Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitionersBuchan, William
Science
Domestic medicine : $b or, a treatise on the prevention and cure of diseases by regimen and simple medicines. With an appendix, containing a dispensatory for the use of private practitioners
Buchan, William
Medicine, Popular -- Early works to 1800
When the patient’s spirits are low, and the eruption does not rise
sufficiently, his drink must be a little more generous; as wine-whey, or
small negus, sharpened with the juice of orange or lemon, and made
stronger or weaker as circumstances may require.
Sometimes the miliary fever approaches towards a putrid nature, in which
case the patient’s strength must be supported with generous cordials,
joined with acids; and, if the degree of putrescence be great, the
Peruvian bark must be administered. If the head be much affected, the
body must be kept open by emollient clysters[86].
MEDICINE.——If the food and drink be properly regulated, there will be
little occasion for medicine in this disease. Should the eruption
however not rise, or the spirits flag, it will not only be necessary to
support the patient with cordials, but likewise to apply blistering
plasters. The most proper cordial, in this case, is good wine, which may
either be taken in the patient’s food or drink; and if there be signs of
putrescence, the bark and acids may be mixed with wine, as directed in
the putrid fever.
Some recommend blistering through the whole course of this disease; and
where Nature flags, and the eruption comes and goes, it may be necessary
to keep up a stimulus, by a continual succession of small blistering
plasters; but we would not recommend above one at a time. If however the
pulse should sink remarkably, the pustules fall in, and the head be
affected, it will be necessary to apply several blistering plasters to
the most sensible parts, as the inside of the legs and thighs, &c.
Bleeding is seldom necessary in this disease, and sometimes it does much
hurt, as it weakens the patient, and depresses his spirits. It is
therefore never to be attempted unless by the advice of a physician. We
mention this, because it has been customary to treat this disease in
child-bed-women by plentiful bleeding, and other evacuations, as if it
were highly inflammatory. But this practice is generally very unsafe.
Patients in this situation bear evacuations very ill. And indeed the
disease seems often to be more of a putrid than of an inflammatory
nature.
Though this fever is often occasioned in child-bed-women by too hot a
regimen, yet it would be dangerous to leave that off all of a sudden,
and have recourse to a very cool regimen, and large evacuations. We have
reason to believe, that supporting the patient’s spirits, and promoting
the natural evacuations, is here much safer than to have recourse to
artificial ones, as these, by sinking the spirits, seldom fail to
increase the danger.
If the disease proves tedious, or the recovery slow, we would recommend
the Peruvian bark, which may either be taken in substance, or infused in
wine or water, as the patient inclines.
The miliary fever, like other eruptive diseases, requires gentle
purging, which should not be neglected, as soon as the fever is gone
off, and the patient’s strength will permit.
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