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
The dropsy is a preternatural swelling of the whole body, or some part
of it, occasioned by a collection of watery humour. It is distinguished
by different names, according to the part affected, as the _anasarca_,
or a collection of water under the skin; the _ascites_, or a collection
of water in the belly; the _hydrops pectoris_, or dropsy of the breast;
the _hydrocephalus_, or dropsy of the brain, &c.
CAUSES.——The dropsy is often owing to an hereditary disposition. It may
likewise proceed from drinking ardent spirits, or other strong liquors.
It is true almost to a proverb, that great drinkers die of a dropsy. The
want of exercise is also a very common cause of the dropsy. Hence it is
justly reckoned among the diseases of the sedentary. It often proceeds
from excessive evacuations, as frequent and copious bleedings, strong
purges often repeated, frequent salivations, &c. The sudden stoppage of
customary or necessary evacuations, as the _menses_, the hæmorrhoids,
fluxes of the belly, &c. may likewise cause a dropsy.
I have known the dropsy occasioned by drinking large quantities of cold,
weak, watery liquor, when the body was heated by violent exercise. A
low, damp, or marshy situation is likewise a frequent cause of it. Hence
it is a common disease in moist, flat, fenny countries. It may also be
brought on by a long use of poor watery diet, or of viscous aliment that
is hard of digestion. It is often the effect of other diseases, as the
jaundice, a scirrhus of the liver, a violent ague of long continuance, a
diarrhœa, a dysentery, an empyema, or a consumption of the lungs. In
short, whatever obstructs the perspiration, or prevents the blood from
being duly prepared, may occasion a dropsy.
SYMPTOMS.——The _anasarca_ generally begins with a swelling of the feet
and ancles towards night, which for some time disappears in the morning.
In the evening the parts, if pressed with the finger, will pit. The
swelling gradually ascends, and occupies the trunk of the body, the
arms, and the head. Afterwards the breathing becomes difficult, the
urine is in small quantity, and the thirst great; the body is bound, and
the perspiration is greatly obstructed. To these succeed torpor,
heaviness, a slow wasting fever, and a troublesome cough. This last is
generally a fatal symptom, as it shews that the lungs are affected.
In an _ascites_, besides the above symptoms, there is a swelling of the
belly, and often a fluctuation, which may be perceived by striking the
belly on one side, and laying the palm of the hand on the opposite. This
may be distinguished from a _tympany_ by the weight of the swelling, as
well as by the fluctuation. When the _anasarca_ and _ascites_ are
combined, the case is very dangerous. Even a simple _ascites_ seldom
admits of a radical cure. Almost all that can be done is, to let off the
water by tapping, which seldom affords more than a temporary relief.
Public-domain text, read in full here on John Shaqi.
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