Sec. 181. The Treatment of this chronical Rheumatism does not vary considerably from that of the former. Nevertheless, in the first Place, if the Pain is very acute, and the Patient robust, a single Bleeding at the Onset is very proper and efficacious. 2. The Humours ought to be diluted, and their Acrimony or Sharpness should be diminished, by a very plentiful Use of a Ptisan of [42] Burdock Roots No. 26. 3. Four or five Days after drinking abundantly of this, the purging [43] Powder No. 21 may be taken with Success. In this Species of the Rheumatism, a certain Medicine is sometimes found serviceable. This has acquired some Reputation, particularly in the Country, where they bring it from, _Geneva_; under the Title of the Opiate for the Rheumatism, tho' I cannot say for what Reason; as it is indeed neither more nor less than the Electuary _Caryocostinum_, which may be procured at our Apothecaries. I shall observe however, that this Medicine has done Mischief in the inflammatory Rheumatism, and even in this, as often as the Persons afflicted with it are feeble, thin and of a hot Temperament; and either when they have not previously taken diluting Drinks, or when it has been used too long. For, in such a Circumstance, it is apt to throw the Patient into an irrecoverable Weakness. The Composition consists of the hottest Spices, and of very sharp Purgatives. [42] Half a Pint of a pretty strong Infusion of the Leaves of Buckbean, which grows wild here, taken once a Day rather before Noon, has also been found very serviceable in that Species of a chronical Rheumatism, which considerably results from a scorbutic State of the Constitution. _K._ [43] Another very good Purge, in this Kind of Rheumatism, may also be compounded of the best Gum Guiacum in Powder from 30 to 40 Grains; dissolved in a little Yolk of a fresh Egg; adding from 6 to 10 Grains of Jallap powdered, and from 3 to 5 Grains of powdered Ginger, with as much plain or sorrel Water, as will make a purging Draught for a stronger or weaker grown Patient. Should the Pains frequently infest the Stomach, while the Patient continues costive, and there is no other Fever than such a small symptomatic one, as may arise solely from Pain, he may safely take, if grown up, from 30 to 45 Drops of the volatile Tincture of Gum Guiacum, in any diluting Infusion, that may not coagulate or separate the Gum. It generally disposes at first to a gentle _Diaphoresis_ or Sweat, and several Hours after to one, and sometimes to a second Stool, with little or no Griping. _K._