Sweating, considered as a mean of abating general action, is, in
most cases, inferior to bleeding; and can never, when the general
inflammatory action is considerable, be trusted to alone; but, after
the use of the lancet, it is generally serviceable. It is useful, in
particular, when the local disease is not confined to a small spot, but
affects a considerable surface, or different parts of the body; as, for
instance, in the rheumatism; but it acts, in these cases, rather by the
sympathy of equilibrium, than by any other mode. At the same time, the
induction of a sweat, preceded by bleeding, (which tends to abate the
local action as well as the general one) will sometimes be useful, by
giving a secretory termination to the general disease, and hastening
its conclusion. In the first point of view, sweating may be used early
in the disease, especially if preceded by bleeding. In the second, it
will be chiefly useful toward the end, as it will then accelerate the
termination, and thus influence the local action; for the abatement
of the general action must also produce an abatement of the action of
a particular part. Sweating, as well as purging, must be used with
caution in weakly people, or in those who are reduced by disease;
because, although the action of particular parts may be increased by
it, yet, partly in consequence of this temporary increase, and partly
on account of the fluid which is discharged, general weakness is
induced. One of the best sudorifics is the pulvis ipecacuanhæ comp.; of
which we may give ten grains every hour, until sweating be produced,
giving warm lemonade alongst with it. The tartar emetic is also a very
useful sudorific; the sixth part of a grain may be given every half
hour, until the proper effect be produced[7].
[7] One grain of emetic tartar may be dissolved in five ounces of
saline julep, and a table spoonful given every half hour, as long as
may be necessary.
Some of the agentes dissimiles may be considered as proper remedies
in this complaint; such as, digitalis, laurel water, lead, &c.; But
they are certainly inferior to blood-letting; and have been so little
employed in this way, that their effects are not ascertained[8].
[8] Some of these agents might perhaps only change the nature of the
inflammation, and render it specific.
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