit. Take about a nutmeg of the green tops of wormwood. 212. To stop profuse sweating. *Mix an ounce of tincture of Peruvian bark, with half an ounce of spirit of vitriol. Take a tea-spoonful morning and night, in a glass of water. PRIMITIVE PHYSIC. 105 213. Swelled Glands in the Neck. *Take sea-water every other day. 214. Indolent Swellings, Are often cured by warm steams. 215. Soft and flabby Swellings. Pump cold water on them daily : Or, use constant frictions ; or proper bandages. 216. A white swelling (on the Joints.) Hold the part half an hour every morning under a pump or cock. This cures also pains in the joints. It seldom fails : Tried. Or, pour on it daily a stream of warm, water : Or, a stream of cold water one day, and warm the next, and so on by turns : Use these remedies at first, if possible. It is likewise proper to intermix gentle pur- ges, to prevent a relapse : Or, boiled nettles. 217. To dissolve white or hard swellings. Take white roses, elder flowers, leaves of fox-glove, and of St. John’s wort, a handful of each : mix them with hog’s lard, and make an ointment. Or, hold them morning and evening in PRIMITIVE PHYSIC* the steam of vinegar, poured on red hot flints. 218. To fasten the Teeth Put powdered alum, the quantity of a nutmeg, in a quart of spring water, for twenty-four hours. Then strain the water, and gargle with it: Or. gargle often with phillerea leaves boiled with a little alum in forge-water. *Rub them with ashes of burnt bread. 220. To prevent the Tooth-Ach. •Wash the mouth with cold water every morning, and rinse (hem after every meal. 219. To clean the Teeth. 221. To cure the Tooth-ach. Be electrified through the teeth ; Tried. Or, apply to the aching tooth an artificial magnet : Or, rub the cheek a quarter of an hour : Or, lay roasted parings of turnips, as hot as may be, behind the ear : Or, put a leaf of betony, bruised, up the nose : Or, lay bruised or boiled nettles to the cheek : Tried. Or, lay a clove of garlic on the tooth : Or. hold a slice of apple, slightly boiled, between the teeth : Tried. Or, dissolve a drachm of crude sal am- PRIMITIVE PHYSIC. 107 moniac in two drachms of lemon juice; wet cotton herein and apply it: Or, keep the feet in warm water, and rub them well with bran, just before bed-time : Tried. The first twenty teeth generally last till the sixth or seventh year: After that till the fourteenth or fifteenth year, they fall out one by one, and are succeeded by others. The shedding of the teeth is wisely in- tended, and brought about in a singular manner. Their hardness will not admit of distention like other parts of the body.— Hence after an enlargement of the jaw- bone, the original teeth are no longer able to fill up the cavities of it. They must stand unsupported by each other, and leave spaces between them. Under the first teeth therefore is placed a new set, which by con- stantly pressing upon their roots, rob them of their nourishment, and finally push them out of their sockets. 222. Tooth-ach from cold air, Keep the mouth full of warm water. Rub the tops of the teeth with a dry towel. 223. Teeth set on edge. There is no such thing as worms in PRIMITIVE PHYSIC > the teeth. Children’s using coral, is al- ways useless, often hurtful. “ Forcing the teeth into order is always dangerous. Filing is generally hurtful. “All rough and cutting powders destroy the teeth : so do all common tinctures. “Sweetmeats are apt to hurt the teeth, if the mouth be not rinsed after them.— Cracking nuts often breaks off the enamel: so does biting thread in two. *“ Constant use of tooth-picks is a bad practice : constant smoking of tobacco des- troys many good sets of teeth.” Mr. Beard- more 224. Extreme Thrist (without a Fever.) Drink .spring water, in which a little sal prunellas is dissolved. / Apply pelitory of the wall beaten up in- to a poultice, changing it morning and even- ing. 22-5. Pain in the Testicles. 226. Testicles inflamed. Boil bean-flour in three parts water, one part vinegar. 227. To draw out. Thorns, Splinters, and Bones, Apply nettle-roots and salt: Or, Turpentine spread on leather. PRIMITIVE PHYSIC. 109 228. Thrush.* Mix juice of celandine with honey, to the thickness of cream. Infuse a little pow- dered saffron : let this simmer a while and scum it: apply it (where needed) with a feather. At the same time give eight or ten grains of rhubarb; to a grown person, twenty * Or, take an ounce of clarified honey ; having scummed off all the dross from it, put in a drachm of roch alum, finely pow- dered, and stir them well together. Let the child’s mouth be rubbed well with this, five or sis times a-day, with a bit of rag lied upon the end of a stick; and even tho’ it be the thorough thrush, it will cure it in a few days. 1 never knew it fail. [As they generallyproceed from too Lot a regimen, or the child being deprived of its mother’s milk, or from acid humours, flie child should be purged. Five grains of rhubarb and thirty of magnesia alba may be rubbed together, and divided into six do- ses, one of which should be given every four hours. Then lake fine honey, an ounce ; borax, a drachm ; burnt alum half a drachm ; rose-water, two drachms; mis them to touch the parts with : Buchan.] 229. Tonsels swelled. Wash them with lavender-water. White Ulcers in the mouth. 110 PRIMITIVE PHYSIC, 230. Torpor; or numbness of the limbs. Use the cold bath, with rubbing and and sweating. 231. Twisting of the guts. Use injection of tobacco smoke. 232. Tympany ; or, Windy Dropsy, Use the cold bath with purges intermixed ; Or, mix the juice of leeks and of elder. Take two or three spoonfuls of this, morn- ing and evening: Tried. Or, eat a few parched peas every hour. 233. A Vein or Sinew cut. Apply the inner green rind of hazel fresh scraped. 234. The Vertigo, or swimming in the Head. *Take a vomit or two : *Or, use the cold bath for a month : Or, in a May morning, about sun rise, snuff up daily the dew that is on the mal- low-leaves : Or, apply to the top of the head, shaven, a plaster of flour of brimstone, and white of eggs: Tried. Or, take every morning half a drachm of mustard -seed; Or, mix together, one part of salt of tar- tar. with three parts of cream of Take a tea-spoonful in a glass of water, ev- ery morning, fasting. This is serviceable when the vertigo springs from acid, tough phlegm in the stomach. PRIMITIVE PHYSIC. 235. Vigilia, Inability to Sleep. Apply to the forehead, for two hours, cloths four times doubled, and dipt in cold water. I have known this applied to a ly- ing-in woman, and her life saved thereby. Or, take a grain or two of camphire. Assafcetida, from ten to thirty grains, likewise will in most cases answer. 236. Bite of a Viper or Battle-Snake. Apply bruised garlic : Or, rub the place immediately with com- mon oil: Query, would not the same cure the bite of a mad dog ? Would it not be worth while to make the trial on a dog ? [Or, take a quantity of hore-hound, bruise it well in a mortar, and squeeze out the juice ; likewise plantane in like manner a table-spoonful of these liquids mixed togeth- er, in equal quantities, is to be taken every three hours till (he infection is done, and the beaten herbs are for a poultice to the part, having first cleansed it well: Or, apply the liver and guts of the ser- pent to the wound. Good in the bite of any serpent.] 112 PRIMITIVE PHYSIC. 237. To prevent the Bite of a Viper. Rub the hands with the juice of radishes. 238. An Ulcer. Dry and powder a walnut-leaf, and strew it on, and lay another walnut-leaf on that *. Tried. Or, boil walnut-tree leaves in water with a little sugar. Apply a cloth dipt in this, changing it once in two days. This has done wonders. Or, foment morning and evening with a decoction of walnut-tree leaves, and bind the leaves on. This has cured foul bones : yea, and a leprosy : Tried. 239. Ulcer in the Bladder or Kidneys. Take a decoction of agrimony, thrice a day : Or, decoction, powder, or syrup of horse- tail. 240. Ulcers in the Gum or Jaw. Applj honey of roses sharpened with spirit of vitriol : Or, fill the white of eggs boiled hard,and slit, with myrrh and sugar candy powder- ed. Tie them up, and hang them on sticks lying across a glass. A liquid distils, with which anoint the sore often in a day. PRIMITIVE PHYSIC. 113 Apply wood-betony bruised, changing it daily. 241. A fistulous Ulcer. 242. A bleeding varicous Ulcer in the L°g, Was cured only by constant cold bathing. 243. A Malignant Ulcer. Foment morning and evening, with a de- coction of mint. Then sprinkle on it finely powdered rue ; Or, burn to ashes (but not too long) the gross stalk on wjjich the red cole worts grow. Make a plaster with this and fresh butter. Change it once a-day : *Or, apply a poultice of boiled parsnips, this will cure even wrhen the bone is foul: Or, be electrified daily : 244. An easy and safe Vomit. Pour a dish of tea on twenty grains of ipe- cacuana. You may sweeten it if you please. When it has stood four or five minutes, pour the tea clear off, and drink it. 245. To stop Vomiting. Apply a large onion slit across the grain, to the pit of the stomach : Tried. *Or, take a spoonful of lemon-juice and six grains of salt of tartar. 114 PRIMITIVE PHYSIC. 246. Bloody Urine. Take twice a-day a pint of decoction of agrimony : Or, of decoction of yarrow. 247. Urine by Drops with Heat and Pain, Drink nothing but lemonade : Tried. Or, beat up the pulp of five or six roast- ed apples with near a quart of water. Take it at lying down. It commonly cures be- fore morning. 248. Involuntary Urine. Use the cold bath Or, take a spoonful of powdered agrimo- ny in a little water, morning and evening : Or, a quarter of a pint of alum posset- drink every night; Or, foment with rose-leaves and planjaue- leaves, boiled in a smith’s forge water.— Then apply plasters of alum and bole ar- moniac, made up of oil and vinegar : Or, apply a blister to the os sacrum.— This seldom fails. Take two spoonfuls of fresh juice of ground-ivy. 249. Sharp Urine. 250. Suppression of Urine, Is sometimes relieved by bleeding: PRIMITIVE PHYSIC. 115 Or, drink largely of warm lemonade : Tried. Or, a scruple of nitre, every two hours': Or, take a spoonful of juice of lemons sweetened with syrup of violets. 251. Uvula* inflamed. Gargle with a decoction of beaten hemp- seed : Or, with a decoction of dandelion ; Or, (ouch it frequently with camphorated spirits of wine. 252. Uvula relaxed. Bruise the veins of a cabbage-leaf, and lay it hot on (he crown of the head : re- peat it, if needed, in two hours. I never knew it fail. *Or, gargle with an infusion of mustard- seed. 253. Warts. Rub them daily with a radish : Or, with juice of mangold flowers : it will hardly fail: Or, water in which sal armoniac is dis- solved : Or, apply bruised purslain as a poultice, changing it twice a-day. It cures in seven or eight days. *This is usually called the Palate of the month 116 PRIMITIVE PHYSIC; Hold them in cold water a quarter of an hour, morning and evening. 254. Weakness in the Ankles. Wrap leaves of sorrel in a wet paper, and roast them in the embers. Mix it with finely sifted ashes into a poultice. Apply this warm daily. Dr. Riviere says, “ I cured a wen as big as a large fist, thus : I made an instrument, of hard wood, like the stone with which the painters grind their colours on a marble.— With this I rubbed it half an hour twice a-day, Then 1 laid on a suppurating plas- ter very hot, which I kept on four or five days. The wen suppurated and wras open- ed. Afterwards all the substance of it turn- ed into matter, and was evacuated. Thus I have cured many since.” 255. A soft Wen. 256. The Whites. Live chastely. Feed sparingly. Use ex- ercise constantly. Sleep moderately, but never lying on your back. Or, boil four or five leaves of the white holy-oak in a pint of milk with a little su- gar. Then add a tea-spoonful of balm of Gilead. Drink this every morning. It rarely fails : Or, make Venice turpentine, flour,and fine sugar, equal quantities, into small pills. PRIMITIVE PHYSIC. Take three or four of these morning and evening. This also cures most pains in the back : Or, take yellow rosin, powdered one ounce, conserve of roses, half an ounce; powdered rhubarb, three drachms, syrup, a sufficient quantity to make an electuary.— Take a large tea-spoonful of this twice a-day, in a cup of comfrey-root tea. Or, in a quarter of a pint of water where- in three drachms of tamarinds and a drachm of lentish-wood has been boiled ; when cold infuse sena, one drachm, coriander-seed and liquorice a drachm and a half of each. Let them stand all night.—Strain the liquour in the morning, and drink it daily two hours before breakfast. 257. A Whitlow, Apply treacle : Tried. Or, honey and flour: Tried. Or, a poultice of chewed bread. Shift if once a-day : Or, a poultice of powdered pit-coal, and warm water. 258. Worms.* Take two tea-spoonfuls of brandy sweet- ened with loaf sugar: *A child may be known to have the worms by chil- liness, paleness, hollow e}Tes, itching’ at the nose, Starling in sleep, and an unusual stinking breath.— Worms are never found in children that live wholly upon milk. Or, -a spoonful of juice of lemons: or two spoonfuls of nettle-juice : Or, boil four ounces of quicksilver an hour in a quart of clear water. Pour it off and bottle it up. You may use the same quicksilver again and again. Use this for common drink : or at least, night and morn- ing, for a week or two. Then purge oil' the dead worms with fifteen or sixteen grains of jalap. Or, take two tea-spoonfuls of worm-seed, mixed with treacle, for six mornings ; Or, one, two, or three drachms of pow- dered fern-root, boiled in mead. This kills both the flat and round worms. Repeat the medicine from time to time. Or, dissolve an ounce of hepatic aloes, in a pint of strong decoction of rue. Take a tea-spoonful or two, in a morning fasting. This destroys both round wrorms and asca- rides : PRIMITIVE PHYSIC. *Or, give one tea-spoonful of syrup of bear’s foot at bed time, and one or two in the morning, for two or three succeeding days, to children between two and six years of age : regulating the dose according to the strength of the patient. Syrup of bear’s foot is made thus:— Sprinkle the green leaves with vinegar, stamp and strain out the juice, and add to it a sufficient of coarse sugar.— PRIMITIVE PHYSIC. 119 This is the most powerful medicine for long round worms. Bruising the green leaves of bear’s foot, and smelling often at them, sometimes ex- pels worms: Or, mix, and reduce to a fine powder, equal parts of rhubarb, scamrnony, and cal- omel, with as much doubled-refined sugar, as is equal to the weight of all the other in- gredients. The dose for a child, is from six grains to twelve, once or twice a-week. An adult may take from twenty grains to forty, for a dose. Or, boil half an ounce of aloes, powdered, with a few sprigs of rue, wormwood, and camomile, in half a pint of gall, to the con- sistency of a piaster r spread this on thin leather, and apply it to the stomach, chang- ing it every twelve hours, for three days ; then take lifteen grains of jalap, and it will bring vast quantities of worms away, some burst and some alive. This will cure, when no internal medicine avails. See extract from Dr. Tissot, page 145. {"Or, take ten grains of cornomilc, thirty grains of rhubarb, and as much finely pow- dered chalk, or oyster-shells, for six pow- ders ivhen rubbed together : one to be tak- en every morning, noon, and night; for a child five years old. Keep him from cold water. Take two drachms of quicksilver. 120 PRIMITIVE PHYSIC. boil it in half a pint of water till half is con- sumed, pour oft the liquor and give him half a table-spoonful thrice a-day, and lay by the quicksilver. 259. Wounds. If you have not an honest surgeon at hand, Apply juice or powder of yai.ow ; /. Or, bind leaves of ground-ivy upon it : Or, wood betony bruised. This quickly heals even cut veins and sinews, and draw's out thorns and splinters : Or, keep the part in cold water, for an hour, keeping the wound closed with your thumb. Then bind on the thin skin of an egg-shell for days or weeks, til! it falls oil* of itself. Regard not, though it prick or shoot for a time. 260. Inward Wounds. Infuse yarrow twelve hours in warm wa- ter. Take a cup of this four times a-day. 261. Putrid Wounds. Wash them morning and evening with warm decoction of agrimony. If they heal too soon, and a mailer gathers underneath, apply a poultice of the leaves pounded, changing them once a-day till well: *Or, apply a carrot poultice ; but if a gangrene comes on, apply a wheat flour PRIMITIVE PHYSIC. poultice (after it has been by the fire, till it begins to fe-rment) nearly cold. It will not fail. [One of (he best poultices for separating or suppurating, will be found to be made of biscuit of fine wheat flour, boiled in milk : and mpst additions or refinements on it only lessen its value : sometimes it may be pro- per to touch it over with a little sweet oil or fresh butter ; and in extreme pain, in other cases, with liquid laudanum.] 262. Wounded Tendons. Boil cornfrcy-roots to a thick mucilage or jelly, and apply this as a poultice, changing it once a-day. 263. To open a Wound that is closed too soon. Apply bruised centaury. 264. Daffy’s Elixir. Take of the best sena, guaiacum, liquo- rice sliced small, aniseeds, coriander-seeds, and elicampanc-root, each half an ounce; raisins of the sun, stoned, a quarter of a pound : let them all be bruised, and put into a quart of the best brandy. Let it stand by the fire for a few days, then strain it. See page 30. 122 PRIMITIVE PHYSIC. 265. Turlington’s Balsam. Take of balsam of Peru, balsam of Tolu, Angelica-root, and calamus-root, of each half an ounce : gum storax in tears, and drag- on’s blood of each one ounce ; gum Benja- min, an ounce and a half ; hepatic aloes and frankincense, of each two drachms 5 let the roots be sliced thin and the gums bruised ; and put all the ingredients into a quart of spirits of wine 5 set the bottle by he fire in a moderate heat for eight or ten days, then strain it for use. This is indeed a most excellent medicine for man or beast, and for any fresh wound, 1 know of none like it. 266. Stoughton's Drops. Take gentian-root one ounce ; cochineal and saffron, one drachm ; rhubarb two drachms ; the lesser cardamom-seed, grains of paradise, * zedoary, snake-root, of each half an ounce; galengale one ounce; slice the roots, and bruise the seeds ; then in- fuse them in a quart of the best brandy, and add the rinds of four Seville oranges.— When it has stood eight days, clear it off; and put a pint and a half more of brandy to the same ingredients till their virtue is - drawn out. This is greatly helpful in dis- orders of the stomach,-——See stomachic tincture, page 101. 123 267. Dr. James’s Powders. PRIMITIVE PHYSIC. Instead of giving half a crown a packet for these powders, you may, at any drug- gist’s get Dr. Hardwick’s fever-powder for a shilling an ounce, which (if it be not the same) will answer just the same end. COLD-BATHING Cures young Children of Convulsions* Cutaneous inflammations, pimples, and scabs Gravel Inflammation of the ears, naval, and mouth Rickets* Suppression of urine Vomiting Want of sleep. It prevents the growth of Hereditary Apoplexies Asthmas Blindness Consumption Deafness Gout King’s Evil Melancholy Palsies Rheumatism* Stone 124 PRIMITIVE PHVSIC, It frequently cures every Nervous,* and every Paralytic Disorder ; in partic- ular Ague of every sort* Atrophy Coagulated blood after bruises Convulsions* Convulsive pains Epilepsy* Hysteric pains Incubus Involuntary stool or urine Lameness (Old) Leprosy Lethargy Loss of appetite Nephritic pains Pain in the back, joints, stomach Rheumatism (chronic)* Rickets* Rupture Suffocations Sciatica Surfeits (at the beginning) Scorbutic pains Swelling on the joints Torpor of the limbs, even when the use of them is lost *Anrl this, I apprehend, accounts for its frequently curing- the bite of a mad-dog-, especially if it ue re- peated for twenty or thirty days successively. PRIMITIVE PHYSIC. 125 Tetanus* Tympany Vertigo St. Vitus's dance Vigilia Varicous Ulcers The Whites. *Wise parents should dip their children in cold water every morning, till they are three quarters old; and afterwards their hands and feet. the head every morning in cold water, prevents rheums, and cures old head- achs, and sore eyes. Water Drinking generally prevents convulsions, gout, hysteric fits, madness, palsies, stone, trembling. To this children should be used from their cradles. The best water to drink, especially for those who are much troubled with the wind, is rain-water. After it has settled, draw it off clear into another vessel, and it wall keep sweet for a long time. Electrifying in a proper manner, cures Blindness Blood extravasated Bronchocele 126 PRIMITIVE PHYSIC. Burns or scalds Coldness in the feet Contraction of the limbs Convulsions Cramp Deafness* Falling sickness Feet violently disordered Felons Fistula lachrymalis Fits Ganglions Gout Head-ach Involuntary motion of the eye-lids Knots in the flesh Lameness Wasting Weakness of the legs Restores bulk and fulness to wasted limbs Locked Jaws or joints Leprosy Menstrual Obstructions Opthalmia Pain in the stomach Palsy* Palpitation of the heart Rheumatism* Ring-worms Sciatica Shingles PRIMITIVE PHYSIC. 127 Sinews shrunk Spasms Stiff joints Sprain, however old Sore throat Tooth-arch^' Ulcers Wens. Drawing sparks remove those tumours on the eye-lids, called barley-corns, by exci- ting local inflammation, and promoting sup- puration. Nor have I yet known one single instance, wherein it has done harm : so that I cannot but doubt the veracity of those who have affirmed the contrary. Dr. De Hean pos- itively affirms, “ it can do no hurt in any case ; “ that is unless the shock be imrnod” erately strong.” Fasting Spittle outwardly applied every morning, has sometimes relieved, and sometimes cured Blindness Contracted sinews from a cut. Corns (mixt with chewed bread and applied every morning) Cuts (fresh) Deafness Eyelids, red and inflamed Scorbutic tetters Sore legs Warts 128 PRIMITIVE PHYiSIC. Taken inwardly, it relieves or cures Asthmas Cancers Falling sickness Gout Gravel King’s Evil Leprosy Palsy Rheumatism Scurvy Stone Swelled liver- The best way is to eat about an ounce of hard bread, or sea-biscuit, every morning, fasting two or three hours after. This should be done, in stubborn cases for a month or six weeks. SOME HINTS TO ENABLE PARENTS TO DETERMINE WHE- THER THEIR CHILDREN ARE PARTICULAR- LY SUBJECT TO DISEASE, AND IF DISOR- DERED, TO JUDGE OP THE VIOLENCE OF THE ATTACK. Parents should be particularly attentive to observe their children minutely in all their actions and habits, &c. 1. They should observe the common ex- tent of their appetite, so that any consider- rable excess or deficicncjr in their eating rna3r not pass unnoticed. This will be of use, since a considerable change in one of these 129 respects, almost always takes place before a spell of sickness. 2. Attention should be paid to their stools. Unimportant as this might at first appear to the inconsiderate, yet a costive habit gene- rally precedes an attack of fever. 3. The degree of exercise and the agili- ty with which it is performed deserve par- ticular observation. For all fevers are ushered in with a degree of slothfulness, a sense of weariness, and in children with a more than usual disposition to sleepiness. 4. By noticing whether any of the fore- going circumstances take place after having been exposed to unusual weather, or to greater than ordinary fatigue : Or if the place or season be sickly, by having regard to these circumstances, there will be the less danger of being taken at surprise. 5. As it is generally the case that some complaints of lesser magnitude go before, and give warning of the impending danger; such as costiveness, a sense of weariness, dulness of the faculties, preternatural ap- petite or defect of it, a pain in the limbs, s*c. Therefore when these marks of forming disease present themselves, a puke or purge ought to be timely adminstered according to circumstances. This might frequently prevent great mischief. Indeed in many instances, simply bathing the feet in hot water, and taking a plentiful draught of PRIMITIVE PHYSIC. PRIMITIVE PHYSIC; warm tea of some kind on going to bed, might prevent an attack of fever, especially if the patient be not in a costive habit. This last circumstance may be considered in most instances as requiring the exhibition of a purge of some kind As also great sick- ness of the stomach might point out the pro- priety of a puke. 6. But it will also be important for pa- rents to be able to judge of the violence of the disease in case of an attack. They should therefore frequently observe the strength of their children’s pulse when in health, its kind of motion, the force with which it seems to propel the blood along, its apparent size, its tightness as to its exten- sion lengthwise of the arm, its fulness, &c. A knowledge of these circumstances attend- ing the pulse, wiilbe very important in par- ticular cases, especially where bleeding may be necessary. For this operation cannot be proper unless the pulse be either strong and full, or tight, at least judicious advice should be had in cases with other states of the pulse. 7. They should also have regard to the manner of breathing in a healthy child, to the state of his skin, the appearance of his eyes, tne complexion of his teeth, the colour and degree of moisture of his tongue, the proper figure and appearance of his mouth and throat. For as the violence and dan- PRIMITIVE PHYSIC. 131 ger of a disease are always in proportion to the irregularity presented in these circum- stances and appearances, it must be impor- tant to obtain a correct knowledge of them all. 8. Let us apply these remarks in a case or two. It may be observed that children are subject to some of the most violent dis- eases. If a child after exposure to cold, be taken suddenly at night when warm in bed, if the pulse be strong, full, and tight, if it beat forcibly in the neck, if the face be flushed with blood, while there is great, heat and thirst, if he breathe irregularly, with a stoppage at every breath, if he have a and particularly if he express an increase of pain on pressing his side with the hand, a pleurisy should be suspected, and he should be immediately bled ;. and this operation should be repealed again and again, as often as the violence of the symp- toms require it. A large bleeding at the first is better than smaller ones repeated.—: It should be so large as at any rate to change the manner of his breathing and lessen the pain. The blood should be drawn from a large orifice. After a copious bleeding, let three grains of tartar emetic and twenty grains «f salt-petre* be dissolv- *The salt-petre, if rejected by the patient, might be left out of the solution. 132 PRIMITIVE PHYSICr cd in one gill of water, and give a tea-spoon- ful of this solution in barley-water, or flax- seed tea, or any other mild drink a little warmed every one, two or three hours. It will moderate the cough and remove the fever. If it nauseate too much, the dose should be lessened. As this calculation would suit a child of four or five years old, the quantity of tartar should be . varied ac- cording to circumstances. In the mean time his bowels should be evacuated -with a little manna, cream of tartar, castor oil, or some other mild purge. Clysters might also be of service. 9. Again, if the child complain of pain in the head, attended with redness of the eyes and face. If the admission of the light to his eyes seem to excite uneasiness or pain, if he startle at every noise, be very watchful, sometimes making violent strug- gles, and have a full and tight, or hard pulse, inflammation of the brain should be suspected. In this case the child should be copiously bled, purged with jalap and calo- mel, and clystered. His head should be considerably raised, cloths wet with cold water and vinegar should be applied to his head, and after bleeding and purging for four or five days, a blister should be applied to his head (shaved for the purpose) or to his two temples. 10, I have introduced the above cases PRIMITIVE PHYSIC. 133 because more or less of those symptoms indicating danger to the lungs and brant. frequently occur in mealses, whooping cough, and other diseases of children ; ami because it is important that these parts of the system so essential to life, should be properly guarded whatever may be the sup- posed complaint. Whether it may be ow- ing to the greater proportionate size of the head, and the more delicate contexture of the lungs in children, or to whatever cause it may be refered, it is a fact, that in all fe- vers there is a greater determination of the blood to the brain and lungs in children’s cases than in those of adults. DR, PENNING15. CONTENTS OF THE PRIMITIVE PHYSIC. NO. PAGE. 1 ABORTION to prevent 11 2 For an Ague 12 3 St. Anthony’s Fire 15 4 Apoplexy 17 5 Canine Appetite 18 6 The Asthma ibid 7 A dry or convulsive Asthma 20 8 To cure Baldness 21 9 Bleeding at the Nose (to prevent) ibid 10 Bleeding of a wound 22 11 Spitting Blood ibid 12 Vomiting Blood 23 13 To dissolve coagulated Blood ibid 14 Blisters ibid 15 Biles ibid 16 Hard Breasts * 24 17 Sore Breasts and Swelled ibid 18 A Bruise ibid 19 To prevent swelling from a Bruise ibid 20 A Burn or Scald 25 21 A deep Burn or Scald ibid 22 A Cancer 26 23 Chilblains (to prevent) &c. ibid 24 Children ibid CONTENTS. 135 NO. PAGE. 25 Chin-cough, or Hooping-cough 27 20 Cholera Morbus, i. e. Flux and Vom- iting 2S 27 Chops in Women’s Nipples ibid 28 Chopt Hands (to prevent) 29 29 (to cure) ibid 30 Chopt Lips ibid 31 A Cold ibid 32 A Cold in the head ibid 33 The Cholic (in the (it) ibid 34 The Dry Cholic (to prevent) 30 35 Cholic in Children ibid 36 Bilious Cholic 31 37 An habitual Cholic ibid 38 An hysteric Cholic ibid 39 A nervous Cholic 32 40 Cholic from the fumes of Lead, White Lead, Verdigrease, &c. ibid 41 Windy Cholic 33 42 To prevent the ill effects of cold ibid 43 A Consumption ibid 44 Convulsions 36 45 Convulsions in Children ibid 46 Convulsions in the bowels of Children ibid 47 Corns (to prevent) ibid 48 (to cure) ibid 49 Costiveness 37 50 A Cough ibid 51 Violent Cough, from a sharp and thin rheum 39 52 The Cramp (to prevent) ibid 53 (to cure) 40 54 A Cut ibid 136 CONTENTS. NO. PACK. 55 Deafness 49 56 Deafness from Wax ibid 57 Deafness with a dry ear 41 58 Delivery ibid 59 A Diabetes ibid 60 'Che Dropsy ibid 61 Drowned 45 62 The Ear-ach without inflammation ibid 63 Ear-ach from Cold ibid 64 Ear-ach from heat ibid 65 Hard Wax in the Ear 4-6 66 Eyes bleared ibid 67 A Blood-shot Eye ibid 68 A Bruise in the Eye ibid 69 Clouds flying before the Eye ibid 70 Blindness ibid 71 Dull sight ibid 72 Films ibid 73 Hot or sharp Humours 47 74 Eyes or Eye-iids inflamed ibid 75 Lachrymal Fistula 48 76 Pearl in the eye ibid 77 Sore eyes 49 78 An excellent Eye-water ibid 79 Another ibid 80 Another ibid 81 An Eye-water, &c. 50 82 Weak Eyes 51 83 Fainting on letting biood ibid 84 The Falling Sickness ibid 85 The falling of the Fundament 52 86 The falling down of the Womb 53 87 Extreme Fat ibid CONTENTS. 137 NO. PAGE. 88 A Fever 53 89 A high Fever 54 90 Fever with Pains in the Limbs 55 91 A rash Fever ibid 92 A slow Fever ibid 93 A Worm Fever ibid 94 A Fistula 56 95 To destroy Fleas and Bugs 57 96 Flegra ibid 97 Flooding (in lying-in) ibid 98 A Flux " 58 99 A bloody Flux 59 100 To prevent (or slop a beginning) gan- grene 61 101 The Gout in the Stomach ibid 102 The Gout in the Foot or Hand ibid 103 The Gout in any Limb 62 104 The Gravel 63 105 The Green Sickness ibid 106 To kill Animalcula that cause the gums to waste away from the teeth ibid 107 To make the Hair grow 64 108 The Head-ach ibid 109 A Chronical Head-ach ibid 110 Head-ach from heat 65 111 A Nervous Head-ach ibid 1 i 2 A violent Head-ach ibid 113 A Hemicrania ibid 114 Stoppage in the Head 66 115 The Heart burning ibid 116 The Hiccup (to prevent) ibid 117 (to cure) ibid 118 Hoarseness e 7 138 CONTENTS. NO. PAGE 119 Hypochondriac and Hysteric Disorders 67 120 The Jaundice ibid 121 Jaundice in Children 68 122 The Iliac Passion ibid 123 An Imposthume 69 124 The Itch ibid 125 The King’s Evil ibid 126 Lameness from a fixed contraction of the parts 71 127 Legs inflamed ibid 128 Legs sore and running ibid 129 Leprosy ibid 130 Lethargy 72 131 Lice (to kill) ibid 132 For one seemingly killed with Light- ning, a damp, or suffocated ibid 133 Lues Venerea 73 134 Lunacy ibid 135 Raging Madness 74 136 The Bite of a Mad Dog ibid 137 The Measles 75 138 Menses obstructed 76 139 Menses profuse * ibid 140 To resolve coagulated Milk 77 141 To increase Milk 78 142 To make Milk agree with the Sto- mach ibid 143 A Mortification (to stop) ibid 144 Nervous Disorders 79 145 Nettle Rash 80 146 Old Age ibid 147 An Old stubborn Pain in the Back ibid 148 The Palsy 8! CONTENTS. 139 NO. PAGE. 149 Palsy of (he Hands 81 150 Palsy of the Mouth 82 151 Palsy from working with White-lead or Yerdigrease ibid 152 Palpitation, or Beating of the Heart ibid 153 Phlegm (see Plegm) ibid 154 The Piles (to prevent) ibid 155 (to cure) ibid 156 The inward Piles 83 157 Violent Bleeding Piles ibid 158 The Pleurisy ibid 159 To one Poisoned 85 100 Polypus in the Nose ibid 161 A Prick or Cut that festers ibid 162 Ptyalism 86 163 An, easy Purge ibid 164 A stronger Purge ibid 165 The Quinsy 87 166 A Quinsy of the Breast ibid 167 The Rheumatism ibid 168 To restore the strength after a Rheu- matism 89 169 Rickets (to prevent or cure) ibid 170 Ring-worms 90 171 A Rupture ibid 172 A Rupture in Children 92 173 A Scald Head ibid 174 The Sciatica 92 175 Inflammation or Swelling of the Scro- tum . 93 176 A Scorbutic Atrophy ibid, 177 Scorbutic gums ibid 178 Scorbutic Sores ibid 140 CONTENTS. NO. PAGE. J 79 The Scurvy 94 180 A Broken Shin 95 181 Shingles 96 182 Sickishness in the morning ibid 383 Sinews shrunk ibid 184 Skin rubbed off ibid 185 Small Pox ibid 186 A long running Sore in the Back 97 187 A Sore Leg 98 188 A Sore Mouth ibid 189 A Sore Throat ibid 190 A Putrid Sore Throat 99 191 A Sprain ibid 192 A venomous Sting 100 193 Sting of a Bee ibid 194 Sting of a Nettle ibid 195 Sting of a Wasp ibid 196 Sting of a Bee or Wasp la the Eye ibid 197 Sting in the Gullet ibid 198 A Stitch in the side ibid 199 Accidental Sickness, or Pain in the Stomach 101 200 Pain in the Stomach from bad Diges- tion ibid 201 Choleric hot Pains in the Stomach ibid 202 Cbldcess of the Stomach 102 203 Pair in the Stomach with Coldness and Wind ibid 204 Stone (to prevent) ibid 205 In a raging Fit ibid 206 Stone (to ease or cure) 103 207 Stone in the Kidneys ibid 208 Stoppage in the Kiuneys 104 CONTENTS. NO. PAGE* 209 The Stranguary 104 210 Sunburn (smarting) ibid 211 A fresh Surfeit ibid 212 To stop profuse Sweating ibid 213 Swelled Glands in the neck 105 214 Indolent Swellings ibid 215 Soft and flabby Swellings ibid 216 A white S welling (on the joints) ibid 217 To dissolve white or hard Swellings ibid 218 To fasten the Teeth 100 219 To clean the Teeth ibid 220 To prevent the Tooth-ach ibid 221 To cure (he Tooth ach ibid 222 Tooth-ach from cold air 107 223 Teeth set on edge ibid 224 Extreme Thirst (without a fever) 108 225 Pain in the Testicles ibid 220 Testicles inflamed ibid 227 To draw out Thorns, Splinters, and Bones ibid 228 Thrush 109 229 Tonsils swelled ibid 230 Torpor, or Numbness of the Limbs 110 231 Twisting of the Guts ibid 232 Tympany, or Windy D opsy ibid 233 A Vein or Sinew cut ibid 234 The Vertigo, or Swimming in the Head ibid 235 Yigilia, Inability to sleep 111 236 Bite of a Viper or Rattle-Snake ibid 237 To prevent the Bite of a Viper 112 238 An Ulcer ibid 239 Ulcer in the Bladder or Kidneys ibid CONTENTS. JVO. ?AGE. 240 Ulcer in (he Gum or Jaw 112 241 A Fistulous Ulcer 113 242 A Bleeding varicoua Ulcer in the Leg ibid 243 A Malignant Ulcer ibid 244 An easy and sale Vomit ibid 243 To stop Vomiting ibid 246 Bloody Urine 114 247 Urine by drops with heat and pain ibid 248 Involuntary Urine ibid 249 Sharp Urine ibid 230 Suppression of Urine ibid 251 Uvula inflamed 113 252 Uvula relaxed ibid 253 Warts ibid 254 Weakness in the Ankles 116 255 A soft Wen ibid 256 The Whites ibid 257 A Whitlow 117 258 Worms ibid 259 Wounds 120 260 Inward Wounds ibid 261 Putrid Won ds ibid 262 Wounded Tendons 121 263 To open a Wound that is closed too soon ibid 284 Daily’s Elixir ibid 265 Turlington’s Balsam 122 266 Stoughton’s Drops ibid 267 Dr James’s Powders 123 268 Hints to Parents 128 FINIS. LIST OF BOOKS. The following BOOKS are published under the pa- tronage, and for the use of the Methodist Episcopal Church in the United States of America, and to be had of J Soule, and T. Mason, No. 41 John-street. New- York ; Superintendents of the Book Business for the said Methodist Church, and of the Ministers and Preachers in their several Circuits. Coke’s Commentary on the New-Testament, 2 vols. quarto, - g2O Wesley’s iNotes on do. 2 vols. in 1, . 3 Quarto Bibles, 7 Wesley’s Sermons,* 2 vols. a new edition, in- cluding- thirteen Sermons more than have been before published in America. 5 Wood’s Dictionary of the Bible, 2 vols. . 5 Fletcher's Checks, fJ vols. . . 5 Harmcr’s Observations, 4 volumes octavo, by Adam Clarke, L. L. D. . . . 10 Benson’s Sermons, I vol octavo, . . 2 Wesley on Original Sin,. ... 1 12^ Benson’s Life of Fletcher, ... 1 Portraiture of Methodism, .... I Experience of several eminent Methodist Preachers, a new and enlarged edition, 1 The Experience and Ministerial Labours of several eminent Methodist Preachers, . 1 Tha Saint’s Everlasting Rest, ... 1 Methodist Hymns, two books bound together, 87£ Hervey’s Meditations, .... 87^ Experience and Letters of Hester Ann Rogers, 75 Law’s Serious Call to a Holy Life, • . 75 Doctrinal Tracts, 75 Fletcher’s Appeal to Matter of Fact and Com- mon Sense, 75 Abbot’s Life, 75 Introduction to Christianity, ... 75 Alleiue's Alarm and Baxter’s Call . . 50 Family Adviser and Primitive Physic, . 50 LIST OF BOOKS, Youth's Manual, ..... 50 Sellon's Arguments on General Redemption, 50 Memoir of Mrs. Mary Cooper, . . 50 Causes, Evils, and Cures of Heart and Church Divisions, 50 Methodist Discipline, . ... 37 i Extract from John Kelson’s Journal, . 374 Confessions of James Lackington, . . 25 Thomas a Ketnpis, or Christian’s Pattern . 43:| History of Jesu» and Token for Children . 3l| Mrs. Koxve’s Devout Exercises, abridged . 31$ Sermon on Salvation by Faith, by Adam Clarke, L. L. D 124 The Witness of the Spirit defended in reply to W. W. by J, E 25 A Scriptural Catechism, .... 6$ Instructions for Children, . . . 64 As the profits of the above-mentioned Books are for the benefit of the Methodist Episcopal Church in the United States, and to be applied to religions pur- poses, it is recommended to the Ministers and Mem- bers of the Church to promote the sale of said Rooks, and not to purchase any Books which we publish of any other persons than the aforesaid J. tioui.E and T. Mason, and the Methodist Ministers, and Preachers, cr such persons as sell them by their consent.