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breath, vomiting, cold sweats, convulsions, fainting, and at length with death, if not timely remedied.
• If the patient has swallowed the poison, he must take a vomit, and a clyfter must be injected, the sooner the better ; also warm and attenuating alexiterials, as theriac and mithridate, in some generous wine, should after the operation of the vomit be forth with given ; bathing in the salt water and exercise ought to be used.
• The mineral kingdom furnishes very few real poisons; the only natural one is cobalt; the factitious are arsenic, corrosive fublimate, and glass of antimony; the true orpiment is neither a yellow arsenic nor a poison, it being void of all deleterious qualities ; neither has it any drastic qualities, either as a cathartic or an emetic. Quicksilver, diffolved in acid, mineral spirits, is likewise a poison ; though of itself it is entirely innocent; likewise glass of antimony reduced into powder, and exhibited, causes violent vomiting, with most cruel gripings, which often end in death, sometimes in a few hours.
• Arsenic taken inwardly creates a pricking, and burning sensation, with a heat and most violent pain in the stomach, a racking torture in the bowels, vomiting, inquenchable thirst, a roughness and dryness of the tongue, fauces, and gullet, with hiccoughs; then follow inost cruel anxieties, palpitation of the heart, faintings, coldness of the extremities; sometimes black vomits and stools, with a fætid, cadaverous smell ; and a gangrene of the stomach and intestines, which usher in death, if not timely prevented.
. In all cases where a person is suspected to have been poifoned by swallowing any substance of a corrosive nature, give as soon as possible large quantities of oil and milk mixed, quart after quart, till the retching to vomit entirely ceases, and the patient is easy. Quære : In the royal navy, when milk cannot be procured, would not the common almond emulsion, or the decoct. althæ be a proper succedaneum, if at hand ?
. The most dangerous vegetable poisons are wolf's-bane, the deadly night-shade, hen-bane, and datura ; to which may be added the roots of the hemlock-drop-wort: the common hemlock is so far from being poisonous, at least in small quantities, that it has of late been found very efficacious in the cure of several most obstinate disorders.
* But hemlock eaten inadvertently has produced pains in the stomach and precordia, with a sense of pricking and heat therein, attended with giddiness, the vertigo, epilepsy, and the abolition of the fenfes, with a strange Thaking and distortion of the body; universal spasms; a flux of blood from the
ears; a swelling as big as one's fist at the pit of the stomach; hiccough, fruitless retching to vomit; a swelling of the face and abdomen; a flux of green, froth from the mouth after death.
• Allen thinks a vomit of warm water and oil, taken in large draughts and often repeated, will be of great service; as also milk ard oil before mentioned. If the above things will not provoke the patient to vomit, oxymel of squills, fal. vitrioli, or a decoction of tobacco may be used, as having a more immediate effect, and the quicker the better : it is hardly safe to give even the most gentle cathartic : the stomach being thus emptied, recourse must be had to generous winę and alexipharmacs; such as the bol, alexipharm.--alexiter. haust. diaphoretic, pulv, cardiac. &c. &c. (in Phar. Mar.)
• When there is a fufpicion that the coats of the stomach or intestines are corroded or ulcerated, it will be improper for the patient to use spices or vinegar, or to indulge in too much wine ; but he ought to take a decoction of barley with raisins, or a decoction of china-roots, safsafras, &c.
• The same method is most likely to answer when any other deleterious herb.or root has been eaten by mistake, though the particular species hould not be known; and Hoffman affirms, that when the patient has been stupefied by narcotics, the best remedies are vomits, mixed with oil, to facilitate the operation,
• Besides the poisons already known, there is another too frequently given by the Indians and negroes in America, for which the negro before-mentioned has discovered a cure.
• The symptoms are a pain in the breast, difficulty of breathing, a load at the pit of the stomach, an irregular pulse, burning and violent pains of the viscera above and below the navel, very restless nights, fometimes wandering pains over the whole body, a retching and inclination to vomit, profuse sweats, which prove always serviceable; slimy stools, both when costive and loose; the face is of a pale and yellow colour; sometimes a pain and inflammation of the throat; the appetite is generally weak, and some cannot eat any thing : those who have been long poisoned are generally very feeble and weak in their limbs ; sometimes spit a great deal ; the whole skin peels, and likewise the hair falls off. .
. For the cure, take of the roots of plantain and wild horehound, fresh or dried, three ounces ; boil them together in two quarts of water to one quart, and strain it ; of this decoction let the patient take one third part, three mornings successwely; from which, if he finds any relief, it must be continued till he is perfectly recovered ; on the contrary, if he
finds no alteration after the third dose, it is a sign that either he has swallowed no poison, or that it has been of such a kind as the negro's antidote will not remedy.
. During the cure, the patient must live on a spare diet, and abstain from eating butter, or any other fat or oily food; the plantain or horehound will either of them cure alone, but are most efficacious together ; in the summer, one handful of the roots and branches of each may be taken in the room of three ounces. "'. For duink during the cure, take of the roots of golden rod, six ounces; cr in summer - two large handfuls, the roots and branches togeiher, and boil them in two quarts of water to one quart (to which may be added a little horehound and fassafras) to this decoction, after it is strained, add a glass of rum or French brandy, and sweeten it with sugar for ordinary drink.
• If there is an inward fever, take a pint of wood-afhes and three pints of water, stir an! mix them well together, letting them stand all night, and strain or decant them at fix in the morning ; ten ounces of this liquor may be taken fix mornings following, warmed or cold, according to the season and wea. ther; these medicines have generally no sensible operation, though sometimes they work in the bowels, and give a gentle ftool!
In an appendix to this volume, among other valuable are ticles, the author gives some brief directions to the surgeon, previous to, and during an engagement at sea, which are worthy of an attentive perusal.
To conclude: this work is a judicious compilation of the practice both of physic and surgery ; and though it is more particularly intended for the use of the naval practitioner, it cannot fail of being extremely useful to the younger part of the profeflion, whether residing at home or in hot climates.
VI. The London Practice of Phyfie. For the Use of Physicians
and younger Practitioners, Wherein the Definition and Symptoms of Diseases are laid down, and the present Method of Cure. With the Dejes of Medicine now given. 8vo. Pr. 45. 6d. Robinson and Roberts. THIS system of pra&ice, though one of the most concise
which we have reviewed, is clear and comprehensive : and at the fame time that the precepts are delivered with brevity, they are judiciously adapted to the ordinary state, and particular variations of diseases. The avthor appears every where to consider his subject with attention, and copies as much from observation and experience, as from the established rules of science. The following is his method of treating the measles.
• The measles is an appearance of eruptions over the face and body, about the neck and breast more particularly, not tending to suppuration.
• The signs are, chillness and shivering, pain in the head and fever, sickness and vomiting, a cough, and heaviness about the eyes, with swelling and inflammation, together with a discharge of a ferous humour from the eyes and nose, The eruptions appear on the fourth and fifth days; and in about five days from their appearance, they entirely disappear. The symptoms do not go off on the eruption here, as in the small-pox, except the vomiting, the cough and fever increase, with the weakness and defluxion on the eyes.
· The same regimen Mould be observed here as in the small-pox, diluting being very requisite, as it is attended with inflammation ; and that of the lungs more especially.
• Bleeding is absolutely necessary, and that, if possible, before the appearance of the eruption: however, if it cannot be done before, it must nevertheless be by no means neglected ; for as the lungs are chiefly coneerned in this distemper, great regard must be had to them.
• Vomits are to be used with great caution here, as the blood is much agitated by coughing; and the measles, in their
dangerous state, may be considered as a peripneumony. · K Pulv, e chel. c. c. gr. xv. Nitr. puris. gr. decem f. pulvis fextâ quâque horâ sumendus.-R Deco&t. pectoral. 1bi, Nitr. pur zji, sit pro potu ordinario.
• After the eruption give an anodyne every night; and from the first attack, a clyfter every other day; especially in case the body be costive.
R.Ol. amygd. d. 3ij. Syr, violar. balsam. āā Zi. Sacchar, cand. alb. pulv. 3ij. m. f. linctus de quo sæpius lambat urgente tussi.—Vel, R Syr. capill. vener. papav. erratic. ää zi. Ol. amygd. d. 3B. Conserv. fruct. cynosbat. 3ij. Spir. vitriol. gutt. decem. m.-Vel, R Ol. amygd. d. Syr. violar. āā zi. Sperin, cet. pulv. 3ij. Conserv. rof. rub. ziv. m.
Towards the close of this disease, peripneumonic symptoms come on ; gentle purging is necessary: but if the cough continues obstinate, and the fever be attended with a difficulty of breathing, bleeding should be again repeated, especially if the symptoms be urgent. The belly should be kept soluble, and a blister applied between the shoulders, and made perpetual. Issues between the thoulders, or a seton, are of infi
nite service ; and the antimonial powder often repeated, as in the hooping cough.
• An anodyne draught should be given every night of fyr. e mecon. pro ratione ætatis.- If all these methods fail, order the decoction following:
· R Decoct. cort. Peruv. Ziß. Sal. c. c. vol. gr. vi. Nitr. 2 B. Ac. nuc. Moschat. Syr. balsam. aa. zi, f. haustus quartâ vel sex'â quâque horâ fumendus.
• Should the eruptions appear livid after a hot regimen in adults, bleed, give the bark with the elix. vitriol.-Where the blood is in a weak diffolved state, abstain from bleeding ; give asses milk, provided the hectic heat be not too great ; prescribe the bark, country air, butter-milk, goats whey, and small doses of the tinetur. Thebaic. going to rest.
• A looseness succeeding the mealles, will often give way to bleeding. It is by some ingenious physicians reckoned a great error to purge immediately after the measles, as this disease is occasioned by a light active poison thrown on the skin; and which, after the disappearance, ought rather to be encouraged by a natural perspiration or light diaphoresis, Cooling lenitive medicines are necessary to carry off the remaining inflammatory itate of the humours which always remain ; but this is not to be attempted by strong or repeated purging.'
We shall next present our readers with the author's practice in the diseases of the eyes, where his injunctions are judicious and useful.
• An opthalmia is an inflammation of the membranes which invest the eyes, especially the albuginea, and is attended with a pricking pain, heat, beating in the arteries, swelling, violent redness, and scalding tears. It is most to be dreaded when in health ; the temples ach, the forehead itches, and the body sweats in the night.
• It may be occafioned by whatever produces an infiammation, though it frequently proceeds from accident. When attended with long head-achs, it is bad, and portends blind. ness.
• All hot aromatic food and wine is bad : a low diet, rest, and keeping the part covered from the light, with plenty of dilution, will be here very requifite. .
< Bleed plentifully and repeatedly more or less, according to the degree of inflammation ; purge gently with infuf, sen, tart, folub. &c. and order perpetual blisters. • Apply the following:
R Spirit. vin. caniphorat. iij. Aq. rosar, 3ij. m.Vel, R Aq. rof. z ifj. Vitriol. a'b. 513. m.