These two principal kinds of inflammation have given birth to the names of many other inflammations contiguous to those parts, which I hope to be excused from entering into, as it is of very little signification to the proper treatment of those disorders; for I have often known the most skilful practitioner, to be mistaken of these disorders in his diagnostics, and yet been successful in his cure. The signs of this inflammatory disease, is an acute fixt pain in the breast; on whatever side the disorder is in, with a difficulty of breathing, and frequently attended with a small short dry cough, which however stings the patient like so many daggers. A constant fever attends with all its symptoms; which adds greatly to the patient’s misery. On the immediate signs of these symptoms, bleeding must be had recourse to; and if the inflammation is great, and the pain pungent, it must be repeated; though with skilful management. Bleeding may be repeated after the first twenty-four hours; yet in general it is needless, and sometimes dangerous; for my own part, I never approved of it; nor have I seen any necessity for it. Perspiration however should be promoted. If the pain is violent, let the patient use the following medicine. No. XLI _Take sweet Spirit of Nitre_ (D) _twenty drops; Spirit of Wine and Camphor_ (A) _ten drops; Fever Powder_ (L) _one scruple; mix it up with sugar and water into a draught._ Let the patient take this every six hours; if there is a great nausea at the stomach, a small vomit of twelve grains of _Ipecacuanha_, (S) may be given first, notwithstanding it is great pain to the patient; and I have often known it productive of great good, and laid the first foundation to a successful cure. If the pain still continues, twelve drops of _liquid laudanum_ (T) may be added to the above draught; No. XLI. If the spirits of the patient is low, give the _essential oil of Peppermint_ (U) to the quantity of three or four, or six drops upon a lump of sugar, either put, into the draught above-mentioned, or give it by itself occasionally. To the inflamed side, warm cloths may be put wrapt up with a hot made trencher, brick, a bag of sand, or whatever will retain heat; as that will greatly facilitate the internal resolution. Perspiration is the principal object to be considered in this acute disease, and should therefore be promoted; but every thing forcing that produces profuse sweats should be avoided, as that only encreases the fever. If the patient is very restless, the fever depressed, and greatly oppressed in respiration, blisters may be applied; but if the patient can do without them, it is much better; as they very often are apt to encrease the inflammation.