At the Beginning of this Distemper, and to young Girls, it is sufficient to give twenty Grains daily, enjoining due Exercise and a suitable Diet. When it prevails in a severer Degree, and the Patient is not so young, a Quarter of an Ounce may be safely ventured on: Certain Bitters or Aromatics may be advantageously joined to the Filings, which are numbered in the Appendix, 54, 55, 56, and constitute the most effectual Remedies in this Distemper, to be taken in the Form of Powder, of vinous Infusion, or of Electary. [82] When there is a just Indication to bring down the Discharge, the vinous Infusion No. 55 must be given, and generally succeeds: but I must again repeat it (as it should carefully be considered) that the Stoppage or Obstruction of this Discharge is frequently the Effect, not the Cause, of this Disease; and that there should be no Attempt to force it down, which in such a Case, may sometimes prove more hurtful than beneficial; since it would naturally return of its own Accord, on the Recovery, and with the Strength, of the Patient: as their Return should follow that of perfect Health, and neither can precede Health, nor introduce it. There are some Cases particularly, in which it would be highly dangerous to use hot and active Medicines, such Cases for Instance, as are attended with some Degree of Fever, a frequent Coughing, a Haemorrhage, or Bleeding, with great Leanness and considerable Thirst: all which Complaints should be removed, before any hot Medicines are given to force this Evacuation, which many very ignorantly imagine cures all other female Disorders; an Error, that has prematurely occasioned the Loss of many Womens' Lives. [82] The _French_ Word here, _Opiat_, is sometimes used by them for a compound Medicine of the Consistence of an Electary; and cannot be supposed, in this Place, to mean any Preparation, into which _Opium_ enters. _K._ Sec. 361. While the Patient is under a Course of these Medicines, she should not take any of those I have forbidden in the preceding Sections; and the Efficacy of these should also be furthered with proper Exercise. That in a Carriage is very healthy; Dancing is so too, provided it be not extended to an Excess. In Case of a Relapse in these Disorders, the Patient is to be treated, as if it were an original Attack. Sec. 362. The other Sort of Obstructions described Sec. 354 requires a very different Treatment. Bleeding, which is hurtful in the former Sort, and the Use, or rather Abuse, of which has thrown several young Women into irrecoverable Weaknesses, has often removed this latter Species, as it were, in a Moment. Bathing of the Feet, the Powders No. 20, and Whey have frequently succeeded: but at other Times it is necessary to accommodate the Remedies and the Method to each particular Case, and to judge of it from its own peculiar Circumstances and Appearances.