An Account of the Sore Throat Attended With Ulcers: A Disease Which Hath of Late Years Appeared in This City, and in Several Parts of the NationFothergill, John
History
An Account of the Sore Throat Attended With Ulcers: A Disease Which Hath of Late Years Appeared in This City, and in Several Parts of the Nation
Fothergill, John
Diphtheria
In Children, and very young Subjects, the Symptoms arising from this
Cause are yet more dangerous: The natural Softness and Laxity of the
Parts liable to be affected, disposes them to suffer by it much more
than Adults: At the same time they are commonly alike incapable of
promoting the Discharge of this Matter themselves, and of admitting
Assistance from others, being generally, if the Distemper is acute,
either comatous and stupid, or delirious and untractable. If Gargles are
injected, they either prevent them from reaching the Seat of the
Disorder, by their Tongues, or they swallow them, and the putrid Taint
of the Ulcers, together; the Mischief spreads beyond the Power of Art to
restrain it; violent Purgings ensue, or fatal Hæmorrhages from the
penetrating Gangrene. And to this, perhaps, it may in part be owing,
that Children suffer so much more from this kind of Sore Throat, than
Adults.
That this corrosive Matter produces these Effects, is farther confirm'd,
by observing, that those whose Throats are severely affected, if they
have a plentiful Discharge from the _Fauces_, are seldom attended with
Sickness, Vomiting, or excessive Faintness; though, after longer Sleeps
than ordinary, or a Neglect of encouraging this Evacuation, they have
complain'd of Sickness, and have had Reachings come on: Likewise, that
in such Cases, where little or no Discharge of this kind appears, the
Symptoms are commonly the most dangerous.
From hence it is obvious that great Advantages may be expected from the
constant Use of gently stimulating aromatic Gargles; as they promote the
Discharge of the pituitous Matter flowing to the _Fauces_, and,
doubtless, with it, of some Part of the corrosive Fluid above-mention'd:
To which if we add Antiseptics and Detergents, in order to check the
Progress of the Mortification, and cleanse the sordid Ulcers it
produces, every Indication is provided for.
Where the Disease is mild, the Symptoms favourable, the Sloughs
superficial, or scarce perceptible, it may be sufficient to order a
Gargle of Sage-Tea with a few Rose-Leaves added in the Infusion; three
or four Spoonfuls of Vinegar may be mixed with half a Pint of the Tea,
and as much Honey put to it, as will leave it agreeably acid.
But where the Symptoms are urgent, the Tendency, to Putrefaction great,
the Sloughs large and thick, and the Breath offensive, Recourse must be
had to more efficacious Remedies: A Composition like the following,
varied only as the Patient's Age and the Circumstances of the Disease
required, has in general been attended with very good Effects. The
Proportion here given may be used for Adults, and the more active Parts
lessen'd for younger Subjects.
℞ [prescription] _Decoct. Pectoral. ℥ [ounce] xij. cui inter
coquendum add. Rad. Contrayerv. contus. ℥ [ounce] ss. Liquori
colato admisce Acet. Vin. Alb. ℥ [ounce] ij. Tinct. Myr. ℥
[ounce] i. Mel. opt. ʒ [dram] vi. f. Gargarisma._
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