REPORT of the BLACK MENS MEDICAL from January 1st.. 1852 to April 1st.. 1853 Respectfully submitted to Wm.. S. Naines Chief Resident Physician to the Blockley Alsm house hospital by Drs.. Danach and Ltille Assistant Resident Physicians [illustration] ꝶ Lyr: Qcilles Lyr: Psunus irz giruanci Liq: Morp: [sulp?]: āā ℥j ♏︎ Lq/Teaspoonfull 3 times a day ol: Ricini ℥ijss To Opii gtb viii Acacios Pulv Lacchan āā ʒii Aq: Menth: [viridis?] ℥iv ꝶ Ol: Ricini [illegible] Opii gtts viii Lacch: Alb: Gum Aeacid ʒii Aqua Menth. ℥iv ♏︎ ꝶ Hyd: Chl: Mile grs ij Pulv: Ipicac grs xvi Pulv: Opii grs ii ♏︎ Lacch: alb grs viii ♏︎ [Pi?] pil: No viii ꝶ Argenti Nitras grs vi Aqua ℥iij [illegible] p:s:l Lg/drop: 3 drops night and morning into the eye. ꝶ Plumbi Acetas grs vi Pulv: Opii grs ii ♏︎ p: pil: No iij Lg/one every 3 hours. ꝶ Mist: cstœ ℥iv Tr: ksameiice ℥i Tr: Opii Camp ℥iss ♏︎ Lg/Tablespoonfull 3 times a day [illegible] Lyr senega ℥ii Morp: sulp: gsi Aqua Temsali ℥ss ♏︎ft sol: Infus: salvics ℥iv Pulv Alumen ʒi ♏︎ft sol Zinci sulp grs v Aq: Roses ℥i ♏︎ft: sol Aq: Nitras grs iii Aua font: ℥i [crossed out] Zinci sulp grs v medulla Lapapas grs x Aqua ℥i [To the Sets wala] While such a mortals existed in B& NY as 2 in cold water are resented a P. owing to the [scherylhol?] water. The Provider. Pat says that several hensus of perch & prekerel & some weeks 1 1/2 lb whe for foating &c. Marsh pers pug Brent Pard. Cranstn. dung No excep heat on Sunday & Monday. July 20 We understand that several persons Ched yesterday from drinking cold water & in [cure?] of heat [illegible] U 90 moe than every [occ?] in one week 28 [inter???] call [Cathed?] in one day. A gentleman of [re??] [illegible] the editor of the Boston Coaner, that the ex. h of last week occasoned the death of multitime of first in coccad uses near the vila of concard such an indident, it is said occur in the same place 40 yr [illegible] Number of Death in Boston on Thursday of last week 12. Tuesday 22. Wednes 7 total 41 in 3 days Death comnusa During the week ends July 10th 1825 N.york. 33 drining cold water. sudden .5 ꝶ sema} sulphur} shaneali} cream Tartar} aa ℥i anniseed ℥ss pulv. teaspoon of power cr goes to bed July 23: Three mens employed in Vene to Calvat dropped down yesterday afternoon over powered by the heat. recover of some connde doubtful. Others have died in ranom part of the city some from drinking cold water & some simply form the effect of heat. The suggestions of the Board of health to [ab???] from all violent exertion cling the house of in which the heat is most powerful. Heat 1.93° Thursday the [C???] of it 3 held inguest on body of sexperson dew ding the day from drinking cold water. On Tuesday July 21. 1825. Two mens fell down in the afternoon, overcome with heat Paralysis men [illegible] what is lemn a shone of elder The same day a horn fell dead in first st he had been drive violently in a day with a heavy [illegible] yesterday morning about 10 Oc a lady after drinking a glass of ice water in a day good & lon in sick to immediately fainted at way conveyed home in a caneys uphans dead. Bedes the acc of fatal [eff??] or horn & gist we yesterday learn that swallow what inhabits the large ship [illegible] at the Navy yard are daily drophy down dead among work men below. This answer & in common incident in duen cr. of the officer. to ascertain the lenth in commen dead ofocie 98° In ship hom per zoos 106° At Norfoth July. 10. [?hem] 88t 9orVen [?e]t health. Vendzor vermnt July 18. [?hen] 96° for level down 19 at 1. pm. 96 at ddew point 95 [?] Pongh keepsie July 2 after 3 the hotest day an imcommonly severe storm of thunder & lightning. It is believed that present is no which ser for the last 14 ys. Nor at 93 1/2 on Saturday in an Albany an [illegible] from a farm of the dead from cold water. Hoophe at a [illegible] t Hath his thent & in 5m why herself a corp. 94 98 100 99 98 101 100 1742 N Y America & lats next 33 sudden death occured then on Judey. July 22 Heavy shower of rain on sunday night July 24 [15°] senh th No [Inthalan???] [apoplne??] or morayganated spam of the stomach & bowel. Those phy. mort exp. if caled his seat or [ab?] have found free bloodletting & emetics which operate genches & powerful are the best for popl simptom pe resting heat are from July 9 to 16 16 to 23 to 30 Cold water 2-15-6 Sudde 4-10-6 Afuply 4-6-3 Corp to total 1-1 July 12 1825 The N Y Evening Port Hales that lv lady while passing along greewich st on Sunday, who so overcome with the heat, that she fell upon the pavement & was afterward all corked with a successful of fits during the night. 13. A laboruing man was brought near death on Monday in 4th st from drinking while warm too peely if cold water from a trunk By the temoolint exertion of the chew & faintly he was restored to health. The utermost caution is regenerste during the present hot weather. we have heard it said that not less than 8 persons died yesterday in Corregeore of the heat N.Y. 12. We athed continues almost in supported warm in the city. At one oclock the day the mercury stood at 93 in a well rig then than [?] in shade. we learn that 3 hours who killed in the Phih sHar evning who city. Several men dropped down in our sheets One of them died this morning N.Y. July. 18. Comone refint. 2 apopls. 2 deels, 8 cold water 6 overcome by heat. Boston. The Pallavian says At one time there were Women & men in the sheet dying & fainting, the physician allep. by to bleed them, the friends rendhing their best servies & offices keeping of the owned [alro] the gazette says that death from exposue to heat & [impr???] drining of cold water = 25 o 30 majority iresh yesterday the funeral heaven was seen moving in every direction. One phycn vented duddenly attacked from the [impr??det] in of cold water 3 fatal. In Broerd it 3 womens whe ice cling behave no horn of 1 & 2 or Tuesday. Destructive to brute cication. the owners of the [P?????] line has shrrue fine home [illegible] [illegible] have occured or other rounts. Most of the wor knent employed in building alone &c. in extend & it have have been empelled to gut work. Palnot slates, some slaters or the root of a [illegible], became paralized by the influx of sun, & whe so weak as to require [ass???] to get Clorus Several punals of a company order to alter a funeral or [mandery?] moring became to faint so to he [illegible] to become the 2 antd one of them died of fevers [illegible] slates 20 death among labour from heat & cold water at work in hearlval exposed situation. 9 died in Breads in 24 hours irrit emigrans lung in clon cellar. Daily Advertingive a list of [inter???] on Mon-Tues & Wed-day, 35 in a popuel of 42.256. It the dealt. in Phi. bohe in proport [we] set come in 100 funerals in a day. The New York state ne says that Best Garete = say by it [illegible] request the master builder- agreed to absla from labour deny the conteman of the whole wealth for 121.5. Monday Tuesday Uterine Disease Mrs Wollestor of Wilningtor y.f. Burkley Uterine Disease: Mr. Cheyney Jeffices. a ser 30yrs: of Chester Co. Poz.. March 7th. 1841. Hæmorrhage, Lenorrhæa, & huhu gastre pain. fr 18 ms. 11th.. Tart Emet. Oint. ʒi rubber [is the tro] q n. et m. rest in bed & crea diets. 14th.. Perriod oz. dark & clotter, pain in less eliac resen or groin. always has have difficult menstruation, omit. Lenet Carthardc: cert T: E oint. 16th.. less of the less cher pain, menses conrtras dark & clottd, sln-ect cant [illegible] the fall [illegible] of the crea, bowel not menes: Cort T E oint 21st: better. 25th: the salt here sufficit menes h: omint it & cont rest of med 27th.. a sorness & falling in uternus & blood discharge 2 weeks from penor (B this fever is not only a constant sympt is this but also in other care of uterine disease. Omit T E oint & [?int] Jr Canthendes: 29th: the hæmorrhage at middle pair has ceased. April 3d: she has mn in 2 weeks take 160 drops of 8i to: & sharps is [prov?] [illegible]: B: she began with grr x? 4 t" & [illegible] daily each d or 5 drops- whc at 160 gtt q 4 t. the shapes has been effected - & the pain in night that [illegible] the blood uterine discharge at the middle [per?], & the Leucontræa are removed which she has suffered under for 18 months. (she has an excited [illegible] & last [fer?] [fr?] the T Carth: omt all med. Aprl 6th. Ergot gr viii & [cross out] fn eigle sore. 9th. menses or oint ergot 13th. menses or & [illegible] return of chac pain. 19th some little pain chac resen. 22 no chac pain. some siches of [illegible] oint ergot & tch. Tr Canthande 30: return to west chester & to tch. crea sick fro that n & matter a damn [Abat?]: Profuse & clotled & dark menses: [an cli] a pain in right chac resen aggravated at menses & at the middle penor between regular menstruation [when?] there came only a uterine blood discharge a leacorrhæa - Treatment - Rest in bed from: March 7th. to April 30th: diet exclusive of [crea?] [?ot.] & state brad.- Tart Emet ointment- rubbe in different parts of the body for 2 weeks salts ʒii [?] 2 m. Ergot gr viii[?] 4 to: then Tr Cartha for 2 weeks to 160 gtt daily [?] 4 to. from gtt x - to prodn. [illegible] then Ergot & then age Tr Carth: & removed othe symptm. with sn slight [occasion?] return of the chac pain & [heening?] take home. Report of my medical practice of 1830 I make this report to present concisely what I have done, wherein I have been instrumental in curing & relieving wherein I have been useless , and wherein I have done harm. These facts well considered will enable me to correct my ignorance and fit me better to meet the cases which may [fals] be [intri?] to me the coming year. I ve been in the habit of make [illegible] annual reports for the City - Tract Society, the anx-ami. mis- [so?] of 5th Pert. chl and tho asso. of the manual-labour Academy; are collateral duties, and certainly I ought to pay as much attention to my medical business which is my immediate & chief calling in this world. I have been called, the past year, to visit, Thomas Carter- A [at?] Mrs Cornells, James Danact (son). W. Reynold, Thomas Hay, Mrs J. [Ma?] Mrs Indson, Rebecca at Mrs Alison, Miss Cummings, John Hassenger, S. [D?] Samuel Paynter, Anna Widdifield, V. L. Bradford, Mr Williams, Mrs Hubart, Mam Ann Singer, Mrs O Brian, N. Dodge, Anna [Martla?] Mr Habertrom- Mrs Ludlow, Mrs Green, Nancy Castalve, Mrs Hays, infant, Mrs Lake, Mis Tho. Bradford, Mam Kate, Mrs Burnwood, Mr Cline [info?] Elenor at M. Heyles, Hannah Houston, James Mc Closney, Mr Allison, [R?] Brantley, Mr Widdifield, Saml Rechard, Wn. Waleace, Mary Ann [Sm?] Ann Morrison, S. Little, Mrs Wison, M. Watts, Mr Miller, Susan [Mor?] Mrs Ilent, Reuben Costalve, Mrs Sherma, Sarah Sibly, Modeser Sine, Mary Becknel, John Payne, John Martland, Ruthe Cacheran, [Eleck?] Josht Allison, Sarah. B, Susan Kennedy, Rach Indun, Mary [H?] Casha Widdifield, Ths Bradford Sen., Jame Mc Dewitt, Mrs Russel [?] Bruen , Rev M. Bacon, Mrs Cline, the Bangs, Mrs Bicknele, Williams, Rutter, Mr Holt, Ths Bele, Gene Mc Clelland, Mrs Haly, Caht Hens Lelar, Frenchman, Daniel Sweiss, Mrs Payne, Ths Lelar, M. Brigelon, John Goodtick S.K. Mrs Danach, Mrs Dale, Mr Behild, John Dale, M. Cope, Am G, Little, Gerald Dale, Steward of CpL., Mrs Rutter, Diana, Mrs Heyle, John Jonnsand, Wn. Bradford, Joseph Fanan, J. Cline, M. Manning, Sarah Colton, Mrs Raybold, Mry Maitland, Hamut Hawey, Wn Bradford, M. Havert David, Mrs S Renneri infant, Orp. boy at M. Meatland, John Neifre, Mrs [Nunor???] son, -Ed Nunerllilr, Mrs Wood, Mary Havastich, Mr Thatcher, Tho Bradford Sarah at Mn Swains, I. Leightor, Bens. Bradford, Ann at M. Widdifield, [El????] Mc Clelland, Mr. Cornell, Frev. Havastick, Isbelle at M. Widdifield, Mrs I. Paynter, G. A Bicknell, May. Mc Bude, Elys at M. Ladlon, Mrs N.infant-(126 indendach) One Hundred and twenty six persons have been placed under my medical treatment. Have I in any way been unfaithful to this trust. Have I repeated from the practice in these cases professional benefit- Has money, fame, medical enthusiasm, been more [in] my motives than relief of suffering, and protracting the probation of candidates [of] for eternity. The most interesting of my cases are 1st Thomas Carter aged about 38. an Englishman of scrofulous habits- deeply & profurely marked with smale prx. laker at 15 ys of ages.- He had also the bamloid profurely at 34 ys of age, never moc. or vac. Afflicted three times with sloughing phasedemic ulcer of the throat. called to consult with Dr Vanhoy in the 3rd attack. He was in bed, emaciated distressed conternances speach impaired, painful & difficult articulation, soft palate. He took swains [Pana??] & the throat is moving well. Saw him in Nw. 1830. He now complains of an affection of his shoulder. Remarks. [We lost time, in] The now mercurial treatment in scrofulous phagadena is improper. It protracts the care. Mercury with care may be advantageously used in such cares. Swains Panascea arrested the phagedena. It must have a preparation of mercury in it. It did as much as the calomel but no more. Poor Carter is now a victim to scrofula. Mrs Banges care illustrates the same fact I was able to heal ulcers by common treatment but other ulcer as soon appeared until I used Mercury, this effected a complete care of the cutaneous [direc??]. [six] 12the apt nodes [aphe??] carein of the [cra??sm]- operation- & [exp] necuris of that of os pint in Oct. & Noc. of 1830- The [sloughy?] [hæmorrgea?] & the [sloughy?] phageoe.. in Alnn Home of 1818- affected by common treatment but mercury only cured the cases Carters. Mrs Banges & 2 Alnn-Home cares. all race protracted suffering & extention of the disease [by not has] by postponing the use of mercury. Carters afterward returned & he was gain cured by using Panascea. Mrs Banges used Panascea before I saw her care. I as yet, know no cure for Scrofula. and all newspaper &c which put list infalable cures for it give currency to falsehood & obtain money for themselves & the pretender from suffering Immunity [without] by exciting false wishes. I did Carter good by mercury. not by the previous protracted treatment. Swains did [illegible] as much good & no more. I should be pain for my services. but the services were more long than useful. If [illegible] had been necessary & resulted in a permanent cure my bill should be $50. being a [canullation]. but is every but all necessary & it was only relief of suffering a arrest [illegible] due. makes it between 20& 30 .d. = $25. troublesome & very frequent expectoration of profuse sew mucus, all the fauces edematous altered secretion in the meatus extrenus of the left ear with noices & pain and the sensation of a connexion, as by a cord, between this 2 a & the [pharynx?] An examination detected the existence of an [ol] excavated ulcer having a sloughy edge with a wrist areola, [situate the sign of] of irregular form, 2/3 inch diameter, situated in the left side of the [cross out] pharynx. In addition, he was affected with sleeplessness, coldness of the limbs occurring at [interests?] during the night,- His pulse was very small & weak & of ordinary frequency- tongue raw with elevated florid papillæ. bowels disposed to be confined. I visited him in consultation with Dr Vanhoy from Jany [1830] to Feby.6.1830 [and re during the time] to 1st 2ams, he used absorbent poultice to ear & neck, leeches to the throat, Spt Nit. Ducis, Comp. decoc [Sacsep?]. Vict, panado & barley water. The edema, profuse secretion, pain & sensation of cord very much removed, articulated less difficult & painful & ulcer arrested & healing below. All entertain hope of a cure. [He sleeps &] He enjoys sleep & has no attach of coldness of the limps at night. Jany. 29th..The sloughing phagagdena appeared in the soft palate, forming a vertical fissure extending upward from the lower end of the anterior lateral half arch of the left side. The previous [seat] ulcer, which [attacked] affected the pharynx & posterior surface of the posterior lateral half inch was then in a skining state. We had not yet given mercury, fearing ill effects in a scrofulous. habit, But now ordered Calomel gii q. q. h. [The] in a few days, the roseate areola, cured the sloughy edges disappeared, and the [parts] ulcer healed, and the patient or the 7 of Jel. was regard as cured. He felt like a well man. Six weeks after, the ulcer returned, ravaged [the] & sloughed the [at the] 2nd.. the arachnoid is both the most delicate and extensive membrane of the [illegible] cavity: being delicate, it [is] will be the more [diabl] liable to injury from disease & accidents of the head; and being extensive, its morbid state, like that of the peritoneum, & pleura [&] (the acknowledged seats of the most [exten] fatal diseases of the thorax & abdomen). will be always serious & difficult of treatment. 3rd.. the location of the detected serous fluid and the character of the arachnoid are favour the supposition that this membrane was the seat of the fatal disease in the above case. 4th.. Hey pon. flolicking, was in a state of [m] nervous excitement immediately previous to the [accident this caused coma, c] concussion of the brain & centurions & wound of the feet- [was to] would he not after there symptom were removed, return to the state of nervous excitement- Nervous excitement from drink. Heys care [illegible] was one of a mixed character. [Con] Inflammation of Arachnoid & Mania a Potu.. Treatment- prompt & copious bleedings & the free use of opium.-(Calomel also.). Again is such a case curable. Such are my inexperienced views & reasonings on this subject- Dec. 17th 1830. What say Hospital & Army Surgeons & Pathologists. 3rd.. Mary Maitland, aged 39. latter month of pregnancy, fgter being trouble a few days with copious eructations of wind from the stomach at bed time continuing an hour and more, was attacked Jany. 7th 1830 at 4 Am with severe cramps of of the stomach accompanied with eructions, reachings & throwing up by painful efforts, a whitish slime or thick stringy phlym (no bike) I saw her at 9Am. She was then restless in agony, distressed & flushed face pulse indistinct. ꝶ vs. ℥vii [bloo] Blood flowed without yet by help of warm water, rubbing & [comp?] the arm. The ℥viiii blackest was obtained in 1/2 hour. ꝶ warm mustard bath to beet. spice plaster to stomach. Some relief- but symptoms all continued. ꝶ examination per vag. os [illegible] opened fœtus felt, believed it living ꝶ Hoff. anody. ʒi very restless, with difficulty retained in bed. She was nice partly urgent for water cold water. ꝶ Soda water in small quantity which she complained of [o?] Doctor do give me more cold water. ꝶ cal gr ii opii gr i eructations contained in increased violent- sinking. ꝶ Land enena ʒiii Cold feet & hands clamy sweat on the forehead. ꝶ Thought of removing the child called in Dr Delvees, he disappeared of the measures. ꝶ see in small quantities [fn] in the month. ꝶ enena & followed [?] insect of spt turpentine vomiting now become a dark [cross out] olive secretion, who say, Dr [De?] that is yellow fever- she died at 8pm. day 7th.. perspiration - blister [did not act] separated epidemic with effusion without [redness] or heat- Tongue dry with transverse cracks & blackirt reaction. feet without supper ration. rechymored. ꝶ Head again shaved. blister applied. bents applied as to forehead & back of ears. [Pu] Pulse 144. empty. at time too rapid to be early counted- patient too so weak [as s] to [protrude] the tongue- treating stertorous- subsultus tendinum, clamy sweat, [coma?] ꝶ vol. mixt q ii ss eh wins whey. camp- merc oint- ruffed peels Revived during [the night] at 2 Am- Comfortable- cornered intelligently with a friend on religious subject- To his physician he said. I ve no need longer if you I ve another physician- means the Saviors. Died Jany. 13th.. Wednesday. 4.Pm. Postmortem examination. by Dr. Watur & myself in presence of M. Shutters. Post-mortem exam. 13th Jany. Thursday. 8 A.m. Scalp. & cranium. The derm presented ecchymosis & enlarged vertical vessels filled with red blood. the subdermal cellular tissue [eccyhmosed], aponeurosis [ecchymosed] & peritoneum ecchymosed- & the denuded bone injected with irregular [crossed out] [crossed out] vascular stellation under the cupped portion of the scalp. Here is demonstration, that cups to the skin determines outwardly the blood not only from the soft parts of the scalp but from the bony cranium also. No round spots of ecchymosis on the inner surface of the cranium. or outer surface of the dura mater. Dura Mater. The Meningeal arteries contracted & empty, but their capillary termination injected. Arachnoid Membrane. Serous effusion on its outer surface- between the Dura Mater & the membrane- The same [effus] fluid at the vase of the [bran] Cranium- and in the ventricles.= 2 ounces. Heat changed this fluid into two parts. 3 1/5 of curdled solid particles & the rest a transparent fluid. Substance of the Brain. Firm in Cortical & Medullary portion, lines & parts well defined- No lesion or softening (Brain fume than ordinary) Vessels. Those of the surface. veins of moderate sin- (no venous accumulation) minutes arterial ramifications of pia mater- Medullary surface presented red point more numerous & large than usual. Remarks. 1st: The postmortem examination detect only a serous effusion which [is not nor] belongs not to a normal condition of the cavity of the cranium; which from its location [outside] between the arachnoid [& on the mind] and dura mater [makes it] demonstrates it to be no product of the pia mater- The dura mater is no more a reacting membrane than fascia or capsules of joints- and if it were cannot be regarded the origin of the fluid as it is also found in the ventricle of the brain. The inference is that the arachnoid is its source & that the ventricles is lined by a reflection of this membrane. [passing up] 2nd. Thomas Hey Scotchman aged 37. strong & muscular. an industrious foreman of the Pecifront silk dying factory. Decoyed from the proper observance of the sabbath by [the] an infidel countryman- argued into universalism. and into a practical blieve of judge Hopkinson's creed of the sabbath. These resulted in [frolu?ing]. This was followed with an indisposition of which sleeplessness &c were symptoms for which Laudanum was given. After taking it. Jany 6th 1830 he run up strain and jumped out of the second story window. Taken up insensible and died [q] after nine days suffering & medical treatment This unhappy man, the infidel child of .... was the father of Mr 2 ames infidelity. Mr S tells me that a Mr of Glascow [is the] a Humite, is the prime apostle of infidelity among the Scotchmen in this city. [The fall] Comatose state. His fall made him insensible for 3 hours, pulse 68 to 72 soft & weak, as the left ventricle had between 68 & 72 contractions per minute, & these slowly, made without much muscular force & irregularity. The skin pale & cold & with sensation, particularly the hands & feet- cii the skin was deficient in blood & nervous power. Lungs with only 16 laborious inspiration per minute- eye lids closed [when for] after being forced open they remained so a while & men closed slowly with tremors of the orbicularis, eye ball rolling upwards & then in other various direction. iris [immo] moderately but permanently contracted, except with some little deviation of size of pupil- mouth opened with ease, but remained so a while & then slowly closed as did the eye lids. deglution of slim food sluggish but without difficulty- contrived [cross out] & lacerated wounds under each [ankle] inner ankle. ꝶ 12 cups blood drawn from 3 of them- mustard plasters to feet with shrTurpent. to wounds & Hoff anody. ʒi Return of sensation, consciousness, intelligence & partial voluntary motions. He moved his body, then hands. I spoke to him- who am I. He opened his eyes regarded me. & said, Dr Dansel I asked what do you tenor of me. He answered, with a thick shead, you cure my ears. (I had not seen him 4 years. He put out his tongue & asked for drink. very thirsty, drank with ease & [delig] soon complained of coldness of feet, particular of his toes although hot application had been for some hours abolished- Pulse more frequent. ꝶ cold cloth to his head. hot & stimulating application cont to feet- Thin oatmeal gruel. Arterial Reaction Profuse bleeding from the wounds of the feet, much pain in them- pulse 112. stronger & quicker. (no cerebral symptoms.). (.H 4 Am ai 6 hours after 2nd stages.) ꝶ. water gruel, elevation of lower limbs- absorbent poultice to wounds. 9 Am- reaction increased, pulse 142 quicker stronger & fuller- healed skin. ꝶ vs ℥ vii - water gruel, darkness & silence. 2 pm. reaction cont. ꝶ vs ℥ vii blood neither cupped nor sized. deposited globes of [centeral?] [illegible] 12 m.n reaction cont with cerebral disturbance. viz convulsive action of the jaw & eye lids- both closed. and when asked to open them, he made the effort which produced only tremors in the [levetons?] [palpetrunum?]- occasional [state?] inspiration difficult- the convulsion of the muscles of the jaw doubtless owing to Pulmonary disturbance- No sleep since accident. ꝶ 6 cups to head all blooded, which reduced the frequency of the pulse & cerebral disturbance. Morbid wakefulness tremors & wanderings: ꝶ opium gr xii calomel gr xxiv fr ml xii one every hour during night- water [illegible] [cross out] sleep induced at 4 Am continued till 4. pm. followed by closing . til dark After opiate effect frequent alvine discharges watery, flating & very flatulent which continued to increase causing debility & flabby state of bowel & parieties of abd. ꝶ Flannel roller & & check mixture & anew root. Bowel compl. ceased. Delusive Calm. No complaint, a flattening appearance of convalescence- Patient wants a segue & meat- cheerful. But no sloughing or suppuration of the contracted lacerated wounds of the feet-(it cause of fear) ꝶ camph. laud. poultice. oysters, lets the patient under care of Dr Watror. his family physician Delirium Flightiness & mental aberrations- pulse 112 quick & weak, tremors clamy sweat, & feeled breath. (cadaverous) ꝶ 6 cups to head at 9 Am. no benefit. [After cupping I said to] After cupping, I said to D W, His feet are cold- Cold, said Hey, yes Oh' yes, they [cross out] always cold. our business is cold, you cant be dying silk without cold & wet- 3 pm blister to ankle. resumed camp. laud- poultice- Pulse 112- At 10. Pm. pulse 124. quick & empty, delirium increased clamy [per?] Postmortem examination Jany. 8th at 1 oclock. with D Dewees. Mr- Present the peritoneal surface of the abdominal parietes, uterus & large intestine & jejunum roseate firm injected capillaries- a large quantity of effused serous fluid in which floated portions of Lymphs purulent matter- no adhesions, the chum was found contracted, destolute of redness & injected vessels- the rest of the intestines inflated & the inner coat discerned to have red capillaries- Stomach opened- its mucous [for] surface covered with adherent why matter similar to the reaction of flun albus. (glary lymphs mucus matter)- in the cardiac end were several large splotches of fluid ecchymosis the stomach contained a dark olive coloured [furd?]- Live smele & of a pale yellow colour & firm- the Gell bladder 3 time the natural size filled with a thin variate coloured Hrous fluid & contained light gale Hones the size of hias. open the gravid uterus. Parieties of uterus less than 1/3 inch thick, consisted of laminæ of fibres- no venous sinuses- it seems to be a muscular tissue,- the membranes easily seperated from it- the placenta echo as easily seperated- saw distinctly communicating vessels [between the ] from uterus to placenta filled with black coagula- easily ruptured. The uterine surface presented abundant orifices which coincided with similar ruptured vessels of the placenta (I tried often [illegible] ot see this connexion)- removed liq- anmi- opened membranes breech [present???] of the child boy 5 position of the [ehidlemis] of child removed in the shot- we believed it must have been dead some days. [cross out] Previous History of Mrs M. Jany. 27 1829, she had blooding & abortion, a year previous, a shle bone & [Edl?] of leg.- frequent ears a flam. of ear, Had had 16 children, & several salmeted, subject to erectatin &c previous to deliver but delivery rachid after [illegible] Remartks Death occurred surprisingly soon- Theraplutes of Sharm Spring & bath Sharm. Eldrige House July 12756. Saturday. 6 Am. Rain from the South. There are No acute disease, [and] nor sudden attack of the disposition here as at Cape May & Atlantic City. Here the food is boiled in spring water & the tea & coffee made of it but there with irritating brachers water This may be the cause of the differences. It seems that tuberculous disease is aggravated by these water especially the sulphur spring. in which the sulph. lime is at 100° to 300.= 1/3; and that it aggravated inflammatory chronic knee affection [erronev?ly] diagnosed as Rheumatism; and that athma are also aggravated. Then in all case it fibrinous transuvation & pus formation the stimulating constipating sulph & lime spring is inapplicable. and so also in all case of chronic congestion in the great organs, liver, lungs & brain. In proof of the above is a case stated come by Dr Green Iren, of a lady sent here with tuberculous consumption. She very soon became worse, a case of a young man whose physician considered his disease articular rheumatism. It was an inflammatory affection of the knee. Dr P.lets sent him off to Saratoga to drink the Cu-grep water apply the water to the knee, a leech by 3 day to the pent & foot bath; a third case Mr Hoops whose asthma was aggravated by the sulph spring & the balls are [illustration] The cases benefited are gout, rheumatism, neuralyze [herper & other empty] struma & dyspephia: all diseases dependent or anemia & asthma empoverished blur & softened & ingested mucous surfaces & which render the esoore surface kryper excitive. Case in Proof. 1st. Mr Ward of N Y, lecophlymatic la layer & legeslates and over worked. became afflected with painful swelled joints of the toes & swelles of the feet so that be walked lame & was forced to ware prunelle shoes. He drunk all the water & with hot bath, & now the gouty affection his gene & he has fanerrala & enjoys the meat 2nd. Mrs Rey of that aged 30 mother of 2 children was attacked with Arm articular rheumatism- gouty of all her joints. she drank the water & used the hot sulphur. bath daily & relieved him entirely recovered. 3rd. Ms Rosa felt of N Y came a clutch without one the use of his lower limbs. alheeting the hopeless sympatic & attention of all, He after using water & bath, relieve him without his crutches, vessel the nex yee with a cane & relieved without it & arm is here injury the plan without discer, crutches & cane 4th. Miss Medcaly of Chery Nall [neathe] was attacked after a protracted cold, with swells of her lower jaw which has loosened her teeth. She is leaphelgnal, struma & says that she is benefited by the water 5th. Mr [?] Zew, with chronic gout rheumatism in the feet after protracted neglected of dinner & use of brandy. He is recovered. 6th Mr a mason from NE part of NY. thin nervous [illegible] peramal about 50 gr was attacked with chronic articular rheumatism of the ankle knee & hih joints, affecting who the shoulder suddenly from setting to rest himself in a center after working hard in August as plasters it. Eve- this [m?] 5 grs he has been a sad cuppl Dr White recommended the content ealy n the dry root of the nulh weed, which benefit him, but is is then water & baths that has removed his pain & resting him to the cure of his leg. I saw him [sh?] on his crutch. without pains & able to move his joint. Its muscular weakness which [illegible] makes it [map] to wh the crutch. 7 Mr cane new with his fringe joint filled [w] with gout [illegible] & after some weeks wh of water & baths he return him with free motion his hands. & removed of the chalk thing 8. Mr Spalchs aged 30. of NY an active merchant after much fatigue attack of cholera which left him with chronic drank was attacked with paraplegia & [illegible] his arm have been muscular from the wrist his [ch] crulits for 5 yrs He is [illegible] but I dont get his any tempt the worse Rheumatism Palsy cure may different diseases & anything [inse??t???] 9. Dr Green mentioned to me a cure of a case of chronic urticaria like gumecellard & Harrothis servant in which Zchman Dear was benefited. 10. I saw at the Union Hotel here a child 6 yrs old age. from the West India. He was affected with a most [dis???] [illegible] which became chronic The physician consider to be caused by the wet worm: It suddenly disappear and the cure of the entpine sulphur bath when consequently the lower limb been palm & the the upper. & the child [illegible] pales inaction, & so for a period of time. The this it has been brough he & apt nerve deep wh it the hot sulph bath daily. the little beltion is up walking about fabath & woke slight latter & the hands which whose [illegible] & distinct an sin plient & coming [illegible] I ve examed the case, [tha??] yet a Ucl like emp his about the [illegible] & soon adhension for from about the hand, his palm & this Handing & walking temor his nerve B in 3rd case. I have a by [illegible] to vary which [R?????]. He, a thin tall deleat the & feable men of about 35; He was a brag swimmer & dive. & did exploit of this Rend. On one such occation he set water or a wet roof from a heavey rain. This I truck pain, & sulph of into his limb. In this he was told to take nulh [im??????] with lead from that at the little of the benil. then succeeded. The entire lip of the liver lims, [parap???] which has had for 10 years. In [???] or [Liverpal?] - sulphur   Books wanted- Page 1            Opacity of the Cornea. P.2.     Tumour in the breast. P.4th.       1 [French] Books wated. Magendie sur l'influence de l'emetique sur l'homme et les animaux. Paris 1813. Researches chimiques & phynologiques sur l'ipecacuanha par M M. Magendie ano Pelleties Paris. 1817. Boyles. Bacons, Locke's & Newtons. Works. Addisons. Johnsons, Tacitus, Cesar  2 Henry Emrick. aged 33 yr. St Johns fr No 176. Opacity of the cornea with red anast. vessels in the substance of it. produced by small pox lat fall which has very much pitted him. Near three months under my care during which time his sight has improved. I have repeatedly cut out the vessels going [limp] and applied leeches and used calomel & low diet. June. 30th 1824. applied the lunar caustic upon the extreme rammifying branches on the opacity- what effect? The [immedi] effect, at the [distant?], was to destroy all appearance of vessel and leave [the] a white [scar.] spot. July 1st. There are broken portions of the ramifications left applied the caustic on the same spot and also on the two branches of the trunk which supplied them. [illustration] What effect. On the second observation perceived, for the first time an ulcer on the spot I applied the caustic. [illustration] under the glass. What could have produced it. The caustic heals ulcer- can it also by too frequent application produce it. It is excavated. the opake cornea has but little life. The caustic as produced a [parteal] slough. The edge may go on absorbing- and produced protrusion of iris. &c- 2nd. The two large trunks are destroyed. Ulcer remains. the fes vessels about the margin of the transparent part are very numerous. ꝶ Leeches to vivid of lids & ꝶ. sulp. [Copper] gr t. ℥i. Saturday 3. The ulcer is not obvious. The leeches have much releived the eye. the vessels [illustration] have not returned attached the large branch [illustration] with the caustic. The marginal vessels seem to be large. Sunday. The vessel remains [illustration] [crossed out] but seems smaller in diameter. ꝶ Leeches gain. no application of caustic to day. Monday. The large vessel not much affected applied the caustic again in the whole of its course. Tuesday The large vessel is removed. small detached postures of vessel remain. Eye yet tender. not operated on to day. conjunctive inflam. Thursday. The large vessel returns but small has anastomosed with other vessels. He can deceive. applied the caustic. freely in the course of all the anastomosing vessel. caused him much pain. Friday The vessel or which the caustic was applied are broken up, but vessel from other parts seem to enlarge and be extended to make new anastomosing small spontaneous hæmorrage [illegible] & the day previous. He thing it is more [transparent?] The conjunctival vessels are filled with red blood. Saturday. The opacity certainly less [d???]. The vessels of small cabiber, But the detached posterior have become conteneoius [with] again are anastomosed with other branches on the cornea and some from different conjunctival vessel. adopted another operator. viz. to apply the caustic to the conjunctival vessel, which supply the corneal vessel with red blood. It is a more painful operation & produces conjunctival inflammation. Monday. [It h] The caustic has produced a yellow slough on the conjunction the vessel of the cornea from the conjunctival vessel is smaller. [Toreched?] with the caustic a large vessel of the cornea at the 3 lower part of it. Wednesday. Thinks he sees more that he did. The opacity is less dense and the vessels of the opacity are less [less] in size. Those on which the caustic was applied not much affected. Applied the caustic on the conjunctival trunk of those vessels. Thursday. The slough remains on the conjunctiva. The parts around it of the conjunctiva very much inflam. The vessels proceeding from it to the cornea not affected much yet. [I] Applied the caustic freely over the vessels of the cornea. Friday. The vessels seem large twice the application of the caustic. some red vessels passing over the transparent part of the cornea to anastomose with it. The slough not yet removed. ꝶ. Leeches. Nts. I have perhaps applied the caustic too freely. Sunday 25th. The treatment has been omitted 10 days. redness of conjunct gone- vessels of the cornea small. but the vessels numerous from a large trunk at the lower part [illustration] anst with vessels from the right & left. The [cross out] red vessels about the circumt gone. ꝶ [Co] sup copper sol. for one week three times. Sunday. Aug.1. The vessels fewer & smaller. applied the caustic to the large vessels at the lower part. Sunday. Aug. 8th. vessels smaller, opacity less can distinguish colour ꝶ applied the caustic over all opacity. Aug. 10th Tuesday. The vessels of the op.a. cornea &, of the conjunct larger & injected. & ulcer ꝶ. Leeches. Nts. The last application of the Luna. caustic has proved an unhappy irritant. Aug.12. The vessels continue. ꝶ. wash. Aug.15. The vessels smaller. ꝶ. application of sol lunar caustic. 16th. the vessels larger. Aug.23. The vessels smaller [illustration] A sol. if copper continued. Sep.1st. The vessels the same. I hope the iris will pass up above the opacity. cut a small portion of vessel A. It enlarged the vessel for a [mo] time. Wednesday. Sep. Both eyes evidently better. cut out the branches of the vessel. A. ꝶ Leeches . if cutting the vessels destroys the branches in the cornea. Thursday. The vessels smaller. applied the caustic to the center of the right eye. What will be the effect (slough, ulcer. increased size of the vessels. the opatic surface stimulated- the absorbent will act) Friday. The caustic has produced an ulcer and an increase in the size of the vessels and production of red vessels. shots of redness in the surface of the cornea also. Tuesday. [illustration] The vessels are very numerous from every part of the circumference of the cornea. the ulcer has a well defined [cross out] edge. When the numerous minute ramifications are lost. the surface of the ulcer is [depressed?], the centre of it is transparent. 4 5 aged 35. Mrs Barwicks case. of Tumour in the breast. June. 1st. 1824 I decided instantly to use popular [language?]; it was a [carier?] and to be instantly removed. 1st. Because the tumour was located in the breast. spontaneous, very hard and of an irregular form having sharp edges. 2nd. Because if now removed, after a little reduction of the system, it would be successful case, because the symptoms, of [thooting?] pains &c. has not existed. 3. Because to wait- until these symptoms appeared was to wait until the disease has gone before much hope of cure. 4. Because the season is now favourable, her mind is anxious, and waiting till the fall is running the hazard of the sickness of the season. &c. Dr Eulengs resisted my prompt decision. called it a set. tumour Hewsors & Hartshorn called in [Crumet?] [Cincluded?] to apply leeches & low died. Tuesday June. 30th. Dr Hartshon thinks the [cross out] tumour softer & smaller. I am indeed disposed to think so. Wednesday. applied Leeches again. Dr Physick says if the reducing plan does not succeed cut out the tumour. [He has seen] ꝶ Leeches. Friday. Pulse. weak. tumour seems smaller. certainly more moveable. I was too prompt. The present plant has two advantages. It prepares the system for an operation, if this be necessary. and it give every opportunity to have it removed without an operation. Such a case happened to [the] Dr Physick. He had determined upon the operation, circumstances caused the reducing plan to be tried. The tumour disappeared. July 28th. Tumour extirpated- form to be the white [ligaments?] [carterfegenous?] character. Dr Hartshorn operation. He violated, in my opinion, propriety, in [not] silently taking the place of operator. The case was mine, and I certainly was equal to the performance of the operation. I certainly ought not to have suffered myself to operate against the will of the patient But Dr Hartshorn, in justice to me, should have suggested to the patient & his friends that the propriety of my [p] operating in the case. (So much for so much). she is doing well. 5 69 35 __ 34 9 6 Mrs. Eliza Darrach; case. Total loss of digestive power of the stomach. Every afternoon extreme distress at Ehigart and vomiting of acid secretion- 1/2 gal in quarterly- Bowels not operated on- then violently. Vomiting became of an olive colour. Debility increased. Debility extreme. On Friday last apparently dying. Saturday revided- pulse natural, mind good expression of face good. ꝶ Croton oil gtt i repeated i+i+i- Operated Discharge small dark earths- Cal. qv. Castor gtt i-[oper] & Deeve Senna ℥iss- Operation 3 & 4 time. dark & very offensive. System sunk again- Lingultics ꝶ vol mixt- strong. Cream of bread- with old spirits. Today. Stimulated with. blisters. & envelloped with. poult. of Bark. Wednesday ꝶ vol mixt. amm: gr x. q hi with sulp quinine si. commed. at 10. Am. [w] at 9. pulse very feeble- [cross out] 2 pm. pulse. slower & stronger. perfectly calm bowels twice gently opened charact. the same. at 9. pm. holds her own. Thursday. Decidedly better. pulse beats stronger countenance more natural. very compared intellect more acute- snored during her sleep last night. Has taken the Carbanm. 12 1/2 gr & sulp quinine gr q h. & spirits ℥ss with cream of bread. q h Bowels not moved since yesterday morning. Continued the same during the day rather stuhid towards the evening- at night some [cl] vomiting. ꝶ Decor Senn. ℥iii Friday. At 10. voice better, countenance equally good- pulse not so strong & full. no operation of the bowels. The groth evidently did harm. at 1. pm. sinking. Senna rejected. ꝶ injection. produced pain. Evacuation of hard feces. pulse gone- cold extremities. Convulsions- Death. at. 9 pm.  7  13 8 Mrs Andrew aged 23. violent pain about the external canthes followed with a profuse discharge of water from the eye- lasted all winter ꝶ leeches- cal- & when the calomel has effected the gums the disease was cured. Ruben Moor. blk aged 20. An extreme case of viseral disease. abscess discharging at the did- pain in his joint- cachectick habit. paled face filled with achne. ꝶ. Calomel. & [sulp quinine] ext quinine. It produced salivation the Boy is now well. Robert Hicks blk. aged 107 two pustule [with] at the margin of the cornea with ulcers & opacities of the cornea- the pustule had [red ve] one long red [vs] vessel running to it. I cut is away- the pustule was then touched with the lunar caustic. the eye washed with a solution of Lunar caustic. cured- except the centre piece opacity. This is a pearly opatic white. Mary Johnson blk. aged 69. after mercury , & leeches & blister. & diet cured the purulent oph- by the injection of laud- and the tinc of ext of quinine & a nourishing diet. Thomas Dale.Lacerated wound of the finger. No hæmorrhage- second day fungus [ex] applied Lunar caustic- & [?vultic]- Today. Thursday. the wound is filled with a slough- Poultice. Saturday sough continues.  15 9 Mons. Bonneuclle. [aged 54] case of Cataract. May 2- 1824 Performed the operation of cutting up the lense in setic. The attempt dislocated the lense, so that half of it projected obliquely in the anterior chamber pressing back the iris [of] at the internal canthus. At midnight violent pain in the head & feve. Leeches vs. and cal purges. The symptoms of iritis. Four days after a second paroxysm of inflam. ꝶ idem. Four days after a third paroxysm- called in Dr [Herson] Determined before the 4th paroxysm should come on to extract the dislocated lense. Made the quarter masion - pierced the lense a fluid & cheery matter flowed out- leaving only a [p] capsule easily removed from the pupil leaving it black. Attempted and affected the removal of part of the [ca] proper sack of the lense- focus a portion adhering posteriorly. The wound healed kindly. Two days after the operation a light olive coloured substance appeared in the pupil. projection forward the [ini?] at the external canthus- Two conjectures were formed of this new appearance 1 that the sach remaining has reacted, in place of the cheery matter this above coloa fluid- second that the sach remaining had changed colour and the aqueous humour has go in to [fi sucle] distended it up & project it forward. During all this time Mr B is under Mercury. & An opacity of the cornea. sensibility of it with red vessels and red vessels in the iris has taken place. It may be remarked that previous to the [form] 2nd operation an opacity was produced at the inner circumf. of the cornea which has completely gone off. ꝶ sol. of sulp copper. & Purges & low diet. Today. July.2. the opatity is less. red vessels on the inner surface. & those in the iris continue. ꝶ the [sars at?] mead- for he complains of his neck & thighs being painful. July.6.The sensibility of the cornea remain, the opacity less- the red vessels less distinct- the red spots or No his excite. the conjunct. vessels less injected. 9th. The cornea of an eliptical form [illustration] two other fasiculi of red vessels in the inner surface of the cornea. the red spots or the iris continues. The opacity less the sensibility gone pulse low. bowels opened- conjunctiva less injected. the vessels at the circumference of the cornea injected. complains of pains in the bone & joints. (mercury) cornea [illustration] [d] irregular eliptical, wrinkelled, a blueing [op] cloud. vessels radiating from several points of the circumference. [as] in the inner surface- Iris irregular. conjunctive. not injected (a few vessels remaining)- No sensibility of the iris health [of] good- The red vessels of the cornea not visible. The hand in the bones gone. good spirits. 17 10 Saturday July 31. Cornea much smaller- wrinkelled- opacity less the [of] radiating fusiculi of vessels continue the globe of the eye sunk, and has a deck pleat in it at the lower part. Aug. 9th. the globe is recovering its ordinary size- the red vessels of the cornea do not exit-  19 11  21 12 John Dale aged 10 ys- a large tumour on the back of the wrist. containing a pellucid serous Coloured fluid- pressure used with little effect- evaculated by means of a puncture repeatedly- no effect. Blister-no effect- Beefs-gall. & pressure- it is now smaller- previous to this, the Iodine even used.  23 13 Eliza Bradford aged 14 ys. afflicted with head-ache the last month- of late her bowels have become costive- ꝶ dieted for one day- [ꝶ] on Sunday ꝶ Aloes g v & Rhei g v- no operation. Monday. Mag & Salts. vol. ℥ii g. h- Bowels operated on 9 times- Pain in head increased, [ꝶ vs] Pulse tense, quick intermit. & irregular.-ꝶ. ℥xii- produced sickness & vomiting- ꝶ vin ant. ʒi- Pain in the head relieved- slept. Saturday. July. 18 Bowels opened, natural. 1st time since 5 days- No medicine give- B. In proof of the view formed, that after purging there is a repose of the bowels- therefore no medicine to be given, the bowels left as the brain &c after action, for rest- see Hippocrates. The above is a fact illustrative of the general law, that after "action is repose"-  25 14  27 15 Mr Fairman aged 40 ys. Aug. 1824 Aug. 6th.. violent pain about the regeon of the colon. distressed countenance- skin covered with a profuse cold sweat- pulse tense, & frequent- (large quiet & full.) He had, some days previously, complained of his bowels- on Friday Dr Barton administered ꝶ Castor oil- which operated- Mr Fairman rode to flat-Rock the afternoon of the same day, took a glass of Brandy- returned with Colicy pains which has increased since to [Now she] produce the state above noticed- Dr Chapman was called in- The treatment has been anodyne principals since & [hope] ineffectual injections. [tile] called in on Saturday evening Aug 6th. suggested vs. langels. tobacco fecmigations to the bowels. & croton oil & salivation. ℥xxx of blood was taken. Natural no use- relieved somewhat- Tobacco fumigations not well conducted effect triffling.. Dr Barton & Chapman conjectured an [illegible] to exist- & Dr. B. practiced the mechanical distension of the bowels [with] by means of a gallon of warm water. I produced great pain from the distension and an evaculation of almost a gallon of fluid of a pale olive colour & offensive- [left] the night to repose- Had interval of sleet. 1/4 h. wakened by the pain at the regeon of the color stomach which lasted 4.5 - 6 minutes. Towards day less sleet & more pain pulse became again very active & tense. ꝶ cal gv. opium g 1/2- an hour after at 7-oclock Laud inject CI gtts. and another ꝶ cal g v opium g. 1/2. It has produced a sleet of- Dr Chapman at 8. Am. Sunday consented to Leeches to above & cal. gv. opium g 1/2 q.l.h. To relieve pain and stop inflam.- continue the sleep and effect a salivation. which will save the patient I trust. The leeches 120 applied,has had no pain since. pulse continues at 150, large & strong. ꝶ cal. gv opii g 1/2 q h. during the day. In the afternoon, evidently better pulse milder- food spirits, no pain. In the evening, gums seem little tender. Barton still believe (in intersusceptes) and is looking after bad symptom. Think their is tympanites- inflammation of the peretion. that mortification is going on. Is ready to open the abdomen and remove the conjectured intersusceptes yet I pressed on the abdomen, no pain, no tension countenance not distressed- pulse milder. I see no bad symptoms It says Chapman his bowels are not opened he cant get well- I answer his bowels are not opened for three causes. 1. There's no fecal matter in his bowels. 2. The opium has has taken 150 gtt. dg & in 24 is quite 29 16 sufficient to stop the [ac] [purgative?] action of the bowels and 3. The mechanical distension of the bowels by gal. 1 of water is quite sufficient to produce a consequent repose of the bowels. On the principle that what is put into [brolart?] & inordinate action, become inordinately inactive. If injections be given they will produce [tormuamilate?] the bowel & system and tend rather to contract the bowels with meg spasm. Put the system under mercury- Let the bowels be natural by repose and black discharge from the liver will follow- and the intestines will again secret.- Monday. At 4 Am a discharge (qrt.) of offensive olive coloured reaction of a clayish look- as if the liver did not act. 4. Salts.. It must produce black discharges- mouth sore breath affected.-(Patient out of danger.) At. 12. Not so well- distress & shortness of breathing- at. 6 P.m abdomen evidently tumified- short breathing great distress & tense [active] sharp pulse. Discharge from bowels watery olive colour & offensive. urine deep coloured & small in quantity. vomiting of a yellow secretion. Dr Monge called in. ꝶ. vs. ℥xv. Blister over all the surface of the abdomen & Spt turpent. ʒii [cartor??ʒi]) The quantity of turpentine increased- had during the night 4 evacuation from the bowels of the watery discharge which precipitated a sediment like coffee grounds. [This] Tuesday. All his symptoms relieved. quiet pulse. tranquil countenance, skin of more natural temperature and without the [great] tendency to excessive sweating. breathing deeper- tumifaction of the abdomen less and no tenderness of it.[The blister has] 0 Had sleet. The blister is drawing, & has produced stranging- The ℥ss of the sp turpent mixt given at 1. oclock. & remained will on the stomach. Dose ℥ss repeated at 4 oclock. Am. remained will on the stomach. The quantity of the st turpentine increased to be ℥ss. to ℥i. ℥i given at 6 Am. remained will on the stomach. bowels the fith time opened. at. 8 Am. ℥ss of mixt give. Dr. M C. B. & Dr [illegible] 8 Am. ꝶ Cal. g. x. and Continue the Mixt. & ꝶ g x. alternately. The Doctor thinks there must be stercoral matter in the intestines. I do not. Stercoral matter cant exist in the small intestines- & the large intestine has been completely washed by the mechanical distention of the gal of warm water I believe that the small & large intestine are both empty that the live has ceased to secret. that the [bowels] mucus surface of the intestines in a morbid state as secreting an unnatural fluid. That the general symptom of the care- result from one part of the body, the bowels being in this unnatural morbid state. & the liver also I dont believe there is any mechanical obstruction or spasm of the bowels at all- at present. An unhealthy state of the liver & bowels generally is the disease- Spt turpent can I believe change this state. Cal will restore the action of the live I hope. 31 17 The discharge from the bowels is the fluid which follow the climax of each morbid paroxysm of the bowels- exemplifying the general law "that after excitements fluids are thrown out... {Bloody production firm secreting or nor secreting surfaces are [the]} {owing to the galvanic action not being perfect- [cross out]} {& frequently not taking place- Wilson would say.} At 1.oclock much better 4 discharges of darker olive colour, filled [t?] with the curdy matter produced by spt of Turp. [sented?] with spt Turp. and oily. pulse mild. [has t] Has taken. gx cal. q b h. ℥i of net Turp. mix q b h. Wednesday. (morning) Much better ꝶ Senna. At. 2 oclock. discharges. a [?] dark fluid containing small fœculent portions & dupe of oil. Pulse, 4 passion of face. mild- skin natural mouth more affected with the mercury. The good Doctor believe in an obstruction somewhere- they [say] are expecting large fœculent discharges- I dont believe there is any such thing accumulated in the intestines. The small portion of fœculent matter has been lately made now that the larger intestines are returning to their natural function viz that of fœcification. 4 discharges from the senna. Thursday. Morning. Reposed well after. xxv. gtt Laud. Bowel repeatedly opened without medium. Darker about very fluid. At night. Laud. Exhausted & pained by the frequent calls to discharge. Friday. Aug. 20th attacked with pain the old place & violent pain in the back- skin cold & sweat He had indulged, the day previous, in eating mellons & peaches. ꝶ. Mag- ʒi- Ins. of Laud gtts C. Reposed- At 10 Pain in the back returned. pulse tense & frequent. Dr Barton wished Laud n- I requested vs. & cups- accomplished- and gave relief- Pain in the back returned, at 4 Am. Laud ny cv which has given him great relief. Left him at 8 reposing. B. If the laud ny had been given without the vs & cut by- after the opiate effect the system [is] would have been left in a highly excited state. & a return of the parox- Certainly the complaint is gout. Saturday Reposed during the day without pain- salts ʒi. & mag ʒi altern. Sunday. restless during the [day] night- This morning a cup of coffee & heavy gruel [has d] & operation of his bowels and walking to the hot have exhausted him & excited gastric distress. [Sun] Barton & myself requested Chapman to be called in. The discharges [stercoraciores?] If any one word [that] can 4 prep his present state- It is gout. In the other words, he had a general [disease] [of] disorder of his livers. (vʒ a Non secreting state of is) and of his bowels. It required spt turpentine- vss & blister & opium to restore them. During a state of convalesances he [ve] eat of mellon & a peach which, by exciting a gouty diathesis + [coinced?] by pain in the facia Cumborum & in the lower & left part of the Epigastric regeon. keep him low (+ a state of stomach & bowels, in which acid fluid was the secretion) 33 18 Sunday. 1. oclock. Pm. Has discharged some fluid his stomach and is now reposing. What is now to be done? Some thing that will restore the tone of his stomach & bowels. ꝶ I bled & cups on Friday night, because [he com] he had violent- pain in the fascia lumborum & a frequent tense & large pulse. [H] The jirking [of the] & frequency of the pulse At. 12 called in Doctor Chapman. He proposed. Leeches to Epigastic reg. ꝶ Cal g v. Opii gii. repeated- At 10. Inj. of Laud gtt C. He passed a delightful night. [?] Monday. This morning at 8.clock., like himself, freed from all pain. B. D. C says that opium always does good in inflammation. Nothing so much exhausts like pain. and keeps up & excites inflammation. But I'd as soon think of relieving pain when the pulse was high, by opion as relieve the pain produce by a rack, by opium. Reduce the system then use opiates. Pased the day quietly. Salivated. factor very great. At 10 P.m. [illegible] by [of] repeated and repeated- no effect- ꝶ castor oil ℥i Bowels opened with much flatus. (Says Chapman- effect the liver by the gentle action [of the] of Mercury) Tuesday.  35 19 Mary Kenny. aged 6m. opposite the almi-hours-(Irish-)- Bowel complaint- extreme emaciation- Hephociatic face discharge from bowels. 10 times a day- [&] Dissection. Stomach healthy- extremely contracted- Small intestines. thin parietis- one [crossed out] granulated stop- Large intestine, from anus to [crossed out] valve- filled with small ulcers, with hardened elevated bares- No wonder the ꝶ Calomel g1/10 q h. did no good- If the ulcers have a disposition to be healed- it would be well to resort, in such cases to spt Turpentine. & castor oil & spt turpentine injection. &. vs. Mr. Tufts. child is [so] a similar case.  37 20 Edward Kenny. irish. 41. one year in this country. never a stout man- Last year had the intermittant. fever. (Debilitated stomach.) ꝶ milk & water & state wheat bread- 3 mercer potatoes roster.. & milk & water. [ꝶ Elex vit?? sulp quinine] Aug. 21 Ten days trial of the ꝶ- finds himself free from complains but weak-  39 21 G. P. L.. Small oval ulcer or the inner surface of the prepuce- near the corona glandis. thick adherent matter or the surface. Had connection on Tuesday. the girl told him she was diseased. a small pimple appeared. which has become the small oval soft ulcer [illustration] ꝶ cal g 1/4. q b h. bread & mild poultice to the ulcer. B. This can require local alterants & a gentle salivation. Monday. Applied the caustic Lunar. on the ulcer to produce a slough. Tuesday. The caustic has produced the slough. The ulcer therefore large. it is florid with large granulations. The caustic has excoriated the [opposite] corona glandies Wednesday. Ulcers in a healing state. ꝶ Blue wash. Cal pulse continued. Thursday. Ulcer with adherent matter. round shining edges. & florid state of prepuce (It may be called indolent) the excoriation on the corona, produced by the caustic has a white sloughy matter adhering in the centre of it. Friday. The ulcer smaller. has no sensation of tingling experienced before the application of the caustic. The adh matter remain. gum not affected. Saturday. Ulcer smaller. gums not yet affected. continues to take g. 1/16 of cal q b h. and to apply the blue wash. Monday. ulcer nearly healed. Tuesday. ulcer. yet smaller. Oct. 15th. came back with gou. some days previous to this last connect and after the ulcer on the pains was cured he complained of pain in the integ of the head- he now has copper coloured blothes on the neck & forehead- ꝶ cal. gr 1/4. q. q h. Lisbon diet drink with ant & carb soda. ℥iv q q h. Balsam. Cop- Nov. 12. The gums are yet firm. but there is a white secretion on them.- this doubtless is produced by the mercury. B. A purge acts by producing a secretion firm the surface of the intestines. The calomel taken into the stomach can as well excite the intestinal surface to [throw out] [this so] make this secretion as any other article which is called a purge. But calomel can do more than this. it can extend its influence beyond the system into which it is introduced. and excite the glandular system. It can excite the gums to [them] make a white secretion. To effect this, the mercury should be introduced in small quantities for if the quantity be larger it [ca act like] it excite the secretion, as fingering a slug or a leech excite the secretion, and it is throw out of the system. if again the small dose be not soon retracted, the effect is lost or the system as the effect of back is lost by a sufficiently quiet retraction 41 22 Richard C Burwell aged 18. small sr No 7. transparent Ulcer on the cornea [illustration] after [vanolord?]. Applied sol lunar caustic produced a bluish opacity. Thursday. the vessels are more numerous & larger. [illustration] The eye does not water to- that of the le much. the vessels of the conj. infected lids- almost in a granulated state. ꝶ. sol of Lunar count again applied to the ulcer. B. [one] It is remarkable, that the branches of the arteries which are at the ulcer are larger than the trunks [as the] Friday. The vessels preserves the same size & number on the ulcer- less pain & watering of the eye.- the lids continue very much inflammed. The caustic sol again app. and has produced a bluish colour- Saturday. The watering & pain of the eye removed, the ulcer smaller the vessels remain. Monday. The ulcer is less deep- the vessels remain. Sunday. The ulcer not much changed. the vessels larger. eye in flam ꝶ leeches to lids. &. ꝶ salts. B. The caustic does not act to beneficially in this case, as I expected. Tuesday. Leeches. have rendered the vessels smaller Thursday. The vessel smaller. The ulcer transparent & not much. if any smaller. The eye lids yet granulous- ꝶ Leeches to the inner surface Saturday. The vessel on the ulcer smaller its trunk faintly seen with the glass. No watering of the eye nor pain by the moving of the eye lid. Monday. vessel very faintly to be seen. Lids yet in a state of granulation. Applied the Lunar caustic to the inner surface of the lower lid. Monday. Applied the caustic ot ulcer. [illustration] the trunk of the vessel hardly seen Tuesday. Eye inflam. the ulcer covered with smaller vessels [illustration] effect of caustic. Sunday. ulcer less deep- lids less red- ꝶ. reapplication of caustic Monday [illustration] vessels well injected.) lids very red. 43 Joseph Williams aged 34ys. born in Phil. Eyes destroyed by the venereal disease. a large superficial ulcer on the right cornea- containing several small deep ulcers. [illustration] ꝶ caustic applied to the deep ulcers. ꝶ # cicuta g i t d. Carb soda. di t d. 10th. The vessels about the ulcerated surface more distract [illustration] 12th. He has more sight. The ulcer is more lively- the edge more vascular Nov. 22. The ulcer in a granulated state. the vessel at the edge of it very numerous. health very much improved. face has lost its syphilitic aspect. pulse yet quick. gums [smoles?] & unhealthy. 1824 Nov. 6th. John Kneass aged 14ys. had a blow on the [pructes?] two years back which caused a profuse bleeding from the prep. fren. 1/2 gill. and sickness at the stomach. Three months afterwards after [evacuating?] his fæces a second hæmorrhage smaller in quantity took place After five months again a third bleeding took place equall to the first after evacuating his fæces. The fourth bleeding took place yesterday at 10 oclock. as before [i?] after evacuating his fæces. On examination a whitish of continuity with an indistinct appearance of granulation found at the frenum. ꝶ. applied the Lunar caustic. Tuesday. The caustic has produced a yellow adhering matter. the gland is covered with fine capillaries. The skin is very thin- & delicate. Saturday. Ulcer better. 45 23 1824 Nov. William D Smith aged 22 ys. strong & healthy, a farmer. From his own account his [ear in] deafness depends on a want of nervous excitability. His organ of hearing is perfect- but the medium which conveys the impulse of sound is not ordinarily excitable. The drum must be seat of the defect and the muscle & connections of the small bones [illustration] There is healthy wax secreted in both ears. which came out or injecting [of &] in lumps. Tuesday. injected sol of Carb amm. which produced a slight burning injected the vit sol. which also produced a burning. Yesterday used vit sol. it produced pain. today the carb amm. when produces less effect ꝶ vit sol. Saturday. suffered much with pain the last night Sunday. he hears the ticking of the watch better. Monday pains a little by shells. Tuesday. hearing not so good. the weather is rainy, he never [feel] has his hearing to swell on same day. [H] What effect has a humid atmosphere on the constitution. Tuesday my left ear smarted and Bust till about 12 or 1 Oclock at noon. When it seemed to ware off the noise in my Ear is a beating & slowing with a kind of roling sound - something like a low thundering with some ringing Wensday morning Dont find any difference that I notice to Being better or worse 24 I think it was in or about the year 1818 [or] 19 when I first noticed my hearing to fail and has still been getting worse- had several bad colds before and since- the noise in my Ears is much like the Boiling of water or with a Blowing Beating & ringing sort of sound, with much ticking & Itching in my Ears. I think I hear better out of the left Ear than the right, and Better in Day time than after night & thinks I hear better a clear Day than a cloudy one- hears best if I am Biding in a carriage or if I am Were there is much loud talk &c my father is Dull of hearing, & has seven children 3 sons & four Daughters One son & two Daughters are older than my self and all hears well- my Eyes feels weak more so in summer when the sun shines & in the winter when the snow is on the ground & the sun shines &c I never have been so bad that persons had to speak in my Ear & understand some persons better than others Miss D Smith Monday my Ear [paind] me very much more [so] by spills &c got more sleep on Tuesday than on Monday evening Tuesday morning not so much pain and feels rather easier than on [Tuesday] Monday 47 25 It make it phlegmatic. (the [creture] who has goiter &c &c.) It relaxes the [cross out] vessels. and as body the body is a timed of vessels it relaxed the whole body- Hence the sores check & florid state of the skin on damp days- the ease of salivating, during such weather- the effect of dry cold air is stopping the salivation, the relaxed state of the system during the spring &c. If Mr Smith hearing is better when the weather is dry & cold- it is owing to the contracted state of the drum of the ear &c- If the hearing is better during the noise of midday &c- than during a quietness &c. it shews the organ in a itch if more than natural insensibility - this insensibility is owing too a natural relaxed state of those parts that treatment which will contract the membrane [ty??] give more power of contraction to the muscles of the small bone &c- is the treatment- ꝶ Inc & stimulating ins- relax the system by mercury that tomes may act more powerfully on his system. ꝶ cal. gr 1/2 q t h- 26 49 John Deller. aged 22 ys. Ulcer on the Cornea. (County Terone) Subject for many years, to inflammations of the eye. very painful, [quet] copious reaction of tears, and great [sensibility] to the light. The ulcer is irregular, applied the caustic yesterday and produced a [cho] white slough which is yet adhering. the vessels of the eye not very much injected. It is an ulcer, [pu?ch] distracted to [illegible] ulceration, owing to an irritable scrofulous constitution. A thin pale complexion delicate shined man. But he has a slow pulse. swelled granular gums. ꝶ. carb soda. ʒi q t d. cicuta g i. q t d Sunday. Ulcer [illustration] Tuesday. Less pain & secretion of tears Nov. 22. Monday. Pain & secretion much less- ulcer has filled up-  On Saturday evening 19th inst. One or two hours after I had retired to bed I awoke with a violent pain in my right ear right jaws and also in my throat, so excruciating was the pain that I was unable to tell from which up the three is originated it continued so great until morning (day light) when it became easier- the pain in my throat left me, the pain in my ear appeared to be deep sited attended with a ringing noise my face felt very sore the pain seemed to lay pretty much in my jaws and strikeing out into my cheek and extening up towards my right temple about three Oclock in the afternoon (Sunday) the pain became violent again so great that I felt certain I could not endure it in the evening I became a little relieved had some sleep through the night felt pretty easy on Monday but in the night I was very bad, I did not rest one moment there was not a single moment that I was free up pain the pain was not attended with that ringing noise but seemed to strike through me with every beating pulse, at day light it abated in some measure and continue gradually to decrease untill the pain entirely left me which was on Friday morning Thomas Snowder saw him on Sunday. evening. ꝶ vs ℥x. [Cal] T. Emet vomit. & Cal gr x. Monday. But little relieved ꝶ vs ℥xxx. &. Laud ery to ear. Tuesday- pain better. ꝶ. Cal. Nitro T. Emet which salivated time & removed all [dinen?]- The discharges from the bowels bilious Mr. Huchin- Mrs Smith- a from [patient?] have all had his Tic [illegible]- fever Cspt G. Irrial & young Pemore have died of it- I have heard of this peculiarity of disease before- One- typhoid pleurisy. 3 typhoid fever - one. hæmorrhage from the stomach. 27 51 Mary Dale- May 26. 1824. Yesterday- complained of heaviness about the eyes- stricture about eh forehead- nervous state of the body- ꝶ cups to the head. To day much relieved- ꝶ cal gr ii she is difficult to salivate. 28 53 Aug. Sept: 8th 1828. Joseph Burton 8 ys. Frankford. well in health. 6 month back whet in the rain, took cold. sleeping in his [whet] wet shirt. not deaf in the morning, nothing but a cold in his head did not go to school for 8 days The father 3 weeks after perceived deafness. This gradual deafness I think an unfavourble symptom. The father applied oil & cotton for a week daily at night. It loosed wax which was brought out by a bodkin- natural colour The deafness has gradually increased since. in both ears. this is another unfavourable sign. The mother now dead was deaf in one ear at nineteen caused by a nervous fever which came on by a cold- she continued deaf. & died at 45. He has 8 children but none deaf but this boy. B. Unfavourable symptoms. Gradual deafness- both ears affected- the mother deaf in the ear- He continuing deaf for 6 mo. at the age of 8 ys. It is a case of hard of hearing he hears if loudly spoken to. can hear the ticking of a watch & better at the outside then when watch is placed in the mouth. [we] H An abundance of healthy wax is in one ear & of black was in the other out of which last he hears [Plea?t] ꝶ 40 leeches behind the right ear. Oct. 13th 1828. Wm. Lambert aged 31 st. Waterford Ireland: 10ys in v.s. shoe maker unmarried healthy when he came to u.s. Rheumatism by chill & fever. &c. no liquor for 2 ys. never has the ven. disease. Rheumatism on spring & fall. Here take mercury for 6 weeks which salivated him profuses head swelled at teeth loose. It help the Rheumatism for a while, wore since & shied has had the bad eyes. 5 month teeth the right eye loss vision. he is hard of hearing also. He has now no sight in right eye- ꝶ Charcoal ʒii in lemon juice every morning. Oatmeal greal lemon juice & cummomile tea. 61 29 Medical Diary. of 1829. January. Patients Monday. Jany 5th 1829. John Flemming. granula oph. Mrs Bacon & infant. George Ritter. Runround & [corr. sat.] red prec ung. Mrsy Bradford Jr. had a troublesome runround at the root of 2 & 3 toe. poultice applied, it became large & tumid, red prec. ung applied it healed in two days. The same was true in Hannat. care. I first prescribed dry Rhey meal. It increased. I then applied the red prec ung. It heales up (see Physick lectures) Umbilical vessels. Mrs Jenkins. arch sr opposite the Prison. Dec. 1828. The bleeding of the cord, after removal of the child, was from only a single vessel. & that the vein. The two small arteries contracted & transmitted no blood- 2nd The blood was venous- 3. it flowed out more & more slowly until it formed drops. 9. per minute. B. It appears indeed, that venous blood flows from the placenta into the fœtus by a single umbilical vessel. Qg.- Then in what vessel or vessels of the cord is the pulsation. There is but the one pulsation, & this from the fœtal heart. Anatomical language. Spurting of blood from a large artery- jetting of blood from a small artery, the flowing of blood from a vein, oosing of blood from 62 Capillaries & tricking of blood from the surface of a wound. Ophthalmia. 1 Enlargement of the capillary vessels of the conjunctiva of the ball & lid. unaturally filled with red-blood (arterial). 2 [pain] serous discharge 3 [intollen?] of light 4th. inability to [perceive] regard objects- pain from light in the ball- pain at the exit of the supra orbitar nerves. pain in the temples & throughout the head. burning & swelling of the hos- glanulous state of the lids. suffness- Translated to the other eye. Atmores care. 1. Conjunct-vessels- general redness. 2. Watery discharge. profuse with purulent/ Intolerance of light. very great. inability to regard object- very great. Head ache- very great Pain over brow & eye lid- severe- Cured quickly by removal of inflam. diathesic. Flemmings care. Conjunct-general redness & granulation in places. Watery discharge. less profuse. Intolerance of light. moderate. Inability. &c. moderate. Headache- not much. Dilte- not so severe. Cured slowly- by alteratives. Monday. Jany. 12th 1829. Mrs Coleman. Mrs Flemming. Jame Simmons. Margarette. W.V. Cups in Coma. Jane Simmons aged. 20. third apoplectic attack. sickness- faintness slight 30 63 57 convulsion- v.s. ℥x. better, could speak- became comatose. Cups vi to the back of the neck, ( At 12 mn Jany 11th 1829) She became sensible [fo] so soon as the cups began to drawn. & this morning she is sitting up. pulse was frequent & rather Corded- Cups did what vs doubtless could not have done. (The action of local bleeding was better than general bleeding). She had a violent apoplectic convulsion in July 1829- & the 1st convulsion in Oct. 1827. Case of Apoplexy. Jane Simmons. aged 20. mother florid English lady. father, Corpulent full habit- she like the father & mother corpulent & sanguineous. (fat & florid). Dec. 1827 at a tea party in 10th Sr. above vine Sr. Attacked with convulsions followed with coma. vs. ℥xx. applied of mustard to feet. & purg of cal & Jalap. She recovered after 2 weeks sickness. Aug. 21st 1828 called at t10 pm. in violent convulsions. Mr Brigs profusely bleeding her in a wash baser, which was filled (℥I. taken). Convulsions ceased, recovered intelligence purging &c. attended her 9 days. requested her to adopt a moderate diet. Omit coffee, spit & mault liquor &c- & avoid exposure & crowsies [illegible]. Jany. 11th 1829 10pm. at a tea party at her brothers felled down deprived of sense & motion- vs ℥x. recovered to speak. carried home. became comatose. applied 6 cups to back of neck. it instantly restored her senses. Jalap. Calac gr x. instantly vomited the powder- warm water give bowels moved. 12th.. 10 Am found her sitting as doing well except weak. veg diet. of water cracker &c- no animal food Blindness. Mary Lemon aged 7ys. [very] Hydrocephalic head- precocity of mind pious, dissection. The brain distended into a Jac filled with water. The infun Dilulies distendend & filled the cella [of] Tursica & by this pressing or the optic nerves caused blindness. She has muscular motion of the ball & lids. The motion of the head who owing to her hearing Blindness. A boy in Hotel Diew- on dissection found a large tumor or the cerebrum. [illustration] Bark & Sulp. quinine. Mrs Dale, family, long liable to Chills, had taken quinine without much benefit & even ultimately cured by a faithful administration of the Bark. Sulp quinine suits recent cares; but when chills have become habitual the bark must be given daily & [regularly] as the food & the system is thus protected. Sulp quinine will not enter the system. Bark may be taken up with the Chyle. Monday [19th] 1829 Jany 19th.. Mrs Coleman.- [p] scrofulous phagedanic ulcer of ula. & lip. Mr. Flemming syph. ophthalmia. Mrs Bacon. Chronic Hepatitis. Mrs B. infant. revaccination. Mrs Allison. Punctured wound of the great toe. [Mrs] J. Bradford Jr Erq. gouty affection in ten do. achilles. Solids & Fluids of the body. When the animal solids are weakened, the quantity of the fluids should be lessened. Castor oil & spt Turpentine. Mr Thos Bradford Erq: called to see him 18th 5 pm a painful affection of the 31 59 tendo Achilles: bowels not moved, the day. ꝶ Castor oil ℥ss spt Turp. ʒi. It operated gently without pain or much purging: saw him Monday. 9 Am. The pain has left the tendon- bowels feels comfortable, will remain in the house. Supposed Chronic Hepatitis Visited Mrs Bacon on [Saturday] Friday. Complains of pain in right side & shoulder. & looks (collapsed. down- attenic- out of sorts &c) wants to put on a blister. visited her on Saturday. pulse pile & quick. ꝶ v.s ℥ q.s. cups & Tart Emet plast. she refused- Visited her on Monday 19th.. Looks well & cheerful. pulse 88 & well less pain of side & shoulder. (Has taken nothing!!!!) [Charged] for Nothing! Brace up the system & you will relieve headaches. stop hæmorrhages, indigestion &c. Castor oil & spt Turpentine. See N.A.M.S.I. Mrs Franklin case of puerpeal peritonitis with inflam & lumi faction of [pleatulea] of uterus Hurt st negro woman with inflam of placental portion of uterus.- 5th st case of comatose state of Typhus fever- John Panes case of chronic c c tant of the bladder- This Bradford Jr Er, case of painful gouty affection of the left tendo achilles. Revd E W Gilberts case. Circular. See Mrs Coleman case- G. Ritten case. Case of a coloured girl with hard tumor in the mamma. [Tolu?] Mixture See Mary Dale case. dry chronic cough- J. Bradford Jr Erq. dry hacking [cough] Elena Darrach. Cough. Rev M. Bacon. cough- Jacobs membrane in the eye. In the eye of an ox I have found this membrane. A portion is white like the retina, the rest is black with the pigmentum nig. & seems to be the most extension membrane in the eye, reacting to the celias booz which it covers. The coloang matter of the cilias booz seem to be derived from this delicate membrane. Then knife in strangulated hernia. I call in question its necessity. The knife will be less used as the science of medicine becomes more perfect. This state of medicine will detect disease in their early & harmless states & will afford remedies to prevent the extreme stages:,"for as has been wisely remarked, there is no case which when it has proceeded to a certain extent, can be cured" How many [crossed out] of knife cares have been made also, by [the ignorance, & blee] bad medical practice. How many premonitory nephitic symptoms if known & attended to might have prevented lithotary, if the lithortuptor be made practicable; how many small stones will be removed before they have been large, & after repeated fits of the stone, have [the] cause alteration of structure & action disease is the bladder & its aphanges. In hernia how many reduced before strangulated by better knowledge of the nature of the rings: & when strangulated by the application of leeches- belladonna &c. The improved treatment of lacerated & gun shot wounds & mortification- have already lessened the [illegible] for amputation. the same is true of tumours. particularly of the hearts & of affection of the fingers & toes. & of affection of the head. Horse reddish in dry hacking cough. Mr Ludlow has tried it with success, eaten at dinner. 32 61 Bleeding from the gums after extraction of the teeth. Mr Blight case, sulp. cupri applied in powder or cotton.- the practice of the Dillingham. Monday. Jany 26th.. 1829. G. Ritter. fistulous scrofulous ulcer fetid brown discharge. Mrs Cooks sister, depression of mind. Anna Ludlow. initative fever. Mr Flemming- vesicular ophthalm. Mrs Colemen. Scrofulous phagedence. Mrs Coleman, case. A portion of turbinated came away on last Friday. Burning of mini-coal. anthrax Ms. Ignition, & not combustion, is the state of its burning: This state is therefore not sustained by an internal, but [?] an external source of heat. Therefore it goes out if a small quantity be ignited; or if a larger quantity of unignited coal be applied, or if the containing article be a good conductor. cart view pots are bad for iron is a good conductor. but there pots. by becoming red hot send out the heat: do not [g] cool the [crossed out] ignited coal but they do not transmit the heat into the apartment. the desiderata are two. 1st.. to sustain the ignition of a small bulk of coal 2nd to emanate the heat from the ignited mass not the room obtained by having a pot below of clay & above of cast iron. [illustration] imnation ignition the the legent iron clay. 26th Vaccination. Vaccinated Mr. Ludlow infant aged 6 months. with scab obtained from D Bond. revaccinated with same. Henry Ludlow 6 ys. two adult females servants in same house & Mrs L who had been inoculated. Sulp. Cupri & red vessels of the conjunctiva of the ball of the eye. In Flemmings case. I rubbed the conjunctiva of the eye lids, & the conjunctiva of the ball became reddened. 27th Dissection of a case of Measles- child 7 months. with Dr Hodge. Starr allus. or a. Muco purulent fluid in trachea & bronchea- the surface of these tubes reddened, generally, with red capillaries. Lungs in a normal state. b. Stomach duodenum & jejunum normal state, contracted, containing a [Yellower] bright yellowing bilious fluid- sports of ilium ruff rumpes & with red capillaries- the large bowels without fæces & normal. Gall-bladder filled with a transparent light olive fluid. -B. No evidence, from this case, that Measles has a gastric enteritis origin. Monday February 2nd.. 1829. Mrs Cooks. sister. George Ritter. Reb. Ritter. Mrs Coleman. Mrs Maitland. Anna Ludlow Sarah. at Mr Ludlows. Mr Flemming. Mrs Caskey. inf from broke jaw bone 33 63 Monday. February 9th.. 1829. Reb. Ritter. Mrs Coleman Mrs Caskey. Mrs O Brian. cephalic & termination. Mr Hamel. boy. fractured libia & fibula. Mrs Gartland costiveness. Mr Bacons son. sprain. Joseph Lake. inc. wound to the tebra. Henry Ludlow. measles. Thos Maitland. Vaccination arrested by measles & revived. [Ann] Ludlow aged [5 yrs.] 7 months. vaccinated, the vaccine action establised [from] pustule advanced to 4th day [illustration] elevated pearly edges without areola. When the measles (mild very mild) appeared. the pustule was arrested in its progress for 3 days. it continued the same, stationary. & paler. When the measles disappeared, the action of the pustule recovered, & enlarged, vesical. & areolated & forms the scab. making a pered of 13 & 14 days. Mrs L. Sarah, Mary Ann & Henry- who were revaccinated had all spurious pustules. with much areola & hard tumifaction. Sarahs case [illustration] like vaccine except in [illegible]. Mrs Lulow [illustration] Monday. Feby 16th.. 1829. Reb Ritter. Mrs Coleman Mrs Caskey Mrs O Brian Mr Hamels boy. Thos. M Cutland Joseph Maitland. Mrs T. Bradford Jr. Ann Judson. black tongue Mrs Scoth Children- Sunday school. Monday. Feby 23rd.. 1829. Mrs Scoth ch. Mrs Coleman. Mrs Caskey. Mr Hamels boy. John McClelland inf- prurigs by. J. Pane filing in cornea Mrs Cline - athma. Vascular determination without irritation. The elevated red base after varioloid- the granulous state of eye lids after purulent oph- Ecruciating pain [in light] over the outer part of right eye brow. with a greenish [p] muco purulent discharge from the right nostril into the fæuces, preceeded by depression of the body; in Mrs J. Bradford Jr. erq. vs. cups- calomel, salts- Leeches. The pain, on closer examination, was found to originate in the super orbitar branch of 5th pain. 4 leeches applied over the surface orbitar foremen was most effectual in removing the pain. It recurred periodically every afternoon. It was preceeded with twitching of the eye lids. Mr Coleman care. Another larger portion of bone has come away. [illustration] 34 65 March. 2nd. 1829. John McClelland Mrs Maitland. Gotliet. at Hamels. Mrs Coleman. Mrs Caskeys case of fungus & discharge from the Cavity of the antrum- cured by. Leeches. & sponge-tent. & low diet. The case was caused by the fracture of the jaw in extracting a molar tooth. Two teeth, & a portion of the body parietes of the sinus came away The antrum, thus opened, [caused] became inflammed, supurated the fractured orifice became filled with protruding fungus, constitutional suffering- severe neuralgic pain over the eye & in the check. Sometimes so severe as to cause fainting. almost. Leeched the gum. low diet & sponge tent. March 16th 1829. John McClelland Mr Cruse. Mrs Cruse & child. Mr Clark. Mr Wells child. vac. Mrs Nunvillier. vac. Grandpapa. Magarette. James. vac. March. 23. 1829. John McClelland. Mr & Mrs Cruse. Mrs Wells infant Mrs Nunvillies. infant. John Snigerd Erq. gout in bowels. Mr Caskey. abscess from Cut hand Maria at Mr Maitland. sore throat. Ricl. Johnson child. ulcer. Mr Clark daughter. tumor. Mrs Tos. Bradford. pleurisy Mrs Donnelly. bil. remit fever. Mr Widdifields. daughter. tumor ctr. Mrs Cruse. headache &c. March 30th.. 1829. John McClelland. Mr & Mrs Cruse. Rick. Johnsons. child Mrs Donnelly. William Stewart measles. Rach. Ritter maxil. abscess. Joseph Maitland measles. Henry Maitland measles. Elena Darrach schep. ulcer a tongue Calomel & recently filed teeth. Mr Dwight Erq had his teeth filed- felt bad, low spirited, headache, &c. took calomel of his own accord. A violent pain & swelling attacked his gums. &c [be] Water brash sickness & ant vin gtt iii q b h. in measles. in Henry Maitland. cured by elix-vit gtt iii q. b h. A good purgative pil. ꝶ socot aloes. ʒi alepps scammus ʒi. Pulv. Colocy rh ʒss [illegible] fr. pil. xl viii- 48- 35 67 April. 7th. 1829 John McClelland Mr Cruse Rick Johnsons child Elena Darrach. Mr Cruses Son. Mrs Donnelly child. Mrs Bradford Contusion Mrs O brian. nervous. state. Vomiting with Ipecac. ℈i. 7. Emet qi in Athma. In Mr Cruse case. 2 hours after [illegible] after the contents of stomach came scro mucus fluid of the lungs. then bile from the stomach. He felt better breathed peer. I the &c. [illustration] Tumor on the edge of the cornea alteration of the form of iris with adhesion of iris the tumor vascular & containing foreign substance. The accident was splinter of rock starting the eye 3 weeks back. at blowing of rock The spicula have wounded the cornea. Second day applied solution of caustic. 4 day reapplied caustic. April 13th.. 1829. Mrs Gartland Tedious labour of retained placenta. Mrs Gartland aged 25. nervous & delicate. 1st preg. labour commenced at 2 Am. April 10. pains short. frequent & ineffectual. 1st stage lasted till 3 pm. vomiting hiccough. rev food retained. 2nd. stated passed without rupture of membrane. 1st position [labor] head out sometimes before the body. child did not breath until [after] mouth applied- female- beating 45th q. [second] minute. placenta relaxed till 7 Am. of 11th.. extracted S hand has [pep?] the day without pain or fever Examination of placenta of above case. Amnios- a thin transparent membrane so [illegible] with a gleutenous fluid a sad with a reflected tubular process passing over the cord. Cihorion. Black clots on the edges nea the placenta. unlike venoius cogala. who the fluid-blood of the umbilical vein. Orifices with files cartelgenous edges at the edges of the placenta. one opens into a lung lubalar sinus at the edge of placenta The sinus open present a smooth surface perforated by orifices of different size. some 36 69 of these open into similar sinuses- & these present similar cribrifor smooth surfaces. the orifices opening but the sponges structure of the placenta. Another orifice at the edge fibre cartilgenous [illustration] size. Opened into a large cavity under surface white, traversed by reticular vessels of cordi [illegible] the under surface the sponge surface of placenta without membrane: these surfaces connected by columna tenderic- innumerable orifices opening into sponges mess. Caliber of umbilical arteries 7/32 each. = 14/32 " " " vein 25/32 - ei i 25 to 14. Blood of Umb vein taken [into] wine glass. at 1/2 12. Am 11 th Ap. a. 11 1/2 hour after delivery of child 24 hours after extract of placenta was fluid of a peculiar biste hue aflated blackist it [re?????] without clots. April 13. 9 Am. has separated a blood serum. ꝶ for a shore mouth. American bowl. Honey & sweet oil. April 27th.. 1829. Mrs Cruse. Measles Mrs Little Mr Caskey Dometic. Berry Bradford Mrs M. Darrach. Miss E Darrach. Mr John Hoffman- man a troted. Mr D. Payater. Miss Mary Bakcle. Miss E. Allison. Opium & Mania a potu. April. 1829. John Hoffman. aged 43ys. bilious athletic. Perplexities about business made him drink to excess. Mania a potu followed. 1st night gave 4 gr of opium- no rest- second 5 no rest 3rd.. inject per anu ʒii of Laud & gave gr vi opium by mouth- sleep followed- 6 hours- wakened well. Gave wine whey- & applied blister to stomach. blister surface very red- & one applied rhy meal. March. Clark. apoplectic. vs. troubles. hard drink. manea a potu- opium. gr iii & Laud poultice after vs. ℥viii- had some sleep. seemed night gr ii better sleep. 3rd night gr i- doing well. has since been gouty & afflicted with boil- &c. Placenta of 5 months. The uterine surface not covered with a smouth membrane- not not evidently lobulated. The surface was suff & studded with small orifices. the same structures extended over the edges of the placental mass & early separated from the [chereion?]. [under it] the sinuses & orifices were found at the edges as in the placenta of full time. B. It seems that the surface referred to is the desiduous membrane see Bich at views. April 28th 1829. Proticetis Chill - & Leeches to chijartric & barley water Miss Bicknile aged 4 ys. 37 71 May 18th.. 1829. Mrs O brian. Mrs G. Ritter Mrs Coleman Miss. Laber Alison. John Hassinger. J. B. Darrach. Mrs Little Mrs Caskey Mrs F. Vansant. Mrs Saxon. Mrs Heyle Mrs Susan Wood Mr Jones. May 25th 1829. Mrs Caskey Mrs Coleman Mrs Wood Mr Jones Mr Charles Skinner Ischiatic Neuralyes Mrs at John Panes. Mrs Tony. Placenta of Mrs Little. This demenstisla two points in question 1st that the clots are from the placenta not the uterus. 2nd that the surface [have] of Placenta has orifices The blood can be exceeded from these orifices. The Clot was smouth on the uterin surface & adherent on the placental. Dover powder & Rheumatism. Mr Jones case afflicted some time. He was bled. some relief pain returned, castor oil barley water. pain contracted [p] blister to thigh. some relief. returned. Dover powder Relief permanent. Strangulated feme hernia. & warm bath & injection. Mrs Wood. fluid. bilious. tenderness of abdomen colic vomiting & hard tumor in in left groin. reopened by the above noticed means. Colchicum & gout of the foot. a sudden intolerable pain & edens in the case of John Peters. The 1st 10 gtts in warmed his system & soothed his pain. Spinage & costiveness & piles. Mr J Bradford has the piles. he eat the S.p. & it gently relieved the [pil] bowels & removed the piles. Convulsions. incipient Hydrocephalus with blister & leeches to head & profuse use of mercurial ointment in an infant of a mouth Mrs Ludlows. effectual treatment. June 1st.. 1829. Mrs Caskey. Margaret Dale. John Pane Eliz. Allison Mrs at the Bats. Widdifield. William at Mr Pane. G. Ritter Son. Margaretta. + John Johnson Mrs Coleman. + Opium & Cholera Morbus (caused by pear & currents- injection of ʒi Laud. It removed pain & vomiting & gave delightful repose & feeling of gratitude. I prefer laud by inject than by the mouth. Margaretta. I shall try it in bowel compl. of infants. 38 73 June 8th.. 1829. Mrs Caskey William Wymns Mrs Coleman John Johnson Mrs Gilbert. Mrs O brian June 15th 1829. Mrs Caskey purulent dis of Autum- tent Miss Wymns. chorea- cont irritation Mrs Coleman scrof. ulcer. cicuta & carb soda. John Johnson. ulcer after [mort??] poultice. Mrs Gilbert dysh. abs. & exercise. Mrs O brian. Ch of life. vs. reg diet & exerc. [Mrs Rit] Mrs Rutter. bus..bos June 23rd.. 1829. Mrs Caskey W Wymns. Mrs Coleman John Johnson Mrs Gilbert Mrs O brian. Mrs Rutter Mr Clayton. Rev Mr Gilbert Mrs Little. Mr Henry Steever at Mr Richard Mr Thos Bradford. Digitales & bath of bay sun in [Penpu???] Hæmorrhages A case related by Dr Meigs- a boy with bleeding at the nose & petechia over the body June 29th 1829 Mrs Caskey. Wm Wymns. Mr Clayton Henry Steever Mrs M. Richards Mrs Thos Bradford Mr J. Vansant.- bowels emp. purging - prostration & quick pulse (No pain) caused by eating rasp berries. cured by rest bowels ℥ss barley water every Mor Spice blaster to stomach. Mustard to feet & laud. poultice to wrists. case of J. Vansant. Cases of Dyspepsia. Mrs Gilbert- pains of stomach after eating acidity & flatulency. pains in the great bowels- piles, costiveness- slime on the scybela falling of the womb- pain in the teeth & jaws- depressions, irritable temper &c. starting feelings. barley water creen , Haletrans, whey. carb iron peney exercise... Milford Blatchford. depression of mind, emaciation, flatulence, lime water & milk- date brien & cammomile tea. Rd Mr Denna hough. colics, depression of mind, emaciation, no appetite. Mr Cruse. Athma, flatulence, bowels costive, hæmorrhage time water milk & stale bread- meat &c- carb iron. Mrs J. Bradford. pain in stomach head ache. sulp quinine gr i q t d- barley water cream stale bread- &c 38 75 Cancerous Breast. July 1st 1829. Callled to see Mrs O Brian. She was absent- dressing a supposed cancerous breast of a female in Bell Court. Mrs Nc D gave me a short history of this case & wished me to visit her. With pleasure, I replied, if the individuals wishes so & has medical attendant. Introduced by Mrs O Brian. I Breast presents a large ulcer ready to skin. a depression in it- of a modenous & flably aspect- a lumpy state of the substance of the Mamma- No pain- good spirits- Nothing in the aspect cancerous. No hard knotty perous character. I do not think it cancer- As I did the care of Mrs Barwich or that in the Hospital under care of Dr Barton. It is more like Mrs Mc Clelland? or like the black fire's I attended at Offer 7 [illegible] & chestnut. She has taken 2 lot of Swaim. Pan. she is not salivated. thinks the lumb of breast are softer- Swain would not look at or prescribe for her breast saying I can do nothing for your breast, if the lump, where else when I might do you some good- He sent her to Dr Mc Clelland. Previous to visiting swaim. She called on Dr Physick- he would not look at the breast, but referred her to Dr Randolph. Commenced treatment. Oat meal gruel three time a day- light absorbent poultice to ulcer covered with oil silk- & breast suspended. July. 2nd.. 1829. Chorea & Back of the head see case in 2 of F.M.S. No xvi page 675. Here the b of head was complained of & also 2 blisters applied cured the Chorea. See pathology of chorea. page 140 No lii N.z MsI of M&S. a tendency to inflammation of the Corpora quadri genuine. Mr Senes produced Chorea symptom by wounding these parts in living animals. See page 194. Sep. 1827 M I of M&S. 9y girl-after purging tonics antispasmodics disease grew worse. then head shaved & Tart Plaster applied to back of neck she recovered cured in one month. Monday. July 6th.. 1829. Wm Wymns. Mr Cruse. Mrs Pane. Mrs Hyle. Mrs Bradford. Spt Turpentine ʒi olive oil ℥ss q t d. & Gleet. In case of Flemming. & Chisolm. Hacking coufh or hanking in N L Bradford [&] St. Martins The hauking has left him. since his residence at St. Martins [Pre] had frequent attacks of croup [wh] in infancy-tonsils enlarged- This was supposed the cause of the irritation. One removed by caustic- the other by knife- No benefit- [resi????] of the mouth. at st Martins has removed it. Will it return. 40 77 Bowel Complaint in infant of 3m' & Laud. & Blisters. Mrs Little infant aged 3 months attacks, Saturday July 18th 1829, with purging of yellow bilious matter & screamings from frequent pains in the bowels: this latter symptom seemed the more important. Dr Condie called in, advised Cal 1/10 gr q.h. until six powders were taken, then a powder every ten hours. & applications of brandy & Laud. to bowels. Saw the infant, Sabbath morning 19th at 10. Am. system prostrated by pain & purging sunk & suffused, countenance hipporcatic, pulse frequent & small. It appears, that an obstinate & ignorant nurse had been in the habit of taking the [et] infant out (all day long). exposing it to the sun, depriving it of the breast, feeding it with heavy food, & giving large doses of parageric.) I gave an injection. of Laud. gtt vi. no relief. it was rejected- with a yellow fæces (The discharge in this case was neither the thin-olive-copious- frequent offensive discharge. nor the slim-bloody-spare. discharge. it was like that of Mrs Lyc infant-aged. dissected by me with Dr Hodge in which the discharge was a blight yellow, loading the small intestines.) Repeated the inject. it was retained- the screams abated. [After a wh] requested this to be [illegible] [?el] [powed] q.b.h. & spice plaster. screams returned. injected repeated twice. Sunday after noon. omitted food except boiled water & barley water tea spoon ful by [crossed out] h. Applied blister 2 inch qr to abdom. applied Laud, externally. A convulsion- warm belt. a second [en?vel] were halt. Monday at 9. Dr C & myself saw it. apparently expung. [illegible] bent back. eyes dive & suffered- no [illegible] hardly to swallow. A state of cerebral congestion, either from the Laud. metastasis of the bowel comp or both Applied a blister to back of neck. gave ammonia water & whey & the air of the Delaware. Before night the infered appeared like living again Since this the bowels have become natural & the child is [rel???] recovery. A good nurse & country air will we hope restore the patient completely. 29. what are the three different kind of discharges owing it. viz. the olive fluid. the slinu & blood- & the yellow bilious matter The last is in very young infant. The second in children (who have left the breast) of poor persons who neglect the food of their children. The [third] 1st seems to be endemic. Three kinds of practice. 1st.. violent emetics purging & stimulating diaphoretics with previous bleeding, &c- general & local. consequence is aggravation of disease- typhoid disease. 2nd.. Barley water & local bleeding- curregun is tedious & something fatal cases. 3. general & local bleeding & barley water. & then free emetics, repeated purgings. & health. Remedies in Bowel complaints of children. 1.. Injections of Laud. instead of opium by the stomach. 2nd.. The use of the steam-Boat on the Delaware. 3rd.. Substitution of whey & boiled water for the breast & other food. 4th.. the use of the flannel roller. 5th. the mustard bath. 6th.. blister to abdomen- back of neck & ears. 7. Calomel in small doses. in what ears hurtful. Mrs Little infant. Discharge in bowel compl. From bowels 1st.. thin copious, offensive olive coloured fluid. 2nd.. slime like albume of egg & blood. 3rd.. yellow & green curd & slime. From the bowels. 1. Curd of milk only. 2. Curd & thin slime. Cause of Ditto. 1st.. Mothers milk- Mrs Lakes child- Eliza Bradford- 2nd.. exposure to hot sun- heavy pap food & alcoholic and Mrs Littles dye med. 3.. sleeping in hot closed rooms in feather beds between parents. 4th.. The inland flat situation of Phila.. 5th Leething. 6. Acid & pulpy fruits. 7. Continued hot weather August. 3rd.. 1829. Mr Chislom. Mary Ann Gower. Mrs Rutters infant. Mrs Little. Mrs Gartlands infant. John Dale. S W McClelland Mrs Livernins child. Joseph Bowsert. Mrs Benson. obit. August. 17th 1829. Mr J. W. Chislom Mary Ann Gower. John Dale Mrs T Bradford Mrs Lakes son. Mrs Wood. Hernia at the inter ring. John Blackburn. sloughing ulcer of cornea Hannah Logan. Dispepsia. Mary Corcrey. pustular ophthal & Mary Dale. Nervous extrotrea debility. Concentrated decoc of ura-ursi. shewn me by Mr Chislome He used it for class & gleet. ura ursi lb ii a q font slowly boiled down to the & half pint take tea spoon full [every half] three times a day. Liverwort. a concentrated syrup has cured breast complaint B may not [the] the blackberry root & all such articles be used in a concentrated syrup to more advantage than in the usual manner. The quinine oil of back pepper &c &c are all concentrate of the native article 42 81 Pain in Back & Head & V.S. in Remit. bilious fever. Mrs Lake attacked with chill & fever at 12m. Aug 21st 1829. she had taken Aloes- & Cammo. tea. At 5 Pm gave Cal & Jalap gr xaa. It purged at 7 Am. visited her at 9 P.m. Pain in the head & back very severe pulse full, quick & frequent & skin heated. vs ℥x. sickness & some fainting & [de] reduction of pulse. The paint of Head & Back immediately removed. Saw her this morning 22nd 9Am. Has Had no return of pains. twice purged. discharges black & offensive. ꝶ Mag & Salts & Barley water. Sloughing ulcer of Cornea & Sol of Lunar Caustic. The Caustic caused a recurrence of slough after their was a cessation of the disposition. Discharge in Dysentery. It seems to change as follows in its progress. 1st.. glary slime like white of egg with fluid or clotted blood, attended with much tormina. 2nd.. [crossed out] decrease of the blood. 3rd.. very little or no blood with a curdled slime [of an], opake, with less pain. Dr Meigs case of Eccymen inflam of eye & repeated copious- v.s. August: 24th.. 1829. J W Chisolm M A Gower. John Dale L. Blackburn Han. Logan Mary Corcrey Bridget Connel Samuel Paynetes Cath. Cook dead [Dysenteric?] fever Mrs Lake Mart.. Brantley Elisa Bradford. Mr Heylei eyes & Dr Thompson eye water. [He] When secretary of the Board of S. use of his eyes excessively, fatigue & exposure to the hot seen, caused a weakness & redness of the eyes. He asked Hart what would do [hair?] good. He gave him Dr T eye water. One washing, which smarted cured him- He has used it frequently since [wh] on recurrence of the complaint will good effect. It is, (apparently) an opiate solution of lead & zinc: a: [sulp lead] acetate of zinc. Purulent disease of the ear. In M A Gower it was a sloughing ulcer of the [Comcha?] with a sloughing separation of the epidermal covering of the meatus. In a dyer in filburt St. it was an eruption of small pustules on a reddened meatus. Changes in Dysenteric discharges -pelluad slime & coagulated blood- curded slinac & coag blood.- less curd & blood fluid- cued & blood having a cadaverous odour. a thin caviderous bloody Janes with mixture- Changes of the face in Dysentery. [illegible] of pain [illegible]- eyes sunk- eye lids only partly closed- cornea flatted & dired with suffering nose cold & contracted- teeth dry- [dele???] look- Monday. Aug 31st 1829. Chisolm Gower Blackburn Corcrey Maria Heyle. Maria Brown Mr Reynolds. Accounts of Dysentery in New York. Dr T Dale had a violent case at Pittsburgh. At Bristol. Mrs Elloth two sons. She treated them with Emetics & purgatives & a profuse vomiting & purging of blood followed. The Dr called in & gave Spt Turpentine & oil. Since which they are better. vomiting having stopped. & I believe the purging also. Sulp-Zinc & Purulent & sloughing disease of the Ear. Sulp.Zinc ʒii aq font ℥viii injected daily for 6 days in the ear- after several weeks use of simple poultice, injects of warm water & use of Carb soda gr v q q h. & veg diet of & milk &c- in the case of Mary A Gower aged 10 ys. Placenta of Mrs Cruse. Sept. 2nd. 1829. at Mr Mc Dorrach Immediately examined- Large orifices at the edges & some in the fissure of the lobes.- its uterine surface covered with an unbroken membrane. Clots adhering to this surface by means of [pro??ation] of same entering into the orifices of the placental surfaces. The clots large & thick- The surface, smooth & polished- the other lumpy with ragged process of the same. Has this clotted blood any fibrine. It is coagulation without serum. where does it come. I [think] infer form the smooth upper surface & the irregular & ragged under surface. & the connection of this with the orifices of the placenta, that it is effused from this organ. That there exists a connection between the uterus & the placenta made by the orifices seen after delivery on the surface of the placenta. that the connection of the placental portion of the uterus during labour, (most likely after the expulsion of the child) & the now contraction of the placenta cause a rupture of the vessels which make the sinuses of the placenta & uterus [illegible] [that an effusion of blood from the] that no effusion of blood takes place, from the [pl] placental uterine surface, because the contraction of this viscus closes the ruptured orifices.- except in cases of flooding which [that are e] is a flow of blood from the (unnaturally) open orifices. That an effuse or does take place from the placenta which makes its way [ten] between [the] its own surface & that of the uterus- rapidly [contract] coagulates [the ly] stops the bleeding & separate more effectually this body from the uterus surface. Contraction stops the bleeding from the uterus. & coagulation stops that from the placenta & [illegible] 44 85 Queries relative to the human placenta. 1st.. Is there, at any time, more than one kind of blood in the placenta? Ans. The upper surface exhibits but one colour & not florid & [modems?] which there would be if carbonized & decarbonized freely circulated in arterial & venous capillaries distent in the substance of the placenta. But injection shew two distent capillaries in the liver, spleen & kidneys. yet these organs have not a mottled arterie & venous colour- Each no less than the placenta has its peculiar colour. The uniform colour of the spurgy placenta is therefore no evidence against there being two kinds of blood in the placenta. For we know that there are such in the liver, spleen & kidneis what have their uniform colours. And further seeing that these organs have different & peculiar colours, there is evidences that the circulating bloods of their veins & arteries do not affect then. for also in addition the colour remains with or without these bloods. The under surface of the placenta presents tortuous vessels. They are of two kinds- Ones are empty & are continued into two vessels of the cord which are also empty- the other are distended with dark blood which are continued into one vessel of the cord which is sometimes empty & sometimes distented with dark blood. [No] I do not recollect to have ever seen but blood of one colour during delivery- & this colour dark. 2nd.. Is the blood of the large vessels of the cor, the returned blood of the child. I think it is but cannot demonstrate the supposed fact. 3rd.. Is it that of the distended vessels on the under surface of the placenta. I have not demonstrated it. 4th.. Is that in there vessels the same as that formed coagulated in the sinuses of the placenta. I dont know. 5th.. Is the clotted blood in the womb after delivery of the child the same as that in the sinuses. I believe it can be [so] demonstrated to be the same. Tenderness in the left iliac regeon & after pains. Mrs Cruse. Obs. case. 1829. Sep. 2nd. Wednesday 6. oc. A.m. irregular feeble pains. water soon discharged. pains then feeble every 5 m. examination at 8 Am. Os tines dilated & relaxed. posterior foretinal at the right arterie pain more frequent & strong. Delivery at 11 Am. boy. large & fat covered with white mucus. pulsation subsiding gradually from the placenta, ceased at the navel at 11 1/4. Child separated. no pains till 11 1/2 feeble. 12m. introduced the hand conically & very slowly. giving but little pain. opened the finger about the placenta & extended the two fingers toward the fungus gave thereby great pain, moved the placenta mass 87 after a minute slowly retracted the hand enclosing the placenta. & it came away without more effort & no pain of [cross out] moment. a large clot came with it & another adhering to the placenta. Examine the placenta (see above) patient put to bed. Molapes for bidder the infant.- TThe breast distended. applied the child at 6 Pm. after pains severe. No [rest] sleep the previous night. she had rode in from the ridge & had unexpected labour. the day previous Monday rode to Manayunk. The none of casts &c. distressed her. at 11 Pm. applied land. poultices to induce sleep. rested badly. On thurday the after pains more frequent & severe & but little shew. pulse 96 & tense. gave Castor oil at 10 A.m. it purged after 4 hours but no relief to pains. pulse yet tense but less frequent. At 10 P.m. gave Laud xxv Spt Nit Dul ʒi composed & partice sleep. Friday. 9 Am. pains no better, tenderness in left iliac regeon owing to pusrum or the uterus by hand &c. pulse tense, quick. & 100. left breast distended, lumpy & hard some tenderness on pressure. (a sudden change in whether to cold). vs ℥ xii. Gleet & ꝶ. Cal gr i comp ext colocynth. gr v. tart Emect gr 1/8. It caused in Mr C. a copious urethral discharge. He says it has ways so acted before it purges him: that Dr Monltre gave him the ꝶ in 1823. 1 pil every night for 30 days to cure a Gleet. [It] It makes the stream of urine more copious & strong. The ꝶ. of Monltre give by Mr C is a follow ꝶ. Ex Colocynth comp ʒi Sub. mur. Hydicing gr xv antim. Tartarisat gr ii ft pilala xxx. after a long gonorrhea. one every night. 49 89 September. 7th.. 1829. Monday. Chisolm Gowler Blackburn Corcrey G. West alley. 2 & first. S [ret] above vein. Reynolds Brown. Rd Mr Brantleys younger son. pust oph. Mrs Cruse obst. Sarah Darrach. Hemopteris. ʒii of Sulp Zinc & ℥ii aqua is a strong injection for the purulent ear. In the case of Mary Gower 12 ys it caused much pain & a copious discharge of whitish serous matter. Sept 21st 1829 Chisolm Gower Corcrey Reynolds Mrs. T. Martllands daughter. Berry. Bradford Mrs Coleman Mrs John Pane Jacob Staley Jones Coffin Mr Cruse Mrs Wood. Nitrali of Sliver & protracted bowel complaint case of Cornelia Darrach. see Dr Skinner letter. Monday. Sept 28. 1829. Gower. Corcrey. Reynolds. Staley Coffin Mrs Woods. Mr Cruise Athmatic attack. Mrs. Wallace. contused wound of head Miss Lukens Phlysmon Mr Woods. contusion S B Ludlow. vebility W. T. at Mr Panes. Monday. Oct. 5th 1829. Gower. Reynolds. Staley Walence W T. Diana. Hamilton Lemon E. liza Montgomery. John Maitland W. L. Bradford. Monday. Oct. 12th.. 1829. Gower. Staley Wallace W. T. Marter Brantley. Mrs O Brian. Mary Morrow. Monday. Oct. 19th. 1829. Gower Staley W. T. M. Morrow. Es Watror John Widdifield. wen. Sam. B Ludlow. Mrs Clina Son. John Payne. Set Ludlow. sore mouth. 46 91 Nov. 2nd.. 1829. Saml. B Ludlow. Mrs Little child. vac. Mrs. Wotherby. Mrs O brian Mary Dohnsn. Nov. 18th. 1829. Mrs Cruse. infant. vac. Mrs Gartlands inf. vac. Mrs Vansant. Obt. dead. Susan Flinthan. chills Mrs Wotherby. Mrs Widdifields. inf. Gums cut. Mrs Lehman. flooding. at 5th m. Thos Boyd M.D. liver Compl. John Wane. hooping cough Thos Bradford. inf. eye lids. - Maitland Cloth. Delirium Tremors. Daniel Kelly. Called to see him at Mrs Mc Donough on Friday Nov. 20th. 1829. Found him with Tremors, profuse perspiration, & lame of the right leg owing to a contusion received four days previous from the hub of a hasing dray which struck him on the outside of the thigh; This blow did not prevent his going about for 3 days. or the 4th owing to lameness he went to bed. I found the limb covered by capillary ecchymosis: an oblong trans, verse blisters surface above the knee. He complained of no pain or soreness at the stricken spot, nor was there here any ecchymosis I asked him [of] how much he usually drank daily. He replied 3 or 4 glasses of spirits. He had taken none the passedtros days. He was taken to his sister Mrs Mc Dermonts. ꝶ castor oil ℥i Spt Turpent. ʒi. It operated quickly & freely: hop-poultice to the right-leg: & panado: Part the night restlessly with sleep. Saturday morning, the leg had less ecchymosis &. Tremois [contemned?]. Saturday night delirious ꝶ Land: gr xxx. wine whey. Sunday morning. The tremors, & sweating increased: and delirium increased. Opium gr i q h. till gr vi were taken pulse 128 & strong. (no v.s). Sunday evening, trouble about rats, & with difficulty retained in bed: Tremors increased: become talkative & disobedient. Sunday. At 5 pm. gr vi. opium. one gr every hour. Sunday night an injection of Laud. Symptoms aggravated Intelligent & more frequently disturbed about rats: & the boy of the grocery store he had [dis] been working in &c. Monday: It required two & three men to hold him: Laud poultice applied to different parts of his body: Had intervals of quietness. pupils [morbidly?] & permanently contracted: eyes wild: Halucinations constant & tremors constant (He had been cupped to the back of neck on Sunday [night] morning & blister to wrists: there drew profusely:). At 12 m. Monday. ꝶ Laud ʒi q h repeated 6 times: Symptoms aggravated: straight shirt required & Hospital conchidedon: Dr Jackson called in: He died at 8. Pm in repose B. He had taken within 2 days. 12 gr of opium: & ʒvi Laudanum & had poultices of Laud & head applied to forehead & limbs. cups to back of neck & blister to wrists & stomach. He had no sleep for 4 days. He was not bled: The contusion & want of spirits caused the complaint. It is a case of Delirium tremors consequent to a severe contusion in an intemperate habit with restriction of the usual stimulus. It differs from the case of Mania a [illegible] directly produced by drinking: & it is doubtful if the spirits should have been prohibited. 47 93 Nov. 30th.. 1829. Wm Wortherby. Mary Morrow. Mrs Caskey child. vac. Mrs Swane's Son. vac. Puerperal Scarlatina. - Mrs E. Vansant aged 31. 1st pregnancy. Nov. 6th.. 1829. Lingering, up two night, otherwise without difficulty. female. fat, large & healthy. secondines came away by passing the hand after 1/2 h. without difficulty. Put to bed. that day, very well, the day following well: on Saturday evening I noticed a partial deafness: & some frequency in the pulse- found these symptoms attended with some soreness of throat & slight difficulty in deglutition: Sunday, the skin was red & tumid & eruptive: voice altered, deglutition very difficult. anxiety of pace, breathing [very frequent & quick]: pulse rapid. The breathing became rapid: & attended with noice inarticulate. These symptoms of rapid quick breathing: & rapid pulse & difficult deglutition [unec] hourly increased: & she died from [crossed out] them on Monday following at 12 Am. Erysipelas Phleg. with metastases to lungs: Infant of Mr Vansant. Two weeks after the death of the mother. during which the infant thrived on the breast of Mrs Cooper a friend of Mr V. a tumifaction was seen on the right elbow of the infant. It was attended with hardness & a diffused & increasing redness. I noticed a dark central spot, which seemed to contain a fluid: [Rye?] meal to the [Run?]. The redness &c lessed: but the infant was restless: the following night it seemed better: the dard shot was more widenly as abscess: its opening was opposed by family: Laud poultice to give rest: that night the disease was translated to the lungs: A quick & [f] rapid breathing took place: the child became modenous & mottled & died at 8 Am. Rem. The nurse had been attending Mrs Mc Credy who died of puerperal scarlitena. several of the children had had the fever in consequence. Had this circumstance any efficiency: what connection is there between the complaint of the mother & child: Eruptires diseases: is small pox: [vari??oid]: measle &c exist on the day of the infant death. an adult within three doors died of small pox. Dec. 1829. Miss Cummings. Chronic catarrh. Mrs Wotherby Athma. T. Bradford Jr. Erro Rheum. gout. T Bradford Ser. Costiveness. & vomiting. Margarette. nervous child. Dec. 1829. W. Wotherby. T. Bradford Jr Erq. Mrs Thompson. Bor. Caterrh. John Wale- Varioloid. Eliza Bradford scald. 48 95 Summary of Medical-Practice of 1829. Syphelitic granulated Ophthamia. I. Flemming. 21. ꝶ v.s. Blue stone frictions to the granulations- scarifications- both eyes affected successfully. treated 25 days. B. I think he was also salivated. Chronic catarrh of the bladder. John Paine. aged 70. A painful state of the bladder with an ill conditioned urine, putrid & turbid fluid. smelling like washing of beef. ꝶ castor oil & spt. Turpentine. Scrofulous phagadena of the nose. Mrs Coleman. aged 50. ꝶ Cicuta & Carb Soda. cured by Potten Catholicon recommended by Tompkins the commissioner- aggravated even to the destruction of the lower turbinated bone by a previous use of Swains Panascea . A previous attack was successfully treated by me with the Cicuta & Soda. It failed afterwards. I am ignorant of the nature & proper treatment of this complaint. It is a superficial ulceration preceeded by areola & followed with adherent sloughing. Immaginary pain in the Nose. Mr Smith friend of Flemingo. ꝶ. Convincing him that it is not venereal. 3rd Apoplectic attack Miss Simmons. 23 ys. ꝶ [vs] cups to neck. The result was admirable. She has since had a 4th.. & is yet doing well. Coryza Wm Darrach. ꝶ Diet. Ghills & Cough Maartha Shermaer. ꝶ Barks. [Cou] Cough. Revd Mr Bacon. ꝶ Tolu Mixture. Chronic Hepatitis Mrs Bacon. A self willed patient. Painful-affection of the Tendo Achilles- Tho. Bradford Jan. Esq. 48ys. ꝶ Spt Turpent. ʒi Castor oil ℥ss. prompt-cure. Fetid purulent discharge of the ear. Reb. Ritter. 16ys. ꝶ. warm milk & water daily. Cold & depressed spirits- Mrs Cooks sister. Measles Anna Ludlow. Fever in the afternoon. ꝶ Ant-vin. Vaccination Mrs Ludlows infant. 5ms. Flooding & abortion at 2nd m. of Preg. Mrs John Maitland 50ys ꝶ. Elex vit 49 97 Measles. Sarah. 20 ys. at Mrs Ludlows. sanguineous, scarlet, tumifaction of the gums appeared two days about, previous to the eruption. An eruption on the roof of the mouth & fauces also appeared with small ulcers on the inside of the lips. Gleet. John Fleming. It was connected with the ophthalmia above stated. ꝶ Spt. Turp. ʒi [Cast oil ʒii &] olive oil ℥viii ℥ss q n. It cured the Gleet. Fish bone in the upper Fauces. Elizabeth Allison ag. 16 ys. It was detached & swallowed by attempts, with Bonds forsepts, to remove it.- January: 1829. Complaints- Fish bone in fauces- Gleet- Measles, 2 cases- Flooding with abortion- Vaccination- Cold with depression of Spirits- Purulent ear- Painful affection of [Ten?odch?]- Chronic Hepatites- Cough- Chills & Cough- Coryza- Apoplexy- Immag. pain of the nose- Scrofulous phagadena- Chronic [crossed out] Catarrh of bladder- Syph. glandular ophthalmia- viz 17 varieties of cases. ꝶ Bonds forsepts.- Spt Turp. ʒi Olive oil ℥viii ♏︎. vs in 2 cases- Elix- vet- vac. virus- Ant. vin- milk & water- Spt Turp. ʒi Castor oil ℥ss. ♏︎. Tolu- mixture- Barks, Diet- Cups- reasoning- Cicuta & Carb-Soda- Blue stone frictions- Scarification. Individuals. Elizabeth Allison, Josiah Fleming, Sarh at Mr Ludlows- Mrs John Maitland, Mrs Ludlows infant, Anna Ludlow, Mrs Cooks sister, Rebecca Ritter, Thos Bradford Jur. Erq- Mrs Bacon, Revd Mr Bacon, Martha Shermer, Wm Darrach, Miss Jane Simmons, Mr Smith, Mrs Coleman, John Paine, Josiah Fleming. 20 ys. Remarkable instances of successful practice. Painful affection Tendo achilles removed by one dose of Spt Turpentine ʒi Castor oil ℥ss ♏︎. in T. BradfordJr. aged 46, large, Corpulent, florid bilious habit- liable to gastric cephelic [cor] attack- & mental anxiety. Gleet (of long continuance) cured by ℥viii sweet oil & ℥i Spt. Turpent. Apoplexy. 3 attack, quickly removed by one application of cups of back of neck. Remarkable case of injury by Panascea & benefit by the Catholocon & of benefit of Cicuta at one time & failure at another. See Mrs Coleman's case. [Medi] Medical charges. $61 50 99 Feb. 1829. Abscess of the antrum hym. Mrs Caskey. caused by the opening of it & fracture of the bone with violent removed of the two molares with portion of the alveolar process. It was attended with insufferable pains about the eye & forehead & cheek, neuralgic & a purulent discharge into the nose. Treatment, low diet, leeches, v.s. & tent. The orifice in the jaw is yet open, the tent won. Dec. 14th.. Purulent discharge continues Cessation of Menses. Mrs O Brian. Tremors, mental aggitations, pulsation in the head, oppression at the heart, flushes of heat- pulse full & hard & slow: attacks return every month. costiveness- Treatment. vs, veg diet, apples against costiveness, & exercise in the open air Fracture of the Tibia. at the middle. Comminuted- Hamel's boys. 15 ys. He fell from a horse in full trot, when he was in liquor. the fracture was thin [illustration]. He was on his crutch in 2 months. ꝶ vs. & sh hats. Costiveness during Pregnancy Mrs Gartland. aged 25. ꝶ. Castor oil. Sprain of wrist. Mr Bacon's son. 10ys ꝶ rest & Laud ℥i Spt Camph. ℥ii, Bran qs. to sprain. Incised wound into the tibia- Mr Lake 30 ys. ꝶ Adhesive strips, bandage & rest for two days. Measles. H. Ludlow. aged 10ys. ꝶ Low diet & Ant-vin. gtt v. q b h. Nercous Debility- Margarette D- aged 20. she was 2 mo suckling 2 arms- Remit. Fever & Measles. Thos Maitland Jr. 17 ys. ꝶ Ant vin. rest & diet. & vs. Gastric distress. Joseph Maitland. 7 ys. Diet. Neuralgic pain over the right Mrs T. Bradford Jr. 45 ys. temph & eye with greenish purulent discharge from the right postenn nares- ꝶ. Leeches. Int fever. Mrs Scoth children. Diet. Blackish secretion of tongue & Rev Mr Judson. aged 30 ys. Sore throat. ꝶ. Prurigo cueris puruent dis of ear. G Mc Clellands infant. ꝶ. Solution of Lunar Caustic- B. The child afterward died of a violent Catarrh. attended by Dr. Otto. 51 101 Brass filing in the Cornea. Young man, introduced by John Paine. ꝶ. The knife pressed on the cornea. Athma. Mrs Cline. ꝶ. vs. Irritation of rectum. John Milligan. Oppression, sputa & blood.- Mrs Paine ꝶ. vs. Complaints. Oppression, sputa & blood- Irritation of rectum- Athma- Brass filings in the cornea. Prusigo auris & purulent disc of the ear.- Blackish secretion on the tongue & sore throat- Int- Fever, Neuralgic pain of the temph with green purulent discharge of the right [??ares]- Gastric distress- Rem. fever & Measles- Nervous debility- Measles- Incised wound into the Tibia- Costiveness in Pregnancy- Fraction of the Tibia- Cessation of the Menses- Abscess of the Anti Hym- ꝶ. v.s in 4 cases- cataract knife- sol. Lunar Caustic- Diet in cases- Leeches- 2C. Ant. vin. rest in 3 cases- Adhesive strips, & bandage; Castor oil- splints- Laud ʒi Spt Camph ℥ii & Bran q s ♏︎. Tent. Patients. Mrs Paine, John Milligan, Mrs Cline, Young man from J Paines G Mc Clellands infant, Revd Mr Judson, Mrs Scoth children, Mrs T. Bradford Jr, Joseph & Thos Martmand, Margarette Darrach, Henry Ludlow Jr. Mr Lakery Mrs Gartland, Mrs O Brian, Mrs Caskey. 16 Remarkable cases. &c. 1st The fracture of the upper jaw & removal of alveola with two molar teeth, causes an opening into the Antrum, which is attended with neuralgic affection of the face, and a continued discharge of purulent matter by the mouth & nose for more than 11 months. What is the best treatment? 2nd.. Sol. Lunar Caustic is the best application in Prurigo of the face, Apply it 1st on the Areola outside the crust. & then [remo] over the Crust- apply a simple absorbent poultice covered with oil silk & reapply the solution. 3rd. Spt. Camph ℥ii Laud ℥i & Bran q s. applied to a recent sprain, cover the application with oil silk cloth to prevent evaporation & consequent alteration of temperature. 4th Mrs Paine case of oppression, sputa & blood are symptoms which occasionally supervene upon a chronic [disea] complaint; which consist in a desanal discharge of pus from the lungs at 11 oclock [dad] in quantity varying from ʒii to ℥ss. Johnson calls such a case purulent depots- see. M. Chin. rev. vol xv No 37. July. 21 1829, Can it be cured? Has it been automatically examined. 5. Neuralgic pains of the temple & eye brows. united with a purulent discharge of the [nac] right nares, returning annually in the spring- compare this case with No 1. Medical charges $57. 52 103 March. 1829. Edematous erysipelas of left ear & headache. Mrs John Maitland- aged 43. ꝶ Rue meal- applied- &c. Gout- Thos Bradford Jr esq. 48 y. Bloods sputa & Athma. P. Kruse- 27 y. ꝶ. vs- Ipecac- Iron Ginger & Rhei ʒi q b h. & home exercise. Lime water & milk &c. The attack returned every month. see account. Dyspepsia. Mrs Knose 24 ꝶ Lime water & milk Mania-a-potu Mr Clark. Apoplectic character. ꝶ v,s. Opium, &c Vaccination Mrs Wells infant. Vaccination James Darrach aged 4.m. Vaccination Mrs Nunvillien infant. Contused hand Mrs Caskey- Gout in the bowels. Mr John Singer. Sen. ꝶ Spt Nitro Dn ℥i. & Mush gr x. Sore throat. Maria at Mrs J Maitlands. ꝶ v.s. ulceration of eye lids & mouth Richard Johnson llk aged 4 ys. ꝶ Carb-Soda & lime water milk- Furfuraceous scalp. Miss Clark aged 8ys. ꝶ sol corr sub. Rheumatic Chest- Mrs T Bradford Jr Esq. vs. Bil-rem-fever & inflam. of eyes Mrs Donnelles vs. cal & jalap- Deafness Anna Widdifield aged 4 ys [?] injection of milk & water. Headache & plethora from Payn. Mrs Knose. vs. Measles John Maitland. ꝶ. ant vin. Rheumatic joints Mr Clark. Calus ulcer on the tongue E Darrach. 53 105 Measles. William Stewart. vs. ant vin- Abscess of jaw & bilious fever Rach Ritter. vs. lancet. Cal Jalap. Measles Joseph Maitland. ant-vin Measles Henry Maitland. ant vin. Complaints. Measles 4 cases,- Abscess of jaw & bil fever,- callus ulcer of the tongue,- Rheumatic joints after Mania a [illegible]- Headache & plethora from Pregn- Deafness- Bil. rem fever & mfm eyes- Rheumatic chest [illegible] scalp- ulceration of eye lids & mouth- Sore throat- Gout in the bowels- Contused hand- Vaccination 4 cases- Mania potu- Dyspep. -Bloody sputa & Athma- Gout- Edematious erysipelas of left ear & headache. ꝶ. Ant vin- vs. lancet, Cal & Jalap- injection of milk & water- sol corr sat- Carb-Soda- Spt Nit Dulas, Mush- opium- Lime water. Ipicac- Carb iron Ginger & Rhei- Rye meal. Patients. Henry, Joseph John & Mrs J Maitland, Rach Ritter, Will. Stewart, E Darrach Mr Clark Mr & Mrs Knose- Anna Widdifield, Mrs Donnelly, Mrs T Bradford Miss Clark, Richard Johnson, Maria- John Singer Sen. Mr Casky J Downey Tho Bradford Jr, [Mr] patient 20- Med charge $105 April. 1829. Nervous symptoms with oppressed pulse. Mrs O Brian 43 ys. She seems to be at the change of life, is attacked monthly with palpitation fullness of head, pain in the epigastric with tenor &c. & pulse oppressed ꝶ. vs. veg diet & exercise. Measles Mrs Cruse' son 4 ys. ant-vin. Chills. Mrs Donnelly. Contusion about the wrist- Wm Bradford. Bran P and Spt Camphor. Hernia of iris & foreign substance in the eye. Alex Mc Mullin aged 20. Palpitation Mrs Johnson. Bloody sputa Elizabeth Allision. Rheumatic neck Mr Clark. Obst-female Mrs Gartland Measles Mrs Cruse. Vertigo, in pregnancy. Mrs Little. 54 107 Measles Mrs Caskeys Servant. Painful affections of eye. Bens. Bradford Mania a potu & sprained ankle- John Hoffman Opium in large quantity Chills from chronic inflam of bowels. Mr Becknales daughter Typhoid fever from taking worm tea. Bens Wells, daughter. Sloughing ulcer of lip & gum. Mrs Caskey infant. Convulsion from teething Mrs Ludlows infant. Mercurial action effected ℥iii of the oint. & head shaved & leeches applied. Complaints. Convulsions from teething- Sloughing ulcer of lip & gum- Typhoid fever from worm tea- Chills from Chronic inflam of bowels- Mania a potu & sprained ankle- Painful affect of eye- Measles- &c vertigo from pregnancy obs. female- Rheumatic neck- Bloody & puta- Palpitation- Hernia of iris & foreign substance in the eye- Contusion at the wrist- Chills- Nervous symptoms with oppressed pulse. (16 patients.) ꝶ Opium large quantity- Mercurial oint in large quantity- strong sol of sulp copper- vs. ant vin- low diet- Bran Laud & Spt Camph- veg diet & exercise Patient. Ellen Ludlow- Mary Wells- Mary Bicknale- John Hoffman, Bens Bradford Mrs Caskeys servant- Mrs Little- Mrs Gartland- Mr Clark- E Allison- Mrs Johnson- Alex McMullen- Mrs Donnally Rob. Cruse- Mrs O brian. (17 patient). Remarkable cases. Ellen Ludlow. age 10m. tutting, convulsions- symptoms [resembing] indication incipient duties of the Brain- Head shaved- leeches to temple & back of neck- & profuse use of Mer oint- ℥vi- well- Mary Bicknell, chills from chro infm of bowels- low diet & ipecac vin- well. John Hoffman- Nervous Mania a potu with sprained foot- profuse use of opium- sleep & well. Medical charges $54 May 1829. Affection of the heart. Mrs O Brian. owing to her time of life- ꝶ vs. Dislocated wrist. Mrs Howard. Happened whilst cleaning the chh. [as??iation] [illegible] $20. Protration, cramps, chills & headache after ant vin. Mrs George Ritter. Scrofulous ulcer Mrs Coleman 55 109 swelled jaw from tooth die. Miss Lafee Allison ꝶ Salts. ꝶ Salts. Rheumatic pains in breast John Hasinger. ꝶ vs. Bilious rem. fever. Thos B Darrach. vs. cal & Jalap & bisters No Barks (would not been them). Obs. male Mrs Little Purulent antum Mrs Caskey. Pain in right iliac regeon Mrs T. Vansant. with pregn. 2 ms ꝶ. vs. Plethma pregs. Mrs Saxon. ꝶ vs. Debility. Wm. Heyle. Neuralgia of face Mrs Wood. ꝶ vs. Rheumatism. Mr Jones. ꝶ. Dovers powder. Chills fever. Mrs. Blacks infant. Ischiatic Neuralgis Mr Charles Skensia. ꝶ cups. needles. low diet. & decocsarsap. Plethora at 7ms preg after an accident. Mrs A Mr Paines. ꝶ vs. & low diet & rest. Strang. femor. hernia. Mrs Wood vs, warm bath & laxes. & huss. Dyspepsia. Mrs Torry Barley water &c. Gastro enteritis Mary Dale. Barley water. Bilious attack. John Paine. Sang. Mucous sputa. E. Allison. [Preg] Obs. female. at Mrs Oats. Complaints. Obs. 2c.- Sang mucous sputa- Bilious attack- gastro enteritis- Dyspepsia- Strang fem. hernia- Plethora at 7 ms from accident- Ischiatic neuralgia. chills & fever- Rheumatism- Neuralgia of face- Debility Plethora pys. Pain in right iliac regeon in 2 mos of pregn- Purulent antrum. Bil rem fever Rheumatic pain in breast swelled jaw with tooth ache- Scrofulous ulcer. 56 111 Prostration cramp chills & headache- Dislocated wrist- Affection of the breast- 21 varieties- ꝶ. Barley water, vs (viii) warm bath- Laxis- truss- cups, needles, low diet decoc sensap- Dovers powder. cal Jalap- blister- Salts. Patients. Mrs Bats daughter- E Allison- John Paine- Mary Dale- Mrs Torry- Mrs Wood- Mrs- at Mr Panes- Charles Skimner- Mrs Black infant- Mr Jones- Mr Weyle- Mrs Saxon- Mrs T Vansant- Mrs Caskey- Mrs Little- J B Darrach- John Hassinger- Lafee Allison- Mrs Coleman- Mrs G Ritter- Mrs Howard- Mrs O Brian- 22 ps. Medical charges. $83. July. 1829. Cancerous affection of Mamma. Mrs in Bells Court. Athmatic Attack. Mr Cruse. ꝶ. vs Ipecac. Barley water. & Carb iron &c. Strictures- Mrs- Bilious attack G Ritter- Cholera. Mary Bicknall. Cholera. Mrs Littles infant. Whey, calomel opium, blister to back of neck & steam boat. Dyspepsia. Susan Waterman. Convulsions- E Ludlow. Bil-fever. G. McClelland. Obs. female. Mrs Benson. Vaccination Mrs Gartland Erysipelas. John Dale. Bowel Compl. Mrs Octs grandchild [dead]- Purulent dist of ear. Mary Ann Gowen. Fall on the head Mrs Livermores child. Complaints. Fall on the head- Purulent ear- Bowel compl. erysipelas- vaccination. obs- Bil fever- Convulstions- Dyspepsia. Cholera &c. Bilious attack Strictures- Athmatic attack- Cancerous affect of breast. 14 varieties- Patients. Mrs Livermores child- Mary Ann Gowen- Mrs Oats grandchild- John Dale. Mrs Gartland. Mrs Benson- G McClelland- E Ludlow- Susan Waterman- Mrs Littles infant- Mary Bicknell. G. Ritter- Mr C- Mr Cruse. Mrs- 15 p. Med charges $112. 57 113 June. 1829. Chorea. Mrs Wexnins- cups & leeches & blister to back of neck & tart- Emet oint. veg diet- & carb iron- He grows fat, continued healthy but the complaint remains. Painful tumifaction of foot. G. Ritter. Sloughing ulcer of the arm. John Pohem. Hs. Ploultice & veg diet & no rum. Obs. female- Mrs Rutter. Athma. Mrs Cline. vs. & Ipecac ϵi?. Ophthammia Brooz Mr Sawly Chills. Mrs Mark Richards. emetic, calomel- barley water. Menstruation Mary Ritter. ꝶ. v.s. Dyspepsia. Mrs Gilbert. Leeches to abd. barley water 30 days walking- Dyspepsia from sedentary shremaking- Mr Clayton. Barley water & walking. Chronic catarrh Revd E. W. Gilbert. quit preaching & shady & horseback exercise. Dysentery & prof lochea Mrs Little. exercise. Melancholy & bilious app. Henry Steven. Cal. Jalap. blister & low diet & afterward manage. Interm pain in head .W. Hyle. Mrs Ritter. Diarrhea. Thos Vansant. Inf Mamma. & fever. Mrs. Rutter. vs. & Carb Soda. Complaints. Inf mamma & fever- Diarrhea- Interm pain in head- Dysentery & prof lochea Chronic Catarrh- Dyspepsia 2 Co- Menst- Chills- Ophth- Athma- Obs- Sloughing ulcer of arm- Painful termef of foot- Chorea. (14 varieties). ꝶ. vs. Carb Soda. Cal Jalap. Blister low diet, exerc. manage- abs fun preaching & study- Barley water- walking- Leeches- Emetic, Calomel Poultice- Cups, Carb iron- Tart Emet ointment. 58 115 Patients. Mrs Rutter- Thos Vansant. Mrs Ritter- W Hyle- Henry Steaven, Mrs Little E W Gilbert- Mr Clayton. Mrs Gilbert- Mary Ritter- Bed Mc Sanly- Mrs Cline- W Wymmes 13 ps. Med Charges $44. August. 1829. Relapse from Bil fever. G Mc Clelland. Chills. Mrs Cruses infant. Sol sulp quinine. Hernia at internal ring Mrs Wood. ice applied. rest & purging. Pustular & psoa. ophthal. Miss Mary Corcrey. [30] Salivation. Bowel Complaint Mr Lake Child 3 ys- Cal gr 1/8 q b h. stem Boat & distilled water. Hernia Humeralis & bilious fever. Mr Chiltine vs, cal wlycenth & T. Emet. & Barley water & Leeches. Bowel complaint- Mrs Bradford. Blister to wrists. Whey, opium & calomel. Dyspepsia. Miss A Logan at Mr Panes vs. Leeches to stomach & Barley water. Sloughing ulcer of cornea. John Blackburn. B. application of Lunar Caustic increased the sloughing. ꝶ. Leeches repeated & low diet. Nervous Debility- Mary Dale. Obs. Menses. Bridget Connel. Bilious fever. Samuel Paynter. vs. cal Jalap Barley water. Dysentery. Cath. Cook. aged 73 died. [Bar] Distiled water 2 days- v.s. Blister Calomel. Castor oil, salt Nitrous Camph opium mixt. pulse uninterruptedly contracted, quick & 120. a rapid sharp contracted pulse increases in the afternoon but always continued. It seems, that in this case, a fever had set in to kill. & that the bowel affection was secondary. Bil-interm fever Mrs Lake. vs & calomel & Jalep & Barley water & sol quinine. Deafness from purulent matter of an abscess in the Meatus extern. Revd Mr Brantley Sr. Infect of warm water & Leeches. ii to ear. Dysentery. Bilious symptom. Miss H Hyle. 21. vs. salts. & Barley water 59 117 Obs. Menses. from Pryn. Maria Brown. lb She complaints of pain &c it was after discovered that there was cause to believe the existe- of preg. & Blister. Stricture at the neck. Mr- Metalc- Bongie. [Stricture] Complaints. Stricture- Pregn- Bilious dysentery- Deafness from abscess in Meatus ext- Bil interm fever- Dysentery fever cont- Bilious rem. fever- Obs menses- Nervous Debility- Sloughing ulcer of cornea- Gastrodenia- Bowel complaint nervous- Hernia humnalis & bilious fever from stricture- pust & proas ophthan. Hernia at interm ring- chills- Relapse from bil fever- 16 varieties. ꝶ. Metalic Bongie- Blister- vs, Salts, Barley water- inject of warm water Leeches. Calomel & Jalap. Sol sulp quinine. Blisters to wrist. Opium. Colycimth. T. Emet & Cal. Steam boat. dirt water. ice. Patients. Mr R- Maria Brown- Har.A Hyle- G Brantley- Mrs Lake- Cath Cook. Saml Paynter- Bridget Connel. Mary Dale. John Blackburn- Ann Logan. Mr Chislim-E Lake- Mary Corcrey- Mrs Wood- Mrs Cruse. M McClelland 17 p- Med-charges $125. 101 35 65 10 221 125 44 112 83 54 105 57 61 ___ $862 September 1829. Hœmoptesis Sarah Darrach. ꝶ[vs]℥viii Elix-vit gtt v q b h, cold barley water. Caused b sedentary habits, snuff & stimulation. Obs male Mrs Cruse. 2 position- deliv. at 11 Am. cord pulsations 15 m. second ins extracted by hand introduced at 12 m- from 6 Am to 12 Am pains every v minutes Pust Opthal. Mr Brantleys son. vs & touched with caustic lunar. Doable tertian Anna Maitland 12 ys v.s. &c. Rheumatism Mrs John Paine. ꝶ vs ℥viii. Quotidian fever Mrs Coleman vs. Cal Jalap- Barks. Bloody sputa Mrs Cruse. ꝶ Ipecac ϵi. Intermittant fevers- Mr- & Daughter & Son. v.s. Sulp Quinine. Salts. &c. Cold hands at intervals. Bery Bradford Fowler, Solution. & Barks. Wound of Cornea iris & lense with cure opacts & cataract. Jacob Staley. Strammonium, Leeches- v.s. low diet. & mercury. Fever Bery Bradford. Punctured wound of the foot- Louis Coffin. rest, elevation of foot, low diet & rye meal. & bandage. Athmatic attack- Mr Cruse. Ipecac ϵi. Strangulated Hernia operation with Dr Hartshon. Mrs Wood. successful. Contused wound of scalp. Mrs Wallace. rest, low diet, & bandages. Phlegmor Miss Lakens. [divi] Blister. Nervous headache. Mr S B Ludlow. Horse back exercise. Dyspepsia Diana. Barley water. Dysentery Hamilton Lemons. successfully treated by Spt Camph. Nitrous aav & Laud. ℥ss q h. Prurigo. on the face E Montgomery Lunar Caustic & Poultice. Complaints. Prurigo on the face- Dysentery- Gastrodenia- Nervous Headache- Phlegmon- Contused wound of scalp- strangulated fem hernia succ. treated by operation- Athmatic attack- Puntured wound of the foot- ever- Cont wound of [scalp] cornea iris & lense causing openly & cataract Intem cold moist hands- Intm fever- Bloody sputa- Quotedian fever- Rheumatism- Doable Tertian- Pust-ophtham. Obs. Hœmoptesis. 18 varieties. ꝶ Sol Lunar Caustic & Poultice- Mixt of aq so camp ℥viii fums Nitrous acid ʒi Laud gtt xi ℥ss qh. Barley water- Horse back exercise- rest low diet & bandage & straps- knife- Ipecac ϵi- elevation of leg, rye meal- poultice & bandage- Ext & stramm- merc oint. Leeches- Fowlers sol- Barks- vs. sulp quinine gr i ext gent. gr v. q h- Cal& Jalap. Elex vit- Cold barley water- Blister Patients. E Montgomery, Hamilton Lemon- Diana- Miss Lukens- Mrs Wood- Mr Cruse- Louis Coffin Bery Bradford- Jacob Staley- Mr- & family- Mrs Cruse- Mrs Coleman- Mr John Pane Anna Maitland- H. Brantley- Sarah Darrach. 16 ps. Med. charges $98. October 1829. Contusion of left side & hyusy of car false rib. John Maitland Esq. Bandage of flannel oil cotton bandage. Pust ophhtham relapse. H. Brantley aged 12 ys Calomel powders. Pleathora Mrs O brian. vs. Int.mit fever. Mary Morrow 24 ys Quinine [Barks]. & salts & cal. encysted tumor in the side John Widdifield. knife. extracted. Painful cerebral affection. S. B. Ludlow. abs. from mental labour & exercise &c. Sore eyes. Mrs Clines Son- Chronic Catarrh of the Bladder. John Paine. strong [illegible] of uva uni ʒi qb h. Sore throat E. Ludlow. Cynanche Tonsilaris Mary Johnson. Blister & cal & Jalap & salts. Palpitation & Catarrh. Mrs O brian. Athma W Wortherby. Barley water- 2 weeks- milk & lime water. Ipecac [℈i?] at the attack & afterward. Carb iron- Ginger & Rhei. elect- ʒi q q h. Vaccination. Mrs Littles infant. Liver complaint D J Boyd. Black tea, bed at 8 oclock. rest at home. veg- muriati of lime gr v- q. q. h. Complaints. Hepatitis- Vaccination- Athma- Palpitation & catarrh- Cynanche Tonsilaris- Sore mouth. Chronic Catarrh of the bladder- Sore eyes- Painful Cerebral affection- Encysted tumor Intm fever- Plethora- relapse of Pust ophth- Contus of nvc & inj of rib- 14 varieties. ꝶ. Black tea- at bed at 8 pm. rest veg- muriat of lense gr v. q q h. Barley water, milk & lime water. Ipecac ϵi, carb iron, ginger & Rhubarb- Blister, Cal & Jalab & Salts- st decoc of Uva urri- ab. from Mental labour- exercise- Knife- quinine, salts & Cal- vs- cal pulv- Bandages of flannel & of cotton. Patients. D T Boyd- Mrs Litters infant- W. Wortherby- Mrs O brian- Mary Johnson- E Ludlow John Payne- E Cline- S. B Ludlow- John Widdifield- Mary Moore- Brantley- J. Maitland. Sen: 13 ps. Med charges $35. Nov. 1829. Pertussis John Wall 15 ys. Tolu mixt 61 123 Vaccination Mrs Cruse. infant. Chills & Hepatitis Susan Henthum Diet &c Obst. & scarlet puerperal fever. (death) Mrs Vansant. ?ee thing & tumifaction of gums- Mrs Widdifields inf. knife. Tlooding, Mrs Lehman. Elix. vit & pluging. Inf eye lids. Thos Bradford Jr Jr. Inf eye lids H. Maitland. Cyn. tonsilasis. T. Bradford J Erq.- Phlegm Erysipelas Mr Vansants infant. Dropsy after inter fiver asates- Mary Morrow Cal & squills. Debility of limp. E. Darrach. Vaccination Mr Caskeys daughter. Obs. female- Mrs Swane. Vaccination W. Swane. Delirium tremens from contusion of thigh. Died. D. Kelley. Opium. Blisters. Complaint tremens from contusion of thigh- vaccinations obs- Debility fungs Dropsy after inter m fever- Phlegm Erysipelas- Cyn- Tonsilasis- Inf eye lids, Flooding Seething & tumifaction of gums- Obs & scarl. puerperal fever- Chills & hepatitis- Pertussis 12 varieties. ꝶ. Opium. Blisters- Cal & squills- Elex vit. & purging- knife Tolu mixt. Patients. D Kelley, W Swane Mrs Swane- Mary Caskey. E Darrach- M. Vansant inf. T. Bradford Jr Erq- Mrs Leaman- Mrs Middifields inf. Mrs Vansant- Susan [illegible] Mrs Cruse inf- John Wall- 13. p. Med charge $68. December. 1829. Rheumatic gout- Purulent difficult expectoration & rheumatic pain in head- Lacerated wound of hand & intoxication- Nervous chills- Colic & vomiting from Costiveness in old age- Chills& Hepatitis- Catarrh fever- varioloid with rem typhoid fever. scalded foot. Debility. 62 125 ꝶ Black tea stale bread & panado.- Spt Turpent. followed with olive oil & lime & rest in an elevated position. vs, blister to abd, cal gr xv div iii, Barley & rice water sent Mynt- Carb soda- vs. cal gr 1/4. q b h. Ant vin gtt ii Ipecac vin gtt v. barley water- Cal, veg diet exercise & bark. Laud ʒi & Cal gr x & Mag. weaning infant. Spt Turp. & Ipecac. Barley water & Tint Tolu, Blister, Salivation, Cups to elbow, veg diet, vs. tarro. carb soda. Patients Mrs Dale, Elisa Bradford, John Wall, Mrs Thompsons infant, Susan Thintham, Thos Bradford Ser, Magarette, Mr-Miss Cumnings, Thos Bradford. 10 ps. Notes &c on Med- practice of 1829. No 1 The case of Thos Bradford Jr Erq. aged 45 ys corpulent, bilious pufied with embarrassed circumstances & much public & private duties.- liable to depression of spirits. 3 successive attacks of rem-bil fever with cerebral determ demanding cups &c. in Sept of 1823. 4 & 5. In 1820 attacked [with similarly] as in Dec 1829. In Jany 1829 had a gouty attack in the tendo. achilles painful & producing lamness. cured by Castor vil ℥i spt Turpent. ʒi- Dec 1829 had a violently painful affection of the left-elbow-joint- removed by the application of 6 cups- blood ext from 4. 2 days after the soles of the feet became painfully affected to prevent standing- the left leg, then, became generally affected as rheumatism. the pain then seated itself in the hip joint & [subequall] the loins. He was not bled ℥ viii blood covered with a [transparent] [illegible] since. Much relieved- again vs ℥v. blood healthy- feels weak after second v.s. since has been trouble with inward bleeding pils. Bowels opened naturally after 4 days with purgatives B. I m satisfied that the complaints of Thos Bradford Jr Esq. depend upon the following circumstances anxiety of mind, sedentary habit, acting morbidly on a nature bilious sanguineous temperarr-ent rendered nervous by &c. Bleeding is indispensable, but vs should be frequent & small applicate of spices &c should be placed to his stomach. Calomel & not too frequent purging with salts &c. No 2nd.. Miss Cummings case aged 30 ys. bil phlegmatu temp. Chronic cough with inspicated darkist muco purulent sputa, and head ache caused by the violence of the cough (fits of dry coughing would occur daily): and rheumatic intermittent affection of the scalp. with occasional flushing of the cheek commences with a colorness of the scalp at 4 pm. & followed with the heat & pain lasting 2 or 3 hours. She has also a dyspeptic state of stomach with pain in the digestion in a circumsented short. It seems to be Chronic Bronchitis Cephatic rheumatic interm- & Gastrodinos One week fed on barley water exclusively & ꝶ Tolu mixt gtt xx q q h- pulse contracted quick & 99. symptoms moderated: 2nd week, Blister to thonax, Blue pul gr v q q h. till pils xv taken. & cap of oil silh & flannel to head. ( this cap removed the head affection). Mouth sore. pulse soft & less frequent. cough much better- finds no disadvantage from the exclusive barley water diet. bowels closed for 6 days. then open (natural feces without purgative med-) 3 week. cough almost gone- is only weak- &c B1 the Bowels may be closed 6 days, & then be moved withed med. & the discharge be healthy fever- Miss C, T Bradford can, & John Walls case- friends & Physician entertain a vulgar error. if they administer purgative med because the bowels are not opened. There are two cause of closed bowels not sufficiently absented to 1st.. violent purging is naturally followed by closure of the bowels. then having been in unnamal action are subsequently in unusual rest 63 127 Purging in this state of consequent collapse is injurious. Let the bowels alone & keep the patient on light-food. They will be opened after 3 4 or 5 days, diet natural- then increase diet, exercise & give tonics. 2nd. [2nd A patient in tr] Dieting will close the bowels. 2nd A patient can be sustained on Barley water a fortnight without [illegible] & feel stronger. If he attempts to use the muscles, in sitting , standing or walking then weakness & fainting may be experienced. 3. Salivation ėi Blue pil gr xv. has removed a chronic catarrh threating tesis. No 3. Lacerated wound with intoxication - treated by spt Turp. to wound. Emetic & cal & opium. No 4. Scald. when the skin is not broken, apply immediately spt Turp. freely. This will cause paleness of surface. but after a few hours the spt Turp will cause its own action, then redness return & pain is experienced & the spt Turp must be removed. & Olive oil & lime water applied- afterwards- a male abs. poultice & then rye meal. if there are granulate finger spots the lunar caustic. B. Dr Delis practice was. Alcohol immediately applied. Mrs D has long used his in her family. No 5. Costiveness in old persons produces symptoms like those of hernia they by vomiting & colic. to be treated by Laud ʒi then cal & mag & veg diet. with some light meats. No 6. Varioloid. (see John Walls case. Dec. 1829.) Prem-symptoms- soreness in [chia] umbilical regeon with shooting pain, at inspiration from that part- tongue dry paches & creeked in the middle & moist & coated at the edges, skin hot, head painful & delerian pulse 120, quick large & [soft] empty- serves its teeth. (he has the remain of a [delerias?] hooks cough. aged 16ys) Typhoid characted- ꝶ. v.s ℥vi blood sized transparent pulse increased rein hig 128 & weaked. no relief to gastric dist. Blister to abd & cal gr xv- all gastric dist removed- &c. Breaths reduced to 8 exh per m. Eruption- next day red pimples on the face & over the body. throat affected pulse 104- skin mouth- no gastric distress- cough cont- 2nd day of eruption, adv. when stuck a little lymph exudes. swallow diff- empties in ets exacerbation in afternoon. 3rd day vesicular on the face, very thick, conbluent. throat much affected empti over the body profuse. 4th day. vesicle lymph purulent areola brigh & externsive areola less & pales- lymp. is [illegible] exudes by use. 6th throat well not much ariola. pustus day an [illegible] armo [illegible] on the face. 7 areola gone- fmls. poung pale thin cakes the sys of [illustration] on elevated base. He has a large potted vaccine scar on right arm below elbow. One seemed any fewer- pots- affection of eyes- fator- violent pdremor syst emptin in throat- no large disposed poeth- lasted 9 days. face covered with red everation without areola. Dec. 1829. Umbilical distress- headache, delirium, typhoid tongue, pulse 120, quick, large & empty& pimples over the face & afternoon on rest of body, sore throat, eruption met, tereolated pimples, vesicular, contains lymph, serous, own purulent, thin pale small [crossed out] scals an enerated pain- 64 129 No 7. Delirium Tremens. Clarks case. [Per] He [was] came from Connt to Phila- served his time with Kelly at the shoe business- By industry & sobriety, he eventually became master of a flourishing business. The trade assumed a new shape.This threw him into perplexities His anxieties caused indigestion. Depressed in spirits he applied for medical aid. Travel & full diet & ardent spirits were advised. He followed the advice. & became a case of Delirium Tremens. He came to me in March 1829. I saw him in my office. sitting, wrapped in his clothe. a large muscular man, apoplictic aspect eyes turgid & unsteady, voice quick, manner aggitated & fearful, tremors in his limbs, pulse [po] hard & full & slow. (oppressed pulse). Bleeding seemed immediately demanded. I walked home with him. vs ℥x. blood spurted with great force- more aggitated, & a hot profuse sweating cam on great fear of death. gave laud. extes & interly. delirium more manifest night passed without sleep. He had not slept for 4 night. Anxious for sleep. Blister to wrists. interdicted every thing but barley water. Delirium cont. Blister to neck, wine whey opii gr ii q 2 h. More composed the next night- Opium gr ii q h. It procured sleep- He felt better. Delirium subsided. Attacked with gouty rheumatic pains in the feet, then in the hip joints & loins & neck. Suffered much, Calomel- Recovered- & returned to plane food & water with his old feelings &c. This was Delirium tremens with apoplictic symptoms followed by rheumat gout- Delirium Tremens. Hoffmans case. Difficulties &c forced him to travel & drink- He sprained his ankle- called in- found him wild, talkative, & with tremours & a quick frequent pulse. Blister to abd- Opium gr ii q h. for two day. Slept on 3 day. stertor in sleep- Recovered. Delirium Tremens. D Kelleys case. (see above). 65 131   66 133  67 135 Medical Diary of 1830. January. 2nd.. Patients. Wm Weyms. Chorea Carb iron Wm Wotherby. Athma Carb iron &c Wm. Thompson. Catarrh fever. vs.vs. cal, blister, Nitre &c. Hamilton Lemon Colq. Diarrhea. Aq sol Camph. Nitrous aca Laud. Anna Ludlow. Gastric disorder. Aliza Payne Pleurisy &vs. v.s. blister. rep. cal, [bleu?al] H Dodges son vaccination Carter Scrof. phag. sloug. ulcer of throat &c. Poultice Leeches. at Mrs Cornells. Cynanche Tonsilasis. vs, cal, poultice, Mrs Lehman, niece. Vaccination. Son James. Aph. ulcer of the tongue. carb soda. 1st.. Strangury & Laud. qtt xxv Spt Nit dule. ʒi in warm Barley ℥vi Mrs E Payne had blister reapplied to thorax. It produced severe & protracted strangury from 2 Am till 9 Pm. It was removed in less than 10 ms after the adm of above dose. 2nd.. Painful affect of scalp. & flannel cap lined with oiled silk. Miss Cummings at 4 Pm, daily for a week or more, was attacked with a coldness of one side of the Scalp followed by flushes & then a seated rheumatic pain which lasted till 10 Pm & past. The cap as above, was used & the affection soon removed. 3rd. Varioloid & Variola in same person neither moc. or vac. Carter, pitted by severe variola at 15 ys. in Eng. 20 ys after profu varioloid in Phila He is a fair comp. & scrofulous. habit. No 4 Mrs Mary Maitland aged 39. After being troubled, a few days, with copious eructations of wind from the stomach continuing an hour and longer, generally at bed time, was attacked, Jany 7th 1830, at 4 Am. with severe cramp of the stomach +, eructations & reachings, discharging [with] by painful efforts, a whitest slime, or thick stringy phlegm no bile at any time. I saw her at 9 Am. restless in a gony, distressed & flushed face, pulse indistinct v.s. blood flowed [with] without jet by [means] the help of warm water & rubbing & compressing the arm. Blood blackish ℥ viii obtained [after] in 1/2 hours, warm mustard bath to feet, spiced plaster to stomach some relief. Eructations & reachings & throwing off of the [why] slime [for] with general distress continued. examination per vag. ostensi open, foetus felt, believed it living. Gave ʒi Hoffmans anodes- very restess, with difficulty returned in bed, called earnestly for cold water, soda water, denied her Her importunity continued, soda water in small quantities were given She complained of the small quantity. &c. Oh Dr do give me some water. ꝶ. Cal. gr ii Opium gr i [vom] Eructations &c cont with increased violence, system sinking, ꝶ inj of Laud ʒiii- cold feet, & hands & clamy sweat on forehead. Thought of removing the child, called in Dr Dewees. He disapproved of it. Directed, ice to the mouth & common inju- followed by spt Turp. I had commenced to give Brandy & water & yolk of egg. The vomiting now became [an] dark olive reaction. like that said Dr Daw in yellow fever. She died at 8 Pm. Examination of the Body. 8th at 1 oclock. with Dr Dewees. Mr- also present. + Ought I nor to have given gr 10 of musk. or lays down of large dose of spt Nitre, 68 137 The peritoneal of the abdomen, gravid uterus & large intestine & jejunum roseate with injected capiliaries. the [surface llium] [hidden] a large quantity of effused serous fluid, in it floating states of lymphs purulent matter no adhesion The [the] illium exposed, was found contracted & destitute of redness or injected vessels- the rest of the intestines inflated, & the red capillaries of the inner coats seen. Stomach opened, mucus surface covered with adherent why white matter similar to the secretion of fluor albus. [rot] glary limphs mucus matter in the cardiac end several large splotetes of fluic ecchymoses, contained fluid, dark olive colour. sever small, pale [of] yellow colour & firm [f] gall bladder 3 times natural size filled a thin roseate colour serous fluid, eight gall stones size of peas & some larges in the gall bladder. Opened the gravid uterus. Pariteties of uterus only less than 1/3 inch lamina of fibres, no venous sinus. it seems a muscular tissue. The membranes easily separated from it. removed the placenta from it. Early also. saw distinctly communicating vessels filled with black coagulum. easily ruptured part seen in the placenta, & part in the uterine surface. This uterine surface presented orifices in abundance coinciding with similar ruptured vessels of the placenta. (I ve often & wished to see this connection.). removed the liq. cennion. opened memb. Child breech presentation. 5 position of Bandoloque. Boy. The epidermis of child removed in one spot. we believed it must have been dead some days previous. Previous History. Jany. 27. 1829. Flooding & abortion- year previous, a stile born & edematious leg. frequent inflam of the ear eryipeletous- Has 10 children & several abortion salivated. Eructation &c previous to delivery. delivery rapid. after 1st stage.  69 139 No. 5. Thomas Hey, of Scotland, aged 37 ys. foreman of Mr Peirpoints stout muscular mem. Not regarded as intemp. Frolicked however between Christmas & New Year- Not evidently Mania a potu.. Indisposed. up and about: Dr Wation gave him a dose of Laud- At 6 Pm. Tuesday Jans 5th.. 1830. he run up into 2nd story & jumped out of the window. Taken up insensible. saw him at 8 Pm. Concussion of Brain & Contusion of feet with continued wounds under each inner ankle bone. pulse 72 68 &c. soft & slow. Breathing few & somewhat caboured- by stethoscope- 16 expiration per min. &c. skin pale, extrem. cold. hands half closed. [pupils] eye lids closed & quivering at times, eye ball rolling, iris moderately & permanently contracted. Gave Hoff anody. ʒi could swallow, but the mouth when opened remained so a few moment & then slowly closed. the same was the case with the eye lids. Applied spt Turp. poult to the bursted wounds of the feet, & mustard plaster to sole of feet shaved the head- & applied 12 dry cups. & cut three, the blood flowed slowly but profusely enough. [After] During the flow of blood in 3 hours after accident, he moved his arms, before insensible to my voice, he now opened his eyes, answered [illegible] recognized the Who am I. Dr Darrach, you cured my ears once, He asked for drink, Thin water gruce was given,- pulse quicked & more frequent compl of extreme coldness of feet, his toes- cold cloths head for the night. 6th.. Wednesday 4 Am. has [a return of] nervous aggretation- & insensibility. compl. of feet very much very much, they had bled much. Rx elevation of feet & mold abs poultice. 9 Am met Dr Watron his physician- feet more composed from their elevated position, stile bleeding. pulse more excited. vs ℥vi, abr poultice & gruel. 3 oclock. pulse fuller, stronger & more frequent. 112. vs ℥vii- At 12 m.n. increased frequency,convulsion atin of the muscles of the jaw, & eye lids closed without the influence of the will- Cups. 6 all cut to head, reduced frequency. very wakeful, & tremors- Opium gr i & Cal gr ii q b s for 12 hours... Dr Watin set up with him. Thursday. Slept well from early morning till afternoon & [illegible] in afternoon. Profuse [illegible] oatmeal gruel. continued. Friday. Bowel complaint watery with flating bits & frequent. 3 per hour at 10 Pm. bandage to abd- chalk mixt ℥ss qh., arrow root, & pulse heigh 132 head flating paralyses of lids, Cups 6 3 cut, relieved. {B. Comatose. 3 h- thirst & Cold feet- Painful feet & hæmorrhage from lacerated wound, {reaction of syst. pulse full, strong, quick & frequent, increasedly so- wakefulness, muscular {tremors, of limb & jaw & eye lids, aberation of intellect- sleep- Bowel compl.- {[7t Thursday apparent] delusive calm & convalescent,- return of frequent quick pulse 112. {aberations, & tremors & clay & sweat. extremely so- moderated- evidently state of effusion. 8 Friday fits of [cornea] muscular paralysis. eyes closed & not able with voluntary effort to open them the effort caused tremors of lids, low jaw in tremors as in a chill, pulse more active cups to head, relief - [tran] 9th Saturday 9 Am Bowels disturbed during the night, frequent smell [??uset], & much flater, continued during the day. pulse 122. At 10 Pm. Flannel roller to abd. & chalk mixt ℥ss q h. 10th Sunday 12. m. Doing well, no sloughs or suppuration & swelling of feet, bowels not disturbed, want a sigar & more food, ꝶ oysters, pulse 100- 11th Monday. 11th 9 Am. [pulse] return of flightiness, sufficiently sensible to complain of it himself- pulse quick. ꝶ Cups. 3. Pm. The Cups have not had their usual 70 141 good effect. His mental aberation continues- ha perception but make erroneous combinations & wrong judgment. I said to Dr W this poultice is too cold- I My business is always cold- &c. There is no suppuration action or throwing off of the slough- an inactive state of the lacerated wounds- ꝶ Blister to ankle & the spt Camp. Laud & Brass poultice reamed- pulse 112. we must look to counter agents. 10 Pm. pulse 124. quick, but empty, (weak & very irritated)- delirium increased, clamy perspiration, blister or to ankles [p] produced sep of epidermis & a serous effuse but no redness & heat- tongue dry in center, bleeding & cracked [illustration] feet without suppurate or sloughs. ecchymosed- ꝶ head spared, blister applied, cups, b- The blood flowed freely, pulse weaken & become so rapid as with difficulty number, when noticed it was 144. delirium. because more comatose, vol mixt gr u.ss q b h. & wine 1 shey, rubs with merc camph oint. ℥x. apparently dying before morning effusion. 12th.. S pulse 124. [more] less delirious, [a] Merc. oint & Carb ammonia & whiskey contend. at 12. m. pulse 124- blister on head drawing, blister on ankles full of yellow seen. extreme warm, less muse cont. & delirium, & no cold sweat, Merc. oint applied [t??] blister surface & bister & mented to sola of feet & merc oint rubs in cont-& carb [??] & wine glass. he is intelligent 5 p.m. pulse 124, wanders when unaddressed-( says he is light heated but not flighty?) skin is warm, but a clamy perspiration or the face, & skin pale. mouth clamy [10] 10 Pm All symptoms look well but the rapid pulse- 142.& Thinking this might be the mercurial action, omitted all mercury, increased vol mixt & added sago- He wished to eat more &c- sensible & weak at recollection. Blister to wrist. 13. This morning, febrile,- had the epileptic spasms- continued wore till died 4 pm. eye & mouth both open Monday. 11th.. Jany 30. Wm Weyms. Mrs Payne. N. Dodge son. Thos. Carter. Reynolds. Mrs Indson Coloured woman at Mrs Allison. revac. Mrs Paynes case. Dec 29. pain in left side & severe stitch, pulse contracted, hard & freq. removed- returned. removed. strangury- salivation- difficult menst. clots. Bowels compl. nervous feelings- febricula. & purulent cough- Jany. 16. 1830. The purulent expec is copious, hectic flush, & fever & some blood. ꝶ. vs ℥viii, cal gr x. vs ℥vi Dovers power gr x. Blister to side Blister resumed- cal Nit Tart Emet. Blue pile- Sulp & Mag. nut of Laud. elex. vit. Thos Carters case. Sloughing phag. ulcer in the pharynx- scrofulous. profuse expects of seromucous secretion- noises & pain in the ear, 2 edema of the fauces, a sensation of cord between the ear & ulcer- sleeplessness coldness of lower limbs at intervals at night, chillness pulse natural small & weak- raw tongue with [illegible] florid patella 15 Bowels moved after being confined 5 days- ꝶ poultice to ear & throat, 6 leeches to throat, panado, Barley water, - comp dec Sarscp. egg. omit all med. carb. soda gr v. q b h. figs & serma. & soap. suphury 71 143 Rev John Fords Case. I am troubled with a spot 1/8 inch diameter, above & one side the apex of the nose called a scurf-cancer or cancer scurf. Its first appearance 2 or 3 ys since, was in [the] a crescent of vivid redness immediately under the scarf-skin. The redness increased & became swollen, & by some contusion broke & bled: [plealed] healed over, but still continued to exhibit a diseased spot somewhat alternating as to the deepness of colour, but within a year past assuming, rejecting, renewing & shedding a thin scale; but now growing gradually thicker & darker & in addition to this, some of these scales or fleaks have, of late, appeared around it at considerable distance on the nose. & the root of each circumjacent hair of the nose evidently partaking of the same malady. Some radiations of red streaks have more over gradually issued from the above said centre. These latter appearances of accelerated progression have considerably alarmed me & now of &c you will oblige me. There is little sensation or tenderness now. J F. Dr Skim Prep of Mer, Zinc, Dock & have failed. I fear Lunar Caustic & Arsenic, B. Dr Hatshorn adv. Towlers sol gtt. x. m & n. for 2 weeks & Arsenic. gr i opium gr ii Simp Cerate q.s. for said time. Dr Physick says such thing are generally kept bad by irritating applications. Adv. flax. poultice at night. & sinip cerate during day no cancers are even on the nose. but on the lip. ai no affection of the glands & lyn-phates results for it. B. Mr Ford. calld to day. June 7th 1831, to tell me that the mild application aggravated- & seeing Dr Hosach in N Y. [the] Dr advised the arsenic & opium. one application from 5 Pm till 9 Am produced [purulent] suppuration & the part healed. He is now well Heys. Case. 1st.. Comatose state. insensible for 3 hours, pulse 68 to 72. soft & weak .ai. the [heat] left ventricle had between 68 & 72 contraction per minute & these [are] slowly made without much muscular force. & irregularly from 68 to 72. The skin pale & cold & without sensation, particularly the hands & feet. .ai. The skin was deficient in blood & nervous power. Lungs laboured & few respiration 16 expiby stethoscopes muscles motion less, eye lids closed, when open, remaining so a while & then slowly closing with tremors of the orbicularis palpebral- [p] eye balls rolling first upwards & then in other directions, [pupil] iris moderably but permanently contracted with some little deviation of size of pupil- Mouth opened ease, but remained so a while & then slowly closed as [did] the eye lids deglution of stim. fluid sluggish, but without difficulty- sense gone. (senses mocked out & animals functions [deran] impeded.) 12 cups applied to scalp & blood drawn from three of them. sinapisms to feet & spt Turpent to lacerate contused wounds of ankle. ai circulation made more brisk in the brain, and determined from it to the scalp & out into the ecchy spots under the cups venous congestion in the brain is thus removed. also towards the feet. Hoffman Anody. ʒi in the stomach to oppose the full debility from concussion. 2nd.. Return of sensation, & consciousness, intelligence & partial voluntary motions. Thirst moved his body, then his hand, I spoke to him, he opened his eye. Who am I? Dr Darrach, what do you know about me, you cured my ear.(I had not seen him for 4 years). He put out his tongue ask for drink, very thirsty; drank with ease & delight. soon complained of the coldness of his feet, particularly of his toes tho hot applications 72 145 were on for some time pulse more frequent. This oatmeal gruel. cold cloths to head. & the stim. & hot applic to feet cont. 3rd.. Arterial reaction profuse bleeding from the wounds of the feet- much pain in them & pulse, 112- fuller, stronger, & quick. (no cerebral symptoms) (At 4 Am. ai 6 hours after 2nd state). Elevation of lower limbs to favour circulation from the part. & absorbent poultice. & water gruel. 9 Am reaction increased. pulse 142. quicker, stronger & fuller. heat of skin vs ℥ vii & water gruel, darkness & silence abstain. 3 Pm. reaction cont. vs ℥ vii- Blood deposited a layed of 8 lobes of arterial here. (no size or cup.) 12 mn reaction cont. with cerebral disturbance. vz convulsion action of the jaw eye lids. [pa] these closed. when asked to open them, he made the volantary effort which produced only tremors in the levator palp. occasional stertor & difficult inspiration the convulsion of the muscle of the jaw. doalslip owing to this pulmonary disturbance- No sleep since accident. 6 cups all blooded to scalp. which reduced frequency of pulse & cerebral disturbance. Indication now was to produce sleep. 4th.. Morbid wakefulness & Tremors & wanderings. Opium gr xii Calomel xxiv fr pil xii- one every hour adm by Dr Watron during the night, water gruel cont. It produced sleep at 4 Am which continued till[nest] 4 Pm. & followed by dosings till dark. Nothing given but gruel. (The opiate effect removed. the Calomel acted I suppose). frequent alvine disct. [with] of watery & flaky charact. with much flatus. 5th.. Bowel complaint. frequent small watery discharges with small particles of flaky matter with much flatus. Owing to cal gr xxiv in small doses with Opium & the Contused state of the bowels from the fall- continued increasing a night & day- causing debility & a flably state of the bowels & parietes of the abdom. Flannel roller tightly applied over the abd. which gave him much comfort. & increase of strength. Chalk mixture ℥ss q h. & arrow root drink. Bowel compl. ceased the next morning. 6th Delusive calm. No complaint- every thing looked like convalescence- wants a segar- & meat. perfectly cheerful. congratulations all. Drs- Friends & Patients. The Camph. Laud & Bran Poult removed, for light abs. poultice, but to my surprise no slough & suppuration of the contused lacerated wounds. Dr W says a good scotch consts. can explain it. I was not satisfied. [No] pulse 98 73 147 Oysters- & I took my leave of the patient. 7th.. Effusion in the brain. some flightiness returned, mental aberation, but sufficient so to complain of it himself- pulse 112 & quick but weak, tremors & clamy sweat. & fated breath. cadaverous. 9Am. Cups 6. 3 cut. without much benefit if any- After cupping I said to Dr W. his feet are cold- Cold said Hey- yes oh yes it is always cold. own business is cold. you cant be dying without cold & wet.. 3 Pm Blister to ankles. pulse 112. & resumed Camph. Laud bran poultice- 10. Pm. pulse 124. quick but empty (delirium increased clamy perspiration blister on ankles produced separation of epidermis & effusion of serum but no redness & heat. tongue dry in centre with [cra] transverse crack & blackness feet without suppuration, ecchymosed. Head shaved again, (hair had grown 1/5 inch) blister applied. blood draws from 6 cups. (℥v.) applied about forehead & back of ears. The cups produced an injurious effect- viz pulse [illegible] 144 & at times too rapid to be counted with ease. patient weakened so as not to be able to protrude the tongue, breathy structure, [illegible] tenderous clamy sweat, comatose vol- mixt gr iss q b h, wine whey, merc. camph oint- rubbed freely Mr Struthers set up with him- apparently dead at 2 Am. reserved and have been comfortable till morning. Post mortem exam. at 8Am. Thursday 13th Jay. with Dr Wahn & Mr Shuthers. 1st The scalp. [The cups. had] The effect of Cups. The derm, [have] presented ecchymosis & enlarged vertical vessels filled with red blood [illustration] The subdermal cellular tissue ecchymosed,- the aponeurosis ecchymosed 2nd Cramen. the periostium ecchymosis. The denuded bone injected with irregular stellular spots of vascularity under the cupped spots. B. Here is demonstration, that cups to the skin determines the blood outwards not only from the soft parts of the [note] scalp, but also from the [bone] craneum itself. But there were no answering around spots of ecchymosis or the inner surface of the cranium and outer surface of the dura mater. 3rd.. Dura mater. The meginneal arteries contracted & empty but an injected state of the [sm] capillary termination of them,- 4. Arachnoid. memb- serous effusion immediately under the dura mater. the same in all the [ne] ventricle, more at the base of the [brai] cranium= about 2 ℥ in all- heat [produced a] changed the effused fluid into [a] two parts, vz [a] curdled solid particles, 1/5 in [equal] in a transparent fluid 5. The substance of the brain- the two parts firm, all the limb & body of the organ will displayed- no softening, in any part, no lesion of tissue Bain more than usually firm. 6. vessels on the surface, veins of moderate so, no vessels accumulate of note, the arterial minute ramification of the pia mater, injected more than usual. The mudallary part of the brain, had more red & larger red points than normal. Remarks. The archnoid membrane was the scert of the complaint This is a delicate, but the more extension ' membrane of the organ. 74 149 The effusion was from this delicate membrane- the dura mater is a nonvital & local [men] tissue, serving mechanical purpose. the pia mater is the more minute membrane & the median of vascular- But the delicate arcchnoid covers the outer surface & enter into the cavities to form their covers, pass down the spine & goes out with the news [illegible], making the [neural???] It is the great bond of union to the different parts of the extise nervous system, & that by which this [ner] system is connected with the other system of the body. If the Peritoneum, the pleura, [tho] &c. 'au the seats of extension & alarming disease of the abdomen & [p] thorax, so is the arcchnoid, the same in respect [of] to the [the] complains to the brain. It is the most delicate pat of the central tissue Therefore it is the first to take on disease, it is the most extension, therefore [wh] its disease is most alarming & fatal. What is its use. [the p] We did not bleed soon enough, & copious enough from the general system. But by smaller bleeding & cups. only moderated the symptom & [per????] the [illegible] & [continue]. in another case. He keep down the pulse, by prompt, Copious bleeding, & use calomel & merc ointment All must be done quickly. 2nd indication. 1st. keep down the pulse. 2nd Prevent & arrest effusion on the surface & in the ventricles of the brain, & all within the 1 & 2 days. Res. v.s. copious frequent & soon- calomel & merc ointment, cold applicant in her, cups. Laud &c.. Blister??? Monday. Jany 18th.. 1830. Wm Weyms. Mrs Payne. Thomas Carter. Reynolds. Mrs Ludson. Col. Woman at Mrs Allision Miss Cummings. Wm Thompson. John Hassinger. Sarah Darrach. Ryds, case Painful dull heavy feeling at the neck of the bladder with similar feeling in the hollow of the left foot & a schirrous enlargement with pain of the left testicle and a twist in the stream of urine an inch from the mouth of the urethra. For testicle, rest in bed 6 days, leeches, blister, merc oint & its blue pile to make the mouth sore. then Bongie. Revaccination of [P] Coloured [girl] woman of Mrs Allisons. She had been vaccinated a few [week] years back. This revac produced a scab of diminished size [illustration] Monday Jany. 25 th 1830. Wm Weyms. Mrs Payne. Tho. Carter. Reynolds. Miss Cumming Wm Thompson Saml Paynter Anna Widdifield. Scarlet fever Vicicent. L. Bradford. Croup. Mr Williams. 75 151 Mr Carters case cont. Jany. 27. The slough phagedena appears in [a new] another part of the soft palate. forming a vertical fissure extending upward from the lower end of the anterior lateral half arch of the left side. The fauces & the posterior surface of the posture lateral half arch [is in] the previous seat of the affection is a skinny state. In view of Mrs Bangs case, in which, the sloughy [bunowy?] ulcer healed by local treatment, but frequently recurred; & finally cured radically by mercury. Also in view of the merc. practice of Dr Dorry after the now mercurial practice of Dr Hanton in the vev. wards of the alms House. in the case particularly of a sloughy hæmoregic ulcer of the penis. [Ua] I ventured to advice Cal gr i. q. q. h. during the day. I caused grating & purging. Mr William Montgomery aged 70 case of painful incontinence of urine- (disease prostate land in old persons) Mr M stated to me that , v.s. warm bath & castor oil has completely relieved him. Dr Hartshorn ꝶ. for sloughing phagedena of the throat. ꝶ. Sulp. cupri. ʒii Sulp. quinine gr ii. aq. font. ℥viii. as a gargle ℥ss. three times day. In scarlatina- ꝶ. Red pepper ʒss. common salt ʒii- Vinegar. ℥i- [aq font] hot water pt ss. strained- give a tea spoonful every hour- Joseph Fisher, (infant) was saved by repeated vomitings in recession of the disease upon his throat & lungs. Scarlatina. Treatment. 1st. Caustiously reduced inflammatory action. 2nd Use the infus. of respeper salt & vinegar to induce a new & subverting action. 3rd. Use Sulp- Morph. gri - affont ℥iv a small tea spoonful every two hours. to overcome the characteristic restlessness & [sleep] in this complaint. If determination to head- used blister freely to the back of the ears & back of the neck & head. If to the lungs, threatening suffocation, repeated vomitings in quick succession. Anna Widdifield case. Scarlatina. 1st day. Jany. 22. Red spot on the skin. conjunctiva of eye lids extremely injected. fauces & tonsils tumed & reddened- tongue coated with a white fur with distinct elevated red papilla. pulse 144. quick & full. - ꝶ v.s. ℥ vii greenish cupped buff & turbid bilious serum. calomel gr v. mas- salts. 23. 24. & 25 The fever continued to increase, breathing more disturbed, & throat more affected, more cough- neve much purges. bowels natural. deafness which increased Blister to chest 26. Some stupor. this increased with increase all of pulse. & became alarming. Leeches to temple at 10. Pm. 24. it only debilitated, with [in] altering the extreme stupor & short quick breathing called in Dr Harthorn. ꝶ. Blister to ears & Back of neck, & inf of red pepper, salt & vinegar 76 153 27 gradual arrest of the alarming cerebral symptom- during the day Pepper inf. discont. ꝶ. mag & cream lactose- bowels open freely & natural. very thirsty- & restless. at 10 Pm- Sulp. Morph. gr i. affont- ℥vv ʒss q. b. h. It produced repose after seemed done. 28. evidently better. pulse. 136- returned to weak inf of red pepper. March. 1st 1830. Mrs Payne. Wm Thompson Mrs Green. superf. spreading ulcer of the cornea. [Nun cy] [Mrs] March 8th 1830. Mrs Payne. Wm Thompson. Mr Green. Mr Reynolds. Mrs Heys infant prurigo. fascialis March. 15th 1830. Mrs Payne. Mr Reynolds. Mrs Green Mrs Heys infant. Mrs Lake- bowel comp. at 6m pregn. Mrs O brian. cold. Ipecac vni. gtt v. q. b. h. March 22nd 1830. Mrs Payne. 4th attack of pulmonary pain. with return of night-sweat. Mrs Heys infant. Prurigo fascialis seems to be removing by Sol. Lunar caustic. Mrs Thos Bradford. Bowel compl. frequent discharges of straw coloured matter the consistence of mush. with much pain, flatulences feton & needing. & exhaustion & confused state of the head, relieved principally by vs ℥ xiv. & Sulp Morph. Mary Kite. Bilious & catarrhal symptoms.. vs. ʒxii Cal gr xii, vs ʒxii. senna & cream of Tartar & Nitre. Mrs Burnwood - purulent ear & liver complaint. Mrs Clinis infant. Bowel complaint. March. 1830. Mrs Payne. Mrs Burnwood. Elenor File. Hannah Houston. April. 5th 1830. Mrs Payne. Mrs Burnwood. Elenor File Mrs Hays infant. compl returned Mr. chest compl. Revd Mr Brantley. sound in ear from a hair [illustration] 77 154 May. 10th 1830. Nancy Custalow obs. mate. George P. Little. Cynanche Tonsil. Mrs. at Mrs Maitlands. Chronic bowel compl. Martha Watts. Eys. chronic gastor entiades. Mr Miller. Cynanche Tonsil. Ann Maitland. Chills. Mrs Payne. James McCliskey. [?] Fesis. John Morrison. ulcer of the cornea. 12th.. May. Martha Watts. better. Panado- flax-seed tea. Mag.n.ʒi Sulp mag. ʒi. Mrs Lake. better. lips covered with large purulent blisters, ulcer of tongue- no chill. pulse get sharp. ꝶ. Sulp. quinine gr viii one every hour rest in bed. & panado. 13. Mrs Flint. 49 ys. cramp colic from exposure to damp & cold the pain & distress in the epigastric regeon. ꝶ. turnequet bandage to arm. pain subsided returned with chillness at 6 Pm. after taking ℥i Castor oil ꝶ. common enema. nervous, fainting operation of med. some remains of pain next morning. 12th ꝶ. Repose has taken coffee. Mrs Miller. has not been sufficiently blooded. ꝶ. repose. Mrs Lake. corded pulse from quinine ꝶ. oyster broth. repose. Martha Watts- purged last night from the med of the morning. has taken another dose. Mrs Wisdom- ꝶ. aq sol camph. ℥viii- fumg Nitrous acid ʒi. Laud qtt xi ʒi q h & increase chro. gradually. Mrs Payne pulse 96. fuller & stronger she is fatter- ꝶ. cont. Susan Monrs. ꝶ. vs. ℥vii Monday. May. 17th 1830. Patients. Mrs Payne. Mrs Barnwood, Mrs Wisdom- Martha Watts. Susan Monro, Mrs Shermer Sarah Sibley. James McCloskey, John Morison. & Wm Barry. 17th Martha Watts, rapid pulse 128. ꝶ wild cherry tree bark. & butter milk & milk toast. Mrs Lake. eructation before & after meals,- a slight stitch of the side- ꝶ cont. Sarah Sibley. ꝶ. butter milk & bran-bread. Mrs Wisdom. Dec. of ura ursi. Mrs Shermer Elix-vit. gtt x. q b h. wild cherry tree bark & chocolate & milk biscuit 18. Martha Watts. rapid pulse continues- ꝶ Barks ℥i decoc ℥iv q h- coffee & butter milk. Mrs Shermer- debility- ꝶ. Elix vit, chocolate, omit wch tree Bark-ꝶ butter milk- Sarah Darrach- Bowel compl. ꝶ aq sol camph- nitrous acid & Laud. & chicken wall 19. Martha Watts, rapid pulse- Bark resumed. after vomiting her yesterday. Mrs Shermer cough better- ꝶ. elix. vit. tea &c- Sarah Sibley. 78 ys. ꝶ. vs ℥viii blood covered with a fatty bilious buff. Susan Flintham pain in the side nitruss vs. ℥viii. Mrs Wisdom ꝶ. omit Dec ura ursi 20. Martha Watt. rapid pulse continued, but she is stronger & sits up. ꝶ. Bark, cont. & chicken broth &c butter &c. Susan Flintham. pain in side has left her. but she has constant sickness of stomach ꝶ. Rhei gr x. & Bil pills. ii Mrs Shermer prostration to day & bitter water from the stomach. ꝶ. Butter milk & bran bread. 78 157 21. Martha Watts. Pulse very rapid, omit Barks, ꝶ simple diet. Mrs Shermer, Better- ꝶ cont. diet & sit up. Susan Flinthum better. diet. 22. Martha Watts less frequent pulse (128) ꝶ walk out. ꝶ diet the & am. & Lemon - all. Mrs Wisdom- better after Castor oil but is again attacked with bowel complaint. Madison. 19 ys. lacerated wounds of the scalp. & contusions of the back & limbs from a fall the hight of two stories bronken by a tier of joice- Sarah Sibley- ꝶ. [Carb] Call Jalap aa grx. Senna [Mamn?] aa ℥ss & [semul?] seed. barley water. Ann Sibley. ꝶ. ditto- Case of Patrick Russell Cruise. 1st.. Infancy. Your constitution, delicate at birth, has suffered from the diseases of infancy. & childhood. catarrh, croup, measles bowel complaint & Hooping cough. This last complaint was severe and protracted. A happy removal from home removed the cough but you continued weak & delicate. You were then eleven years of age, I see you [v] at this age, I think an ambitious delicate child of fond parents to be injured by confinement, rich diet, study and irritating & stimulating drugs. The pure air of high country in a warmer & less [vasi] damp climate than Ireland- a farmers boy would have been living on vegetables & very & sets with [illegible] sun a lasting benefit to you. [But] But you became [in] confined at study in a damp college edifice and your blest became soft, bowels weak, & lungs susceptible to cold & your general health declined. lungs [made] permanently weaken by the protracted Hooky cough & stomach & bowels render so by the medicine then given for it. I find nothing so important in Hoofing cough & in any complaint of the lungs as constant exercises, mild vegetable diet, & a [warm clim] temperate uniform climate. But then you had not, & Monday. May 24th.. 1830. Mrs Paye, Sarah Darrach, Mrs Barnwood. Mrs Heys infant, James McCloskey, Susan Monro, Mrs Shermer, Sarah Sibley- Ann Sibley, Wm Barry, Martha Watts. Mrs Wisdom, Susan Flintham, Madison Sinc, Mary Bicknell. Ruben Costaloc. Rheuban Costaloc. ꝶ. Senna & Manner after Cal gr x fn guart fever. Mrs Wisdom. ꝶ. Flax seed tea, & Sil of Ingen of lead. Ann Sibley. Panado. after Cal & v.s. for Cynanche tonsilars & fever B. when the glandular parts are [disc] inflammed, the blood is buffy Madison. Sinc. ꝶ. Castor oil after vs for lecerated wounds of scalp & contusion. Sarah Darrach. ꝶ. diet. Mary Bicknel. Sol of Sulp quinine after Cal gr v. & Salts with sulp quinine for chills. Martha Watts. ꝶ. diet & exercise pulse. yet but better. Mrs Payne. exp cont.- but strength increasing . ꝶ diet & exercise. the years of boy hood which should have been chiefly used to establish a constitution, weak at birth & weaken by complaint of infancy & childhood were unhappy given to the improvement mainly of the mind. the pulse became quick & more frequent & [the] sleep disturbed. Head ache in the morning & soreness at the stomach & lassitude. What is now the remedy, food on using. This was injurious, It should have been muscular exercise- You should have been the farmers boy. in the field at work before breakfast. & a milk breakfast. & vegetable dinner. & early to bed- But in place of this you were ordered into the infirmary- school exercise denied. All this was injudicious. and added to the mischief which Hooping cough [& damp] had produced on your natural delicate constitution. It cause difficulty of breathing at 18 ys of age. 79 159 Let us recapitulate- a delicate strumous constitution- catarrh, croup, measles bowel complaint and finally a severe & protracted hooping drugs & confinement- 3 years of [health] comparative health- damp college edifice, & study- morning headache, [weak discard] unstable stomach & lassitude- infirmary, food or using- denied of [am] exercise- at 18 ys. difficulty of breathing. Dear friend. I wish in a plan way to give you just & practical idea of your own case. I see you must be your own physician, & %I must convince your judgment and urge you to decision & self denial and you may yet be well. With the difficulty of Breathing at 18 ys you consulted Deare. He [regarded] considered your liver enlarged. His judgment was correct. And what caused this enlargement of liver.. I answers, a previous discard of the stomach & upper part of the bowels. & what caused them a tendency to it by and drugs, confinement, & study & each animal food & letebrous and why the difficulty of breathing. this is owing to weaken lungs in connexen with enlarge liver- Deare advised Horseback exercise. I do believe this has protracted your life. A doctor of such a character in New York certainly will be must to your benefit. in ways. directing your diet, urging you to daily exercise, dismay you from drugs- and conducting you throu- your paroxysm of athma- & keeping off despondency. Beyond this he may for your present state do harm. Catarrh 1 [?] Childbed 1 0 Cholera Morbus 0 6 Consumption of the Lungs 5 3 Convulsions 0 7 Diseases of the Heart 3 1 Diarrhoea 0 2 Dropsy 2 0 - in the Brain 0 4 Drowned 1 0 Dysentery 0 1 Drunkenness 1 0 Debilty 1 4 Erysipelas 0 1 Fever 1 0 - Typhus 1 0 - Scarlet 1 0 Hooping Cough 0 2 Hives 0 1 Inflammation of the Lungs 0 1 - Breast 1 0 - Stomach 2 0 - Bowels 1 1 - Peritonæum 1 0 Intro-susceptio 0 1 Carried over, 22 37 Spasms Scrofula 0 1 Small Pox, 0 1 Stricture 1 0 Still-Born 0 2 Sudden 1 0 Teething 0 1 Ulcers 0 2 Unknown 0 2 Total 83 - 36 47 Of the above there were: Under 1 year 33 From 1 to 2 3 2 to 5 5 5 to 10 1 10 to 15 3 15 to 20 2 20 to 30 7 30 to 40 11 40 to 50 3 50 to 60 3 60 to 70 4 70 to 80 3 80 to 90 2 90 to 100 3 Total 83 Of the above interments, 6 were from Alms House, and 18 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock 12 o'clock 3 o'clock June 6 67 69 74 7 68 73 75 8 68 70 69 9 66 69 70 10 68 69 71 11 67 70 73 12 70 73 75 Monday. May. 31st.. 1830. Mrs Payne. Sarah Darrach, Susan Monro, Martha Watts. Mrs Wisdom, Reuben Costalo, John Payne. [May] June 1. John Payne, yesterday vs. ℥xii. for pain in shoulder, & tense pulse. serum of blood a muddled yellow, ꝶ Cal gr v. this nornign Cal gr v. & Jald: & vs ℥ vii. & rest & low diet. Reuben Costalo, resorted to blister to abdomen, after quinine which produced unpleasant symptom of cold skin & weak-slow-pulse & distressed countenance ꝶ. chicken soup. & such woot very dec. 3rd.. John Payne. vs warm plaster to rheumatic pain in shoulder. Mrs Wisom rested better from the gtt x Black drop. Mr Cacharan, Cal gr v. for chill & bowel complaint 4th. Mr Cacharan. Sulp. quinine gr i q h. & Laud gtt. xxv at 10 Am. James McCloskey. Chills at 12. m. Susan Monro. ꝶ. Tinct Canth gtt x. q. q. h. 5th.. Mr Cacharan ꝶ. Sulp quinine gr q s h. with Laud. gtt v. James McCloskey. ꝶ. Cal gr v. & Sulp quinine gr 1 q h. Mrs Wisdom. ꝶ. Wine, Brandy. & Black drop. James Darrach. 18 ms. Bowels compl. whey & steam boat trip. 6th. Mrs Wisdom. Dead. her proper name is Quin. 80 161 Monday. 7th.. 1830. Mrs Payne, T. Darrach, Susan Monro, Martha Watts, Reuben Costalo, James McCloskey. Mr Cacharan, James Darrach. Mary Ann Smith. Rheuban Costalo, chill & fever, exthematous eruption, and edematous inflam of left foot. & flying pain in the joints. 10th.. Sarah Sibley. 63 ys of age she, [yest] day before yesterday had a shaking chill at 9 Am followed by fever & perspiration. Yesterday, creeks followed by fever. therefore gave Cal. gr v. & v an hour & 1/2 a part which purged. followed it with ʒi of sulli & gr i quinine. q h. five times. then gr i quinine q. h. alone nourished by Barley water. Today at 10. no chill, pulse soft & natural- feels better. ꝶ Sapart. inf ℥ iv q. t. h. But her eyes are yet jaundiced. & her skin covered with an exematous erup. viz paid pimples changed into purulent pustules, scabing & leaving a white derm exposed. without heat or areola. but much itching. This eruption destroys the epidermis & [cho] black chorion & leave the white spot of the exposed derm. He complaint a few weeks back was a pain at the stomach extending up in the line of the oesophagus. the blood then taken was covered with a yellow fatty fibrin or the crassamentum. The symptoms are a union of. Jaundiced conjunctiva- oeophageal & gastric distress. tense pulse, yellowish fatty crassamentum, chills & fever and a cold unareolated purulant derquamating itchs. Eruption. Reuban Costalos was. Chills & fevers, pain in the right [trupechondriac?] regeon unareolated purulent eruption like saratis and painful edema of the foot with thing pains in the joints. 12th.. Elisa Bradford. Pain in temples, frequent contracted pulse, gaseous eructation, after taking Cal gr x. & two days previous, Magn. & salts which last med. copiously purged. a tremor of salivation would have induced her & parents to add another dose of Salts. I regarded her present symptoms the result of purging on stomach & bowels disturbed by mental anxieties. & advised Spt. Nit Dulc. ʒii. & Laud poult. to head. She slept & was well. no salivation & bowels opened &c Monday. June 14th 1830 Mrs Payne, Susan Monro, Mary Ann Smith, James McCloskey. Joseph Allison Eliza Bradford. James Mc Dewilt. Monday June 21st 1830. Mrs Payne, James McCloskey, Mary Anna Smith, Susan Monro, Mary Hall. This Bradford, Bowel complaints of inflants. James Darrach aged 18 ms. all except back teeth cut. discharge from bowels corrupt offensive & frequent attended with emaciation and febrile state in the afternoon with fretfulness & much thirst for several days. Trips over the river and whey diet [et] were beneficial in increasing strength but the complaint continued. [Re??ved] him several days to managements. which to a greater extent produced the same effect. After two or three weeks continuance of the complaint I gave Cal. gr ii Pulv gum. Arab. ʒ vi. There completely chicken the disease. He has been since well. Jan 26th 1830. Casper Widdifield 20r a thin offensive frequent discharge. cut a back tooth which was protruding, sent him a cup the river, flannel bandage to bowels, whey, & Cal gr ii Pulv gum Arab ʒi mfr pulus xvi the because well before taking half the powders. Comfory root boild in milk is recommended in bowel complaints [???ading] the bowels for Dyspepsia by Halstet a prentes is quit popular. It certainty must increase increase the muscular action of the bowels. But bad habits of life must be removed also. 81 163 July. 5th.. 1830. James McCloskey. Mary. Mary. Ann Smith, Susan Monro, Reuben Costaloc, Vincent L. Bradford, Sarah Darrach Mrs Bicknell. Hœmoptesis. & vs & elix vit. S. Darrach. 4 attack. pulse corded & frequent. took xx ℥ of blood. symptoms relieved. adm gtt v. elix vit. q. b. h. rest & veg diet. The pulse became soft & larger & in a day or two reduced to 80. V. L Bradford. sloughing ulcer of the upper end of right tonsil & sulp cupri. I applied the solid sulp. of copper only once & adm [sol] Turt Myrrh. The soughing was arrested and the part healed. Cal gr v. v. & Ipecac gr v q h. & sennc & mannc in the case of Mrs Bicknell produced discharges of black offensive matter; And the febrile hysterical attacks with sensation of soreness in the skull & pain in the jaw with frequent hard pulse were removed. She is now getting well. July 12th 1830. James McCloskey. Mary Ann Smith, Susan Monro, ReubenCostala, Sarah Darrach William Rutter- Coloured-blind girl. Mrs Banges-Reynolds. Delirium Tremors: 2nd times William Rutter aged 25. book binder. Castle Sr. No 23. Has drank hard, stomach weakened, attacked of late with vomitings, omitted his usual drain a few days back, Called to see him yesterday morning July. 11th.. Found him pleasant, general tremors, wild short talk, about going to chh, & pestered with roaches running over him, pulse slow & soft. ꝶ. aq. sol camph. ℥iv. Laud ʒiss m. ℥ss q h. At 3. Pm. the same, ꝶ. opium gr vi gr pil vi. one every hour. saw him at 9 1/2 Pm had taken his pills. more halucinated, Pills cont. Has 6 pills taken during night Monday. 12th.. 8 Am. Had been more wild & ungoverable, became emaged about a negro left his bed & room & run into the yard after him. The landlord anxious to have him in the Hospital. ꝶ. warm bath. [pupil contracted, I] had some vomiting: gave Laud gtt xv. in an hour gr i opium: in two more hours gr i opium & Laud gtt xx. Towards the blow of the day delirium increased, more talkative, restless ungoverable: perspiration rolling off of him, eyes projecting. that is, the upper eye lid very much open that is, the levator palpebri contracted [perman] beyond what is natural This muscle is supplied with the 3 ps of nerves, which forms the ciliary plexus which supplies the iris and is united by means of &c- The extreme contraction of the iris, and its projection forward into a cone. & the inordinate contraction of the levator palpebra, and the projection of the eye ball, and the muscular tremors, and flushed face, and pale & cold limbs, and halucination, terror & fear and pervigilance are the effect of continued drinking of ardent spirits. Mr Maitland says that mania a potu is not common in Ireland. The irish are frolicker but not habitual drinkers. The strammonium dilate. Mania potu contracts the pupil. Saw Rutter at 5 P.m. feared the opium of which he had now in 24 hours taken 8 gr & ʒiss of laud was producing no benefit. I determined to treat the case according to the symptoms, Ordered the blister on the stomach, warm bath every 4 hours, cups to head, blister to head & cal & aloes gr v. repeated three times after an injection. and left him for the night. B. we may kill the patient by aiming at all herands to produce sleep by opium. When should we desist this practice of opium. Tuesday. 8 Am. found him somulent, & subdued, but limbs tremulous, iris less contracted 82 165 contracted but very partially affected by light, conversation excited him. his perceptions correct, but his mind wanders on fancies. The cupping over the head ℥ vii or more was done at 8. the blister to head & neck at 9. cal gr v & Aloe gr v. at 9 1/2. another at 12. Became somewhat at 1. AM. disturbed by bowels costive at 2 AM. again done and again. bowels opened- the bowels open a three times. the three pils of cal & aloes given. ꝶ whey, quietness & darkness. I feel gratified with this care. I ventured to desist from the opium because I saw that did not produce sleep after 8 gr of opium & ʒiiss of Laud had been given in 24 h. but in the place of this, were unnatural sweating, more contracted & conical pupil, & projecting & staring eye, as if in every sense strained by extreme excitement & flured face & more ungovernable delirium & tremors. & fœtid opium breath & swelled moderious tongue. I could not believe that more opium would do good; on the contrary, that the stimulant effect of opium must subside or the patient must die under the superinduced or aggravating excitement I must now save the stomach & brain by relaxing revulcent & depleting alterate remedies therefore I applied cups over the head, & abstracted blood ℥vii, a blister to stomach & head & neck, gr xv of cal gr Aloes gr xv divided into 3 doses repeated every two hours- and if necessary the warm bath. I had the happiness to see the patient in the morning in the partial sleep, and the pillow & dressing of the head soils with a serous discharge from the blister, and the blister of the stomach to have acted freely. and the bowel to have been freely opened. We must not continue opium until sleep is produced, but only produce an opium excitement, as we would a mercurial in veneal disease or a red pepper excitement in malig. scarlet fever: and then desist least we kill with our intended remedies. And this is true of emetics in Mania a potu. I have seen this carried beyond limit to effect vomiting at all hazard. and death has followed. and the stomach swelled afterward. Indeed it is a remark worthy of note, that when we use the narcotics to profusely, we must recollect that they will injuriously affect the stomach & head; and be prepared to desist when we see their poisonous effects. and change the treatment for cups blisters & calomel. A powerful disease like Mania a potu must be treated by contra stimulation but this new [cross out] & subduing acting must rapidly be put under by a pile antipholytic local treatment. In other words an inordinate use of digitalis, opium, stramonium cicuta is called for in complaints & diseases which run on to death: but this inordinate use of narcotics [cross out] call, for an immediate sequence of cups, & blister over stomach & head, calomel & warm bath. see case of calomal conscription & Digitalis [cross out] in Ellison Darrach The Digitalis decoc ℥ss q b h. cured the catarral consumption, but inflame the stomach; & blister &c removed this inflammation & she recovered. Hoffman had mania a potu & sprain ankle, opium in great quantity was given; he became extremely ungovernable. cups were applied freely to head & blister to stomach and he slept and recovered Daniel Kelly had the opium practice without limit to procure sleep without regard to symptoms and he died. I must read more on Mania a potu. 11 PM. stertorous sleep, pupils contracted & unaffected by light but only being spoken to he awoke and the pupils instantly became enlarged to that of the rest of us in the room, spoke intelligently, afflicted with violent strangury the discharge hæmaturia with bloody sediment. complaint also of pain in the kidnies, sick at the stomach occasionally & vomited, skin cold & pale & sweating, ꝶ. the blister from the head removed. Wednesday. 8 AM. hæmaturia has ceased, pulse tranquil skin natural. doing well complaints only of the blister of the head. 83 167 Dr Boyd. v.s. has noticed three kinds of mania a potu calling for three different kinds of practice. vz the opium p. the cold water to the head p- & the [cross out] cupping & blistering. Thursday. doing well, complains only of his kindies. The inordinate use of blister has affected to hæmaturea & inflammation of the kidnies. ꝶ Panado & cold water used moral remedies to prevent a return to the use of ardent spirits. - see N.A M & SJ. July 1828. treated with cold ablusions to surface & partially to the head & cold water to drink. to quiet irritated ends of nerves. [Co] N Am SJ. Oct. 1827. Coates. entirely & absolutely under the control of opium larger doses not productive at the time a subj. of any injurious consequences Dr Neill cases. comparison between Emetic treatment & Stimulant & Anodyne Condles case of 120 grs of opium. 10 gr every 2 hours i.e. in 24 . 120 grs. no sleep. 2 gr ipecac every 1/2 h nausea for 6 h then 2 gr opium & some sleep. & well. Dr Otto hepatic case of death after sleep. of 3 h. after taking about 16 or gr 20 gr of opium. Nitre ʒii ft pulvis iii in painful edema of the feet & ankles. Reuben Costalves wn grs 30. took one of there powders divided into 3 portion daily [cross out] he urinated profusely and found the swelling of the legs disappeared and that his eruption was dry yup. 1 I gave the same in a swelling of Mrs Obrian feet & ankles and it removed the edema. This practice was told me by Dr Tiltor. of Wilmgton He used it in this large dose in several cases of extreme anascara. Bilious diarrhea. & Calomel gr v. v rest & whey. & mustard bath Mr Holt. 30 July. 14. had been troubled a day with pain in the bowels & frequent discharges of bilious matter which seemed to weaken him. I gave him Cal gr v to take the night. & Cal gr v at xi Oil the next morning. & to drink whey & rest quietly on his bed with study I visited him the day after at 1.m. found that the 1st pill had purged him several time & had removed all his morbid symptoms & weakness: & was doing well. He had also take the second dose. Dysentery. & Blue pil gr v. v. v. & flax seed tea & rest. Thos Bell bon. aged 24. had for two or 3 days pain in bowels, piles & small shiny & blood discharge. with pulse 96 & sharp. I gave him blue pil gr v. at 11. Am. July 15. ordered another at 4. Pm. rest in the home & flax seed tea the exclusive diet. He came to my office at 5 Pm. & told me that before he had taken the second pil he felt much better. & would now go home. to the country. I expected to have bled him at v. but found that his pulse was soft. I found the same prompt benefit from Blue pil in Mrs Cooks sister case I obtained the practice from Dr J.K Mitchell. Friday. W Rutter. yesterday shewed some wandering. Kept on paredo & tea & water Saturday. rested well, seems langent, skin moist & cold, blistered surface or abd inflame & painfull read Dwight on intemp to him & left the book with his wife to read to him. He has been craving the last day or two apples I allow him then today roasted. cont water & panada 2 weeks tea. He seems penitent. accusation & neglects of friends will now do harm. His brother should be kind to him. 84 169 Why in the Emetic cases some require more & some less of the T. Emetic. in the opium. some more & some less of opium. Monday. July. 19th 1830. Hot weather has existed here since Thursday Therm. as high as 96. & 98 & 100. with it Diarrhea Dysentery & gastro-enteritis. & colic Mr Holt. Rob Bell. Hannah Houston, Mrs Bicknell. [cross out] Aq sol Camph ℥i, Nitrious acid gr gtt viii & Laud. gtt. v & Diarrhea with much colicy pains Hannah Houston has complained for some hours of [cross out] bowel [cross out] much pain & frequent discharge. I gave the above in two doses. & she was in less than an hour relieved of pain & has had no relieve of the diarrhea. Gastro enteritis. Mr George McCledland. 50 ys. Indisposed on Saturday, took ℥iss of salts- yesterday ℥i castor oil, then Laud & ginger tea. [cross out] sent for me at 7 1/2 Am. Found him with redened face & surface with some heat but moist, an uneasiness in the region of the duodenum increased by pressure which did not cause uneasiness when made elsewhere on the abdomen pulse very voluminous & strong. but not corded & sharp. He had passed a restless night. & has eaten [without] at table as usual. I view his case that of gastric irritation caused by the heat which he has aggravated by purging before the system has been prepared & entering the cause by alterative to business &c & aggravated also by the table diet. ꝶ. rest in bed, peace, coolness, flax seed tea till I see him again. At 9 Am. pulse 88. full & somewhat tense. He needs bleeding, but he has perspiration & skin less heated. therefore posponed vs & ordered cal gr v. & rest, darkness & silence & light clothing. [cross out] shall visit him again at 12. m. Therm at 89. at 8 Am. At 12 m. sleeping, perspiration free, pulse softer, but 92. no soreness or pressure over the duodenum. ꝶ Cal gr v. & prepared v.s. At 8 Pm. found him sitting up in the parlour, feels disburdened of disease, only weak bowels feel well. But his pulse tho' soft has yet a degree of fullness which seems to indicate a liability to be excited into fever. I somewhat regret not having blooded him the 15 gr of Cal have taken not purged, it has produced but slight effect on the bowels. ꝶ Magn. Calc ʒii tonight & Salts ʒii in morning. & continued on rice water Thirst in hot weather. [cross out] It is caused by the heated air. If we drink a reaction will again cause thirst. But if we remain at rest out of the sun, the excitement of heat in the mouth will cause the surface of the mouth and the salivary glans to pour out a fluid which will much more effectually quench thirst than any artificial fluid you can fabricate: and the fluid of this cistern which is within you, [as] will also aid digestion whereas the drink, by their quantity, temperature & qualities mostly disturb & injure digestion. and are remotely a cause of disease. This remark is for healthy people of natural habits: and for parents in their treatment of children. Tobacco chewers & Drinkers of ardent spirits have done so much violence to these salivary glands, that its doubtful if they find [the benefit] much truth in the above remark. It is a common remark, if you drink in the morning you may have to drink all day. Some always drink water at rising and at each meal. Other substitute water [for] at morning & evening meal. Other for the evening meal. Some drink only at going to bed and other during the night. When is the best time. read on this subject and observe more. 85 171 William Rutter, 24 es Mania a-potu & moral influence & [after] medical treatment. It is now a week since I saw him a crazy brute. [an opiate a narcotic unless] opium, cups blister and calomel & alves induced sleep. Out of which he came restored to his right but weakened ruined with debility of brain & stomach & with hæmaturia and pain in the region of the kidnies and inflam ulcerated blistered surface over the stomach. Sustained him on water, and panado. and after a day or two more in quickening addressed his conscience on the subject of his heartly practice and read to him Dwight-on intemp. & gave K.B &c. to read. Saw him this morning Monday 19th. at his door reading the book I gave him. carried with him relative to his business &c. he says he can make 7 8 & 9 dollars a week at bookbinding. that costs him about $250 to support his family. I directed him to proper family regulation & the Sabbath his wife & he & I entered his door & family worship was commenced. He read the 1st cp of Gen & I prayed. He promised to continue family worship &c- Now will he C Tooth Ache cured by Alum pulv. ʒii Nitrous spirit of æther ʒvii m. Tinct of pellitory is another remedy. Prolapsus uteri. Galv silver ball. Mrs Haley aged 60 ys Irish lady. had 16 children & suffered 3 abortions. Early labours but has been liable to [severe] profuse flooding, and after one labour had a prolapsus. She has suffered with the present prolapsus the past 6 years. Dr Dewees was called in he applied the flat gels seives pessery. She experienced no benefit. The instrument constantly coming away. The discharge proper & [offenium] sanguineous so as to render her situation painfully uncomfortable. In this state she came to me at the recommendation of Mrs Wright. I found the uterus in a state of extreme prolapus. returned it without difficulty, requested her to remain in a horizontal position for 2 days. On Thursday applied the [fr] ball of large size. She finds that now neither coughing for standing affects her and is rejoiced to the relief. But she has a habit of taking med for habitual costiveness. I [rec] recommended enema & plain diet & water & no med. No 1 Death from Hot sun, labour & I suppose rum & cold water. Vented a poor fellow yesterday. 21st July. found him insensible & dying. He had just been bled. ℥xv. I should think And I gave up all hope. A bleeder had been sent for & he took blood upon his own responsibility. the man died at 2 Pm. He says he was sent by a Physician to bleed in a similar case the day previous. & say he why Dr the case is exactly like it. I felt it out of place to continue the subject. But think I, Apothecaries & bleeders & Pancreas &c. & Finnisson & Jacksonian are the orders of the day. together with Fany Wright ibid. &c. Excited & unbridled Ignorance!! No 2 vertigo, loss of muscular power, loss of speech & occasioned loss of consciousness from drinking cold water. He is an habitual drinker. applied mustard to epigastric & mustard bath & feet & he recovered, afterward gave cal gv.v. & magnesia. N 3. A third case of over heated &c. Apoplectic. A. S. aged 40. ys. stone cutter, for two days complained of his stomach, an orderly man with a family, drink occasionally. fell down at 4 Pm of 27. [He] I saw him at 10 Pm. Abdomen, thorax neck, are cooperating in a ratting & stations breathing, eyes fixed closed & pupil contracted but vales not turned up. tongue [n] relieved & drawn back & wn the fauces, extremities cold, & pulse weak, & 120. Dr Ash & Temple were present, ꝶ. mustard plaster, cups to head, mustard bath & inject into stomach yolk of egg light Turpentine. No. 3 like No 4. CORNER'S REPORT. Since the report of the middle of last week, brought down to the 22nd inst. at noon, the Coroner has been called upon in the following cases: On the evening of the 22nd instant a white woman died suddenly from heat. On the 24th, two men from the intense heat, and one by the heat and drinking cold water. On the 25th, three men died suddenly, the causes unascertained, and two by the heat. On the 26th, one man from the heat and drinking cold water; and a black woman from intemperance. On the 27th, two men suddenly, the cause unknown. The Coroner had reason to believe that other sudden deaths have occurred, which ought to have come under his inquiry, but from unexplained causes did not. JOHN DENNIS, Coroner. Dr. Madden, in his Travels in Egypt, says-"The Bedouin Arabs gave me a counsel, which I found a wise one;-the more a traveller drinks during the day, when exposed to the scorching rays of the sun, the more thirsty he gets; and, finally, these copious draughts have a prejudicial effect on health; at night, it is no matter how much one drinks;-indeed, the more he takes, the less thirsty he is likely to be the next day; for this reason, the Bedouins, following the example of their camels, lay in a stock of water for the next day." The whole number of deaths in New York last week, was 204. Sixty persons were buried in the church yard of St. Patrick's Cathedral. The number of deaths in this city for the last week, is reported at 196-that is at the rate of twenty-eight each day; yet of that number, only ten were referred to the various fevers. There are thirty-two probably referrable to the excessive heat, viz: Coup de soleil 2; drinking cold water 11; sudden 13; excessive heat 6. It will be seen by a reference to the table which we give in another column that the usual enemy of children, has been fatally active-32 children have died of cholera morbus, and 7 of diarrhœa. We notice likewise two deaths by violence. 86 173 No 4. Ice water, heat, costiveness & fatigue & broken sleep. Margarette has complained of difficult breathing, & lasitute for a day or two, yesterday 27th. more indisposed, after dinner, eat a choke on one why [????B]. at 5 Pm. On morng drank a tumble of ice water, felt a [illegible] in her ears, look tees, walked to Ronaldson gave yard, saw a person interred who had sudden died of the heat a working man. We returned, she retired, I was called up at 10 Pm. to see case No 3. & awoke her. On my return I found she had not slept during my absence. She was restless, complaining of difficult breathing. & the heat I found her pulse at no time natural then frequent, & small, & the fell. distressing nervous feeling came on. she caled for hartshorn for her nose. felt her limbs becoming tremulous & cold, soon her body was completely agitated, & head dizzy & throbbing. ꝶ Rubbing & warm mustard bath, & hartshorn & application of vinegar relieve her. but her natural feelings did not return until she had a vomiting by mechanical distention of the stomach with warm camomile tea. She felt herself to be dying Capt H Lelan tells me in the warm countries he has visited that [the] all classes of people take there siesta at midday in summer: & that it is a common saying among them that at this time of day nothing is seen in the street but Dogs & Europeans. Yet Laboures with us work from 6 to 6 when the heat rising in the the shade to 91°. Dr Boyd tells me in the warm countries he has visited, horses &c. & drivers &c never drink during the heat of the day but at night & yet we drink all day long cold, iced water, when the heat is at 91 in the shade & when Monday. August. 2nd 1830. Mrs Haley, Capt Henry Lelan, Mary Lelan, Mr Bigelow, John Goodrich, Margaretta Mrs Dale (Danl Sweeny. A B & C K.) effects of heat.) HEALTH OFFICE, July 24, 1830 INTERMENTS In the City and Liberties of Philadelphia-From the 17th to the 24th of July DISEASES. Adults. Children. Apoplexy 7 1 Atrophy 0 1 Bronchitis 0 1 Chorea Sanctl Vitl 0 1 Coup the Soleil 2 0 Cholera Morbus 2 32 Colic 2 0 Consumption of Lungs 13 2 Convulsions 1 14 Drinking cold water 11 0 Diarrhœa 1 7 Dropsy 2 0 — of the Breast 1 0 - in the Brain 0 4 Drowned 2 2 Disease of the Heart 1 0 Drunkenness 1 0 Debility 4 7 Excessive heat 6 0 Fever 2 1 - Remittent 1 0 - Bilious 3 0 - Typhus 1 0 - Scarlet 1 0 - Inflammatory 1 0 Hooping Cough 0 3 Hemorrhage 2 0 Inflammation of Brain 1 3 Carried over, 69 79 DISEASES. Adults. Children. Brought over, 69 79 - of the Lungs 1 0 - of the Stomach 1 1 - of the Bowels 2 2 - of the Liver 1 0 Insanity 1 0 Measles 0 1 Mania from drink 5 0 Old Age 5 0 Sore Throat 0 2 Still Born 0 6 Sudden 13 0 Teething 0 1 Violence 2 0 Unknown 3 1 Total, 190-103 99 Of the above there were: Under 1 year 61 From 1 to 2 18 2 to 5 9 5 to 10 2 10 to 15 1 15 to 20 2 20 to 30 25 30 to 40 35 40 to 50 15 50 to 60 14 60 to 70 6 70 to 80 4 80 to 90 2 90 to 100 2 Total 196 Of the above interments, 12 were from the Alms-House, and 25 people of color are included in the total amount. By order of the Board of Health. JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830, 9 o’clock. 12 o’clock. 3 o'clock. July, 18 82 88 92 19 82 86 88 20 82 86 90 21 83 88 90 22 83 87 90 23 81 83 84 24 79 85 89 STATE OF THE THERMOMETER. 9 o'clock. 12 o'clock. 3 o'clock. July 16 80 85 86 17 83 86 87 1/2 18 84 87 89 19 85 87 89 20 84 2/4 87 1/4 89 3/4 21 85 1/4 88 2/4 91 22 86 1/4 88 3/4 91 23 81 3/4 84 86 24 81 86 89 25 86 88 1/2 90 1/2 26 87 87 89 1/2 91 1/2 27 87 89 1/2 92 28 80 83 1/2 87 29 78 1/4 77 Cold water drinking seems not to be the sole cause of the sudden deaths. During July there has been no epidemic. Heat has been the only cause of death acting in the following manners. 1st in aggravating the chronic cases like consumption. causing 15 deaths. 2nd in exerting fatal cases of cholera Morbus 34. extinguishing life in old age and producing fatal debility 16. 3rd. in directly causing, sudden death, 13 Coup de Soleil, 2 Apoplexy 8, and death the cold water in temp & intemp' persons 11 making a total excess heat of 106 which reduces the death from other causes to 95. The death in NY. were 204. No. If working people would not [cross out] labour from 6 to 6 but return after 10 1/2 to 4 as in hot climates, and [cross out] abstain from ardent & pints, and drink water on going to bed, there would not be so many death from heat HEALTH OFFICE, September 4, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 28th of August to the 4th of September. DISEASE Adults. Children. Atrophy 0 1 Bronchitis 0 1 Casualties 0 1 Catarrh 0 1 Childbed 1 0 Cholera Morbus 0 8 Cholic 1 0 Consumption of the Lungs 6 8 Convulsions 2 4 Diarrhœa 1 3 Dropsy 4 0 Drowned 1 1 Debility 2 12 Epilepsy 2 0 Fungus Hæmatodes 1 0 Fever 0 1 - Intermittent 1 0 - Remittent 0 1 - Typhus 3 0 - Scarlet 0 1 Inflammation of the Brain 1 0 - Lungs 1 2 - Stomach 1 1 - Bowels 0 1 - Liver 1 0 Carried over, 29 42 DISEASES. Adults. Children. Brought over, 29 42 Hooping Cough 0 2 Hives 0 1 Maniaa potu 2 0 Old Age 2 0 Still-Born 0 5 Sudden 1 0 Tumours 1 0 Unknown 0 1 Total 86 - 35 51 Of the above there were: Under 1 year 29 From 1 to 2 14 2 to 5 6 5 to 10 2 10 to 15 0 15 to 20 0 20 to 30 8 30 to 40 10 40 to 50 10 50 to 60 5 60 to 70 0 70 to 80 0 80 to 90 2 Total 86 Of the above interments, 6 were from the Alms-House, and 11 people of colour, are included in the total amount. By order of the Beard, JOSEPH PRYOR. Clerk. STATE GF THE THERMOMETER. 1830. 9 o’clock. 12 o'clock. 8 o' clock. August 29 71 79 83 30 74 75 76 31 71 75 78 September 1 73 75 75 2 69 71 71 3 66 69 71 4 71 75 75 HEALTH OFFICE, September 11, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 4th to the 11th of September. DISEASES. Adults. Children. Apoplexy 1 0 Atrophy 0 2 Casualties 0 1 Catarrh 0 1 Childbed 1 0 Cholera Morbus 0 2 Consumption of the Lungs 6 3 Convulsions 2 4 Diabetes 1 0 Diarrhœa 2 2 Dropsy in the Brain 0 2 - of the Breast 1 0 Drowned 0 1 Dysentery 1 0 Drunkenness 2 0 Debility 0 8 Fever 8 1 - Intermittent 1 0 - Remittent 1 1 - Bilious 1 1 - Typhus 3 0 Gangrene 1 0 Inflammation of the Brain 1 0 - Lungs 0 4 - Breast 0 2 - Heart 0 1 Carried over, 28 31 DISEASES. Adults. Children. Brought over, 28 31 Hooping Cough 0 3 Hives 0 5 Jaundice 1 0 Locked Jaw 0 1 Mania a potu 4 0 Old Age 3 0 Still-Born 0 12 Sudden 2 0 Teething 0 1 Ulcers 1 0 Unknown 1 1 Total 94 - 40 54 Of the above there were: Under 1 year 33 From 1 to 2 8 2 to 5 7 5 to 10 0 10 to 15 2 15 to 20 4 20 to 3O 15 30 to 40 8 40 to 50 3 50 to 60 7 60 to 70 3 70 to 80 2 80 to 90 2 Total 94 Of the above interments, 12 were from the Alms House, and 8 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR. Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock. September 5 70 74 75 6 69 72 72 7 74 78 80 8 76 77 79 9 72 72 73 10 69 71 73 11 70 73 75 HEALTH OFFICE, September 18, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 11th to the 18th of September. DISEASES. Adults. Children. Apoplexy 2 0 Atrophy 1 0 Bronchitis 1 2 Cholera Morbus 0 6 Consumption of the Lungs 6 1 Convulsions 0 4 Dropsy 3 0 - of the Breast 1 0 - in the Brain 0 1 Drowned 1 0 Dysentery 1 2 Debility 1 7 Fungus Hæmatodes l 0 Fracture 1 0 Fever 8 2 - Remittent 2 2 - Nervous 1 0 - Typhus 2 0 - Puerperal 1 0 Hooping Cough 0 3 Hives 0 1 Inflammation of the Lungs 0 3 - Stomach 1 0 - Bowels 1 1 Mortification 0 1 Carried over, 30 38 DISEASES. Adults. Children. Brought over, 30 38 Mania a potu 2 0 Old Age 1 0 Phlegmasia Dolens 1 0 Rupture 1 0 Poisoned 1 0 Small Pox, 0 1 Still-Born 0 10 Wounds 0 1 Unknown 2 0 Total 88 - 88 50 Of the above there were: Under 1 year 28 From 1 to 2 8 2 to 5 9 5 to 10 2 10 to 15 2 15 to 20 1 20 to 30 10 30 to 40 14 40 to 50 9 50 to 60 2 70 to 80 1 80 to 90 1 90 to 100 1 Total 88 Of the above interments, 9 were from the Alms-House, and 13 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR. Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock 12 o'clock. 8 o' clock. September 12 69 74 75 13 69 71 74 14 67 70 73 15 69 69 72 16 64 64 65 17 62 63 63 18 59 61 61 HEALTH OFFICE, October 2, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 25th of September to the 2d of October. DISEASES. Adults. Children. Apoplexy 1 0 Burns 0 1 Casualties 0 1 Cholera Morbus 0 5 Consumption of the Lungs 13 3 Convulsions 1 5 Diarrhœa 0 2 Dropsy 1 0 - of the Breast 2 0 - in the Brain 0 4 Drowned 2 0 Disease of the Heart 1 2 Debility 8 9 Fever 1 2 - Remittent 2 0 - Bilious 1 0 Typhus 2 0 Hives 0 2 Inflammation of the Lungs 1 1 - Brain 2 0 - Stomach 1 0 - Bowels 3 0 - Breast 0 1 Mania a potu 4 0 Carried over, 41 38 DISEASES. Adults. Children. Brought over, 41 38 Old Age 1 0 Palsy 2 0 Sore Throat 0 1 Small Pox, 0 1 Still-Born 0 4 Sudden 1 0 Ulcers 1 0 Unknown 1 0 Total 91 - 47 44 Of the above there were: Under 1 year 26 From 1 to 2 5 2 to 5 8 5 to 10 1 10 to 15 0 15 to 20 4 20 to 3O 17 3O to 40 13 40 to 50 6 5O to 60 8 60 to 70 5 70 to 80 2 80 to 90 1 Total 91 Of the above interments, 8 were from the Alms-House, and 10 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR. Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock September 29 69 70 72 27 65 70 72 28 63 65 63 29 61 63 62 30 59 61 68 October 1 58 66 67 2 60 68 70 HEALTH OFFICE, October 30, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 23d to the 30th of October. DISEASES. Adults. Children. Abscess 1 0 Atrophy 0 1 Bronchitis 1 1 Cancer 0 1 Chorea Sancti Viti 0 1 Cholic 1 0 Consumption of the Lungs 9 2 Convulsions 0 5 Dropsy 0 1 - of the Breast 1 0 - in the Brain 0 3 Drowned 1 0 Dysentery 0 1 Drunkenness 1 0 Debility 8 2 Erysipelas 0 1 Found Dead 0 2 Fever 1 1 - Intermittent 1 0 - Remittent 2 0 - Hectic 1 0 Gangrene 1 0 Inflammation of the Lungs 1 0 - Lungs 1 1 - Stomach 1 0 - Bowels 0 1 - Peritonæum 1 0 Carried over , 28 24 DISEASES. Adults Children. Brought over, 28 24 Hooping Cough 0 1 Hives 0 1 Locked Jaw 1 0 Maniaa potu 2 0 Cholic 1 0 Old Age 2 0 Palsy 8 0 Stone 1 0 Still-Born 0 6 Sudden 1 0 Unknown 0 1 Total 71 - 38 33 Of the above there were: Under 1 year 20 From 1 to 2 8 2 to 5 2 5 to 10 0 10 to 15 0 15 to 20 3 20 to 20 9 30 to 40 12 40 to 50 5 50 to 60 5 60 to 70 1 70 to 80 5 80 to 90 0 90 to 100 1 Total 71 Of the above interments, 5 were from the AlmsHouse and 12 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock. October 24 52 61 62 25 51 53 54 26 49 53 56 27 52 60 62 28 56 60 63 29 57 61 61 30 55 58 59 HEALTH OFFICE, November 27, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 20th to the 27th of November. DISEASES. Adults. Children. Apoplexy 20 Bronchitis 0 1 Cancer 1 0 Cholera Morbus 0 1 Consumption of the Lungs 13 2 Convulsions 0 4 Diarrhœa 1 0 Dropsy in the Breast 1 0 - in the Brain 0 1 Drowned 1 0 Drunkenness 1 0 Debility 3 5 Found Dead 2 0 Fever 1 1 - Interment 1 0 - Remittent 1 0 - Typhus 1 0 - Scarlet 0 1 Gangrene 1 0 Hives 0 2 Inflammation of the Lungs 2 1 - Brain 3 0 - Stomach 0 1 - Bowels 2 0 - Childbed 0 1 Carried over, 38 21 DISEASES. Adults. Children. Brought over, 38 21 Jaundice 1 0 Mamiaa potu 2 0 Old Age 2 0 Palsy 0 1 Small Pox, 0 1 Still-Born 0 2 Suddden 2 0 Syphilis 0 1 Tympanites 0 1 Ulcers 0 1 Unknown 1 0 Total 74 - 46 28 Of the above there were: Under 1 year 14 From 1 to 2 4 2 to 5 3 5 to 10 5 10 to 15 1 15 to 20 1 20 to 30 9 30 to 40 10 40 to 50 12 50 to 60 5 60 to 70 7 70 to 80 1 80 to 90 2 Total 74 Of the above interments, 9 were from AlmsHouse, and 13 people of colour, are included in the total amount. By order of the Board. JOSEPH PRYOR. Clerk. STATE OF THE THERMOMETR 1830 9 o’clock. 12 o’clock. 3 o’clock. November 21 49 59 54 22 53 55 57 23 58 52 52 24 44 45 43 25 48 45 44 26 41 45 45 27 40 45 46 87 175 August has commenced with profuse rain and a reduction of the thermometer A Broken constitution Rev. I Benedict. He regard the cause to be inactivity of body and mordinate efforts act [cross out] preaching. which produced a seat pain about the anterior part of the 344 ribs near the sternum fol. lower with hæmorrhage in spitting. [cross out] One phy. treated him as too debilitated another as inflammatory. The truth is he had debilitated & congested lungs excited into hæmorrhagic disease by excessive efforts to public speaking. toasted rhubarb, gloves & Brandy & water = Diarrhea in Mrs T. Bradford. She used this ꝶ ℥ii and it has arrested the bowel complaint for the present she live on cream, bread, chicken, kneads her stomach, makes muscular efforts in her room daily, and walks in the evening & keeps her mind as quiet as she can. The black spot in the cornea where the filing had entered yet remains, in the case of John Goodrich. Is there any portion of filing yet remains in the cornea? Mr G Ritter mentioned to me [cross out] this morning that Dose a swits, blew off half his face with the contents of a pistol, and afterwards washed the lacerated wound with his own hand, beckoned for help, sit up in a canage riding to the Hospital and lived 4 hours. The fistulous ulcer of G. Ritter still exists & discharges. but he is in good health walk well. no weakness in the ankle. Dr Hartsthorn says the heat has only diminished the number of Drunkard. Mr Ritter mentioned a friend having entered his house during the excessive hot weather walks fast, immediately seated himself at dinner and after eating, his eyes were noticed by another to look queer, he felt and with difficulty was recovered from as state of insensibility. ꝶ query did not this case call for an emptying of the stomach after the immediate effect of insensibility was removed. Heat (extreme) is the remote cause of the death of 105 of the 196 case above reported. But the immediate cause are various. 1st. The 15 consumptive cases died from general debility and the altered state of the air from heat. 2nd. The [f] 15 convulsions from the nervous system rendered unstable by heat. 3rd. The 34 Cholera Morbus by the effects of heat on the bowels. 4th. The 8 Apoplexy by [cross out] stomach weakened by heat 5th. The 11 cases of cold water from heat on stomach accustomed to ardent spirits. 6th. The 6 of excessive heat, 11 of debility 2 Coup de Soleil, direct effect of heat on nervous system. 7th. The 13 sudden death several perhaps from food taken into the stomach deprived by heat & fatigue of digestive powers. 8th Old age. extinction of life by over excitement from heat. Heat has been the sole cause of the mortality. Otherwise the city has been healthy. "GEORGETOWN, D.C. July 27th, 1830. "I regret to add, that death in its most appalling form, has made its appearance in this town and vicinity. It seems to be confined to the labouring classes in general, but more especially to the emigrants working on the Canal. Its approach seems to be preceeded by a species of wild delirium in the subject, which holds until the body sinks from exhaustion, and after a few hours continuance in this condition the spirit departs from its mortal tenement-shortly after death the corpse takes a dark hue and becomes nearly black. In the Roman Catholic graveyard, I have been informed that as many as fourteen have been interred in one duty; and a member of that denomination, was told by one of the clergymen, that he had visited, within twenty-four hours, forty different persons, and administered to each the comforts of religion. There is another clergyman of the same persuasion also in constant attendance. The labourers are chiefly members of that Church. The disease is not always fatal; there have been several cases of recovery. "It is represented by the physicians, that so far as regards the native citizens, the town never was healthier."-Balt. Gaz. 88 177 From one extreme to the other-The Boston Gazette of Friday says, that, on Thursday last, "fires were found indispensable to comfort many parlours and compting-rooms, and surtouts and plaid cloaks took the place of light jackets and short coats. A cold N. E. wind, accompanied by rain, prevailed during the day. The sun has not smiled upon our city, we believe, since Sunday last." NEW ORLEANS, July 9 Our northern papers per yesterday's mail furnish little or nothing of interest. The papers from this and the adjoining states are lamenting, as well as ourselves, the drought which seems to prevail throughout the lower Mississippi, to the great injury of the growing crops. We have now been nearly a month without rain, oppressed with excessive heat and clouds of dust. The range of the thermometer for the last two or three weeks has generally been about 90 deg. in the shade. JULY 12-Since our last publication the weather has undergone an agreeable change for the better. On Friday morning last, after an absence of rain for the space of a month, we were visited by a copious and refreshing shower, which continued at intervals during that and the following day. Indeed a violent storm commenced on Saturday evening, accompanied with thunder and lightning-the rain fell in torrents, and so vivid was the lightning, that a laborer employed on the roof of a new building in Rampart street, was struck by the electric fluid, which prostrated him from the house to the earth, where he immediately expired. Two others were on the roof at the same time, but were not seriously injured. [cross out] Fungus = Capt Lelan Case The lacerated wound on the os nasi healed at the skins: subsequently, it suppurated and formed a deep seated abscess, owing to the sloughing of the pho membranous structure under the skin, attended with edematous erysipelas of the eye lids & surrounding parts. The capt objected & resisted the opening of the increasing abscess and fungus was generated. I treated the fungus with straps, To day I cut it off. It bled freely but co as insensible. The other wound is healing rapidly. The new skin is covered with a white unctuous matter. gr. Is not the white unctuous matter over the newly formed & delicate skin similar to that which covers the skin of the new born infant. [cross out] Sulp. Copper. = ulcer on the inside of the cheek. Mr Landis of M. L. S has been suffering some days with an ulcer on the inside of the cheek having an adherent sloughing surface with florid sharp edges I applied the solid sulp copper and he instantly obtained relief. A similar ulcer attacked the upper part of the right tonsil of Mr V. L Bradford. One application of the same gave him ease and the ulcer healed kindly. These cases confirm Dr Coats remarks on Sulph Copper. The unusual number of sudden death [cross out] during extreme heat of the latter part of July last in this city and several other places in the U.S. deserves a few remarks. Some years back sudden deaths in July in this city were attributed to drinking the very cold spring water of our pump when over heated by work or walking. so general was this opinion that the city council ordered printed caution to be pasted on each spring pump. After the introduction of the schulkill water of higher temperature and the neglect & drying up of the springs and the removal of most of their pump, sudden deaths seems to be of less frequent occurrence. and the opinion prevailed that the introduction of the hydrant water had in this way been the salvation of many lives. Deaths has subsequently nevertheless happened tastes drink, and a new opinion was started & prevailed, that the real came was the [cross out] effect of cold water [cross out] in habitual intemphace Drunkards were considered must liable to the fatal effects of cold water drinking This seems to be now the prevailing opinion undoubtedly there is much truth in it. But is it indeed only a daunken habit, hot sun & cold water that can account for all the mischief. Have not many suddenly died the past two weeks who are by no means daunkards, Has not the heat been hotter in the part years [cross out] without the number of sudden death being in due proportion and have not may been affected after drinking the moderately cool or rather warm water of the hydrants & not the cold spring water of the pumps of which now indeed there are comparatively few have not many died sudden without having drank water have not some been attack after the heat of the day. and have they not exhibited various symptoms & calling for a variety of treatment 88 179 The mortality above noticed is owing to [the practice of lab] corporeal labour during the extreme heat. And the increased number of deaths is owing to the increased amount of labour. [more] The practice is to labour from 6 to 6. and there are more new streets opening & preparing for curbing & paving, more alleys dry & paved: in water pipes are laying in various parts: more houses building and course put more stone cutting & brick making going on than in any previous year: This demand for [public] labour exposed to a midday sun at 91°. of an increased number of day labourers in a country where the use of ardent spirits is habitual & excessive among the labouring people many of whom are [from] not yet [cacl] acclimated and a great proportion natures of Ireland, where both from [the more] higher latitude & from the influence of the ocean the temperature seldom [his various] [from] varies far less. [An not] A poor Irish man, in his own country, lives principally on a vegetable diet and though he indulges in ardent spirits this indulgence is only occasional. He fattens his pig for a sale at a fare, and with the price he and his fellows drinks but when the holiday frolick is over he returns to his home resumes his hard work and live on water & potatoes. But when he has come to this country, he becomes a meat eater and as habitual drunkard and soon suffers also from [the] the effects a more variable climate. [This is the man who] He has passed a winter severer than his own, and now in July he [is exposed] labours in the streets at digging, paving [or] carry of bricks under a heat of 91°. drinks drams throughout the day. He needs no drinking of iced water or cold water of the pumps [to convulve this] to make him real, stegg convulsively & laboring brick & suddenly die. He has been labouring since 6 Am, exposed under a heat of 91° with the stomach either distended with food which cannot digest or empty and with the vascular system excited by ardent spirits see Mr Milchele, acc. Vo. xii No 32 M.C Review The cases are very various. A young man of sober habits, accustomed to walking fast, entered the house of a friend who with his family were dining Heated & fatigue he instantly partook of the dinner. And then their eyes extrup were noted as unnatural by one [of the fa] at the table, when he fell & became insensible with laboured breathing. Medical aid was called in. This was a case [of debility] in which the stomach from the heat & exhausted and the excitement of the [system] skin &c had no power to digest the food. [and the foo] which acted as ingesta on the brain. A driver of a dirt cart, aged 40, habitual drinker, after dinning, two hours was labouring in the street spading up the dirt, and drank at a hydrant, he instantly felt dizzy, pass [illegible] tottered fell and became insensible recovered somewhat but had no voice. had recurrence of gastric spasms. He was taken into a house feet put into hot mustard water large mustard plaster applied to the [sto] epigastric region, and temples & head bathed with cold vinegar. He gradually recoverd. Flax seed tea was given him which excited vomiting. Arterial excitement followed, Cal gr v.v & mag given & flax seed tea. In the case, the extreme heat of the day was passed somewhat, but he had been exposed to it, and had his stomach inactive thereby pl distended with his drink, continued to work after eating, and then avoid the action of the stomach by water and caused an affection of the brain. 90 181 A Frenchman of middle age employed at digging one of the new streets beyond broad st who had been indisposed a few days fell suddenly at 9 Am and became speechless insensible and breathed laboriously. He was bled by a bleeder profusely. 20 & more ℥. He died apoplectic at 1 Pm An aged man s stone cutter, of sober habits after work fell at 4 Pm. apoplectic and died at 10 Pm. The New England Paladium July 23 mentions the case of a young man who fell from over fatigue at standing at the teller desk 2 [other] cases of death from fatigue The Albany paper mentions 2 cases found dead in bed. another from working in the sun. The connett coun of Hartford July. 21. relates three cases Spasm of stomach, convulsive action of heart & blood on the brain. or Debility [of] by heat, exhausted by perspiration, prostration of strength pulse barely perceptible skin cold & clumsy. Aly Gae. 23. July Thermometer. Quebec. July 24. 5 & 6. 95°. 96°. 102°. Boston from 92 to 96. Phila. Washington. 19th 94° 96° Baltimore 21. 91. to 93. Norfolk. 91 at 5 Pm. Richmon 26th 95° to 96 1/2 ° 97°. Frederick b.s. 94. to 99 1/2. St Augustine. 96°. Effects of Solar heat. 1 Mear expose to a burning sun, [in M] produced in Mr Mitchell, nearly loss of vision and a feeling of distention and bursting of the head. 2 Mearly standing a length of time at the counter of a Bank caused a Bank teller to fall exhausted and for a while to be insensible 3 Running and being overheated & drinking was followed in a female with death in a few hours 4 Walking fast and when overheated eating dinner was instantly followed with disturbed vision and prostration and insensibility. 5 Drinking hydrant water after dining & shovelling street dirt in an habitual intemperate man was followed with vertigo, prostration, loss of speech and difficult breathing & cramps of the stomach. 6 Digging a newly opened street was followed with prostration and apoplexy & death at 9 Am. 7 Ordinary labour at stone cutting was followed in the afternoon with sudden prostration apoplexy and death. 8. Walking, eating a chock pear, and a tumbler of ice water & walking again was followed with disturbed sleep, difficult breathing and muscular aggitation cold extremities and horrors of death. 9. 2 cases were found dead in bed. The mortality is not attributable chiefly to drinking cold water. The Health office reports of Phila [of] from July 17th to 31st. state only 11 from this cause and 18 from excessive heat and 24 as cases of sudden death. and 2 coup du soleil. The water of our streets has for many years been [that] the schylkill which varies its temperature with that of the weather. Cold spring water is seldom drank, the pumps are few in number and the wells are mostly dry or contain bad taste water. The cold water is made by ice and drank in private families when [cross out] accident of have not happened. The extreme mortality at Georgetown happened among 91 183 the emigrant working in the canal and no mention is made of [cold] water drinking as the cause. The mortality is not attributable chiefly to excess in ardent spirits. Many cases occurred in persons of temperate habits. Philadelphia; FRIDAY, JULY 23, 1830. The communication touching the Hudson & Delaware Canal Company, requires a name to the editors of this paper. WEATHER. The Thermometer ranged yesterday as high as it has for several previous days; and at three o'clock those who were shut out from the enjoyment of a slight breeze, had reason for the many groans and lamentations that were uttered upon the subject of the weather. About 5 o' clock in the afternoon, a squall came up and blew the dust about at a terrible rate-swept along the street with a most calamitous force, were dense masses of pulverized clay and common, earth, mingled with here and there a Navarino bonnet, broken loose from its fair owner- while the clattering of window shutters and cracking of awning posts, indicated a lack of preparation on the part of citizens for such a visiter. We learn that several accidents happened on the river in consequence of the gust -None were mentioned to us of fatal results. PAINFUL OCCURRENCE. Yesterday Mr. M'Farland, a stevedore, while engaged at work on the deck of a vessel, in the lower part of the city, was suddenly overcome by the heat, he fell down and expired. He was carried to his house in Second below Shippen street. His wife, in the hope of effecting his restoration, started in haste for a physician-at the corner of Second and Gaskill street she took a drink of water, and was immediately so much effected as to be unable to stand. The most humane attention was bestowed by the people in the vicinity, but in vain; in a few minutes Mrs. M'Farland was taken home a corpse, and laid beside the dead body of her husband. Mr. M'Farland was mentioned to us as an industrious but poor man; his four little children are now orphans, without the means for procuring a morsel of bread-their case is one that appeals with force to the best feelings of our nature, and we cannot think that in Philadelphia, there will be any lack of full and prompt ministration to their wants. COMMUNICATION. COLD WATER. During the last week it has been my painful duty to witness seven cases of disease from drinking cold water, of which two have died and five recovered. In each of the cases of death, bleeding had been resorted to as a remedy, previous to the advice of a physician being obtained. The almost unanimous consent of the Medical Faculty, is against the abstraction of blood. The proper remedies as suggested by the experience of the subscriber, are the following:- A large dose of laudanum under the direction of a respectable apothecary, in the absence of a physician; frictions with mustard or cayenne pepper, and moderate quantities of brandy and water, where the previous habits of the patient may seem to require it. During a number of years, my experience has taught me to believe that warm fomentations applied to the belly, and opium in some form or other, are the great remedies to be relied on; all that I have ever read, or seen, in the course of thirteen years practice, has confirmed me in the opinion. that bleeding is injurious in the cases of disease occasioned by drinking cold water. In the last three or four days several cases have occurred, terminating in death, in all of which bleeding have been employed. In my own practice I have never lost a patient, and that solely from my devotion to a rational stimulating practice by the means of vinegar fomentations warm, cayenne pepper, and mustard externally applied. EDWARD HAYDOCK, M. D. July 21, 1830. From the New York Gazelle of yesterday. The heat of the weather continue excessive, and the effects of it have been seriously experienced among the workmen in the Gazette office cut we are happy to add, that two of them who have been ill from partaking of cold drinks, are recovering. If there be any irregularity in the delivery of the Gazette to subscribers, it will, in charity, be imputed to the proper cause-the excessive heat, which every body feels. From the New York Commercial Advertiser, July 21. THE WEATHER. Up to the time at which we are writing, 10 P.M. the temperature has continued to be too warm for comfort in the cross streets, and indeed any where in the city. There was a refreshing breeze from the South this morning, but its general influences are not felt any longer. The Thermometer in the N. E. corner of the large room in the Exchange, stood at 86 deg. at 9 o’clock this morning.-In the same situation at noon 88 1/2. At the Bank Coffee House, in the shade, it stood at 90. We have just learned that a young gentleman employed in the Manhattan Bank, sunk down on the floor in complete exhaustion and insensibility, while counting out money. By the application of cologne water and medical aid he has been restored. Mr Finlay, the pressman employed in the office of the Journal of Commerce, and Mr. Dunscomb, in the Gazette office, are both very ill in consequence of fatigue during this extreme hot weather. The Salem, Mass. Register, of Monday, says that the thermometer on Sunday in Essex street, rose to 97 in the shade. The highest degree of heat indicated by a thermometer in South Salem, on Friday, was 90, on Saturday 92, and on Sunday 94. On last Saturday afternoon, a stranger, supposed to be an Irishman, about thirty five years of age, in winter clothes, fell down on the Newark turnpike, at a short distance from Elizabeth Town, and died. It appears that he arrived there about noon, in a steamboat from this city, and had stopped at several places. He complained of being unwell at the last place he visited. No coroner’s Jury was held; and the body was interred in a burying ground next morning. He was supposed to have died from the effects of heat.-In his pocket was found a letter addressed to John Ireland, Esq. care of Jonathan Lawrence, 69 Broad street. It is said, that a capt. of a brig, who had occasion to stand near the Fulton Market, in a position in which the rays of the sun pointed directly on his head, dropped down, from the excessive heat, and was recovered with great difficulty. On the consequences of drinking Cold IVater, and the means of recovery. Having been called this morning to attend a man supposed to be dying from drinking cold water, I immediately opened his clothes, wiped off the perspiration, used moderate friction on the stomach, pressed the abdominal muscles, restored the action of the peristaltic motion; gave him, as soon as he could swallow, a few drops of hartshorn and water. I continued the friction as before mentioned, but refrained from bleeding, from the man’s being already in a state of exhaustion and syncope, which I considered would have endangered his recovery. Had it been practicable, I should, in addition, have ordered the warm bath. These simple means I consider only necessary in most cases of a similar nature to save the patient, and may be applied in the absence of a physician. JAMES WATSON, M.D. 154 Maiden-lane, July 20, 1830. We understand that a young man fell down last evening in Chesnut street, nearly opposite the National Hotel, and died almost immediately. This was the consequence of an imprudent use of cold water. We understand that a man died on Monday afternoon in Front street, Southwark, after drinking cold water. He had got only twenty feet from the pump when he fell and died. It is said that three persons, two of them Irishmen, died at Boston, on Saturday, from drinking cold water. July 1830 A Manayunk. several sudden death, among labourers. One at the lock, being exhausted by heat & labour, had spirits given him, he instantly fell & died. A woman who exhausted the heat was taken to the Tavern. brandy opium & she died. To the Editors of the United States Gazette. Gentlemen: During the continuance of the present fervent weather, any remedy or useful precaution to be used in a case of exhaustion or prostration from the heat, may well be presented to the public, and attention urged to its efficacy. A venerable friend of the writer, whose experience fully justifies his conclusions, states, that in a case of suspended animation from heat -such as faintness and stupor, the application of the open hand, by repeated blows, to the palms of the sufferer, is very conducive to a restoration of the faculties, as it induces a more free transition of the blood. The observant & judicious habits of the person who recommends the remedy, are sufficient to warrant its publicity. Aside from his own particular trial of the relief, he has beheld it practised with success upon others. The principle of the action is, that the circulation of the blood is quickened; and the simplicity of the application places it in the power of any bystander, in such a disaster, to do as much service as perhaps might be effected by a regular disciple of Esculacius; and with an assurance too, that no possible harm can ensue, if the remedy should not be immediately effective. The name of the gentleman can be given, if reference be considered of moment. S. D. K. In Main the average heat for seven days from 16 to 22 July 1830 at 1 Pm. in North Shade was 91°.08. HEALTH OFFICE, July 31 1839. INTERMENTS In the City and Liberties of Philadelphia from the 24th to the 31st July. DISEASES. Adults. Children. Apoplexy 6 0 Asthma 1 0 Atrophy 0 1 Cancer 1 1 Casualties 1 0 Childbed 1 0 Cholera Morbus 0 38 Consumption of the Lungs 13 2 Convulsions 1 17 Decay 1 0 Diarrhœa 0 2 Dropsy 2 1 - in the Brain 0 6 Drowned 1 0 Dysentery 2 2 Drunkenness 1 0 Debility 7 10 Epilepsy 1 0 Excessive Heat 12 0 Fever 3 0 - Remittent 3 0 - Bilious 1 0 - Scarlet 0 1 Gout 1 0 Hooping Cough 0 1 Inflammation of the Brain 0 1 - Lungs 1 0 - Stomach 0 1 - Bowels 0 2 - Liver 1 0 Carried over 61 86 DISEASES. Adults. Children. Brought over, 61 86 Mania a potu 5 0 Old Age 2 0 Palsy 4 0 Pleurisy 1 0 Scrofula 1 0 Small Pox, 0 1 Still-Born 0 3 Sudden 11 0 Teething 0 2 Tumours 1 0 Unknown 5 0 Total 183-91 92 Of the above there were: Under 1 year 65 From 1 to 2 15 2 to 5 6 5 to 10 3 10 to 15 1 15 to 20 2 20 to 30 17 30 to 40 21 40 to 50 24 50 to 60 11 60 to 70 9 70 to 80 5 80 to 90 2 90 to 100 2 Total 183 Of the above interments, 4 were from the Alms-House, and 20 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clark. We find the following in the New York Journal of Commerce-it is thought to be seasonable. Cold Water, in moderation, always safe! Pure cold water is nature’s beverage, and never hurtful, if properly used. If your water is brackish, sweeten it, and add a pinch of ginger-This is an infallible corrective. Rum, brandy, whiskey, gin, only make the matter worse. They may sometimes prevent immediate ill effects from bad water, but in the end will do a greater mischief. Ask the Doctor. If you are very warm and thirsty, "cold water to a thirsty soul" is the best refreshment.- Only drink moderately. Why were you made a rational being, unless your reason can govern your appetite? if your system is not heated on the inside with strong drink, pure cold water, in moderation, will never hurt you. The most eminent physicians are full in the opinion, that nearly every case reported of death from drinking cold water, is, in fact, a DEATH FROM DRINKING RUM. Water drinkers always suffer less from thirst, than brandy and rum drinkers. DRINK WATER-MODERATELY. Had the writer of the above prescriptions-gazed on Monday upon the ashy visages and glazed eyes of the poor wretches who lay stretched out corpses upon our pavements, from drinking moderately of cold water, he would have exclaimed to the living-"Drink no longer water altogether, but a little wine for the stomach's sake, and thine often infirmities." THE WEATHER. The weather was - it was too hot to write about. A complaint is made from Southwark, that cleanliness in the streets and gutters, is neglected. We heard of two or three deaths which occurred yesterday from drinking cold water.— One man died almost instantly on board a vessel near Arch st. wharf, from a stroke of the sun-(Coup de Soliel ) A man at the corner of Race and 9th sts. and a grocer in Southwark, died yesterday from an imprudent use of cold water. Since writing the above, three or four additional instances of the kind have been mentioned. The New York papers contain similar accounts. On Monday, a man named WEEMS, a native of Ireland, stopped at a pump in the of neighborhood of Christian and Sixth streets, and drank a considerable quantity of water; he had scarcely finished his draft, when he fell and immediately expired. It has been stated to us, that on the same day and yesterday, several persons lost their lives, or suffered much pain from an imprudent use of cold water. A friend stepped in last evening to state to us, that he witnessed yesterday afternoon, the death of two men in South street, from drinking cold water-and about the same time, another man died from the same cause in Shippen st. We understand that a young man fell down last evening in Chestnut st. nearly opposite the National Hotel, and died almost immediately. This was also the consequence of an imprudent use of cold water. On Monday Morning, the 19th inst. a canal labourer inhabiting one of the Shantees below New Hope, was found dead in his bed, whither he had retired the proceeding evening in a state of intoxication! He was found lying on his face, and the night being very sultry, it is supposed he died of suffocation.-Republican. Two more sudden Deaths.-On Sunday afternoon, previous to the burial of Mr. John Reynolds, whose death was mentioned in our paper of yesterday, Mr. Egleston, a nephew of Mr. R. was despatched for a hearse, and in his haste, he must have overheated himself, as he died almost immediately after his return to the house. Mr. James C. Maher, a grocer, at the corner of Chapel and Van Schaick sts. died very suddenly yesterday morning.—Albany Daily Adv. CHAMBERSBURG, July 27. Hot Weather.—Since about the 16th inst. we have experienced very hot weather in this neighborhood- the thermometer ranging many days from 90 to 92, and on one or two days rising as high as 96 of 97. CINCINNATI, July 22. The Weather — After a long spell of dry, and six days of intensely hot weather, (the thermometer varying from 90 to 98 in the shade, according to situation,) yesterday afternoon we had an unusually heavy rain, which continued to fall nearly two hours in torrents. We understand that Mr. Kennedy the Constable died yesterday from the effects the extreme heat of the weather. STATE OF THE THERMOMETER. 9 o’clock. 12 o'clock. 3 o’clock. July 16 80 85 86 17 83 86 87 1/2 18 84 87 89 19 85 87 89 20 84 3/4 87 1/4 89 3/4 21 85 1/4 88 3/4 91 22 86 1/4 88 3/4 91 State of the same Thermometer under the same exposure in the year 1825. 9 o’clock. 12 o’clock. 3 o'clock. July 16 80 1/2 84 86 17 82 84 1/2 86 1/2 18 84 88 89 19 85 88 90 1/2 20 86 88 90 21 87 90 92 1/2 22 88 91 1/2 92 3/4 MARRIED 92 185 The case of the French man digging the street in 8th scho chestnut I saw at 9 Pm lying in a yard expo shaded except his feet. It was not long after he had been bled by a bleeder without the advice of a Physician about ℥xv. or xx. blood was a fluid cake the serum having not yet separated. [His ex] He was apoplectic, eye balls fixed, iris contracted & immovable, cold surface gasping & noisy breathing. with vomiting after giving Hoffman Andy & Land attacked in the morning- 9. died at- 2 Pm. The case of the Stone Cutter. eyes fixed, iris contracted, [but not] lungs in the most laboured breathing, the abdomen [swl] swelling & subsiding like the waves of the sea, the shoulders moving & the alu of the now in motion mouth locked, when forced open the tongue found drawn back, the end elevated, the now made by the breaths was that of violently snuffing in the air. His extremitis cold, and his pulse weak & 120. he died at 12. pm. attacked at 4 Pm died at 12 Pm. The case of the Caster. of sheet dirt. vertigo, muscular prostration, less of speech, partial insensibility, intelligence impaired, gastric spasm, flushed face, cold feet, pulse 92. & full & strong. vomiting after flax seed water was given. attacked at 4. Pm. after dining, labouring in the sun & drinking hydrant water. The first two case are called apoplectic, but they differ from common apoplexy in having a frequent pulse and a very hurried breathing. It is a nervous and not an arterial disease. A morbid state of the nervous & sensorial functions, and not an oppression of the cerebral mass by pressure of blood. The whole number of deaths in Boston last week was TEN- of which number only one was a female- and strange as it may seem, six of the ten died by consumption. 1825. July. Therm. rose to 94 or 23° Drinking water 23. Coup de Soleil 2. Sudden 22. Apoplexy 22. Cholera 50 Convulsion 39. Therm from 9th to 24 ranged from 83 to 94. 23rd the hotest day. 16 days 1830 July. Th. to 92 on 28th. ditto 11. " 2 " 24. " 14. " " Therm. 16th to 28 from 86° to 92° 13 days Deaths from Drinking cold water. From 1808 to '30 inclusive 47. of which 34 occurred in 1825 & '30. 1808 to '17 - 0 '18 " 2. between 30 & 50 ys. '19 " 9 " 20 " 70. '20 " 4 " 30 " 60 " '21 " 1 " 40 " 50 " '22 " 5 " 26 " 60 " '23 " 2 " 30 " 50 " '24 " 1 " 30 " 40 " '25 " 25 " 10 " 70 NB 10 between 40. & 50. '26 " 0 " [30 - 50] '27 2 " 30 " 50 '28 5 " 20 . 60 29 0 " " 30. 11 At St Augustine. July. 5. 1830 Therm at 90 & considered unusually oppressive At Tallahasee Florida. Therm during the week ending July 5th 1830, ranged from 92. to 98. at 2. Pm. mean heat 90 1/4. N. Orleans healthy June 14 as in winter. 1830 New York, July 22. Effects of heat, and drinking cold water.- About 5 o’clock yesterday afternoon, a man named Thomas Dougherty, a native of the county of West Meath, Ireland, who had left Fort Diamond in the morning, to attend the funeral of a relative, on his return home, in company with his brother, stopped at a pump in Division street, and after drinking fell down in a convulsive state. He was taken to the house of Mr. Patrick Brady, and medical assistance obtained, but in vain. He has left a wife and two children. On Thursday evening a man named Smith, driver of one the Bowery Stages, died in Mott street in consequence of having drank cold water; while the coroner was yet holding an inquest on the body, he was called to inquire into another case of death, which resulted from the same cause. At one o’clock yesterday, a man named Emmons, lately from Wales, died in an hour and a half after being overcome with the effects of heat and drinking cold water, at the corner of Sullivan and Broom streets. 1830 New York, July 27. Report of Deaths.-It will be seen by the list of interments, that there were upwards of two hundred deaths in this city the past week. Of this number more than one hundred were children under five years of age, and seventy-seven of one year and under. Among the diseases we notice twenty-two by convulsions, eleven by drinking cold water, sixteen dysentery, fifteen infantile flux, six intemperance. [From a Hamburg Paper] The hurricane of the 25th of May threw down in the circle of Krossen 160 houses, three windmills, and a church steeple; 400 sheep and oxen and 2 men were killed, and many received various serious injury. Immense damage was done to the forests and several thousand fruit trees destroyed. [From the National Intelligence of Tuesday.] For the last eleven or twelve days, the Thermometer has been, at some time in every day, at 90 degrees of Fahrenheit; and at no hour of the four and twenty; during the same period, has it raged much below 80. This great heat has caused within this District, and especially amongst the recent immigrants working along the line of the Canal, a number of sudden deaths. We shall not overate the number of deaths from the direct influence of the sun, or from drinking cold water in the part of the District which lies east of the Potomac, at 25 or 30. 1830 BALTIMORE, July 23. Last night, about 11 o’clock, we had a copious fall of rain, accompanied with severe claps of thunder, and continued lightning. The whole ethereal concave was frequently illuminated. We have seldom indeed witnessed such a giving out of the electric fluid, as at and during the hour mentioned. To-day, at 1 o’clock, our thermometer stands at 90, with a clear sky and lively air from the S. W. Sudden death-A man named John Mills, employed as a moulder in the stereotype foundry of Mr. Simmons, in south Gay street, dropped down yesterday afternoon, and died in a few minutes.- The verdict rendered by the Coroner’s jury was, that he died of apoplexy 93 187 Monday. August 9th 1830. Reuben Costalve. Sarah Darrach, Mrs Haley. Dark clot followed with florid blood from the lungs in the ears of Sarah Darrach. Aug. 7th at 8 Pm. ꝶ Elex vit. 1830 Providence, R. I. July 19. The Weather-Friday, Saturday and yesterday Were the warmest days of the season; the thermometer ranged from 90 to 93 degrees in the shade, and the atmosphere, a great part of the time, was deadly calm. Thunder Storm-On the 22d inst. a very severe storm of wind and rain, accompanied with thunder and lightning, visited the village of Stamford, Conn. A house and several trees were struck, and fences were prostrated. No material damage, however, was done. The grain harvest had been completely gathered in.- N.Y. Com. Adv. Baltimore, July 27. The Thermometer in the Gazette office this morning at eight o’clock, stood at 90°-at 1 P. M. 93°. A Coroner’s inquest was held by Henry Staylor, Esq. yesterday, in High, near Hillen street O. T. upon the body of Elizabeth Labount. Verdict, death by over exertion and exposure to the heat of the weather. Dry Weather.- The Norfolk Beacon of Tuesday says:-" It is now more than a month since the earth has been refreshed by sufficient rain, even to lay the dust for 24 hours. The Wheat Crop, we learn, is abundant, and quality superior." CHARLESTON, July 16. Thunder Storm-On Wednesday night last, between 10 and 12 o’clock, our city was visited with a severe thunder storm, accompanied by a heavy fall of rain. The thunder was more severe than has been felt for some time back-the lightning sharp, close and incessant The New York packet ship Niagara, Capt. Besher, lying at Price’s wharf, had her main-top mast shivered to pieces, several splinters taken from her main-mast, split one of her pumps, and ripped up the deck slightly; the fluid then entered the Cabin through the bulk head, destroyed two of the births, and passed through the Cabin-windows. Six persons were in the Cabin at the time, in their births, who fortunately received no injury. The Niagara was to have sailed yesterday afternoon for New York, but will be detained a day or two to repair in consequence of the injuries sustained as above. The House of Mr. Peters, in Moultrieville, Sullivan’s Island, was also struck, during the night, but we understand not much injured. We have not heard of any other ill consequences of the storm. The Georgia Patriot says, there never have been known such crops of small grain in the State, as it has been blessed with the present season. The wheat and rye have generally been reaped and saved. The crop of oats is very heavy and will soon come in. Wheat is worth about 50 cents per bushel, and Indian corn has already been offered at 12 1/2 cents. Excessive Heat-At Tallahassee, Florida, during the week ending the 5th inst, the thermometer at 2 o’clock P. M. ranged from 92 to 98 degrees, averaging at that hour of the day for seven successive days, neatly 95 1/2 degrees The state of the thermometer taken at 8 A M. 2 P. M. and 6 P. M., exhibits a mean heat during the same week, of nearly 90 1/2 degrees. The Bradford Jur. Esq. gave me the following ext. from an old alm. 24th July 1783 the Thermom. at Mr Ritten house: 94 1/2 on on that day 30 persons died of heat & cold water. Phila.. In July. 1830. Therm. 102. at Quebec. 99° on 18th at Rochester. for a week from 90° to 96° at Portland M.- 98° at Salem Mass. At Newport R.I. one of t.he coolest places in VS at 89°. at Phila 92 1/2. Baltimore 91°. Tallahasse for a week upward of 95°. On 22 July, [at Orange]. Orange Telegraph states that Mr Smiley Irishman on landing ask for water & then brandy, after drinking he felt ill. A Physician gave an Emetic, & he suddenly fell back & died. On July. a sawer at labour under the rays of the sun in Greenwich st N.Y. drank from one of the pump & [pr] dropped down & died. Also. a woman in Elms st after drink cold water. July. 17. NY. 2 died from cold water. The Effects of Heat &c in July. 1825. in U.S. July. 12. 1825. The N.Y. Eve. Post, states that a lady while passing along Greenwich st on Sunday was so overcome with the heat, that she fell upon the pavement and was afterward attacked with a succession of fits during the night. A labouring man was brought near death on Monday in 4th st Phila. from drinking while warm to freely of cold water from a pump. By the benevolent efforts of Mr Chew & family he was restored to health. The utmost caution is requisite during the present hot weather. We have heard that no less than 6 persons died yesterday in consequence of the heat. N.Y. 12th. the weather continues almost insupportably warm in the city. At 1. Pm the Mercury stood at 93° in the shade. We learn that 3 horses were killed in the stage from Phila to NY. city. Several men dropped down in our streets (N.Y.) [wh] one of whom died this morning. N.Y. July. 18th Corroner report. 2. apoplexy. 2 debility. 8 [dr] cold water 6 overcome by heat. The Palladium state that a Boston, that at one time, there were women & men in the street dying & fainting, the physician attempting to bleed them, the friend rendering their best services & officers keeping off the crowd. The Gazette of Boston states that 25 to 30 died from exposure to heat & imprudent drinking of cold water. majority of them Irish labourers. Yesterday the heaven was seen moving in every direction. One physician visited 13 persons suddenly attacked from the imprudent use of cold water. 3 of whom died. In Broad st 3 Irishmen were seen dying between the hours of 1 & 2 Pm on Sunday 94 189 The owner of the Providence line of stages has lost several fine horse. Death have occurred on other routs. Most of the workers employed in building stores &c in exposed situation have been compelled to quit work & seek the shade. The Patriot states, that some slaters on the roof of a building became paralyzed by the sun, & were so weak as to require assistance to get down. Several privates of a company ordered to attend a funeral on Monday morning became so faint as to be obliged to leave the rank, one of them died on Tuesday. The Courier of Boston states 20 death among labourers from heat & cold water at work in peculiarly exposed situations. 9 died in Broad st in 24 Irish emigrants. The Berlin Daily advertiser gives a list of 35 interments for Monday. Tuesday & Wed. in a population of 42.256. If the death in Phila were in proportion there would be 100 funerals a day. The Boston Gazette states that by the request of the Mayor, the Master builder &c agreed to abstain from labour during the continuance of the hot weather from 12pm to 6 Pm. N.Y. state man. says that the labourers quit work on Tuesday. owing to the heat. While such a mortality existed in Boston & New York only 2 died from cold water in Phila. which is owing to the schuylkill water. The Providence Patriot says that several hundred peach & pickerel 1 1/2 lb in vergle were found floating in Brush Pond. Cranston during the extreme heat of Sunday & Monday. We understand that in July 19 several person died from heat & cold water. In N.Y. 176 died in one week 90 more than has ever been known before. 28 of whom were interred in the ground of the Cathol. Cath. in one day. A gentleman informs the editor of the Boston [Gazette] Courier that the extreme heat of last week occasional the death of multitudes of fish in Concord river near the village of Concord, such an incident, they say occurred in the same river 40 years ago. In Boston the number of death on Monday of last week = 12. Tuesday 22. Wednesday 7 total 40 in 3 days. (Health Commission) During the week ending July 16th 1825 33 died of drinking cold water in N. York. 5 sudden deaths. In Phila July 28. Three men employed in Vine st culvert dropped down yesterday afternoon over powered by the heat recovery of some considered doubtless Others have died in various parts of the city some from drinking cold water & some simply from the effect of heat. The suggestion of the Board of health to abstain from all violent exertion during the hours of extreme heat. Tuesday at 1 Pm it was 93°. New York. Thursday the corroner held inquest on the bodies of six persons died during the day from drinking cold water. In Phila. July 21. 1825 Tuesday. Five men fell down in the afternoon, overcome with heat, Paralysis was produced termed stroke of the sun. The same day a horse fell dead in First St had been driven violently during the day with a heavy load. Tuesday morning at 10. a lady after drinking a glass of ice water in a dry good store in 6th st immediately fainted & was conveyed home in a cariage apparently dead. 95 191 The swallows inhabiting the large ship house of the Phila Navy yard were daily dropping down dead among the work men below in July 1825. This incident induced the officers to [examine] ascertain the degree of heat. It was found to be in a therm [to ascertain] in the commandents office 95° & in the ship house at the roof 106°. At Norfolk July 16. 1825 the therm ranged from 88 to 92 yet healthy. At Vendson Vt. July 18 therm. 96° for some hours, on 19th.. at 1 Pm. 96°, at Dew Point 95. At Poughkeepsie July 2. 1825 after 3 of the hotest days occurred an uncommonly severe storm of thunder & lighting. It is believed the present is the warmest seasn for the last 14 ys. therm at 93 1/2. On Saturday at Albany an Irishman returning from a funeral of one who died from drinking cold water, stopped at a pump to slake his thirst and in 5 mi was himself a corps. NY American states that 33 sudden deaths [co] occurred in that city on Friday July 22. 1825. Heavy showers of rain on Sunday night July 24 1825 The cases says a writter were either instantaneous apoplexy on most aggravated spasm of the stomach & bowels. that those physicians most experienced, if called seasonably, have found free bloodletting & emetics which operate quickly & powerfully are the best for the apoplectic cases. Dr Hadock says. No bleeding but gives Laud. & apply mustard & Cayenne pepper. HEALTH OFFICE, August 7 1830 INTERMENTS In the City and Liberties of Philadelphia, from the 31st July to the 7th of August. DISEASES. Adults. Children. Atrophy 0 l Bronchitis 0 l Casualties 1 0 Cholera Morbus 0 21 Consumption of the Lungs 10 2 Convulsions 0 2 Diseases of the Heart 1 0 Diarrhœa 1 0 Dropsy 2 2 - in the Brain 1 8 Drowned 1 0 Dysentery 1 1 Debilty 1 6 Erysipelas 1 0 Fever 1 0 - Bilious 1 0 Hooping Cough 0 8 Hæmorrhage 1 0 Inflammation of the Brain 0 1 - Bowels 1 1 - Liver 1 0 - Peritonœum 0 1 Carried over, 25 45 DISEASES. Adults. Children. Brought over, 25 45 Jaundice 0 1 Mortification 1 0 Mania a potu 2 0 Palsy 1 0 Still-Born 0 2 Sudden 3 0 Total 80—32 48 Of the above there were: Under 1 year 32 From 1 to 2 10 2 to 5 8 5 to 10 1 10 to 15 1 15 to 20 1 20 to 30 6 30 to 40 11 40 to 5O 7 50 to 60 8 60 to 70 2 70 to 80 2 80 to 90 1 Total 80 Of the above interments, 5 were from the Alms-House, and 16 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock. August 1 76 80 84 2 74 75 78 3 72 74 75 4 73 78 80 5 75 79 82 6 74 76 78 7 78 82 85 The part week ending Aug. 7th. the heat has fallen to range between 75 & 85 and 4 cases of death from apoplexy, Coup de Soleil, drinking cold water, & excessive heat & from old age are absence from the Health office reports; and the cases of sudden death are reduced to 3. Debility 7. Convulsion. 2. & cholera. 21. The total from being 196 & 183 had fallen to 80. Scarlet Fever. ꝶ vinegar salt. red pepper. The jelly of Black currents noticed in Penn Journal of 1764. for scarlet fever & ulcerated throat. The same notice 25 gtt. Tinct Dig. q. 3 hs day & night. by Dr Thornton who cured by it 17 cases. In the same of 1797 ꝶ Muriatic acid gtt xii Brandy. ℥i Water. ipt Sugar q s.f. - drank during a day & repeated daily to prevent the fever. If on. used more abundantly. the lek. Rhubarb. Dr Boyd was told by Dr Rushenberger that a Dentist, an excentric, at Washington cure tooth ache by pierce thro the jaw bone at root of the tooth and by means of a spear pointed instrument and then by a lateral motion divided the nerve. [illustration] that the living bone is easily pierced. Coffee. discovered 16 century by a prior of an Arctic Monastery. He found that cattle from eating a little berry did not sleep. And used it to keep the night singer of the monastery. see Time America 1799 July 26th. 96 193 No Effects of Heat in July are noticed in the Penn. Journal of Phila from 1744 to 1797. In July of this year a writer publishes advice to the inhab. on the effects of drinking cold water in hot weather, recommends in substance what the Human Society are now accustomed to publish on our pumps: and advices. v.s. from the arm, or opening the temporal artery forcing warm water into the stomach & giving an emetic. In 1800 July. The Therm in city of N. York on July 20th. at 12. m. rose to 88, the highest summer and at 2. Pm. to 90° Rain, heavy thunder & lighting destruction in the evening. Six persons died form cold water drinking between 1st & 15 of July in NY. 1800. between 13. to 20th 35 reported of which 1 died of cold water drinking. 20 & 27. one case of sudden death. Therm at Lansingburgh 108 afternoon of July 15th north exposure. The N. Jersey journal states that the heat of last week [was to] ending July 12th was so intense that many labouring men expired under the pressure of it. On Thursday a labourer of Dr Elman Watfield died suddenly overcome by the heat. 1801. July N. York. 1st since the intense heat has existed several instance of sudden death from drinking cold water while the whole system was in a profuse perspiration. A Labourer on a new building in Pearl st died yesterday from this cause. (Niles Weekly Register.). 1825 July. 23.& 30) Bronson & Smith record of the weather from 1796 to 1819. The hotest day July 6. 1811. Therm. 97 1/2. 5th 96 1/2. 4th 96 1/2 &c see Niles. From which it seems the [warmest &] longest continued warmest weather for the last 34 years in Phila was in July of 1811. July 14th. 1803. Therm. 94. July 2nd 1796. Therm 96 1/4. 24th June 1799 at 94° For Athma. Senna, Sulph Spermaceti. Cream Tartar aa. ℥i anniseed ℥ss pulv. Teaspoonful of powder on going to bed. Saturday Aug. 14. 1830. The principal change in the weather independently of the more moderate heat has been the coolness after sunset, an a consequent dampness. that, the August sun make the solvent power of the atmosphere such, that a considerable quantity of moisture is taken up. [this] and in this it resembles July; but, the evening from some cause is colder, and the atmosphere precipitates moisture which it does not in July. Hence the damp [cold] chilly August evenings. The habit of sleeping with the windows up contracted in the two previous months is thoughtlessly continued [&] in August, and color in the head, & chest are contracted. This happened in my own person. [Thu eve] I went to bed feeling the heat of the day, as usual in June & July had my chamber window up, no blanket on my bed. During the night [th] a sensation of chillness awoke me. and in the morning I commenced sneezing & felt a stiffness & soreness in my limbs and some loss of appetite The sneezing was soon connected with dryness of the nostrils, & lighness about my head: then followed a a mental lassitutde, and irritability of temper, and running of a limpid saline fluid from the nose and a heaviness & heat in my eye lids. and a flatulence in my bowels with a heated & alterd state of the feces. This state of things continued 4 days. On the 12th called to see Mrs Little she had the above symptoms with febrile state in the afternoon. produced by the exposure at night in bed with the window up. I gave her Ipecac grv. Cal grv. & Mag & salts. On 13rd Rev. Mr Roland [conr] rose with a stoppage in the head, with a sense of rawness in the windpipe. He slep with his window up under light bed clothing. The affection of the windpipe is owing to his calling of preaching. Derean seeks the weak part. Our lecture 97 195 room should have the windows closed when August cool evenings set in It will be observed by the list of interments in the Protestant burying ground, during the past week, that New Orleans is now as free from epidemic as it ever has been at any previous year on the 1st of August. Causes of Disease in August in Phila: 1830 1st Damp cool night air after oppressively hot day on the body during sleep [un] exposed and covered [by] with only a sheat or light bed [cover] spread. ꝶ. shut down the window which has with comfort & impurity been continued opened during June & July. (see cases of myself. Mrs Little & Rev Mr Roland.) August 30th.. 1830 Mrs Bangs. Thos Bell. Mrs Heyl. Marg. Smith. John Dale. Mrs Rutter. John Townsend. Diana. John Hassinger. N.L. Bradford. Diana. Disease of the Frontal Sinuses. Sunday. Aug. 22 pain in temple. ꝶ. o Monday. .. pain in right temple, over the eye & pain in eye ball. Thought the stomach had caused it. What it was a cerebral form of bilious fever. ꝶ. Ipecac gr viii Tart Emet gr i. & Ipecac gr viii & Camomile tea. Vomited. ꝶ. cal. gr vv. purged. No better. Complaint in head increased. Tuesday Violent paroxysm of pain at intervals of 15m or 10 m she crys out hold me head, hold be heat: it shoots through my eyes. there is also now a discharge of purulent matter from the anterior & posterior nerves. the skin over the frontal sinuses very tender to the touch. She cant suffer it to be touched but above & at the temples the touch give no pain. I now regard the case as inflam. of the Frontal sinuses. ꝶ. vs ℥x. [Cal g] Salts. Blister over frontal sinuses Barley water. [Wednesday] Pm no better. the pain about the forehead & eyes excruciating. Symptoms are neuralgic. arterial system not much affected. ꝶ opium gr iii. Cal g vi fr [pulv] pil iii. of these she took 2 & had sleep. Wednesday Better. but on attempting to put out her tongue, he thrust it out without much opening her mouth. ꝶ Barley water & Magn. Bowels natural. Pm. Violent attack, of pain return, complains more of the skull above the frontal sinuses. ꝶ. opium gr ii Cal gr iv. fr pil ii she took every three hours had sleep. Thursday. discharge fetid. Complains of a beating & weight on the top of her head this is attended with paroxysm. & she cries out, hold my head. [ꝶ res. I can now] The skin over the sinuses can now be pressed upon without giving pain. The disease has changed its painful seat for the crow of the head. (How & Why is the R). ꝶ. cups to [head] the back of neck. The jaws are partially locked. She can only protrude her tongue a few lines. vs ℥ vii. [Friday] Pm. acquaintances talked imprudently to her. She had [the most] a nervous convulsion, less to the ankle cold. Call up at 1 Am & [cross out] remained the night. She had a comfortable night. Friday. [She s] complains more of the heavy beating pain on the top of the head & anxiously wishes for cups. ꝶ 7 cups applied. it removed the pain. She is now comparatively comfortable. and can open her mouth wider. Pm. pains now severe in the neck.. Applied [sate] a blister to it. which relieve it A 6Pm. she is very much relieved the jaw unlocked & talks well wishes to pay my bill. For the first time says she is getting well. Discharge from the Nostril fetid. She walk her soon & fell. Sunday. I find her to my surprise with tumid eye lids- edematous face, pulse 124. & contracted. jaw more locked then sound a sullen groaning stupid state. I fear evil. Called in Dr Rush. ꝶ Cal gr i Nitri gr viii g.t.h. at 10 Pm. somewhat better. Pm. 10. The cerebral symptom more advanced. The edema of the eyes [ha] are not transparent. [the] between the lids is a fleshy edging [illustration] on a plait of the conjunction of the ball. 98 197 Monday. Cold extremites, pulse weak & 124 stertorous breathing; locked jaw edema gem but the fleshy edging or the pleart of the conjunctiva remains. She died at 12 mn. Aug. 31 1830 Post mortem examination at 11 Am. The integuments naturaly percostecer over the Os frontes natural. removed a portion over frontal sinuses by a trephone frontal contes large, emitted fetid smile, contained pus in the lower parts and a queist [illegible] matter, membrane covering the cavity thicken and covering with an adherent semifluid matter- and in parts of a dark sphaceleted colour. Communication into the nose larger & free. [The] no opening formed into the brain. The adepous matter of the orbit connected to it of a dark colour. The [cob] ends of the cerebri in contact had a serous accumulation [in it a un] [der & ortnor] in its membranes. The mass studded with vascular points. NB. This case was fatal without absorption of bone & extravasation of pus into the cavity of the brain. I donot now see how [p] hephaning the external table of the sinus to let out pus could have been of benefit. It is in its nature, a very violent & serious disease. affecting the fifth pair of the nerves, the eyes and the brain. attended with a heavy beating pain. seated over the brows, then at the top of the head & finally in the neck. Pain neuralgic. HEALTH OFFICE, August 14, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 7th to the 14th of August. DISEASES. Adults. Children. Bronchitis O 1 Cancer 1 0 Casualties 1 1 Catarrh 0 1 Cholera Morbus 1 23 Consumption of the Lungs 10 0 Convulsions 1 10 Diarrhœa 3 1 Dropsy 1 2 - in the Brain 0 5 Drowned 1 2 Dysentery 1 0 Drunkenness 1 0 Debilty 1 9 Erysipelas 1 0 Fever 0 2 - Remittent 0 3 - Bilious 2 0 - Nervous 0 2 - Typhus 1 0 - Scarlet 0 2 Inflammation of the Brain 1 1 - Lungs 1 1 - Stomach 1 0 - Bowels 0 3 - Liver 0 1 - Breast 1 0 Carried over, 30 69 DISEASES. Adults. Children. Brought over 30 69 Hæmorrhage 1 0 Insanity 1 0 Mortification 0 1 Old Age 1 0 Palsy 1 0 Small Pox, 0 1 Still-Born 0 5 Suicide 0 1 Unknown 1 0 Total 112 - 35 77 Of the above there were: Under 1 year 42 From 1 to 2 17 2 to 5 2 5 to 10 6 10 to 15 4 15 to 20 6 20 to 30 4 30 to 40 13 40 to 50 7 50 to 60 5 60 to 70 2 70 to 80 1 80 to 90 3 Total 112 Of the above interments, 5 were from the Alms-House, and 12 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR. Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock. August 8 79 86 83 9 76 77 79 10 74 77 79 11 74 78 79 12 77 80 84 13 72 75 78 14 72 77 80 TUESDAY, AUGUST 17, 1830. The violent showers yesterday afternoon, were preceded by two or three of the heaviest claps of thunder that have been heard in this city for some years. It was mentioned to us that the lightning had struck a house in Market street, near Tenth; on enquiry we learned that the occupant was engaged, at the moment of the tempest, in dosing his mosquitos with brimstone smoke. The lightning did strike, we learn, the back part of a store in Market street, below Sixth, and near Tenth and Vine, at the depot of the iron hydrant pipes. A house near the corner of Eighth and South streets was slightly struck, and a trowell knocked to a considerable distance from a mason’s hand. HEALTH OFFICE, August 21, 1830. Interments in the City and Liberties of Philadelphia from the 14th to the 21st August. DISEASES. Adults. Child. Apoplexy,...0 1 Bronchitis,...0 1 Cholera Morbus,...0 26 Consumption of the Lungs,...11 2 Convulsions, 0 8 Diarrhœa,...0 3 Dropsy,... 2 0 - in the Brain,... 0 2 Drowned,... 1 1 Dysentery,... 2 0 Debility,... 1 5 Fracture,... 1 0 Fever,... 3 0 - Remittent,... 0 2 - Bilious,... 2 0 - Nervous,... 1 0 - Typhus,... 0 1 DISEASES. Adults. Child. Fever, Scarlet,... 0 1 Whooping Cough,... 0 1 Hives,... 0 2 Hernia,... 1 0 Inflammation of the Brain,... 1 1 - of the Lungs, .. 1 0 - of the Bowels, ..0 1 - of the Liver,... 1 0 - of the Bladder,... 1 0 Laudanum to excess,... l 0 Mortification... 1 0 Mania from drink,... 1 0 Still Born,... 0 7 Ulcers,... 2 0 Unknown,... 1 0 Total 100 - 36 64 Of the above there were, under 1 year, 33 - from 1 to 2. 18 - 2 to 5, 7 - 5 to 10, 3 - 10 to 15, 1 - 15 to 20, 2 - 20 to 30, 13 - 30 to 40, 11 - 40 to 50, 4 - 50 to 60, 1 - 60 to 70, 7 - 70 to 80, 0 - 80 to 90, 0 - 90 to 100, 0 - 100 to 110, 0- Total, 100. Of the above interments, 8 were from the Alms House, and 14 people of color are included in the total amount. By order of the Board of Health. JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830. 9 o'clock. 12 o'clock. 3 o'clock. AUGUST 15...78...79...85 16...78...82...78 17...75...72...72 18...68...71...72 19...70...74...74 20...70...74...76 21...73...77...78 HEALTH OFFICE. August 28, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 21st to the 28th of August. DISEASES. Adults. Children. Abscess 1 O Atrophy 0 1 Bronchitis 0 1 Casualties 0 2 Catarrh 1 0 Cholera Morbus 0 13 Consumption of the Lungs 7 1 Convulsions 0 6 Disease of the Heart 1 0 - of the Spine 0 1 Diarrhœa 0 1 Dropsy 1 0 - in the Brain 0 2 Drowned 1 1 Dysentery 1 8 Debilty 2 4 Fever 2 1 - Remittent 1 0 - Bilious 8 0 - Typhus 8 0 Inflammation of the Brain 1 0 - Lungs 1 2 - Stomach 1 0 - Bowels 0 2 - Bladder 1 0 Carried over, 28 41 DISEASES. Adults. Children. Broughtover. 28 41 Hooping Cough 0 1 Hives 0 1 Measles 0 1 Mania a potu 1 0 Old Age 3 0 Sore Throat 0 1 Still-Born 0 7 Sudden 1 1 Unknown 1 2 Total 100 - 36 64 Of the above there were: From 1 to 2 18 2 to 5 3 5 to 10 4 10 to 15 1 15 to 20 7 20 to 30 9 30 to 40 2 40 to 50 6 50 to 60 5 60 to 70 3 70 to 80 1 80 to 90 1 90 t0 100 2 Total 89 Of the above interments. 5 were from the Alms-House, and 14 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER. 1830, 9 o 'clock. 12 o'clock. 3 o'clock August 22 74 79 85 23 74 79 82 24 76 80 80 25 73 76 75 26 67 70 72 27 67 72 78 28 74 77 79 99 199 Sept 13rd 1830. William Bradford. Mrs Bangs. Mary. Ann Smith Martha Watts. Thos. Bell. Reuban Costalo. William Bradford. 15ys Bilious remittent. Sept. 2nd. After return from Dover exposed by gunning &c. & nursing his Uncle in an attack of bilious. He complained of headache sickstomach & had fever [with] [old] after some chillness. Mrs B exhibited as usual excess of anxiety & I in consequence fill into the opposite. Medicine had been given no operation. I add Mag. Hard feces with corn- Fever cont. Cal gr v.v.v. vs ℥x so much better on Sunday morning that having an appetite. I permitted coffee. & oysters. At 12. m. found him with gastric distress. A pain on pressure of epigastric & much fever. had vomited. Leeches L.X. at 3. Pm. to epigastrism.. all gastric pain, distress & oppression & restlessness removed. at 6. Pm. vs ℥viii to reduce fever. & some return of gastric symptoms. Monday the better day, the alternate days were the more febrile & severe. I left him for Wilmington. Returned & found Dr Rush had seen him on Monday evening & consider him doing well. on Tuesday allowed him milk & lime water it aggravated gastric symptoms, as did the apples & coffee. Head principally affected. Cups 6 to head, & blister to cheek, better. Wednesday I saw him at 3 Pm. sleeping & better. his better days Thursday return of fever & sleepiness & head of head & abdomen commenced early in the morning. The exaserbath of Wednesday afternoon had hardly passed off before that of Thursday set in. So that on this day there was irregular heat of surface, commencing coma, pulses weak & 120 & 124. tongue dry at the tip & along the [ed] middle, much heat of head, back of neck & abdomen while the extremities ever not so. The turning day. as it is called, the falling into Typhus. tilking into typhus- & where stimulant all given to sustain the sinking system. But to relieve the brain was in this case regarded principally. Cups. xv[by] were applied to the shaved head. & the drowning was gone, the head felt light some of the cups were cut & ℥v of blood [illegible] [His pulse by the] During the operation the complained, the stomach sickened several times, the pulse became more frequent & smaller. I thought the bleeding was doing harm the the counteruntation from the day cupping was going great good. After the operation he felt much better said his head & stomach were both stronger & natural. Wine whey & vol alb. (weak) were given. he has since recovered rapidly on Tuesday had some fever, none on Saturday & on Sunday. Sep. 12 he is eating & convelesent. NB. I see from this case I should have cups & blister Diana head. & all cases when coma &c come on. Cups in the apoplectic case of Miss Simmons were the principal curative means (see case). Cups in the 2nd stage of the Typhus fever cases in Alms House during 1818 & 19. but the last stage, is of coma they were not cured. vol alk. & other general & diffusible stimulants were considered the remedies. but the free sore of dry cupping seems now to me to be important even in this last stage. Mrs Abby Bradford had a chronic headache. She was dyspeptic, after several remedies. Cups were applied with success. the headache did not return. 15 & more cups over the shaved head- when the symptoms of a fever have become, unnatural tendency to sleepiness, lip & middle of the tongue dry & crusty with flatulence of stomach & bowels, unequal heat of surface vz extremely mortal was only but approaching to a color mordens of the abdomen, head & back of neck, pulse smaller & frequent 120 & 124. After this local contrairritation has relieved the brain: when Wine whey & vol alk & [snake???] to bring on perspiration & sustain the strength. 100 201 Monday. Sept 27th 1830 Mrs Bangs. ulcer of head Marth. Wath. pulpit of heart. Mr Manning. Hæmoplesis Mrs Raybold. remit-nervous gastrocephalic fever. Marg. Maitland. ditto with milder symptom. Harriot Harvey. ven. R. Costoloe, Child. Catarrh. Otober 4th 1830. David at Mr Haverstick. Mrs Bangs. Mrs Raybold. Miss Maitland Reuben Costaloes inf. Martha Wath. Willm Bradford. Dr Hartshorm' ꝶ. for cough from mechanical inilation. ꝶ Syr. squill ℥i Syr. simpl. ℥i vinegar ℥iii Acct. tinct opium ʒi Water. ℥iii ʒi every 1/4 hour till cough has gone. for Mr Neifsa (from my Pocket book.) Begin small & hold on, is the way to do great things. Seek the sober, settled, & permanent opinion of medical brethren. Corporeal exercise lets go off the evil of morderate indulgence & habitual plethora Over action of any part of the body injuriously affects the vital contractility of the capillaries, and blood [unionly?] is admitted accumulates & flows hardily. This is the nucleus of disease. The two great sources of corporeal disorder are the moral emotions & improper regimen. One acting thro' the channel of the 101 203 brain(& spiral manor & nerves & or) & its prolongation. the other thro the line of the [gi] digestive organs. Practice from the symptoms actually present. When hæmorrhage from the uterus resists the ordinary means, the nature of the case should be certified by examination. This day is marked with general & rapid diffusion of knowledge Read villers on the Reformation. Ferguson on Civil society & Alison on Taste. Blook thus cupped a the case of Mrs Wood. who had no local inflammation. I entertained the notion that buffiness with cupping always indicated local inflammation. But is it not immediately owing to a violent circulation. An infant's bowels are very frequently opened, a child's before breakfast an adult's after the stimulus of a breakfast. This world was made for & by Christ and its corner stone was laid in reference to his kingdom. By promoting the happiness of others we [advance] ensure our own. Love peace as must as liberty.  OBITUARY. DIED, on Thursday, the 3d inst at Owego, N. Y., Mrs SARAH H., wife of Doct E. B. Phelps, and daughter of Mrs. Mary She Ann Lanning, aged 28 years. She sprang into life, a lovely flower. she grew up to womanhood. decked in all the graces of the person, the mind and the heart, giving and receiving pleasure and happiness as he passed along. To many she became closely bound in ties of the purest friendship; but she knew not enmity, and it is believed no hostile feeling towards her ever existed; affectionate in all the relations of life, she was the object of the deepest affection in others. More than seven years ago she was smitten with disease, and since then she has never been in health. Of sufferers she has been the chief. Often, to all appearance, on the very verge of the grave, she has yet lived to see many of her more robust acquaintances go down before her, and has wondered why they were taken and she left. She has borne her sufferings without a murmur, waiting patiently for the time it should please her Heavenly Father to take her to Himself. She has met death with calmness and resignation, and with entire canfidence, in which all who knew her must join, that she was only passing to a world of peace and joy and perfect bliss. The recent death of the lamented Mrs Phelps, excited deep sensation in this community, and the following beautiful lines were occasioned by the mournful event. Those who were acquainted with this amiable and excellent lady, can bear witness to the fidelty of the Poet, in this touching and appropriate tribute to her memory. She has gone down to the grave beloved and lamented, yet her many friends are consoled with the reflection, that their loss is her unspeakable gain. A BEREAVED HUSBAND’S LAMENT. BY MRS. MARY H. PUMPELLY. A change, alas! a mournful change, Hath pass'd upon my lot! How dread, how wildering, how strange To feel that thou are not! And years of love, and visions, fast Come rushing o’er me, of the past! It is not thus-it cannot be- The heart, which all my own Beat kindly, warmly, true, for me, Hath left me now alone! No voice, no lip, no breath, no lone, Tells me I am alone, alone! Nay, nay, I’m not alone, I feel, My loved one, thou art nigh; With angel form, and angel wing, As wild my pulses fly: My burning brain, and throbbing brow It cools, it stills-it soothe me now! Sweet one! our sunny years were brief, Those years of bliss and pride. When I had not been touched by grief, And thou, my peerless bride. In loveliness, and youth, and health, Were my heart's gem, my bosom's wealth But sickness, on thy gentle frame, Its early mildew shed: And each receding day became More precious, as they fled. I nursed thee long with tender care, With restless watchings, hope, and prayer. I felt my youth decline; and thought Why should the freshness last, Of lip, and brow, and heart and limb, When thine was fading fast! And when I saw my youth decline, I felt 't was offer'd at the shrine, Of my pure love; and had my prayer Been answer’d, still were thou The cherish’d object of my care, But not in heaven, as now, Thy chain, thy thrall I would not keep, Alas! alas! Why do I weep! 'Tis mournful pleasure to my mind, To muse, if thou art more Guileless, true, loving, pure, reflaed, Or lovely than before. So dear, so precious to my heart, Is all thou wast, and all thou art. As turns the needle to the pole, So turns my heart to thee: And when my freed and chasten'd soul, As pure as thine shall be. As holy, as subdued, as bright, We’ll meet in yonder world of light. I would not love thee more than Him, Who kindly made thee mine Nor let the fire of love grow dim. Upon His Holy shrine. But newer impulse from above Draws me to seek that world of love. HEALTH OFFICE, November 20, 1830. INTERMENTS In the City and Liberties of Philadelphia, from the 13th to the 20th of November. DISEASE Adults. Children. Apoplexy 1 0 Burns 0 1 Bronchitis 2 1 Cancer 1 0 Cholera Morbus 0 1 Consumption of the Lungs 8 0 Convulsions 1 5 Disease of the Heart 0 1 - of the Spine 1 0 Diarrhœa 1 0 Dropsy in the Breast 1 0 Debility 2 5 Eryspelas 1 1 Found Dead 0 1 Fever, Typhus 1 0 - Puerperal 1 1 - Hectic 1 0 Hives 0 3 Hæmorrhage 2 0 Inflammation of the Lungs 0 1 - Brain 1 0 - Breast 1 0 - Bladder 1 0 Laudanum to excess 0 1 Carried over, 28 22 DISEASE Adults. Children. Brought over, 28 22 Mortification 0 1 Maniaa potu 2 0 Old Age 1 0 Palsy 2 0 Sore Throat 0 1 Still-Born 0 11 Ulcer 0 1 Wounds 0 1 Unknown 1 0 Total 71-84 87 Of the above there were: Under 1 year 27 From 1 to 2 4 2 to 5 2 5 to 10 3 10 to 15 0 15 to 20 1 20 to 30 11 30 to 40 5 40 to 50 6 50 to 60 5 60 to 70 1 70 to 80 4 80 to 90 2 90 to 100 0 Total 71 Of the above interments, 8 were from the Alms-House, and 13 people of colour, are included in the total amount. By order of the Board, JOSEPH PRYOR, Clerk. STATE OF THE THERMOMETER 1830 9 o'clock. 12 o'clock. 3 o’clock. November 14 56 61 59 15 55 57 53 16 56 59 59 17 54 67 58 18 54 56 64 19 45 51 52 20 50 51 51 102 205  103 207 The Cream of rice, of bread- Embden Grotts. ʒii to ℥iv water. Gruel of the partched barley- Boiled & dried flour. Chicken water.  104 209  105 211 Spt Turpentine. Simmons cases in Chapman journal. " " in Ed.bg. drug & med journal of May 1824. The use of it [the] in fistulous ulcer of the mucus surfaces. The two cases of Puerperal fever [by] in my practice. The use in a case of Leucorrhea - The use in the case of Thos Donaghan violent pain in the back. The use of Balsam [copa???] injected into the urethra. The use in burns. Gave spt. ℥ss castor oil ℥ss to Cor. How cut it operated in 1/2 hour she had a athmatic affected consequent to an eruption disappearing (Analogic oil of tar cure Athma) Peter Houston blk aged boy. chorea 11 years consequent to a strain of the back in which something in the loins seemed to crack Gave him spt. turp. ℥ss castor oil ℥ss at 4 Am. before 1/2 hour operated it instantly produced the sensation of warmth in the stomach. then vomiting. (green mucus & boody &c) then frequent operation of the bowels. followed with sever stricturing pains. During the whole day 20 or more times bowels opened. This morning (Sep 3rd) feels better. (The bowels should now be in a state of repose-). Sunday Sept. 4 - The chorea benefited- bowels not opened. ꝶ chicken water Wednesday. The spt Turpentine small remained in the urine untill this morning- Chorea much better. Elisabeth Tompkins 5th st. aged 20. attacked with violent pain in the bowels, at intervals. face colorless - evident inflammation. ꝶ vs. ℥ viii blood sized &c no relief - ꝶ spt Turp. ℥i Castor oil ℥i m. ℥ss qts- She took one dose, operated before an hour-, a second ℥ss again operated. patient free from [disease] pain. 106 213  107 215 Remarks. July 15th 1824. Dr D Wees remarked that fruits this season July. 1824 were remarkably hurtful.- producing eruption. colic. cholera.. &c. - ꝶ Mag. & animal food. There are a variety of eruptions appearing again. During the winter when the small pox prevailed, a great number of the cases described in Willam appeared - Several I saw the last week at the Dispensary vz. 1 Tlerkz elevation, like hives, covered with vesicle - 2 Groop of elevated papilla of the skin preceeded with violent rheumatic pain - - If to the above fact we add the injected state of the stomach observed by Dr Bell & myself & at the Alms-House- We may say that the mucus membrane is the principal seat of our present diseases - This this is the weak of of our system. And it requires that diet &c be more closely attended to. - Cases of disorder from fruit &c Case 1 Ann Jackson. blh. aged 20y Athmsons court. eat coucumber - for one or two days. the morning of the third day attacked with a violent colic - pain in the stomach & side & head. ꝶ Castor oil ℥i better. 2 Mrs Bonneveler. eat 3 pairs - had a complaint in his bowels 3 At the last two day. pres. at the Dispensary saw 8 cases of bowel complaints of children. 4. Col Tariman eat of Mellon & ripe peach it produced a violent pain in the epigastric reg & back. and caused a relapse of a violent viseral climb.  108 217  109 219 Does calomel always produce black discharges. In Thos [Doughtates?] it was given after other other med- & after the dark discharges came away It produced a lighter discharge gr iv  110 221 Croton oil. Took gtt 1. when in health: It produced immediately an acrid sensation in the fauces. 1/4 hour- a movement in the stomach, in an hour a discharge by the bowels, laxative, no pain, of a creamy nature. Three times the day following the discharge continued the same- The day following the natural fecculant evacuation appeared covered in [place] spots with [this he thro] creamy matter caked upon it. Mr M. Hutchins took gtt i. at the same time, it produced a more prompt effect upon him. the nature of the discharge I do not know. Dr Physick used it the same week in a case of Dropsy- It produced a powerful [illegible] effect and cured the patient. I used the pill gtt i in the late illness of Mrs D. no effect till the 5th gtti was taken and the with g.v of cal. Evacuation dark earthy & very feeted. I used it in a case of Mrs. Costiveness. gtt IV gtti at a time & slight effect.  111 223 New remedies. 1 Tar applied to the gums & tongue in case of profuse salivation with hæmorrhage 2 Belladona to dilate the uterine, as to dilate the iris. Clorature of Lime to destroy the fetor of putrefaction. NB. It may be a good thing in the bad cases of Small pox. Oil'd silk to preserve a poultice constantly moist. - The application of the turnequet to the fore arm in cases of violent colic by Dr Rees- [Gr?] Would not this practice be useful in all violent nervous affections caused by extreme pain or other causes. The dose of 6 gr. of black pepper, before each meal, to cure int-fever. will not this be useful in those cases in which the Sage mustard & ginger are used Corea &c-