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Τhis very accurate dissection throws muchsight on the nature of the distase; and thoughperhaps it may not assist us in curing it, yet willenable physicians to give suci, assistance and ad-Vice, as may Contribute much to the cure of suchas are amicted with this malady, and promote thecontinuance of their existence. The state of the paris abolit the heari fullysteWs, that Under such circumstances it is impossibie to bear with impunity the essedis of sud den and violent agitations, whether they arisiesrom gusts of paction, or suddenly accelerated
To proposse suci, a Lind of diei as may be themost lihely to prevent .such irritabili ty ; to re- commend likewise attention to quantity; to beparticularly abstemious in respeet to every thinglieating, spices, spiriis, Wines, and ali sermented liquors ; to guard most scrupulousty against
Passion, or any Vehement emotions; and to malleuse of ali the usual means of establis hing and preserVing generat health. To mitigate excesses of irritability, by anodynes; or patias, is they quicken the circulation; to disperse flatulencies when they distend the stomach, by moderate doses of carminatives, amongst Whicli, perhaps, simple peppermini-water may be one of the fas est; wili perhaps bethe means os continuing many a valvabie lis e tollis family. And it is not improbabie, but is on the firsi appearance of this stricture, especialty in an age
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not too far adu anced, the plan proposed might greatly retard the progress of this disorder, byassisting to restrain excesses of passion and anxiety, whicli perhaps contribute more to the increasse of this disease, than a combination of ali the other
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I PI AV E met mitti divers instances of persons
employed in patiating With Water colours, Whohave been violently assii fled With that diseasse, whicli is so generalty known by the name of colica Pisonum, or the dry belly-ach; and whohave been seiged with that train os sympionis v hicli usu atly attends this diseasse, and even withthat species of parabsis Whicli is osten the com panion of the most violent and advanced stages of it. As sonae of the sirst cases that occurred to me happened in autumn, I attributed them to thelisual est edis of the season ; a disposition to bilious disorders in every degree.
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27o Observations on Disor fers V
Reflecting on these cases, I found that severas of the instances I had met with, who were so
affected, both men and women, employed them selves in patia ting With Water-coloUrs ; and were likewise studious, and eminent in the respective branches of their profession. This led me to conssider their occiapation more attentively, in order to discover, is possibie, thecause of these complainis, and the means of pre- venting or curing them Willi more certainty and expedition. The pigments they mahe use of are, for themost pari, prepared from minerais, and many of them os a polsonous nature: white lead, red lead, vermilion, Verdigrise, orpiment, calcined smelis, and other substances of a deleterious Lind, formille basis of most of their Colours. It is not an unus at thing, nay, it is too frequently the practice of many of these artists, whilst they are studying their subject, to have the potnt of the pencit between their lips, and whilst they are fastion ing it to their purpose, are insensibiy swallowing, though in a stow unheededmanner, the noxious particles of minerat pot-
sons, whose effecis mill be proportioned to thequantity thus inscnsibly tinen in, and the deli cacy os the constitution. It is seldom that therobust apply themselves to this sedentary Occupation.
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At tengili me had a violent putrid sever, at tended with the most singular appearances I evermet with ; one of Which Was, a kind of desipientia that continued for weeks after the sever test her, with total losse of speech; insomuch that when me had recovered her faculties so far as to knowher Wanis, sae Was long Unable to express thembut by writing. To this was added a most exquisite patia in the soles of her feet, sor many weelis, whicli prevented ali exercisse, and thereby
At tength siae greW better, sat down to hersavo urite emplOyment, and was frequently seiged with a violent bilious colic, with iis usual con
health, and being made sensibie of the probabie cause of her indispositioia, siue scrupulous ly avoldsthe praetice that brought on these complainis, and ei oys better health. This and some other instances that happenedabout the sanae time, to persons in the sanae occupation, induced me to thinii these dis orders were principalty owing to their Mallowing, without thinking of the consequence, so much of the deleterious colours, as th0se unavoidablymust
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27 et Observations on Disorderi U
must do who ac custom themselves to famion thepoliat of the Pencit between their lips. In consequence of these reflections, I have de stred such artists as Ι have been ac quainted with, to find sonae other means of performing this Operation ; as the colours, being many of themos a polsonous quality, Would, sooner Or later, subject them to Very grievous sufferings, and perhaps, in time, to the total lossi of the use of their handS. I do not presume to proposse any better method of curing this diseasse, than that whicli hasbeen proposed by the writers on the colica Picto
p1ous dis charges by stool procured, and the functions os ali the boweis, in degre e, restoredio their usual state, I know of nothing that so effectualty contributes to restore the use of the limbs, when impatred by these causes, as theliberal and constant use of the tinctura guaicina involatilis. It may be gi Ven to such a quantity as may be sufficient to keep the belly gently open, mixed with a litile common sis gar or honey, and then diluted with any wealter mucilaginous li
Being fully convinced that many persons have suffered, and are stili liable to suster, Dona this suspected cause, I need not suggest to you, that could these ingenious artists be, by any means, appriZed of the danger they are expossedio by such practices, it might save them much
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froubie and expence, and continue them longerin a condition to serve thenaseives, their families,
and the public. I mentioned that the patient, whose case Ιbriefly described, sumered greatly frona a severeand un remitting patia in the soles of her feet, after the sever had tesse her. I thought myselfhappy that I had directed no applications to bemade to the Dei, netther blisters, Wario plasters,nor cataplastas, thoia gli the nature of her complainis osten induced me to consider how far
When that celebrated medicine called Plun e swas in Use, abGUt Is or 2O years ago, sor theextirpation os cancers, I met with the like patias in the Dei, where that medicine had been plentifully and repeateilly applied sor the extirpationos cancerous tUmoVrs ue and it was generalty apprehended that white arsenic Was a principalingredient in this composition. It is certain, however, that many of the pigments are of an arsenical origin, that others are preparations os lead and copper, ali of them noxious in a high degree, and neVer fati to produce the wors: of ConseqUences, when they are received in to the Vo L. II. T human
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human body sor a long time together, even in the minutest quantities. There is indeed a patia in the soles of the Dei, whicli I do not recollect ever to have seen re- mari ed by any writer. It is almost the constant companion os dram-drini ing, and in momenes pecially. Having met with it in mo many instances of this kinit, it affords me but too justapprehensions of the nature of the mal ady, Whena constant burning heat in the soles of the feet malles a part of the patient's complainis.
It is not improbabie but that many distases affecting Very young children, may be ascribedio a cause whicli I am obliged to Dr. Heberdensor suggesting to me. Many of their play-things
Accidentally mention ing this subject to Baron Dimsdale, he informed me of a casse that hans alien under his own notice, and of Whicli, at
In November last I was called to a boy of
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about eight years old, smali os his age, but naturali y lively and healthy. The account Ι re ceived was, that he had sor some time past been evidently declining in his health, complaining of patiis in his belly and stomach. His apothe-
was languid and declining ; his belly was rather
Particular inquiry Was made respecting his diei, but nothing appeared, in this respeet, im-
Considering it, theres ore, as an obstinate obstruction in the boweis, a variety of medicines were tried, to keep the body moderately lax and open; but no ground Was gained by these means; On the contrary, he declined visibiy, thoughstowly. ς Whilst he was in this state os danger and Uncertainty, a relation of the family asked me,
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and , sor that purposse, Was furni med with melis of paint, and penciis, With which he amu sed himself frequently ; and his friends deeming itan inoffensive amus ement, had not mentioned itto me. On examining further, I sound also that he had got a trich of being almost continuallymetting his penciis in his mouili, while there Was
On this discovery, ali the perniciolas implements were taken from him, and by giving occasionalty a purging medicine, taliing care that he had stoois regularly, and persisting in a properdiet, he soon began to mend, and in a s hortspace of time recovered his usual health and