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T, Aatment of Consumptioris. Is 7
these cases; and perhaps repeated mild emetics, sum cient to cieanse the first passages, would of ten be of hise. One great missortune attending these migrations, whether from London or other great cities, into the neighbouring country, or to Bris tot and other places in this hingdom, or to the Continent, is, that, sor the most pari, they areunderialien too late, both in respeet to the progress of the diseas , and the season. Instead of removing at a time When a change of air and iis consequences might prevent themost serious eviis, they are in haste to quit their COUntry, When perhaps ne i ther this can be beneficiat, nor the season sor a j ourney a proper
It seems too osten to be the fate os consumptive patienis, to do that last, Whicli they ought toliave done first; and by this preposterous conduin, to fhorten their own lives, and assii et ali wholiave any regard for them. It happens not sel-dom, that When their physicians and their friends have in valia urged their departure at the properseason, they have resolved to set out on the most
The benefit os exercise in this distemper, has en strongly urged by many Writers. As it has
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been treated of so pertinently by Doetor Dickson, one of your colleagues, I slaal l say litile moreon the su est. It is however evident, that this great auxiliary may be abused, and that ConsumptiVe patients may use it improperly. Theyride out when they ought not, and increasse theirdis ase through indiscretiosa. Moderate johar
nies, in temperate seasons, and as much as maybe on horsebacii, are os excellent use in Consumptive cases, observing, at the fame time, ex
adi temperance, both in respeet to diei and liquors. To ride out early in the spring, in very mari , or in damp, Cold, and soggy Weather, an dat Unseas nable ho ars, as, early in the morraing, or late at night, is most certainly prejudiciat. . Repeated blee lings, in s mali quantities, are considered in these cases as hi ghly adVantage ous. They are so ; and yet it is positble toc arry this poliat too far: a constitution apparently abounding with blood the blood whenemitted extremely sizy much patia in thebre ast and an abalement of eVery symptom ensu in g, are just motives to proceed. In such cases bieeding is undoubtedly proper, and to be repeated so long as the like essedis erisue, and health is restore l. But in very delicate constitutions, and where
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Trea ment of Consumptions. Is '
is alone a sussicient reason for blaedi no . Allothor evidon ce stiould be called in, to assistus in determining upon it; the patient's age, strengili, habit, usual evacuations, and state of the disse asse. I mean Unly to suggest care; notio dissuade Dona the operation: bl ding carried to excess, even in 1 mali quantities, is capa-tile of producing varicus ill cons quences It may not be improper in this Place, perhaps,
to talae notice of a circumstance whicli ostenhappens in consumptive cases, and whicli as ODten clatins the anxio Us attention of sonae of their friendS.
are osten subject to this distemper. Wheti di has advariCed considerably, the me; es, is theyliave made their appea rance, most generallycease. This alarms their semale frientis, and theycali upon the physici an to Use his ulmost endea-vours to asist in this poliat, belleving this cessation to be the cause of the complaint. Induced by these solicitations, medicines have sonaetimes been administered, that, Without obtaining thisend, have tended to aggravate the distemper. This deficiency is osten of no reat diis luantage in these cases: in many it Would be injurious,
hleed ings, at the regular periods, have ostendone more harm than good. A sudden suppres lion may require blee ling; but when the eva
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Drains are also deemed to be of great use in the cure of disorders of the breast. Ιssues, se- tons, blisters, both temporary, and, as they arestyled, for want of a more iust epither, perpetuat,are strenuousty recommended. . I confessi I have but litile experience to allege, et ther for or
my brethren of the faculty, but even to their opinions, they will not Wisti me to Zive up myown implicitly. It gives me seme degree of firmn esse in prosecuting any meas ure, whilst I can perceive sonae relation belween the cause and the effect. When Ι discover that a phthisical patient is descende istona parenis Who have been subject to cuia neous or scrophulous disse asses, or that they have had the like thenaseives ; that sonae isiue has been suddenly stopped; sonae eruption has dis appeared; and that the breast was soon a ter attacked ; itfeems immediately necesiaiF to substitute an artificiat drain, anil, perhaps, as ne ar to the Partthat was the seat of these di sorders, as conveniency Will permit. I belleve it happens not. seldom, that Very dan gerous attactis Upon thebreast are made by the retrocession os such im purities ; and that in such cases these auxiliaries ought especialty to be recommended. But asconsumptive complainis exist in many constitutions, in Whicli it does not appear that they pro Ceed
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In rny former paper I omitted to talie notice of one medicine, Whicli I have seen made use of . too frequently in the treaiment of this distemper; the oxymel of squilis. There is scarce a circumstance in the whole Course of this di asse,in whicli one of the most powerfui eXpectoranis
can be of use ; ohar Ulmost endeaVOUrs ought tobe exerteii, to cool, to abate inflammation, andio remove every cause of irritation to the lungs. Under sicli circumstances, to give a medicine
imprOPer. Hitherio no mention has been made of thense and abuse of a milla diei in this distemper. st may, howeVer, be reiamari ed, that there are constitutions in whicli this most excellent nutriment seems to dis agree ; a Pronenesis to generate bile, or too strong a tendera cy to acescency Domweali organs os digestion, both require the physici an 's attention. Whey, either frona cows or
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rum or brandy to asses or Coms milli. Theseliave done more mischies to Consumptive patienis, than any but Physicians Can conccive. These additions are mostly committe 1 to themanagement of servants, who, for the most
pari, thinii every thing of this nature cordial; an idea they annex io gro ing strong; and there re too Osten give liberal doses. Ardent spirita not only heat, but coagulate milli, addedheyond a certain quantity ; by Whicli means themilla dis agrees, and the spirit augments the dis-
jects of it, early to abstain Dom ali animal sood, and ali spirituous and fermented liquors; to subsistentirely on milli, fruit, vegetabies, and things prepared from them ; to quit the air of populous towns and large cities; to muta ali occasions ofanxiety, as Weli as fatiguing distipation; to beregular in their liours, rising early, Using moderately such exercise as is suiled to their strength,
and changing the air as far and as osten as their convenience Will permit; is to render them themost essentiat services in Our power. Medicines will then more efficaci ous ly contribute to abale the sever, mitigate the cough, and restore that
diseasse, and their own inattention.
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Cortex Winteranus, or Magellani Cus,
Some Experiments by M. MORRIS, M. D. F. R. S. To the Medicat Society in London. Gentiemen,
THOU GH the improvement of the art of healing is your immediate objech, yet I donot perceive, stom the plan of your institution, that you proposse altogether to exclude lachparis of natural history as relate to the Materia Medica, and which may tene to explain What hashitherio been obscure, and thereby created confusion . Presuming therei ore that the solioming
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When the Dolpliin, Captain Wallis, returne ἰfroin the South Seas in 1 68, the ossicers hi ought with them a considerable quantity of the genuine harii, called Winter's Barh. I cali se thegenuine barii, to distinguissi it fro in the Canella AIM, which has Iong usurped the name of Winter's Barii, though it is very inlitie in iis appearance and sensibis qualities, the produce of adisserent tree, and which is brouot from a very different part of the globe. Capta in Wallis, soon after his return, gaVe asi nati branch of the tree to his frierid, Captain Middieron, who was sin obliging as to malae mea present os it. Some of the bark I had received hes ore from an ossicer ol the Dolphin. Γhese circumstances induco me to Wim sonae.
such account of this bark might be laid be rethe public, as is here proposed to yoia, that the triae Cortex V interanas of the MagellanicStreighta might sor the future be clearly distin quished frona the Canella Alba, the produce of Jamaica and some other West-India issand s. . The specimen Ι had received was si far persedi, that it enabled the late very eminent
draughismaia G. D. Ehret to make an elegant
drawing of it, With a tolerably exa st descriptionos iis botanical characters. But as I Wisied to lay besore yota ille cleare
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valled Upon Dr Solander to examine the specimen, description, and the drawing I had P cured, Knd to favour me with such a histor and description os ii as might enable botantiis toplace the tree in iis proper rank At the fame time I requested Dr. Morris to lend his assis ance in a chymicat analysis of this substance
Description of the Winterana aromatica by Dr Solander: The tree whicli produces the Winter's Barti WaS Utterly Unknown to the Europeans illi the
Severat authors have mentioned it since in
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No more mas heard of this barli ' tili the Dutch fleet under Admirat Van Nori returnedsrom the Streights of Magellan, in the yeara foci ; the author of the account of their voyage calis this tree Lauro similis arbor licet procerior, cortice piperis modo acri et mordenti. De Bo. Ind. Occid. Sol. iX. p. 18. Asterwards ali tho navigators Who passed through the Streights of Magellan took notice of the tree, on account of the Use uinest of iis
Mustum, Hori. SicC. 8. so. IOO. ISO. I 8. 332. D. 46. Frona these specimens, and the account