A Succinct Account of the Plague at Marseilles: Its Symptoms and the Methods and Medicines Used for Curing ItChicoyneau, François
History
A Succinct Account of the Plague at Marseilles: Its Symptoms and the Methods and Medicines Used for Curing It
Chicoyneau, François
Plague -- France -- Marseille -- Early works to 1800
Returning then to the Method proposed to treat the sick Persons of this
First Class, supposing that by the Remedies mentioned, we were able to
revive their dying Forces, and to disengage them from the sad Condition
described above, it would remain to examine with Attention the new Changes
and Accidents that would arise, which according to our Observations, may
be reduced to some of those we have related under the following Classes,
and ought by consequence to be treated by some of the Methods which we
shall now deliver.
_The Method used in treating the Sick of the Second Class._
The Treatment of the Sick of this Second Class has much more employed us
than the preceding, in respect to the Multiplicity and Variety of
Accidents that offer at the same time several Indications to satisfy.
All these Indications, however, may be reduced to two principal ones,
which demand the greater Attention and Prudence, since they are opposite;
for we have observed in the same Patient a strange mixture of Tension and
Relaxation, of Shivering and Heat, of Agitation and Sinking; insomuch,
that we were obliged constantly to endeavour at the expulsion of the
noxious Ferments lodged in the _primæ Viæ_, or dispersed through the
whole Mass of Blood, without exasperating them at the same time; or to
correct and lessen their Action, without weakening the Patient. We ought,
for Example, to vomit or purge without irritating or exhausting; to
procure a free Perspiration or Sweating, without too much animating or
inflaming; to fortify without augmenting the Heat contrary to Nature;
lastly, to dilute and temperate without overcharging or relaxing. And this
is what we have endeavoured to execute by the following Method.
Suppose that we were called at the Beginning, and before the Patient was
exhausted, we should order immediately a Medicine proper to cleanse the
Stomach, that is to say, a gentle Vomit, such as is the _Ipecacuanha_, in
a Dose proportioned to the Age and Temperature of the sick Person, to be
taken in a little Broth or common Water; we have seldom used the Emetick
Tartar or _Vinum Benedictum_, for fear of too great Irritations, unless we
had to do with very robust and plethorick Bodies, or that some particular
Accident seemed to demand them; we promoted the Operation of the Medicine
by a large quantity of warm Water, or of _Tea_, or a Decoction of _Carduus
Benedictus_.
The Effect of this first Medicine being commonly a lessening of the
Strength, we endeavoured to fortify, by some gentle Cordial, especially by
_Venice_ Treacle and Diascordium, by reason they are proper to prevent or
stop an over-working of the Vomit.
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