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
With respect to Constitution, it may be further observed, that in soft,
lax, leucophlegmatic Habits, and languid inactive Dispositions, every
thing else being equal, the Disease seems to proceed more slowly, to go
off more irregularly, and to leave behind it more lasting Effects. In
some Persons of the Temperament described, tho' the Fever has grown
less, and all the Symptoms abated in four or five Days, yet the Sloughs
in the Throat have continued almost a Week longer; whilst in the
opposite Constitution, tho' the Disease has been much more acute, yet
the Symptoms have no sooner abated, than the Sloughs have cast off, and
the Ulcers healed of their own Accord.
A copious Hæmorrhage from the Nose, Mouth, or Ears, the last especially,
coming on after the Disease has continued three or four Days, or longer,
is a dangerous _Phænomenon_: For at this time of the Distemper, it most
probably proceeds from the Branch of an Artery destroy'd by the
Mortification, and laid open by the Separation of the Slough. If the
Vessel is therefore large, the Bleeding may prove fatal to the Patient
in a very short time; or if he escapes for the present, the Loss of a
considerable Quantity of Blood at this time of the Disease, will
occasion various ill Consequences.
It is therefore absolutely necessary to endeavour to stop this Discharge
with all the Expedition possible. If the Patient is costive, it will be
of Use to procure Relief in this respect, by Clysters or Suppositories
as soon as can be done: To apply Vinegar, by the means of Tents or
otherwise, as near to the Orifice of the Vessel as we can: To convey the
Steam of it into the _Fauces_ and Nostrils plentifully: To keep the
Patient in a sitting Posture, or his Head raised as high as may be, and
his upper Parts moderately cool: If these Methods don't immediately take
Effect, Recourse must be had to the most efficacious Remedies, amongst
which we may rank the _Bark_ and _Opium_.
It is not uncommon for hectic Heats, Night Sweats, Want of Appetite, and
Dejection of Spirits to attend those a considerable time, who have had
the Disease in a severe manner. Asses Milk commonly relieves them, or a
Decoction of the _Bark_, and _Elix. Vitriol_ if the Case is more
obstinate.
* * * * *
Having thus related, as concisely as I could, the most material
Circumstances that have occurr'd to me in respect to the Symptoms,
Progress, and Event of this Distemper, the _Juvantia_, _Lædentia_, and
the Accidents chiefly to be regarded in its Cure; in such a manner as I
hope will enable those who have not seen or known it, to distinguish it
from a common Sore Throat and to treat it with some Degree of Propriety
and Success, I shall conclude with observing;
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