Advice to the people in general, with regard to their healthTissot, S. A. D. (Samuel Auguste David)
Science
Advice to the people in general, with regard to their health
Tissot, S. A. D. (Samuel Auguste David)
Hygiene -- Handbooks, manuals, etc. -- Early works to 1800; Medicine, Popular -- Early works to 1800
Sec. 207. Besides those Symptoms, there are some others, which require
considerable Attention and Vigilance. One of these is the Soreness of
the Throat, with which many Persons in the Small-Pocks are afflicted, as
soon as the Fever grows pretty strong. It continues for two or three
Days; feels very strait and troublesome in the Action of Swallowing; and
whenever the Disease is extremely acute, it entirely prevents
Swallowing. It is commonly ascribed to the Eruption of Pustules in the
Throat; but this is a Mistake, such Pustules being almost
constantly [52] imaginary. It begins, most frequently, before the
Eruption appears; if this Complaint is in a light Degree, it terminates
upon the Eruption; and whenever it revives again in the Course of the
Disease, it is always in Proportion to the Degree of the Fever. Hence we
may infer it does not arise from the Pustules, but is owing to the
Inflammation; and as often as it is of any considerable Duration, it is
almost ever attended with another Symptom, the Salivation, or a
Discharge of a great Quantity of Spittle. This Salivation rarely exists,
where the Disease is very gentle, or the Patient very young; and is full
as rarely absent, where it is severe, and the Patient is past seven or
eight Years old: but when the Eruption is very confluent, and the
Patient adult, or grown up, the Discharge is surprizing. Under these
Circumstances it flows out incessantly, allowing the afflicted Patient
no Rest or Respite; and often incommodes him more than any other Symptom
of the Distemper; and so much the more, as after its Continuance for
some Days, the Lips, the Inside of the Cheeks, the Tongue, and the Roof
of the Mouth are entirely peeled or flead, as it were. Nevertheless,
however painful and embarrassing this Discharge may prove, it is very
important and salutary. Meer Infants are less subject to it, some of
them having a Looseness, in Lieu of it: and yet I have observed even
this last Discharge to be considerably less frequent in them, than a
Salivation is in grown People.
[52] As Pustules are, and not very seldom, visible on the Tongue, and
sometimes on the Roof, even to its Process called the Palate, which
I have plainly seen; it seems not very easy to assign any
insuperable Obstacle to the Existence of a few within the Throat;
though this scarcely ever occurs, in the distinct Small-Pocks.
Doubtless however, a considerable Inflammation of that Part will be
as likely to produce the great Difficulty of Swallowing, as the
Existence of Pustules there; which our learned Author does not
absolutely reject, and consequently will forgive this Supposition
of them; especially if he credits the ocular Testimony of Dr.
_Violante_, cited in the Analysis, Ed. 2d. p 71. _K._
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