장음표시 사용
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but as he noW began to acquire a more manlyhabit, it ceased to be conspicuous. In this case I had just reason to apprehendthat the Barii put a s p to the tumour's in- creasse, and rather sos tened it; but this was ait: and I have met with many other cases, in Whichthe Bark has had the like effects; cheched thespeedy progress of the dis se, restored a bellerstate of health in various respexns, and laid a proper Dundation to proceed Upon, in attempt-ing a cure by other methods. I have likewisemade use of the Bark in scrotalous ulcers, buthitherio not with the succest one might expect. I have at present under my care a boy about urteen, a giri about ten years of age, and athird about seven os a very delicate habit. The two first are poor, and a charge to their parenis, frona a sorenes s in their eyes, that renders themincapable os bearing the light, or do ing any
thing towards their support. The last is obli-ged to live in constant dari ness, though the .child of persons in beller condition. They have been in the course described above severat
Some times I give the caumel pilis above mentioned with the decoction, especialty is any
sumpto iras of the worms appear, or is the casse is attended with costi veness, and a dis charge of acrimonious moisture on any part of the shin.
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ness and iis opposite. As Ι imagine the result os repeated observations will be more agreeable is your plan ilia a delati of particular cases, I shali conclude this narrative with remari ing, that I have given the Barii, in cases similar to those above described, to children of different ages, to aduits of both sexes, and in Various conditions os life ; and have Dund, that it may not only be given With great s asely, but to mani sest advantage, in many scro fulous complaints : inveterate ophthalmies generalty yield to it; incipient glandular tumoursare very frequently resolved, and their farther progress stopped; sWelled lips, culaneoushlotches arising frona the like cause, are healed, and the tendency to a strumous habit corrected, by a proper u se of the Cortex Peruvianus. I here are se , I belleve, who are conVersant in the praetice of physic, who do not fini occasion, at One time or Other, to be dissatisfied withthe severat methods and medicines hitherio re- commended in the cure of the disorders I have
remedies under prudent directions. When theelseasse is farther advanced, it grows more obstinate; the greater the number of paris that areassected, the more the dissi culties are increas ed. We have indeed a copiolas choice of alteratives
han led down to has, ali Whicli, perhaps, have been, in particular instances, beneficiat; but ne vertheless
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verthelest they too osten dilappoliat us. Mostos the remedies proposed sor this distemper, aresecti as stem recommended more With a view to alter the juices, than immediately to affect the solids: but we hitherto know much lese of the nature of fluids circulating in an animal body, orhow to alter them, than we do hoW to applysuch medicines as affect the solids, and, in Consequence thereos, produce certain alterations in the fluids. It is not sese to inser, that the various kindsos salis have the fame essedis upon animal juices whether talien from the animal, or circulating iatheir proper canals . Experience does not al-WayS Warrant such conclusions. The digestive powers of the stomach, by the same means thatthey convert different soris of alimenis, sonae of
them lassiciently acrid, into a mild and milhyfuid, siem able to deprive the most pungent salts of great part of their activity. And thia
circumstance alone, in my Opinion, renders adependence Upon One part of the Materia Me
dica, on whicli many Pleasing expectations have been sormed, much to be suspected ; Ι mean thedisserent Linds of salis recommended in stru-
sedis of the acid and the aikaline greatly dependon the present disposition of the juices in the stomach and first passages. The neutral onesare not altogether exempt frona the fame influ- eiace; and should they passi unaltered into thebl00d, We cannot ascertain their effecta upon it tand
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or be able to extirpate a disease, as the ancients
expressed thenaseives, totius sub anti , and fixedin the most inaccessible paris of the animal oeconomy 8 The chance theres ore os curing this distemper, by means os remedies designed to acton the fluids alone, is but litile. It may indeed be urged, that salis, as stimulanis, affecto the solids as weli as fluids; and that they may do so is granted: but in this case their operation is much confined ; for it may be doubted, whether their stimulus extends beyond the first passages. The aspect, habit, and age of strumOUs per-
dicate a generat laxity of the solids, as weli asgreat viscidity of the fluids, especialty those contained in sonae particular series of vesseis; whicli causes, When combined, proceed with a stow biit constant emcacy to produce the worst of mis-chiesse, uniesse preVented by the interpossition of
viscid, and uia fit sor their ossice, in Consequence of this relaxation; or Whether the juices are not
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in Whicli one or the other of these suppositions may, With great probability, be admitted; but in ei ther case, since it seems beyone dispute, that the power of affecting the solids is more under Cur command than that of altering the fluids, itis reas nable to direct our applications in thecure of this distemper more immediately to the solids, as, without their assistance, the fluius must stili remain in a morbid condition. All internat remedies given by the mouth, and designed to aet beyond the stomach, must be exposed to the efficacy of the powers bywhicli digestion is performed: it is theres ore incumbent Upon the prescriber to consider how farthe viriues of the medicines he gives, are liableto be affected in their transit to the paris where
line remedies, as liath already been observed, areliable to great alterations in the stomach. Alcatine and acid salts may become neutral and sa-ponaceous; neutral ones may be diluted, and
disposed to ruta off immediately by the emunctories, and est of them contribute as litile to-wards eradicating this distemper, as they do to-wards effecting the change We cali digestion; achange Where by substances Very remote from itare converted into an animal nature.
And it seems to me, that in the cure os allchronic complainis, hoWever distant their seat may be frona the stomach, those will have thegi eatest successe, Who attenti vely consider the present
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sent state of this organ ; Who remove every ob
struction to iis persorining the office of digestion Mitti east, constancy, and expedition. For is digestion is weli performed, the chyle is proper; the blood produced Dom this chyle is naturat;
the secretions, nutriment, and excretions, will beregular; health, strength, and activity, ensiae; and distales vanissa. Is digestion languissi, the contrary happens, in spite of the best specifics, un-Iest one part of their Viriues be to restore the injured faculties of digestion to their pristine and
natural state. And Dom the most attentive consideration of the cure of many chronic complainis, and themost unprejudiced disquisition what mare themedicines applied have had in effecting such cures ; by much the greatest part of these dintempers seem to have been remove I, rather in consequence of the medicines given having hada certain effect on the stomach, and thereby enabling nature to do her own business, than by any specific operations on the particular stat of the distemper. Ιf the immediate cause of intermittents does not reside alWays in the stomach and first passages, it osten does Undoubtedly. An emeticsomelimes cures it, bitters of ali hinds osten ;astringenis likewise: and, in a WOrd, whateveritas a pomer os assisting digestion, has, at onetime or Other, been recommended in the cure ofagues. The Bark e oys a degree of bitternesi
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glandular paris of the body particularly: theyhave been judged to proceed frona obstructions of these paris ; and it has likewise been the opinion os sime, that, in ali glandular obstructions, the Bark Was an improper and injurious
so that those Who were iis greatest advocates,
and, si om experience, had the weightiest reasonsto be so, could not altogether divest thenaseives of many apprehensions concerning it. Sydentiam imagines it capable os producing rheumatistas. It has been sound, since his time, to be an effectual remedy in this disease, under certain circumstances. Those who are subject to intermittenis, are frequently liable to rheumatistas. Sydentiam did not observe, that a transition from one to the other, Was eas' and naturai. The state of the blood, in both cases, isnearly the fame; the colour of the Urine, regUlar exacerbations of pain, going off in profuse
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given when the pains remitted, so as to form a manifest apyreXy, the rheumatism Would most probably have been CUred. The vulgar, at that time, took the a luantage of such circumstances to strengthen their PrejU- dices against this remedy. Nothing was more Common at that time, and nothing more firmlyhelieved by many noW, than that the Barh produces patias in the bones,V that is, rheumaticpains; whicli ho ever Were not oWing to iis use,
who did much in the theory of physic, in respectio separating truth from falsehood, certain tyfrona hypothesis; yet, in praetice, submitted tothe fashion of his country in too many instances. An unconquerable dread of the Bark was oneos these: he saW many chronic complainis, wherein the Barii had been given, and attributed them, too readily, and frona opinion, rather than experience, to the Use of this drug; though probably tho se complaints arose from iis not having
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England; sor Whateuer is ians aleable here, Willfind a mari et in Holland; part of whicli nodoubi is consumed there; and from hence might arist many inconveniencies sum cient to discou-rage the proses r. Is a certain quantity of good Bark is necessary to talie OT an intermittent, anda much smaller quantity is given, and the kindgreatly desective in potnt of essica cy, it is very
certain, that litile benefit can be derived Domit. The violence of the paroxysis may perhapsthereby be moderated, and the aspect of the distemper changed, though the diseasse itself maystili remain, and be followed by a train os obstinate complainis, not proceeding from the use of the Barii, but merely from iis not being good, and not being given in sussicient quantities. The first attempis I made in the cure of s me scrofulous complainis, by the Barh, amorded me sussicient encouragement to proceed : and Ι have now the satisfaction to know many young peOple, of both sexes, Dee Dom any appearance of this
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the like complainis, in spite of many efficacious remedies which had been applied. It will not however succeed in ali cases; butinere are few in Whicli a trial can be attendedwith much detriment. I have never known itavait much, Where the bones are affected, nor where the scrosulous tumour is se situ aled, as tobe attended with much pain, as in the joinis, oriander the membranous couers of the muscies; for when it attacks these paris, perio eum sel-dom est apes Without sonae injury, in Whicli casethe bone will of course be likewise injured. Here the Bark is of no effect : instead of lessen ing, it rather adds to the sever that accompanies these circumstances; and, is it does not increasethe force of the misclites it stems at te in toliasten iis progressi. I commonly malae use of a decoction like thesollowing, as a sorio in Whicli a sufficient quan