When the oblique Muscles are not equally swelled in their whole Extent,
the Bottom of the Eye, pressed towards its Axis, forms no longer a
regular Circumference, whose Points are each equally distant from the
Lens. Therefore, of the Rays which fall on the Choroïdes, Part only have
thereon their Focus; the other are yet too divergent to express a
distinct Image.
Thus even remote Objects cannot be distinguished but imperfectly.
So far for the Investigation of the Nature and Cause of this Disease.
Having been hitherto mistaken for a _Gutta Serena_ by Practitioners, it
has accordingly been treated as such. Issues, Vomiting, Purging,
Salivation, have all, occasionally, been tried; but every Method yet
attempted to remove this Disorder, has been to no better Purpose than to
confirm it.
A rational Treatment of this Disease, I should imagine, cannot but be
acceptable to the Public; I therefore proceed to point it out.
The Indications for a radical Cure are three, relaxing, deobstructing,
and restoring to their due Tone the ocular Muscles.
In order that they may be relaxed, the Patient must avoid spirituous
Liquors, Tea, Coffee, Chocolate, Aromatics, great Exercise, and violent
Passions. He also must observe a low Diet; his only Drink, for a while,
ought to be either Barley-water, Whey, Marsh-mallows Infusion, or
Orgeate.
Regimen being prescribed, the Cure is to be attempted by a moderate
Bleeding at the Foot, which is to be repeated once every Week.
Every Day (except those of Bleeding) the Patient should take, for a
whole Month, two, three, or four Drachms of Cassia, according to the
Strength of his Constitution.
When his Fluids are well diluted, antispasmodic Suffumigations[22] are
to be conveyed to the Eyes by a proper Instrument. Emollient[23]
Pultises are likewise to be applied to the temporal Regions.
These being made Use of, the Swelling of the ocular Muscles gives Way by
Degrees, the obtuse Pain vanishes, the Globe of the Eye collapses, and
Vision begins to be restored.
Then some electrical[24]Sparks are to be drawn from the Canthi of the
Eyes, Morning and Evening, during a few Weeks. Mean while, a Plaister of
_Tacamahaca_ is to be worn on the Temples. These Remedies being
calculated to remove all Obstruction of the affected Parts, promote the
restoring of the Sight, and complete the second Indication.
When Vision is nearly[25] in its former State, there remains only a
Weakness of Sight, which is gradually removed by often washing the Eyes
with fresh Water alone.
Such is the Method I have pursued to perform the following Cures, being
the only ones of the Kind I ever attempted.
Public-domain text, read in full here on John Shaqi.
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