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 — John Shaqi
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
As the Parts about the Gullet are frequently so much affected, as to
render it painful or impracticable for the Sick themselves to make use
of the Gargle so freely as they ought, it is commonly order'd, that a
few Spoonfuls of this Liquor, made somewhat warm, should be very often
injected into the _Fauces_ with a small Syringe; and especially before
the Patient swallows any thing, in order to wash off as much as possible
the putrid _Sordes_ adhering to the Ulcers, and prevent it from passing
into the Stomach and Bowels. In young Subjects this Method is the more
necessary, as they don't always know how to manage a Gargle to any
Purpose, did the Soreness of the Parts permit them to do it.
If the Sloughs are large, and cast off slowly, they may be touched with
_Mel Ægyptiacum_, by means of an armed Probe; or it the Condition of the
_Fauces_ is such, that this cannot conveniently be done, a Spoonful of
the following Mixture may be injected, and retain'd in the Throat, as
long as the Patient can endure it; the Parts may then be washed two or
three times with the Gargle alone.
℞ [prescription] _Gargarism. præscript. ℥ [ounce] ij. Mel Ægypt.
ʒ [dram] j. m._
By the constant and regular Use of these Applications, if the Patient is
kept warm, and the Method of treating him in other Respects is observed,
agreeable to what has been mention'd above, it seldom happens but that
the febrile Symptoms disappear, the Sloughs come off, and the Ulcers are
disposed to heal in a few Days; unless it be where Mismanagement at
first, Malignity of the Infection, or an unfavourable Constitution, have
one or all contributed to increase the Disease, and to render its
Consequences more lasting and mischievous.
What Effects improper Treatment produces in this Case has already been
observed. With regard to the Matter of Contagion, or Nature of that
Cause which so suddenly brings on such a Train of Symptoms as hath been
described, little can be said with any Degree of Certainty: Thus much,
however, seems to be true in Fact, that in some Cases the Disease
appears to be of so mild a Nature, and so benign, as to require but
little Assistance from Art: Persons even recover from it under the
Disadvantages of unskilful and injurious Management; whilst in others,
the Progress of the Symptoms is so rapid, and the Tendency to Corruption
so strong, that nothing seems able to oppose it. Just as it happens in
the Small-Pox; the benign and distinct sort bears ill Treatment without
Injury; in the malignant flux Kind, the utmost Art and Experience are
too often insufficient to conduct the Distemper to a happy Issue.
Whether this Diversity in the Sore Throat we are speaking of, is owing
to a Difference of Constitutions, or of Seasons, to the different
Quality or Quantity of the Contagion, or the Manner of receiving it; or
whether there are in Reality distinct Species of it; may perhaps
hereafter be more certainly determined.
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