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
The internal Medicines they used were such as they deemed Alexipharmics.
_Armenian_ Bole, Bezoar both animal and mineral, Pearls, and, according
to the Philosophy of those Times, the precious Stones. The _Theriaca_
was excepted against for Children, as _Galen_ had condemned its Use in
such young Subjects. But after they had lessened, as they thought, the
Plethora by Bleeding, and the Cacochemy, as they stiled it, by a
Cathartic; as they found, from Experience, that no Concoction of Humours
was to be waited for in this Case[27], without laying much Stress upon
Internals, they seem chiefly to have applied themselves to Topics;
considering the Disease as local, and a peculiar morbid Affection of the
_Fauces_.
In this Part of their Directions they have been more particular; and
some of them, in order to point out their Applications with more
Propriety, have divided the Course of this Disease into four different
Periods[28].
The first is the State of Inflammation. In this Repellents were thought
necessary; such as Vinegar in Barley-water, Syrup of Roses, Mulberries,
and Purslain.
The second, is that wherein the white Sloughs begin to appear, which is
a Step towards a gangrenous Colliquation. In this State they order'd
mild Abstergents, of which Honey of Roses was esteemed the chief.
In the third, the _Fauces_ begin to look black, and a real Mortification
is come on, sometimes penetrating to a considerable Depth, with great
Putrefaction. Here the mild Abstergents were deem'd ineffectual, and
Caustics were recommended; such as Alum with Honey, Alum-Water, Oil of
Sulphur, and Oil of Vitriol. These were used both to check the
Putrefaction, and to destroy the mortified Flesh.
Sometimes the Oil of Vitriol was dextrously applied to the Part affected
by an arm'd Probe; but it was oftener mix'd with Syrup of Roses, and in
Children pour'd into the Mouth. Bole dissolv'd in Treacle-Water, and the
Juice of Wood-Sorrel, was used by some for the like Purposes.
In the fourth Stage the Putrefaction is supposed to be extinguished, the
mortified Parts cast off, and an Ulcer only remains. In this Case, the
Fume of white Amber thrown on live Coals, and received into the Mouth,
as a _Suffitus_, was advised; also the _Vinum Myrrhites_, a Decoction of
Guaiacum, Roses, Balaustines, Pomegranate-Peels by way of Gargle;
Medicines that were supposed to dry with some Degree of Astringency.
Such was the general Appearance of this Disease at its first being taken
notice of in _Europe_; and such, as far as I can collect, the Methods
that were pursued in treating it, by the most eminent Practitioners at
that time.
The Disease which is described in the following Pages, seems to be the
same with this _Angina maligna_, or strangulatory Affection of the
_Fauces_, and seems only to differ from it in Degree; in which, as it is
much more favourable and mild with us in general, than it was with them,
we have greatly the Advantage.
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