Sec. 402. The Intention that should be pursued, is that of unloading the Lungs and the Brain, and of reviving the extinguished Circulation. For which Purpose we should, 1, immediately strip the Sufferer of all his wet Cloaths; rub him strongly with dry coarse Linnen; put him, as soon as possible, into a well heated Bed, and continue to rub him well a very considerable Time together. 2, A strong and healthy Person should force his own warm Breath into the Patient's Lungs; and the Smoke of Tobacco, if some was at Hand, by Means of some Pipe, Chanel, Funnel or the like, that may be introduced into the Mouth. This Air or Fume, being forcibly blown in, by stopping the Sufferer's Nostrils close at the same Time, penetrates into the Lungs, and there rarifies by its Heat that Air, which blended with the Water, composed the viscid Spume or Froth. Hence that Air becomes disengaged from the Water, recovers its Spring, dilates the Lungs; and, if there still remains within any Principle of Life, the Circulation is renewed again that Instant. 3, If a moderately expert Surgeon is at Hand, he must open the jugular Vein, or any large Vein in the Neck, and let out ten or twelve Ounces of Blood. Such a Bleeding is serviceable on many Accounts. First, merely as Bleeding, it renews the Circulation, which is the constant Effect of Bleeding in such Swoonings, as arise from an intercepted or suffocated Circulation. Secondly, it is that particular Bleeding, which most suddenly removes, in such Cases, the Infarction or Obstruction of the Head and Lungs; and, thirdly, it is sometimes the only Vessel, whence Blood will issue under such Circumstances. The Veins of the Feet then afford none; and those of the Arms seldom; but the Jugulars almost constantly furnish it. Fourthly, the Fume of Tobacco should be thrown up, as speedily and plentifully as possible, into the Intestines by the Fundament. There are very commodious Contrivances devised for this Purpose; but as they are not common, it may be effected by many speedy Means. One, by which a Woman's Life was preserved, consisted only in introducing the small Tube of a Tobacco Pipe well lighted up: the Head or Bowl of it was wrapped up in a Paper, in which several Holes were pricked, and through these the Breath was strongly forced. At the fifth Blast a considerable Rumbling was heard in the Woman's Belly; she threw up a little Water, and a Moment afterwards came to her Senses. Two Pipes may be thus lighted and applied, with their Bowls covered over; the Extremity of one is to be introduced into the Fundament; and the other may be blown through into the Lungs. Any other Vapour may also be conveyed up, by introducing a _Canula_, or any other Pipe, with a Bladder firmly fixed to it. This Bladder is fastened at its other End to a large Tin Funnel, under which Tobacco is to be lighted. This Contrivance has succeeded with me upon other Occasions, in which Necessity compelled me to invent and apply it.