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
We are directed, by most of the Authors I have seen, to begin the Cure
of this Distemper with Evacuations; the chief whereof are Bleeding and
Purging; tho' which of the two ought to precede was not a little
disputed. Purging was in general preferr'd; and they commonly made use
of Manna, Rhubarb, Senna, and Agaric, for this Purpose. _Cortesius_
directs six Ounces of Manna to be given to Adults in a Decoction of
Tamarinds. Bleeding, tho' commonly directed at the first, hath been used
more sparingly in this, than most other acute Cases[24]. _Severinus_,
who was by no means a timid Operator, directs from four to eight Ounces
to be taken away; which, considering the common Practice in those
Countries, is a very small Quantity[25], But it may not be improper here
to give a short Sketch of this Author's Practice, as he differs in
several Respects from most others.
He orders an antimonial Vomit to be given at the first Attack, and a
cooling gently astringent Gargle to be used Night and Day. He then
directs a Clyster, takes away some Blood from the Jugular, and gives
from _xv_ to _xxi_ Grains of Bezoar Mineral twice a Day; or oftener, as
Occasion requires, with thin diluting Liquors, in order to raise and
promote a moderate Sweat. He gives five or six Grains of the same
Medicine to Children at the Breast, and commends it highly. He scarifies
the discolour'd Parts in the _Fauces_, in order to let out the corrosive
_Virus_; a Practice, which, though it was countenanced by some of the
_Spaniards_, was disliked and condemned by the most eminent _Italians_.
He, as well as _Zacutus Lusitanus_[26], used the _Arsenicum album_ in
Gargles in very small Quantities, but with how much Advantage to the
Patient is nowhere so fully proved, as to induce one to follow their
Example.
Cupping, with Scarification, was universally approved, and commonly
practised. Leeches were also applied, by way of Revulsion, to different
Parts.
Considerable Benefit was expected from Ligatures made on the
Extremities, and from chafing the Limbs with the Hand or a Cloth; also
from Cupping without Scarification; apprehending that a Revulsion from
the Parts affected was by this means procured; and that some Portion of
the morbific Matter, was carried off by the Pores of the Skin.
Some of the _Spanish_ Physicians recommended Vesicatories of
_Cantharides_ to be laid on each Side the Neck: The _Italians_ seem not
to have been fond of them; and urge it as a Reason against their Use,
that the Progress of the Disease was too quick to be relieved by any
Discharge they could make.
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