A N

E S S A Y

BIL IO US FE V E R S ;
O R, T H E

H I S T O R Y
O F A

B I L I O U S E P I D E M IC F E V E R
'

A T L A U S A N N E ,

I n th e Y e ar MDC C LV .

By S . A . D . ss o r,
'
M . D .

App ella Veri t cz t em zpfizmg u e na t u m m, Medi c om m

'

Nu mim in perpetu u m Colenda . B E NN E T .

Tranfl ate d i nto E ng lifh :

L O N D O N
P ri nted f or D . “h a m: a nd T D UR H A M ,
. at Pl ato s
’

He ad i n th e S trand . MDCC LX .
 T H E

P R E F A C E .

HE R E f
of e r to . th e c a nd id re ade r a

f a i t h f u l h if t o ry
’
o f ai s
le v e re a nd t e d ou
d ife a fe o f t h e wh i c h w as
p u t ri d ki nd ,

e pi d e m i c a l a t L a u f a n n e in S wi t z e rl a n d ,

p art ic u l a rl y i n t he y e a r 1 7 5 5 To (p e a k .

o f t h e u t ili t y o f t h e d e fig n w ou l d be an
‘

a ff ro n t t o his j u dg m e nt ;b u t it is n e c e lfary
t o p re m ife f o m e wh a t c o n c e rn i n g t h e m e

t h o d w h i c h I h av e f oll o w e d .

HE ,
who c om b a re h iftorie s
pil e s , a nd

rel a t e s t h e m fi m ply , is w orth y o f p ra i le ;

b u t it is t h e b u fi n e fso f a l a b ou rer t o c o ll e ct

m at e ri als t o b e p u t i n o rd e r b y a n a rt il t ’

f or f ro m a c oll e ct i on o f i su p on
ob f e r v at on

e id e m i c k s a ra t i o n a l h fi c ia n d r a w s
p , p y
p ra ét ic al c an on s a ppli c ab le to d i ff e re nt
k ind s of d if ce m pe rs A fi m ple
’
. i
n a rra t v e

t e ac h e s a y ou n g m an n ot h ni g , u n le fst h e
f a m e f y m pt o m so c c u r ag a i n ;a nd w h e n
d oe s t h at h a pp e n ? I h av e t h e re f ore e n d e a
v ou re d t o t h row t h is tre at ife i nt o fu c h a .

A 2 f or m
 i i’
f o rm t h a t m e t h o d m a y b e o nte d o u t o f
a p i
c m 1 11
g n ot o n a d if
’
r ly
e m e r m olt n e a t
p ly
r e fe m b nn g o u 1 s, p
b u t a ll u t r d g ait ri c d if i
ca e f se v e ry
,
w h ere fu
pp ort e d by ex p e ri e n c e ,

t h e or y , a n d a u t ho r t i y ;t h i s IS the re a fo n

of the il
t t e I h a v e gi v e n to th is f m all
wor k .

No i c al w o rk c an be fu pporte d w ith
m ed
’

ou t t h e or y a n d e x p e r i e nc e ; T h o fe w h o

a re b y n o m e a n s f o n d o f re ad i n g w ill
p erh a p sc on d e m n t h e m u lti t u d e of q u t a
-
o

t i on s t o j u ftif th e i r o w n i nd o l e n c e b ut I
y ,

I b a ll n e v e r ag re e w i t h t h e m H e i sf a n
.

u n h a ppy m a n w h o 18 t a u g h t o n ly b
'

y h i s
o w n e x p e ri e n c e S h o u l d w e re f u fe t o l e arn
.

f ro m o u r p re d ec e fl b rs ? By n o m e a n s , f or
w h a t w ill b e t h e c on f e u e n c e of t h a t r e
q
f u fa l As I o w e m y k n ow l e dg e t o t he w if
d o m o f o t h e rs I d i d n o t t h i n k i t u n b e
,

c om i ng t o q u ot e m t a c h e rs T h u s t he
y e .

d o & 1 i e a c q u i re s t h e g re a t e r a u t h ori t y
11

a nd of t e n t h e w o r k
i s r e n d e re d m o re e le

g a n t f o r I h a e in t h is m a n n e r ad opte d
v

the w or d s o f g re a t m e n t h a t la y i ng f a fi d e
,

m y o w n t h e y m i g h t d e li v er m y fe n t i m e nt s
,

i n a n e a t e r d re fs N ot h i n g p roc u re s g re a t e r
.

c e r t a i nt y t o h fi ck n or b e t te r re m o e s a ll v
p y ,

d o u b ts ‘
 i V

d ou b ts a b o u t w h a t i st o b e d on e , t h a n t h at
won d e rf u l h a rm o n y a m o ng t h e m o lt c c
le b ra t e d ph yfic ia n so f a ll n a t i on s a n d a g e s;
I t h e re f ore b e li ev e d i t u ef u l to
f ad d t o t he

f a i t hf u l l i
r e a t on of w h at I o b fe r v e d a n d o f
my p ra ct i c e ,
th e m ot i e sb y
v wh ic h I w as
i nd u c e d to t a e k f u c h m e a f u re s .

T H E q u otati on s f ro m th e a nt i e n t s w ill
b e d ifple a fi ng t o t h ofe , w h o h a v e n e v e r
c onv erfe d w i t h t h e i r w o rk s t h e y w ill a c ,

co u n t t he m a s a b li nd i d ol a t ry , r a t h e r t h a n

a j u d i c i o u s v e n e ra t i o n I c on f e fs I d o n ot .

r e v e re n c e t he i i s o f t h e a n t i e nt sfo
a u t h or t e

m u c h as f o m e o t h e rs d o an d I re a d ily a f ,

fe n t t o w h a t is fa i d b y t h e i llu tt r io u s
Maty13 w h om I re c k o n w i th ple af u re a n d
p ri d e a m o n g t h e n u m b e r o f m y f r i e n d s ;
b u t I w o u l d e x c e p t C e lf u s Are t a u s fo m e , ,

b oo k s of G a l e n Al e xa nd e r o f T r all e s a nd
, ,

e f e c ia ll
p y Hipp o c ra t e s w h o m I a d m i re ,

1 It i st o b e f e are d t h at t h e a dv a nt ag e , w h i h c
m ay b e re ap e d f rom f e v e ra l o f t h e re w o rk si sb u t
i
“

li ttl p p ti n d t t h t i m w h i c h i s(p t i n
e ro or o e o e e, en

d i g th m ;b fi d s y
re a n e
g m s
e i l
ek fa ou n an ru n a r o

m ki g a
gn d c h
noi c d p h p
oos f c f od i n
g e an er a o on ou n ,

rath h
er i f m i g h isj dg m t B ff i f l
t an n or n u en .
”
a ur e

él
c ara d g
e re d Méd c i
a ra n E l g i t i q d Mr e n, on ;
o e cr ue e .

Boe rh a e p 2 5
a v , A n fl y w ll w rth r ad i g
. . e a e o e n .

A 3 a b o re f
 vi
r 1
ab ov e all othe r h fi i a ns a n d h a v e m ore
p y c ,

f re q u e n t ly q u ote d t h a n a ll t h e re ft f or {f
w e depa r t f r om Hippoc r a tesa lone , i sleg ?
e z ml t o hi m
g

I E VE R Y W h e re fu ppo fe th e re ad e r a p hy ‘

,
a

fi c ia n , a nd re v i o u ll a c q u a i n t e d w i t h w h at
'

p y
ou
g h t ‘
to be k now n ;nor h av e I b ee n of

t he n u m b er o f t h o fe , w h o, l i g
r e at n the
T roj an w a r b e gi n wi t h t h e e g g of L e d a ;
,

f o r I k n o w n o t h i n g m o re t e d i o u s t h a n t o
fi n d in a ll b ook st h e ob i ou s ele m
'

en t s ;n o v

t h i ng is m ore p re j u d i c i a l f or a g re at d e a l ,

o f p re c i ou s t i m e is l o ft i n re a d i n g o v e r a nd
-

o v e r t h e c o m m on e i t t h i ngs I h a e f e ld o m
’
. v

a n d o nly f ro m n ec e fl i t i n t ro d u c e d t h e ory ;
y
I c o lledte d fe e r a l p a rt i c u l a r o b fe r v a t ion s
v

w h i ch a pp e a re d i m p ort a nt a n d c ou l d n ot ,

b e range d m o re prop e rly a n y w h e re e l fe .

P E R H A ES fo m e m ig h t h a v e c h ofe a d if
f e re n t m e t h od , b u t a f te r li
m a t u re d e b e ra
i
t on I c ou ld n ot fi nd a m ore i
c on v e n e n t

gh t
'

one . I t h ou fit t o t re a t of fo m e re m e

d ies , k e u fe o f b e c a u fe
w hi c h l d id n o t m a ,

f o m e m e n o th e rw i fe o f g re a t c h ara cte r
“

, ,

re f c rib e t h e m i n d ife a f so f t h e f a m e ki n d
p e

w i th ou rs t I S i nde e d to b e l am e n te d
.

t h at
 vn

t h at f rom th e c onf u fi on of n am es in phy ;

fi c d i ff e re nt d ife afe sa re d e fc ri b e d b y t h e
,

f a m e a pp e ll a t i on 2 T h at .
p ra ct ic al t re a
.

ri fe s h a v e b e e n of te n w rote b y m e n w h o
’

w e re we ll {k ill e d in m e d i c a l l e a rn i n g b u t ,

w h o w e re n ot in t h e le a ftz c on v e rfa n t w i t h

p ra éti c e 3
. T h at fe v e ra l oth e rs b e i n g
.

w e dd e d t o a n h ypoth e fi s , f ou n d i ng a ll t he i r
ra é t i c e f ole ly u p on h y pot h e fi s
, a nd b li n d e d
’
p
b y i t, w i t h o u t t h e le af r d ifing e nu it y , h av e
’

i n t he i r w ri t i ngs a fiig ne d d ife a fe sto c a u fe s

,

a n d c e rt a n i i
v rt u e s t o m e d c ne i i s ver y d if
f e re nt f rom t h e t ru e H e nc e I fom e tim e s
f ou nd m y fe lf u nd e r a n e c e fi i ty of p oi nt i n g
o ut t h e e rrors of t h ofe v e ne rab l e m e n .

I t w as m y g re at ru l e a ll t h rou g h t h is wo rk
t ore l ate w h at I ob fe rv e d a n d t o ad m t i f or
t ru e on ly w h at w a st au h t b y
g u n e rr n i g
n a t u re , or t h e c on fe nt o f t h e g re a te tt m en .

W h at l l
a n ot h e r w ife v a u ab e au t h o r r e c om

m e nd s ,
if it f e e m e d g
re p u n a nt t o n at u re ,
o r t h e ob fe rv a tion sof
fe v e ral m e n o f c h a
ra cte r, or c on tra ry t o d e m onftra t e d m a x
ims , I t re a t e d a sf a lf e , o r a t h e f
’
t v e r y
d ou b tf u l Th e art of ph yfi c k in it s
. r i fe

c on fif t ing o f a v e ry f e w ob fe rv a t ion s as
’
, w
d e fi it u t e of e v e ry ot he r g u i d e and p a rt i ,

c u lar ob fe rv ations are of t e n i m p e rf e ct,

of t e n
o f ten f allac iou s ; i n proc e fsof t i me b y
”

c o m p a ri ng the m w it h l a rg e c oll e ct i on s a f

t e rw a rd sm ad e me n g e n i u s a nd l e arn
,
of

i ng de d u c e d c a non s w h i c h a re t h e t ru e
,

e l e m e nt s of p h y fi c k an d t h e t ou c h Pron e
‘

'
-
,

t o w h i c h t h e l a t e r o n e s ou g h t t o b e a p

p l i ed t h at t h e i m pe rf e ét m ay h e d if t in
,
’

ifh e d f 1 om t h e m ore p e rf e ét I nn u m e
gu .

ra h le a re t h e f a t a l co n fe q u e nc e sof t h e n e
g
le Et o f th is c a u t i o n , f or t h e i m p e rf e ct a re
i n g re at ab u nda n c e , a nd h av e a u t h orit y
w i th m e n , w h o a re i l y ign orant
e n t re f
o

t he p ri n c ipl e s o f t h e a rt, a n d w ho, m ifl ed

b y f alfe re afon in g an d d e c e iv e d b y t h e e x
l re fe m b la n c e b e t w e e n d if te m p e rs
’
' ‘

t e 1 na to
ta lly d i ff e re nt , h av e a re a dl
y and c onti nu e ,

d a ily to b ri ng m an y t o t h e i r g rav e s .

i n fe rt e d n O f orm sof p re fc rip

'

I
'

HA VE

t i on ; I m ad e u fe of f e w , a nd t h ofe v e ry
‘

fi m ple ;a nd e v e ry ph y fi c ian , wh o is ac :

u a in te d w i t h t h e c au fe of t h e d ifte m e r
q p
a nd t h e v i rt u e s of t h e re m e d i e s , w ill v e ry

re a d ily p re fc rib e t h e he ft i n e a c h p a rt i c u l ar
‘

c a fe ; n or a re w e d e lt it u te o f f u c h a l re a d y

c om ofe d b y m e n re m a rk ab l e i n t h e a rt ,
p ,

B oe rh aave , G orter, a nd G au b i u s .
 ix 1
THE l angu ag e w ill b e f ou nd v oi d of
rh e t ori c a l fl o we r s a nd a ff e cfte d o rn a m e n t s
, ,

w h i c h w o u l d h a v e fer ve d n o p u rpo fe I.

f t u d ie d e a fe a o i d e d p o m p o u s word s a nd
i

’
,
v ,

h av e e n d e a v ou re d t o lh u n i m p rop ri e t i e s ;
p e rh aps fe v e ra l h a v e c re p t in f or w h i c h I
,

c ra v e i n d u lg e n c e I f u h m i t t h e wh ol e t re a
.

t i fe n o t t o t h e m u l ti t u d e of t h o fe , wh o
p re t e n d t o b e j u dg e s b u t to t he f m all
,

nu m b e r w h o d e fe rv e t h at n a m e ;if t h e y
,

a pp ro e it I {h ll p e rh a ps b e e n c ou rag e d
v a

t o a t t e m p t fo m e t h ing m o re c o n fi d e ra hle on

n a t u re c on fi d e re d i n a m ed i c al v i e w a nd
,

th e f m a ll pox-
.

L au fa n ne ,
J anu a r
y 2, 1 75 8 .
 C O N T E N T S .

“ p
. I
5 8

f
o a h or henz
f
‘
s .

Of S ndor zj i c hs
, D i nr ef i c hsi

- Nor c oz i c s
‘
.

s
’

A
P m éZ i c nl Ca n
r
on .
 T ,
H E

H I sT 0 11 Y

O F T H E

E P I D E M I C B I LI O U S F EV E R

AT L A U S AN NE , 1
75 5

fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fii fi
‘

The Cozfi z tu tz on o
f he Ai r
’ ’

t .

O th e i l nt h e at s
v o e in f u m m e r 1 7 5 4
‘

f u c c e e d e d a h ot a u t u m n i n t h e
.

b egi nn i n g o f w i n te r, w e h ad e i t her p e rpe

t u a l fh o w e rs or f ogs a n d t h e f e a fon w a rm

s
.
,

T h e w e at h e r re m a i n e d t hu t ill t h e t h i rd
d ay of t he f oll owi ng Y e ar, w h e n t h ere fu d
-

d e nly c a m e o n t h a t v i ol e n t c ol d , w h i c h b y
t h e 5 th a n d ot h of J a nu a ry g re w fo i nt e n fe
o v e r a ll E u rop e a lm oft, t h at i t f e ll b u t

B littl e
 2
l
of t h at re m a rk ab e a n d l fi n c e t i n
f roft of t h e ye ar 1 7 09 It c on
.

t in u e d v e ry fe v e 1 e t o th e 1 4 th o f t h e m on th ,
’

t h e n it a b a te d fo m ew h at , t h o t h e f a m e
’

f rof g f ri ll la f t e d t ill t he 2 0t h of Fe b ru ary

’ ’
.

Marc h w asfh o w er y ;Ap ril fo h o t wh i c h ,

is v ery u nc om m o n in ou r c ou nt ry th at ,

h app e n i n g a t t h at t i m e t o atte nd p a t i e nt s
i n t he f m all ox , I w a s ob li e d t o re n e w
p g
-

th e ai r i n t h e c h a m b e rs fr o m a ll q u a rt e r s ,
a n d m oif t e n t h e b o a rd s f re q u e nt ly w i t h c ol d
’
‘

w a te rs In t h e h eg i nn ing p n a y , the fe v e re
’

c o l d re turn e d w i t h a n ort h e rly w i nd , a nd

w as v e ry
p e rm c 1ou s t o t h e t e n d e r l e a v e s an d .

hlolfo m s Th e w e at h e r w a s u n fe tt l e d d u r
’

i ng t h e w hol e m on th .V i ol e nt h e at c o m
m e n c e d w i t h t he mon th of J u ne a n d c o n
t i nne d t o t he 2 3d of Ju ly .

TH E g re e ns c olle ét e d 1n c ell ars pe rif hing ,

b y t h e w i n te r s c o ld th e ufe of a ni ma l
,

f ood w a sm ore pl e nt i f ul th a n in ot he r
ye ars Th e c i ty i sb uil t 1n fuCh a m an
.

ner a s t o f ra u d m u c h e xpofe d t o t h e 1n
”

fl u enc e of th e we ath e r .

O
H EVE R
 W H O E VE R is ac l aw s q u a i nte d i
w th the
o f t h e a n i m a l oe c o n o m y a n d t h e e ff e é t s
’
,

o f t h e a ir a s w e ll a s of d i ff e re nt f ood s u
, p
o n t h e h u m a n b od y w ill v e r y r e a d ily a p ,

p re he nd t h re e c o n fe q u e nc e sf rom th e c ir
c u m fta n c e sm e n t i on e d : I f t a d if o fit i on
’
p ,

of t he h u m o u rs to u t re f a ét i on z d ly a
p ,

ob f rr u é t e d rf ir a t ion
’ ’
d iford e re d a nd p p
e

d
3 y, l t h e r e f u m pt i on o f p u ng e n t p a nd u

t r i d m at te r t o t h e pr i me v i ce , a nd c o nf e

q u e n t ly i n te rr u p ti o n
an o f t h e i n t e fti na l

d ifc h a rg e sf o r t h e re t h e p u t ri d f e rm e n t wa s
,

c olle éte d w h i c h be i ng p u t in m ot i on b y
,

t h e f u m m e r h e a t s p rod u c e d th a t e pi d e m i c
f e v e r wh i c h pre v a il e d fo u n iv er fa lly h e re
, ,

t h at ha rd l a f ou rt h p a rt o f a n f a m ily e f
y y
c ap e d it ;a n d m fe ve ral h o u fe st w o t h re e , , ,

n a y fi x w e re fi c k a t on e t i m e P.

3
T hi sw l d ou n ot b e a re e r p p pl c e a t o t re at l ar e
g ly
on t h e prod u éi ion o f d i fe a fe sf ro m th e a ir . Exc l l e e nt

o b fe rv a tio n so n t h isarti c l e a re t o b e f ou nd a m o ng ,

m any o th e rsin Hipp o c ra t d e a e re a q u is

, 8: l o c i s
.
;d e b u ,
:

m ori b . Aph li b 3 i n Ep id e m pa fii m Ed i nb Me d E f

. . . . . .

f ay s ;Me m Ac ade m P a r f ro m 1 7 4 6 b y th e c e l e b ra t e d
. . .
,

D u H a m e l a nd Ma l ou i n t h e i ng e ni ou s B u rt on on Non
n a t u ra l s t h e i ll u fl riou sF H off m an i n O b fe rv at B arom
. . .

m e te orol i n pa t holog p 3 c 7 a nd m a n o th e r pl ac e s
. . .
y . . .

t hrou gh hiswork s Nothi ng , f ay she , c or r u t : t he

p W e,
 T H E d ife afe w a s no
'

t e q u ally v i ol e nt in
al l ; b u t t h e fy m pt om sof a p u t ri d c a .

c oc h y m re fii n a nd 1rri t a t in h d i
‘

y pp
o
g g t e

e f ti v e p ow e rs o b e f ou n d i n e v e ry
’
g t a
,
p
t ien t , d e m o nfi rat e d t h e d if re m e r t o b e o f
’ ‘

p
'

t h e l f a m e ki nd W i th r e g a rd t o it s
i

v eh e
‘

i n toth re e fpe c ie sThefi rf t w asatte nd e d

'

ed
” '
’ '

with no d ang e r u nle fsb y b e i ng n eg le éted ,

i t d e g e ne ra te d i n to a c h ron i c d if t e m per: ’

T h e f e c o n d t h o n o t oi d o f d a n g e r y e t
’
’

,
v ,
-

f a r a sI k n o wn e v e r p rov e d m ort a l e xi
,

as ,

c e t w h e n e i th e r b w on g m a n ag e me n t
p . .

y r ,

o r n o c a re at a ll i t w a sc h a ng e d i n to ,

t h e t h i rd Th e t h i rd b y t h e b le fli ng of
.

G od w a s v e ry r are ; b u t a l w ays v ery t h re at

x ning a n d f om e t i m e sf at a l
,
.

I N t h e fi rft fpe c ie s p a t i e n t s ; c om pl a i ne d
fi rft o la fi i t u d e , w e a k n e fs
f a ,
w e ig h t p a r

t i c u la rly o f t h e h e a d , l oath i n g of f ood , a n

.

u ne f
y
a a nd a l m
o fi c on fi a nt f e n fa t ion of

r ende r impu r e , a nd fi /ls

si t it w ith t a u/i i : [a lt s m or e t ha n
the
a n oh r u fi i on o t he na t u r a l d i/c ha rg e by t he f a r a re o
fi f f f
b ody . W henev er [o c h c a u/i i c bi le i sf ou nd i n t he
p r i me v ia

z t c r e a t es z n , a nx i et ies v om i ti n d b r i le
fi i v n
g , g a n f e pa

f ox
y/ m ) D e. Bil
e m e d ic i n e t v e n o rp h u m T
. 6 . c . . . .

p . 1
59 A
. b o v e a ll i n t h e e e ra t e d ux h a m s
’
b oo d e clb H k
A
°

e re e t m orb Epi de m
,
. .
 [ 5 1
co ld i f,
n omu c h th at d og d ays
d u t i ng t he -

t h e y w o u l d g o w i t h g re a t p le af ure t o a
k i t c he n fi re ; t h e y w e re d ro w fy w i th ou t
l e i ng ; t h e i r m ou t h fl i m ; a n d t he i r
f pe y ‘

t o ng u e f ou l w i t h a w h it i fh y e ll ow t e n a -

c i on s c ov e ri n g A f ter th re e or f o u r d a ys
.
,

fom e t im e s l at e r a fh iv ering c a m e on to
, ,

w a rd s e v e n i ng w h i c h h ara ffe d t h e m f o r a n
,

h o u r o r t w o f om e ti m e sl onge r T h is w as
,

f oll ow e d b y a h e at n ot v e h e m e nt i n d e e d ,

b u t t ro u b le fo m e a n d p u ng e n t w h i c h c o m ,

m u n ic at e d a f m ar t h e at t o t h e fi ng e rs o f
the h fi c i a n ;i n fo m e t h is c o i e d t ill
“

n t n
p y u

mo rn i n g a nd t he n g ra d u ally w e nt off Wi th
,

ou t a n f e n fi b le e v a c u at i on ;i n ot h e rs a f te r
y
;

f o m e h o u rs a g e n t l e f w e a t c a m e o n f o r I ,

n e v e r f a w it p rof u fe b u t it d id n ot b ri n g
, .

t h at pl ac i d in t e r v a l W h ic h f u c c e e d s
, t h e f w e at s
of t r u e i nt e rm i tte n t s I h e a rd f re q u e n t
'

c o m pl a i n t s of t h e h e a d in t h e t i m e o f t h e
' '

p a rox f
y ,m b u t n o n e o f t h e b
-
re a t h I n t h e .

fir-Fe d a ys t h e u lfe h ar d ly d i ff e re d f rom a

p
'

n a t u ra l on e , e x c e p t b
y i t s w e ak nefs ;
’
i n

t h e t i m e o f t h e fh i v e ring it w a s v e ry f m all,

d u ri ng t h e h e at q u i c k , c ontra ét e d , a n d '

f re q u en t , y et n ot e xc e e d n i g an h u n dr e d

p u lf at ion si n a mi n u te in an a u t d l w o~
B 3 m an .
 m an
"
W he n t h e pa rox yf m wa s
. e nd e d t h e ,

p a t i e nts re m a i ne d m t he fa m e fi ate of Ian

g nor, w h ic h I d e fc rib e d be f o 1 e rifi ng 1n ,

d e e d o u t o f b e d , b u t u n fi t f or a ll k in d s o f
em pl oy m e n t , t o rpi d , l azy , d ra ggi ng t h e m
f e lv e sf ro m t he n c ha i r t o t h e b e d a nd f rom ,

t h e b e d t o t h e c h a i r a nd n ot w a lk i n g
,

w i t h o u t re lu ét a n c e Th e p a ro x y fm r e t u rn
.

ed v e r y d a , b u t f re q u e n t ly v a1 ie d f ro m
e ’ y
It s firf t h o u t n e i t h e r w as
~
it a l w ays {i m i
1611 t o i t fe lf in ot h e r C i rc u m fta n c e s Na y , .

t h e re w e re f om e p at i e nt s w h o wi th ou t re
,

g ard t o a ny p eri od fh iv ere d a rid g re wh ot

,

o f t e n i n o ne d a ;I k n e w f e v e ra l i n w h om
y
I c ou l d h ard ly fu fpe ét a ny e x a c e rb a t i on,
u n le fs f rom a l itt le m ore a n x i e t y a nd d e b i
l ity in t h e e v e ni n g b u t th e y w e re n e v e r
\

.
,

f re e f rom t h e oppre fli on of t he l a ng u or , n or

W e re the y foon e r c u re d t h an ot h e rs T h e re .

We re fo m e , pa rt i c u l a rly o f th é b ld e r w ome n,
w h o f c a rc e ly c o m pl a i ned o f a n y t h i n g e Ife
be fid e de b ili t y , l oath i ng of f ood , a nd wa nt
“

b
E xc e ll e nt ob fe rv a tio n sc onc e rn i ng th e nu m b e r of

p u lf a tio n sd uri ng
g i vé n t i m e, in a fou nd m a n , a nd
a

o ne l a b o uri n mn de r a f e v e r, h a v e
g een
pu b b
l ifh ed b
y
’

t he i llu fi rio u s a e r 1n h is
H ll va ua l bl
e efla
y
'

o n th e m ot o n i
o f t he bl
ood Me m . fu r le moav d u ang c ha 8 .
. . S . p .

1 3
3- 6
 [ 7 ]
o f fle e p . S om e w e re d if treffe d w i th ’
a
p i
a n

of the r fto m ac h ;and W h at wa sc o m m o n

i
t o t h e m a ll, t he y d id n o t re c ov e r t ill a f t e r
fo m e w e e ks T h e re w e re fe v e ra l p ati e n ts
.

w h om , no fu c h i l
v o e nt fy p
m t o m sa
pp ea1

1n
g a sre q u i re d t he
f p eed
y a id of a
p yh fi

Qi a n ,
I d id n ot f e e t ill fi f t e e n d a ys a f t e 1 t he y
h ad b e e n fe iz e d , a nd I f o u n d li t t l e 01 n o
d i ff e re nc e in fym pt om s f rom t h e
.
i
t he r
o t h e rs , f av e t h a t t h e h e at a n d d e b ility h ad

i nc re a fe d a n d b y t h at t i m e b 1 ou g h t th e m
,

in d a ng e r of a fl ow f e v e r I n t h e b e gi n n i n g .

o f t h e d i fte m e r t h e b e lly w a s b ou n d , t o
p ,

w a 1 d s t he e n d a li ttl e m ore l ax the m i ne

d u ri ng t h e i n t e rv a l w a st h i n a nd c ru d e , in
t he v i ol e nc e o f t h e pa ro x y f m a li t t l e m or e
‘

red u p on t h e d e c li n e of t h e d ife a fe i t h e

c am e c on c o cit e d w i t h a f e d im e n t I f ou nd .
,

v e ry f e w w h o h a d m u c h t h irl t B oys w o
’
.
,

m e n, a n d o ld p eo pl e
p ri n c ip a lly fu b w e re
e ét t o t h is f e c ie s m en v e ry r ar e ly
j p ,
O ld .

m e n efc ape d t h e fe c o nd Th e t h i rd a tt a c k .

e d o nly y ou ng m e n i n t h e flow e r of li f e ,

f rom 1 5 t o 4 0 a nd g e ne ra lly c arr i e d 0@

,

t h e m ore rob u ft

A11 ob fe rv a tio no rth i snat u re w as

no t m i ffe d b Hip
y
p oe t are sfor
, he note d a n e pi de m i c l a ic
d rfe afe i n wh h
 '

I l 3
THE b eg in ni n g of th e fe c ond f e c ie s w as
p
not v e ry d i ff e re n t f rom t h a t of t h e firft ;
'

b u t a f t er fo m e d a ys e v e ry t h i n g w a sm ore
'

a gg ra v ate d t h e we a k n e fs , i nc re a fe d a n a u ,

f ea f ol l o we d t h e l oath in g of f oo d b u t the ,

fi c k v e ry ra re ly v o m i ted fpon tan e ou fly t he o

h e a t w a sm ore b rifk a nd t h e p aro xyfm s ,

more v i ol e nt at th e b e gi nn i ng t h e y d id
,

fh iv e r t h o ge n t ly b u t a f t e rw ard s fc arc e
’

, ,

c old ne fs as
y w p e rc e i v e d b e f o re t he
’

an a
p
rox f m s b u t t h e h e at g re w g ra du a ll m ore
y y
i nte n fe ge ne ra lly i n t h e e v e n i ng ;t h e pu lfe
f

w as m ore f re qu e n t a nd u p on t r i a l in fo m e , ,

e rfon sI w a sab l e t o c o u n t o n e h u n d re d
'

p
a n d f i x t e e n ftro k es i n a m i n u te At t h i s
‘

t i m e fe v era l w e re d if rre ffe d w i t h m off a c u te

’

h e ad ac h s A f t e r th re e f o u r or fi v e h Ou rs
-
.
, ,

t h e f e v e r r em i t te d a n d a s i n t h e fi rft fpe
, ,

c ie s w 1t h ou t a fw e a t
, Nor w e re f we at s .

v e ry d e fi t e a ble f o r u p on th e d e c li n e of t h e
,

d if re m pe r t he y d id g o od b u t d u ri ng it s
’ ’

he ig h t b oth i n t h is a n d in t he t h i rd fpe
, ,

c ie st h e y w e 1 e p t e j u d i c ia l ; f or t h e m ore

i o f u fe t h e y w e 1 e h m e v e re w a s
p t e ore f ,

t
.

t h afe
’

c ifl
h e y die d, wh o w ere in the v ig ou r of
lib 1 S tar t e rt
. . oaf .
95 5 . F . p . .
 l 9
t h e f u c c e e d ing arox f m T h e p at i e n t h ad
p y .

n ot a pe rf e ét i n t e rv a l , a nd t h is w a s th e
p a f

t h og nom ic f y m pt o m w h e re b y w e m ig h t
,

d ifting u ifh t h e fe c ond fpe c ie s f ro m t he fi rft .

Th e u ri ne wa sf m all i n q u a nt i t y t h i n , ,

a n d re d d i fh ;t h e n at u ra l fto olsf e w a n d

f m all, t h e t ong u e d ry a n d c ov e re d w i th a
,

y e ll ow m u c u s ;t h e y h ad fc a rc e a ny fle e p,
b u t w h at w a s t u rb u l e n t , Wi t h a nx i e t y a nd
,

n ot a t all re f re fh i ng ;t h e t h i rfl: w a s m ore

t rou b le fom e t h an in t h e fi rft f pe c ie s , a nd

e t n ot fo g re at a s m ig h t h a v e b e e n e x p e di
y
c d f rom t h e h e at ;t h e p a t i e n t w a s qu i c k l y
e m a c i at e d w i t h a p al e y e ll ow f a c e . Th e
arox f m s w e re n ot f o i rre g u l a r a s i n the
p y
firf t fp e ci e s By b ad m a na g e m e n t t h e t ra n
’
.

f i tio n w a s ea rly f ro m t h e fe c on d t o t h e t h i rd

fpe c i e s : A re m a rk ab l e c h a ng e of t h is k i nd

i t g av e m e p a i n t o ob fe rv e m a w e av e r a nd
h is wi fe
. T h e i r d au g hte r, a gi rl of te n
e a rs old , h a d l a b ou re d u n d e r t h e f a m e d i f
y
t e m pe r ; h e r fy m p t o m s w e re a b u rn i n g h e at ,
a v e ry f re q u e n t a n d q u i c k u lfe , w i t h a n e x
p
c ru c i at i ng p a i nof t h e h e ad in t h e t i m e of th e

aro x f m a n d d ro wfi n e f sw i t h ou t fl e e
p y ,
p
d u ri ng t h e re m i fii on b y a p ot i on w h i c h
w ork e d u p ward s a nd d ownward s , b y t h e
u fe
3
 IO q

u fe o f d il u e nt a nd a c e fc e nt d ri nk s , and a

f e c o nd p u rgi ng fhe , w a sb eg l n nl ng t o re
c o v e r, w h e n h e r f at h e r t ook t o h is b ed ;
u p on i g
c om n t o h i m I d id n ot fi n d h i m e x

t 1 e m e ly ill I ordere d a m e d i c i n e t o v o m i t
,

a n d p u rg e a nd a n an tife t ic
, p p ti fa n f o u r ,

o u n c e s of w h i c h h e wa st o d ri nk e v e ry hou r
nig h t a nd d a y At th at t i m e I ie f t t h e c i t y
.

t o V lfit m y d e a r m o th e r w h o w a s a tt ac ked
,

d a ys ,
I f ou n d h im ra v n i g , {h o rt b re a th e d,
-

c o n v u lfe d , w thi an i n fl ate d a b d om en , a nd

a v er y f re qu e n t pu lfe t h e re w e re n o e v a
c u a t ion s b y fto ol, n o r of u ri n e Ac c id e n .

ta lly I p e rc e i v e d a po ti o n fta nd ing u p on a

t a b l e b y t h e b e d fi d e a nd look i n g a t i t
, I ,

f o u n d it t o b e t h e e me t i c m e d i c i ne I h ad
‘

re fc rib e d f ou r d a ys b e f o re U p on m
p y.

e re a fon o f t h is n e le é t d w a s l d
‘
a fk i n
g t h g t o ,

t h at t h ofe a b ou t h im h a d j u d g ed h im t oo
w e a k t o h e a r a n e v a eu a ti on ; l ayi n g a fi d e
a t t h e f am e t i m e t h e a c i d u l a t e d d ri n k a n d ,

w i th an i nt e nt i on t o f u pport h is ftre ng th
as t h e y t h o u g h t t h e y h a d m a m m e d t he
,

m a n ag ainf t h isw ill w i t h f rrong b e e f

’ ’
, ,

f ou p s f w e e t b re a d m ad e o f fl ou r e ggs
, , ,

a nd fu g a r ftrong 1 e d w i ne ;an d w i t h a
,

v 1e w
 I 5 1

i
v ew o £ pro m ot ing a fw e a t h a d g i v e n Ve ni c e
. t re a c l e ,
w i t h a d e c oct i o n o f S c or d i u m
h e n c e t h a t n u m b e r of c ru e l f y m p to m s ,

w h i c h m a d e t h e c afe a lm of t d e fpe ra t e B u t
’
.

th at I m ig h t n ot le e m to l e av e t h e p a ti e nt t o
d ie I o rd e re d e m o lli e n t a nd g e n t ly c a t h ar ti c
,

c l fi e rst o b e i nj e cte d e v e ry fi x h o u rs I
'

y .

re f c rib e d a l fo a c e fc e nt d ri n k of t h e f a m e
p
t e nd e n c y a nd b lif te rst o b e a ppli e d t o t h e
’
,

fo l e s of h isf e e t Th e f oll owi n g n igh t h e

g re w m ore c om pofe d h ad t hre e {to ols a nd
,

m ad e w a t e r pl e n t i f u lly w h e n w e e n t e rt a i ne d
,

fom e h op e I d ire ét e d t h e c ont in u a n c e of t h e

f a m e m e d i c i ne s b e i ng ag a i n ob lig e d to g o
,

ou t of t ow n . W h a t w a st h e c o n fe
q u e nc e ?
h is re l at i on s e nd e a v o u r i n g t o f u
, pp o rt h is

ftre ng th (h is d e li ri u m ra t h e r ) d e c li n i ng t o
g e th e r wi t h the f e v e r, t h re w a fid e t he m e
d ic in e s a f e c o nd ti m e , a s I l e a rn e d f ro m t h e
a p ot h e c ary , a n d h a v i n g re c ou rf e t o I d on t
’

k n ow w h at poifo n s , c o m p o u n d e d u n d e r t he

fp e c iou sti t l e of C a rd ia c k sb y a c r u e l d e a t h
,

u t a p e ri od on t h e fe v e n t h d a o f th e d i f
p y
t e m p e r t o th e li f e of t h is u n h a ppy m a n
'

w h o w as b orn t o m ore d ays i f h e h a d b e e n

d e fi it u t e of a ll h e lp His w i f e f na t c h e d a
‘

w ay b y a li k e f at e, fc arc e ly f u r v iv e d h i m
t hree
 12
1
t h re e d a ys . An d f a c h w a son e o ri gi n
of t he fpe c ie s wh i c h
i
t h rd o th e r wif e
, ,

h o w e ve r, a pp e a re d t o b e a d ifh n ét dif fi

t e m p e r b y it fe lf ;f o r i n fe v e ra l a l t h o u g h ,

t h e y m a d e u fe o f t h e b e lt r e m e d i e f ro m s
'

t h e fi rlt a t t ac k o f t he d ife a fe a nd t h e i r d if ,

01 d e r fe e m e d to b e re f tra in e d b y t h e m , y e t
’

o n th e fi x t h (event h , or e ig ht h d ay , a ll t h e
m ore a l arm i n g fym pt om s c am e on wh e n . i

I ha d l e f t a p e r f on in th e e v e n i ng w i t h t he
h op e s o il de r paroxy fm I of te n f ou nd
f a m ,

h im n e x t m orn i n g d a ng e rou fl y ill a f te r a

f e e re nig h t w i t h a f re qu e nt a nd v e ry q u i c k
v ,

u l fe a b e gi nn i n g d eli ri u m a n d a fl a tu
p , ,

le nt f w e lli n g o f t h e a bd om e n w h i c h t wo ,

f y m pt o msd ifti ng uilh ed t he t h i1 d fp e c i es

’

f rom th e fe c on d ;t h e n t h e pa rox y f m s fc a rc e
an
y l o ng e r
p i e fe rv e d t h e l e ali ord e 1 i n t h e i r

at t a c ks , b u t c a m e o n i rre g u la 1 ly a t a ll
i m e s ;t h e pu lfe b e c ame fo f re qu e nt th a t the
’

t ,

fi ro k e s c ou l d h ard ly be c o u n t e d t h e re w a s , .

a ge ne r f t h e t e ndons t he l i ,
‘

a n x i t y a nd w it i n e re w i t h o u t i nte r f
‘

r -
e

m 1 fli o n t h e e y e s fi e rc e t wi n kli ng a nd g u m
, ,

m y : t h e d e li ri u m 1 n c re a fi ng m ad e fo m e ,
.

b rlik a nd a pp ro a c he d a lm o fi: t o ap h re nz y
‘

, ,

in ot hei s it w a s m ore c al m a nd re fe mb le d ,

a
 3 l 1

a l e th a rgy , i n b o t h c a fe s it w a sd ang e rou s

Th e firft t alk e d inc e ff a ntly , t he ot h e rs w e re
file n t a n d m orofe , a n d m a d e n ot t h e le af t ’
'

c om pl ai nt of t he d il re m pe r t h o b y h o l d ‘
,
’

i ng t h e i r h a nd f re q u e nt ly t o t he i r f o re h e a d ,

i t w a spl ai n t h e y h a d a v i ol e n t h e a d a c h -
.

W h e n t h e p h y fi c ia n a lk e d h o w t he y d id ,

t h e y l oo k e d fte d f a ftly a t h i m a n d a n fw e r
e d i n a b rilk t one of v oi c e Very w ell , .

T h e y d i d n ot k n o w t h e i r f r i e n d s t h e fl a ,

t u len t f we lli ng i n c re a fe d d a i ly e fpe c i a lly a ,

b ou t t h e h yp oc h on dr i a T h e b re a t h g re w .

f h ort ,
‘

4
How d a ng e rou sth i ski nd of d e li ri u m i s
, b e fi de s
th e ori g i l d ift m p t h phy fi i ns f ll g sh
na e e r, e c a o a a e av e

m k d i t fh w st h b i t b t t ll y bfi é
’
re f
ar e or e e ra n o e o a o ru c

ed ,d ll f f ti
an d p v d T h w ds f n m i
a en a on e ra e e or o a e

n n t ph f i n w h i h I {h l l q
xc a t h d f ti c a uo e e re , e e rv e n o c e.
e
y
[f t / Mpa t i ent be r e du c e d i a fi / c b a fi a t e a : t o/ay I a m v e ry
w e , (ne a r y t h e fa m e a sI h av e d e fc rib e d ) w e trem ble a t
ll l
t his w or d a lone , be isde li r iou s Me dic in E e r m e nt ; .
i

. xp i
Pa t r I . Ch p a . v . p . 123 .

T h i sf we lli ng fl atu le nc ie s e n e ra t e d b
a rife sf ro m
'

g y
u t re f afl i o n , a nd n o t f ro m n nf a m m a t i o n a s f om e i l
p a

l
w o u d f alf e ly m a g ne T h sd id n o t e fc a p e
i i a en
. i Gl
S ometi m e s t be Ill a a r e d z e nde d w it /Jazz ! c m z rfl a m m a t i on
fi
r o erl
p p y/ o c a lle d C o m m e n t i n
p rze.n o t t e x t 3 0 er ex . . Op .

Froe b e n e d 1t t i v p 7 5 1 . W h c h fpe c ie s
. . o f i nfi m o n I
. . i
l
w ou d h a v e a c c u ra t e y c o nfi de re d , t h a t w e m a y n o t l
h a v e m m e d a t e re c o u rfe t o b le e d in g w t h t h e h o e so f
i i i '

p
n am m at on , wh e n t h e re is
,

re m ov n
g a n i i fl n o ne H owi .

mu h c
 I4

fli ort fo th at t h e y ,
. a lm ofi: c onf t an tl
’
y p ant
ed ;a c ou gh w asan u nc o m m on fy m pt om
t h e i m tool sw ere i rre g u l ar l iq u id , f at c ol
'

, ,

l iq u a t i v e , a n d fo m e t i m e sb ili ou s w hic h
“

w asg oo d of t e n w h i te a nd f rot h y ,
ic h
wh
w asa l wa sa
y y b ad fi n
g f o r i t v er i m pli e d
t h e re t en ti on of t h e m orb i d matt er , and a

fp a f m o d ic d iford e r in t h e m ot i on s o f the
i n t e f t ines S o m e f e w h owe v e r w ere fei z e d
’
.

w i th a p u rgi ng a t t h e b e gi n n i ng ;n or d id
t h i ng s g o b e tt e r w i t h t h e m N a
y I f a w a ,

y ou ng w om an i n th is d ifte mpe r wh i c h ,

ro v e d f a t a l w h o a s as ol d h ad b e e n
p I w t , , ,

a ffl ict e d w i t h a f e rou s d ifc h a r e b {t l f

g y o o o r

t wo m ont h s b ef ore t h e d ife afe ;a nd w h at

c n
m p h d a g e r atte ndsa t e nfion o f t h e I li a f ro y m a n

c au fe W e e ar n from
. o ra t e s b d l H ipp c i i § .
33 8 : 63 .

P ro rre t ic l1b . . I . 1 2 7. I nfl t d

be e a e lli si n d a ng e ro u s
d i fte m pe rsh e nu mb e rsa m on
g t h e f m p t om s
y o f d e a th ,

L i b iivi Aph. . . 1
7 .

In da ng er ou sa nd biliou sd /
f i l emper s , v ery w bit e a nd

l ib
,

r at by ba d H ippoc r P ro rret
f ex c r e ment : a re . . . .

r
5 3 o e s 7 1 F d 2 1 p C o m a re w th t h ibi
s p i i
;
.
. .
, . .

G or te r . ci
m e d1 n Hip po c r c o m me n t i n a pho r 35 5 . . . .

a nd i n C e lf u s t h e re i s a palfa e v e r
g y' m u h t o t he
p u r c
p o fe f f li e nt er
.
y i s d a n e r ou s
g f
z t b e z aals
/ b e
f q
r e u ent
if
t be belly d ifi ba rg e a t all t i m es bat b w i t/9 nai/e a nd w i tbau t
'

i t if i t be a le fa i n t be day a nd t be nig bt / if tbe di/Z ba rg e

be er a de De Me dic ifi
.
,
I 1 c ap v
74 e a d. li b . . . iii p
. . . R
a fo Prof er Marti an
.

l p 34 5 E .
I
. . .
 1 5 1
a d v a nt a g e c o u l d b e o b t a in e d b y t h e f e e v a ,

e n at i o n s w h i c h d o n ot c a rry o ff t h e m o r
.

b id f e rme nt P In g e n e ra l a p u rgi ng w h i c h ,

c a m e on a t t h e b e gi n ni ng w a sh u rt f u l
'

, ,

f brit w a sal w a ys fy mp t om a t ic a n d a l th o
’

i t w asv e ry f et i d y e t it l e f t t he c a u fe of , .

t he d ife a fe un t ou c h e d ;fo t h a t w i t h t h e ln
c re afe of t h e fe e va c u a t i on s t h e d ife af e g re w ,

w orfe, t o t h e lt on i lh m e n t o f t h e b y fi an d
'

a -

er s ,
g
T h e u ri n e w a sa l w a ys c r u de ;in o

t h e r re fpe ét sd i ff e re nt e v e ry d a y w h it e , ,
i

t h i n , f at t u rb i d , re fe m b li ng t h a t of c a t tl e ,
r e d a nd c o lliq u a t i v e ;i f t h e re w a s an c l ou d
y
i t a l w a ys o c c u pi e d t h e u pp e r p a rt , w h i c h "
H ipp oc rat e s s Fro m p a ra ly t i c
c ond e m n
i

fph inéte rsa nd t h e d eli ri u m t h e e v a c u a t i ,

o n sw e re i n v ol u nt a ry a n d u n p e rc e i v e d b
y

8 E xc ll e e nt ob fe rv at io n sconc e rn i ng the Mifc h ie f of

f e t d d i fc h a rg e s
i , wh c i
h d o no t m ov e t h e m or d m a t te r, bi
a re to b e fo u nd i n Hippoc r d e h u m o ri b I 4 31 Fo e f
. . . . .

4 7 , 4 8 Aph li b § 2 2 5 l1h i v
. . . 2
3 . I t h as e e n
. . . . . b
o bfe rv e d a fo b t h e f a m o u s
l W a lc a re n h i t hat a d i a rrh o e a
y g
b i
i n t he e g nning o f a b ou sfe v e r w t h pe te c him w a sf a
ili i
t a l, t o wards t he e nd f alu tary Me dic in rat on Tom I . . i . . .

267 .

iVeg bt t o c ondem n a t a /l a m e : w im m in
ou
f j b f g nea r t be
e rs ebs
f f
a r a re like
/b i d w , f or i b e
y d
-
e not e c oll/ u a ti on
q P ra .

n ot .
79 F oe f 4 0 . . p . .

i
Ib i d . 80, and e lfe whe re in m any places .
 [ 1 6 . l
I n fi v e I m e t w i th
pl f ot sto
th e m p e p ur ,

w
.

all w h om t h e y w e re m o r t a l ; t h e re e r e
"

e i t h er n o h e m o r rhx a g e s a t a ll o r t h e y w e re
'

,
/

f a t al n o ,
t h e t o n g u e w a s d r
y
"
,

b l ac k a n d t r e
,
m “
u l o u s t h e v o i c e w a s fh ri ll ,

was u n iv e rfa l
‘
a n d t h e re a t re m o u r , a
g a

t h e rin g
l
of t he l
c ot h e s ,
an d ca t c h i n g at

fl ie s
m
. Af t e r t h b g re a t e f t re fi l e f n e f c a m e o n
’
s
t h e h ig h e ft d e b ili t y, w h i c h w a sf oll ow e d b y

k W ben a ny p p l e o
ur r l i v i d p/i e t a
f
l es a
pp ea r o n t b c fl , i n e

d i fl d b i
t be bypoe b ondr ia b e i n
g t e n
f e a n n a t e ,
t e
p a t e n t g e n e

es A
r a l/ d i B o e r h a v p h o r 7 35 . .

y
.
.

1 T h e a n e nt s ci wer n e o t g n o ra n t h o w i m u h d a n e r c g
w as to b e a pp
re h e n d e d f r o m a t r e m o r
j o n e d t o a d e i li
n m u .
o H ipp
c r a t e s o b fe r v e d t h e f a m e fy m p t o m s, w
b
h h ic
p
a p e are d i n o u r
e d e m pi
c d i lt e m i
p e r R a v i n
g z i t b a .

s
,

b i ll i d t m u lo u c a n a rd / i o n
g f t b e t o ng ue a t re m b
j r v o c e a n a r e ,

s fi d l i i m
“

i
l gn vf
o i e e w ife ,
a r e
p r o o
f o
f a w ry r o n
g e r u .

P ro r re t i c l i b .I 1
.
9 . F o e f .
6 8 T r e m o r .s c om i n
g on
.

l d l i i m f t l C o ac P ra e n o t 9 3 , 97
a v io e n t e r u a r e a a . . . .

Tr e m b l i n
g t o n g u e s w i t h a b la c k c o l o u r p o r t e nd d ea t b , d i bi .

2 32 A t re m o r i n d if e a fei s a w a
y s fh e w s t hle d e b i h t y o f
i lp s pl i
.

the v t a o w e r s ; t h e r e a f o n t h e r e f o r e i a n w h y i t
[

fh ou ld b e re o n e dck l o b a d a fi g n . .

a t er z t , a nd
f m t b in
g t o b e b e
f or e
b
t bem ,
u n t in
g f a nd a re

s
o e
al) a t
or
p u ll w oo fi l o t b e c lot/o er , a n d f a t fl r a w
b d d p t d d t b P n o t
f
a ra e
on tbe w a ll a ll t be e a r e a , a n o r e n e . .

w h h Al l
f m t o m s
i t h s g r e a t m a n h a d o b fe r v e d i
§ ~x
7 .
c
y p
d i F f ib
in a b il i
o u s f e v e r V i d d c d.
e j u c a
.
t 3 o e
p . . . . .

d e ath .
 L 1 7 ]
d e ath . S ome ti m e s , w h e n the d if t e m pe r
’

w a sd ifg u ife d b e gi nn i ng b y t h e
in t he

m ild e ft fy m pt om s , I w a s le d t o f u fpe éb
fo m e l u rk i ng m ifc h i e f f ro m t h e f m all
a nd q u i c k p u lfe , a v e ry g e nt l e , b u t u n i

v e rfal t re m or, a f ud de n c h a ng e of t he

c ou nt e na n c e , a n d a c e rt a n i ki nd o f a nx e ti y
a nd m orofe n e f s q u i te
,
o
pp fi
o t e to t he .

m ild nef sof t he f m pt om s I re m e m b e r a

y .

m an a d d if ted t o d ri n ki n g , Up on w h o m
the d if t e m pe r
’
g ai ned g ro u nd f o f af t ,
’

t h at h e a pp e a re d e v e n o n t h e t h i rd d a y
‘

t o b e b e y ond h op e , w i t h a v e ry b a d p u lfe ,
a fh ort n e fsof b re at h t o t he h igh e tt d e -s
’

g re e , a nd a d e lir i u m
, h e w a s re li ev e d i n

a fb ort t i m e b a v om i t I n t h is , as
y
we ll a st h e oth e r fpe c ie s , t h e p a ro x y fm s
w i t h re g ard t o t he i r v e h e m e n c e f oll owe d ,

th e f orm o f a t e rt i an , fo t h a t I h a v e a l
w a ys ob fe rv e d t h e fy m pt om sm ore ag g ra~
v at e d e v e ry ot h e r d a , a n d t h e y d i e d on
y
t h e w orl r d ay ,
’
f rom t h e f e v e n t ee nt h t o
t h e t w e nty fi f t h d ay
-
I k n ow of on l y
. .

t wo e rfon s w h d i e d a f t e r t h e t h i rt y
p o

fi f th .

TH E S E
 l 1 8 I
T h es e a re t he p rin c ip a l and
pa t h g
o no

m i c k { fy m pt om sof o u r e pde mi c d i lte m~

p er z
‘
S o m e v a rie t i e s a n d more r e m a rk
ab l e c a fe s I l e a v e t i ll af t e rwards to a v oi d ,

re e t i t i on T h e at e lt v io e nce f i
p . e
g r l o t
c o nt i n u e d f ro m t he b e in ni u of
J u n
‘

g g e ,

to t he e nd of
O f tob e r ; fe v eral h owe v e r
w e re {t ill fei z e d w i t h i t in t he f o llo w ing
w i nte r, wh ic h b e i ng rainy and warm , f a
v ou red e pi de m i c difealies
; fome fe v e re ih

sI
w

fi an c e m et w it h
in f u mmie r 1 75 6,
.

a n d f rin T h e ist he n no ye a r
p g 757 1 er
.

al t og e t h er fo f a v ou rab l e , whe re fi mil ar

d ifi e mpe rsd o not 00cm “
.

a nd i sc a lg i
t
‘’
.

m any f eb ri le d if tem pe rs
’
I h a v e fee n ,

a nd h av e per u lbd many a cc ur ate hi fi ori e s

~

of f e v e rs ; an d th e m ore I c onfide r t he
.

f u b j eé t i n m y o wn m i nd , the mo re I am
'

e r f uade d , pr im a r
t h at a ll f e v ers w i th
p y ,

ou t an e x c e pt ion are e ith e r i nt e rm it t ent

y , ,

i n fl am m at o1 y p u t ri d or c om p o u n d e d of
, ,

t h e fe Nor c an a n y obj e étion t o th is d oc

’

.
y

t rine b e d ra wn f rom t h at e norm o u s c a

1 t alog u e
 [ 9 ] I

t a log u e of sw h i h h si
f e ver , c a nd e e d re,

t a rd e d t he imp rov e m e nt
p yh fi c k, b u t of

h as n ot 1 n t h e l e ali , b y h e a v e n s
’
b le fli ng ,
.

i ncreafe d t h e n u m be r of d ife a fe s Fo r .

th e f a m e d ifte m e r h a s b e en of t e n
y , v er
p
d ilting u ilhe d b y d i ffe rent n am es ;at ot h e r
t i me s
, w hi c h
,
is m fi
o y l t he c a fe t h e nam e ,

h asbe en drawn f rom t he fy m ptom sw i t h

o u t an ard to t he c a u fe a nd t h is h as
y reg u
,

i ntroduced a sm a ny a pp e ll at i ons , a st he re
a re f oun d v iolent fy mptomsi n f e bril e d if .

W hil e , h o t wi thfi a nd ing t h is , e

v e ty b od y k nows , t h a t t he fa m e c a u fe m ay
produ c e i nnu m e rab le fy mpto m s i n ap ,

p e aranc e v e r
y d i ff e re nt ac c ord i ng t o t he ,

d eg ree of itsv i ol en c e t h e v ari et y of i t s ,

f e ar th e p e c ul i a r c onfi i tu t1011 of a pa
,

t ient t he di ff e re nc e o f c li m ate fe a fon a nd

v e all t he d iff e re t m
, , ,

abo e t hod s o f p ra e
, n
t ic e ;a n d yet a ll t he fc are t o b e d e ftr oy e d
hy t he f m w e apo n t he w ord so f t he
'

a e :

g reat Bo erha av e are v e ry m u ch t o ou r

u
p pr ofe , I t appear st hat t b c d
fi fi /
i a f
e si n

do not fi r n i g f r om
[a c om
plex an or ig i n,
C 2 nor
 I 2b
l
nor do tbey r equ ir e j u ab a v a r i et
y e i l ber
in tbei r r em edi esor met b od o
f c ur e ;

IT is ye af to p e rc e i v e t h at th is e
p i d e

m ic k d ife afe of L a u fa nn e ,
’

c a n not b e l ong
t o t h e c la f se it h e r of i nte rm it te nt ih or

fl a m m a tory f e v e rs , b u t t h at it wasof t h e
p u tri d ki nd : and ou r t hre e fpe c ie sag ree
v er y w e ll w i t h t h e t ripl e S neebesof t h e
y
a nt i e n t s on e it u it o b ili ou s , a f e c on d b i
p
-

l iou s a nd t h e t h i rd a t ra b ili ou s For i n

,
-
.
~

a ll t h e p at i e n t s w e f ou nd th e f m toms f
y p o

a p u t ri d f e rm e n t , or a st h e i m m ort al
B oe rh a av e c h u fest o c all it , a fpont ane l -

o u s a l c a li , f o m e t im e s m ore , f om e t i m e s
°

l e fs e x a l te d Th e o rigi n of fu c h a c ac o
.

ch m w a st h re e f ol d , A et e nt i on o f

s
1 r
y y .

the e r f ira ble m a t te r, W h i c h i a l w ay s

p p
of a u t re fc e nt n at u re , a n d b t h e l aw s
p y
o f t he h u m a n (e c on om y g e ne rally f alls
'

u p on t h e i nt e ftin e s i 2 Th e re lic k sof

.

a ni m a l f o o d w h i c h h a s a n a t u ral t e n d e nc y

t o u tre f a ét i o n ;a n d daftly t h e b ile it fe lf ,

p
wb i eb o a ll t b e bu mou r smo i r ns
f fl Q y k l
'

u c t u

u tr i d, a t ba t a s b an a sa n r f a él i on
p [ j y p gu t

3
Aphor . x05 6 .
 [ 21
]
ar i fi si n t be p r i mee v a i , t be bi le i sfir e/ent
ly c ba n ed
g , a nd w h e ne v e r i t h a sb e c o m e
p u t r i d it
,
y qu i c kly c orru p t s e e ry
v er v

t h i ng e l fe . S e e i ng th e n t he fe t h i e c ki n d s
of u t re f a ét ion ag re e e rf e éi l i n the ir
p p y
e ff e f tst h e d ife a fe s
, p rod u c e d b y the m m ay
n ot u nj u ftly b e t e rm e d b ili o u s For w be e . r

d a mau r ba s r odu c ed a v ola ti le a lt

an
yp u tr i
b p [
a nd c a /li a oi l i t i s
n c a lled b tbe a nt i en
y tsac ri

mani onsbi le ; a nd if w e c o m p are ou r

P

id e m ic k w i t h t h o fe w h i c h t h e b e lt h
e
p p y
fi c ian sh av e d e fc rib e d u n d e r t h e t it l e o f
b ili o u s f e v e rs , w e {h a ll pre fe ntly d ifc e rn
t h e li m ilarit y ;f u c h a re t h e h e m it rite i a nd
t rit oph iae of th e i
a nt e nt s ;t h e m e fe nt e ric
o f t h e m ode rn s , na
y a nd a ll t yph i , the
lypiria , a fod e s h u ng aric
, , g a ftri c , a nd t h e

a rd en t feve r q
all wh ic h , h
p y fic i a n sh av e

C 3 i
w th

I ll V
. anS wie te n 8 5 T p 121. . I . . .

P I ll G orte r C o m p e nd T 37 1 3

m
. . . . . .

<1
A ll th e a nt i e ntsa nd m olt o f t he m o d e m s e nu e
ra te th e c a u f u so r a rde nt fe v e r a m on b ili ou s f e v e rs
g
Al b e rt i fay st h at a c au fu sisthe hig he ft de gre e o f a
b i l i o u sfe v e r Ju nke r, not to m e nt i o n othe rs
.
, t re a t s
O

of

t h e b ili o u sf e v e r a nd c au fu s 111 t h e f a m e ha p te r B ut c .

t h e i llu fi riou sB oe rh aave b t h e c au f u so r a rde nt fe v e r,

y
u n d e rfi and sa n ra l i nfl a m m at i on o f t h m rs f
g e e e a o

b c I
l ood wh i h wou l d hav e ob fe rvc d, le fi it p rodu e c
an
 l 22 l
w ith o ne c on e ntf at t r i b u t ed to b il e a c .

c u m u at e d a b o utl the p rze c ord i a , and s h a ve

c u re d W 1t h m ed 1c 1 ne sof a q u al ity
A b ili b il e
ou s f e ver w i t h a d e
’ ‘

t ra r to
y
liri u m , re fe fii bling o u rs h asb e e n e v e n de
fc ri b e d b y Hipp ocrate s , in hisb oo k de
a f te rc are S eve ra l li ke c afe s are f ou nd
s
i n h i ep id e mi c s and it w ill be e n te rt a i n ,

i ng to q u o te w h at w e m e e t w i th in h is
'

ef fi u
f on o
y b i tt e r hu m o uran
, w bi c b nae c om
m only c a ll y ellow bi le, t uba t a nx i et i es , be a ts ,

a nd d ebi lz t
y er/
g ice W b a
’

t p a i ns a n d fi v er s?
1

a nd wber e sand e r ug i nousbu nz ozlr s

a c r i m on ou i
'

2 ‘

i l, t u ba t r t u r ba ti ons m i nd do i be
p r ev a
pe f
o y
d t ub a : a i nso be bow el s
p r o uce
fl oati n
g p f t

an e rror i n pra ét ic e f or the tre a tm e nt of a n i nfl a m .

m ato ry c a u f u s
_
, a nd a b ou s c a u fu sd ff e rsw d e y
ili i i l .

S o m e o f t h e a nt e nt s e e v e d th at a pu tre faéi ion

i b li
ne v e r e x if t e d i n the ( wild s
’
,
bu t a w a
y s n t h e
p ri m e l i '

u ad e d of t h isb e e fi e ét sof a.
o
’

v ia: 3 t h e h
y w e re
p f
e r
y t “
re m ov e s
,

v om t , i i
w h c h df t e n ent re
y a fev e ri l .

F sp
oe . .
5 18 .

t F spoe , I n ma ny othe r
. ac e s o ra te s pl H ipp c
h a sa c e tirat e ly d e fc ri b e d ou s d ifi e m pe rs , n
bili
or d oe sh e

i
m e nt on a ny ot he r fo f re u e n t y q
Se e p art u a r y l . ic l l
Gl O
,

A pho rifm palh m , a nd a e n Co mm e nt

p e r T 7 . . . .

De Na t h o m § 8 8 a nd e lfe wh e re , Foes
.
.
, p 2 30 . .

De die b n udi c: eh 5 FO6 5 5 7

j
’

§ .
 [ 23
]
I f we h av e re c ou rf e t o t h e { h ort b u t l g a nt
e e

d e fc riptionsof th e illu f rriou sG orte r, we

’

{h a ll fi nd o u r d ifea fe e n t i re ly fi m ila r t o
t h ole wh i c h h e d e du c e s f rom m orb i d b il e :
mor bi d ba mau r , t ba t i s a ona c eou s
fl y j p
oi l , ,

fi p, ar b ea t i ng, bi tt er , a nd f y
o a e llow c olou r ,

i sc a lled bi li ou s ; t b i s r e t a i ne d i n i b e boay
c r ea t es
loa tbi ng , na n/ea , pu t r i d belc bi ng , a dry
d bit ter tong ue , a nx i ety , bi li ou s ayfi
'

an nt ery ,

j b i v'
er i n
g w a tc b
, i n
g s
,
a flp y
u i di t o r d el i r i u m ,

b ea d oe be, deaf ncf s

-
, w i nki n
g o f t b e e
y es , t r e

mou r , a qu ic k or f r equent pa lj Z a pu n ent

? g
b ea t
“
a nd tb e w a nt f
o a cr
tf s Th e cc

le b ra t e d H u x ham t o w ho m u p on m an y
a c c ou n t s
h fi c ha s b e e n (0 m u c h ob lig e d ,
p y
h ast h e fe w or d s In tb c montb of d ug u/l
.

1 4 1 , w e ba d ma n u tri d e v er s za s
7 y p f (p er /
p
mcj/é nt er z c ) c b i efly a m ong fl tb c low er people
'

a nd a i lor s d b i b
j , j otn e a t t en e d w i tb a
g p b r en

d b l
.

z
y ,
a n t b e
fi w e’
r e by f a r t c m o/ q u i c kly

f a ta l .S u c b p a t i en t s m o y ba d tbei r belli es
fll
P hy li c iansh av e a w ay s l e fte e m e d th at u n e nt he a t,
g p
p
t h e ath og nom ic
fy m pto m o f u trid f e v e rs Hippoc ra
p .

c ll
t e s a st h ole f e v e rs u n e nt t o t h e t ou h, w h h a re
p g c ic
c
e du ed b
y p
a t rc f a ét i n o f t h h u m o u rs a las d P l
F
u o e e .

e b rib ca .
p 3 0 . n or i
. s th e re a fo n o b fc u re .

3 Efpe c ia lly Sy fie m , pr axeosMe di c . 1

30, 2 30.

C 4
 [u ]
f w elled d wer e c o/li v e ;thustbc mor bi d ma t
an

t er w a s r et a i ned i n t he bow els I t w a s a r l

p
“
-

ti c u la r ly wonderf u l t o obj é r v e tbc g r ea t g u a n

d ow nw a r ds E xc e ll e n t o bferv a t ionsa re ,

l
a fo t o be f ou nd i n L T rall e s hi su fe f u l
.

t re a t ife t he f Ab forb e nts

I nu ti lity
2
'

on o .

B u t t h e e x c e ll e nt F H off m an h asi n m y
j u dg m e nt belt e xpl a i ne d t he i r g e nerat i on, '

I p re f u m e it w ill b e a l toge t he r a c c e p t ab l e
t o q u ote h is w ord s Among /t difl empers
‘

=
.

om bi le c orr u t ed a nd mix ed w i t b t b c blood ,

fr , p
p a r t i c u la r ly f ev er s , a n d t b fi
o n a m ed bi li ou s
def er v e t o be r ec koned f l nd t boug b f e v er s
‘

t b em f e lv e s g ener a t e bi le , y
et t be r e i s no d o u b t

ba v e f or t bi sdoct rine t bc a ut bor i ty o

f H ip
p oc r a t e s . For tn t bc fi l
/p
r la ce it c a nnot be

sO b fe rv a ti
f
‘
de a c re 8: m orb T 2 p 72 . e
pide m . . . .
,

2
V i t i u m q u ae te rre isre m e di isg ra t i sha éte nu sa d
i f m Ri orofi us i i 8 8 0
{ p
c r t ae u nt e x a e n g , c x v p 33 . . . . .

c av i ti e s
 [ 25
]
c av i t i esof li v er , j pleen, pa nc r ea s
tbc , omen

t u m ; bec a u e i n tb c e a r t st bc c i r c u la t i on
/ j p
o tb c blood i s m or e fl ow , i m u r i t i es
f p are
g e

a er a t ed, d c or r upt a c r i moni ou s humou r s

an

r om t bc pa nc r ea s i nt o t b c i nt c li nes
f l ow
f y ,

a nd not o nl
y ex c i t e t b c
j paf m od i c o
y
‘
e b r i le c om - -w

l a i nt sc ommon i n bypoc bondr i a c peo le, bu t

p p
ev er sa l o b s b
f f f or t c
jy pm t o m w i c b u
fi yi a ll
a c c om a n t bcf ef ev er s b i n ll i t b at
p y ,
e
g g en e r a
y n

r e i on
g W h o i ig s
n o ra n t o f t h e f m
y p
t o m s of a fpo nt a ne ou sa l c a li p oi nt e d o u t
b y t h e g re at B oe rh a av e , a n d t h e e x c e ll en t
i llu ftrat ion sof h isp u pil A m o ng p h y
b
.

fi c ia n s w h o h a v e t re at e d o f e pid e m ic k d if
t e m p e rs n o b od y h a sd e fc ri b e d a d i fea fe
,

m ore lik e t o ou rs t h a n t he f a m o u s W al
c a re n hi, a m e lt f u c c e f s f ul h fi i an at
g p y c

Cre m on a ; it w o u l d b e t e d i o u st o t ra n
fc rib e t he fy m ptom s ;h e a fc ri be sit sc a u fe
t o t bc v a r i ou s t u mu lts o f o u t r a
g eo u s b i l e a n d
of t b c a me t i me t o i nt cfi i na l a nd
f p a nc r ea ti c b

ly mpb of t bc w orfi qu a li t i es , w b i c b by a d
b er i ng t o t bc fi c er ni ng d u ct sof tbc li v er pa r t

De B ile m e dic in 8: Ve ne n . . c p or . h u m an . 27,

o cr
p . T . 6 . p . 1 5 8 .

b Aphor 85 , 86 . . T I p
. . . 1 19, 1 20, 1 30.
 low er or i
fi c e, c or r u
g a te si n v a r i ou swaysi ts
fib ls d stbem i nto v i olent c ont r ac
'

m , a n fo
, rce

t i on sby i tsj i ong

,
r .
i r r i ta t on i M i t be r w i ll

a stbc bile wasp r e domi na nt i n i t ,

f or s
t bi
bu mou r bei ng f r om i tsow n na t u r e more c afily
et i n m ot i on, mor e i a nd enetr a t in
j g, a ct v e
p
w ber ev er i t i sc on fi ned , g r ea t
ly / d i lend s t bc

ar t s a nd b s ebu lli t i on si r ri ta t es
p
. , y i t
fl g
r on ,

f e ve r an d mor e a c u te
p ain s by f or c ing
, t be

I rr n ow fe e m sto a ppe ar v er y pl ai n ,

f r om w h at w e h av e ad v a n c e d , t h a t th e

t ru e c a u f e o f t he i e m i c k d i f te m e r at
’
e
p d p
p u tri d , a lc alef ce nt , and
b i li o u s h u m o u r, e n d ow e d w i th a g re a te r

or le fsd e g re e i m ony h av m g l tsteat

o f ac r ,

i n, a nd i rr i t a t i n g t h e Pre m a c h , fm a lle r ih

c
Me d i c i n e R a tio n . T I . .
5 2 .

6
I bi d .
54 1 . T h i sb e i ng t ru e in re g a rd t o t h e
c a t t le a nd e ff ect may , p e rh a p sb e a i
li t tle sou t w th t e
tpe f t to th e m anne r .

t e ftine s
,
 [ 27
]
t e fl ine sp a rti c u l arly
,
the d u od e n u m , li ve r ,

g all b l add e r a nd d u cts m e fe ntery a nd th e ,

o t h e r c o nt e n t s o f t h e a b d o m e n ;a n d b
y
l e ng th of t i m e fi re ng th of th e d ife afe
, ,

or b ad m a n ag e m e n t i n f e ét i ng a t l aft a ll

th e h u m ou rs a s is m a nife ft f ro m t he h i ll
,

t ory of t h e d ife a fe .

E xa mi na t i on f
o a dea d boay .

Th e d ifie ét ion d e ad b odi e s , w h i c h i n

of
'

m a ny c a fe s e x ofe s(0 c l e a rly t o V i e w t he

p
l a te n t c au fe sof d iford e rs
,
w a sn o t (O me
c e ffa r
y i n ou r d ife a fe , wh e re t here w asn o
d ou b t i g t he c au le ;a nd t his i n
c o n c e rn n

d ee d w a sl u c ky ; f or t o t h e i rrep arable
l ofso f phyfi c k a nd m an ki nd t he re a re
‘

f e w w h o are fo f a r fu pe rio r t o e rron e ou s

,
/

p rej u d i c e s a st o ad m i t o f i t I {h all b ri e f .

ly re l at e w h at a ppe a re d a t t he on ly op
,

ort u n it w h l c h was gi ve n a sI h a d it
p y ,

f rom t hat i ng e n iou s p h y li c i an m y f ri e nd

a nd c olle g u e D D A le s f or I w a s
’

J .
pp .
,

t h e n a b fe nt Th e b od y w a st h at of a
.

m a n of f o rt y y e a rs old w h o m w e h ad ,

j o i ntly a tte nde d f or fo rne t i m e i n t h is

dreadf u l d ifte m per t ill ab ou t t h e 2 4 t h d a y
'

, ,

he
 l 28
l
’

h e was d e liv e re d b y h isre l at i o n s i nto th e

h a n d s of a q u ac k ; w h o h a rr a ffe d h im
'

w i t h t h e m olt v i ol e n t d ra ftic m erc u ri a l

m e d i c i n e s, u n d e r t he t i t l e o f a n i nf alli b l e
p an a c e a a n d b lifte rst ill h e k ille d h im ;I
,

{h a ll a d d fo m e re m a rk s of m y o w n t o th e
r e l a t i o n o f t h is c a fe 1 Tbc ex t er nal j ki n
. .

w a sli v i d, u
p
on mov i ng t be body t ber e

g r ea t dij c ba rg e f
o blood r om t bc u lc er , w bi c b
f .

bli/le r i ng pla i/ler sb a d pr odu c ed i n bi s

'

t bc

ba c k . I n t be t big bsa nd leg sw er e r ed f oots

a nd u r u lent bu m ou r s li k e bo ls Th e c olou r
p y .

of t he fk i n , th e h e m or rh ag e a nd r e d fpots
p rov e a c om pl e a t c olliqu ati on
f t h e b l ood o .

A n d i nd e e d bli fte rsw e re a v e ry b ad a p

pli c a t i on a t t h e e n d of a b ili o u s d ife a fe ,

w h e n t h e m a c h i ne w a sa l re a d y f a lli n g t o
pi e c e s b y a p u t ri d d ilf o lu t ion The u fe of .

m e rc u r ial i s w asn ot m ore p rop e r

re m e d e ,

w h ole t e n d e n c y is to d iffe lv e a n d p u tr if y
e e ry t h i n g ;b u
v t w h a t t h e n ! Folly is i n

f e p a ra b le f o m t h e c h ara ét er of a q u ac k
r

t h e p u ru l e n t t u m o u rs {h a ll b e t a k e n n ot i c e

o f a f t e rw ard s 2 Tb r e w sa f lig bt ec c loy

. . e a

s n t bc t eg u ments a nd m z c le s
mofi i y o t be
f a b
domen on tb c r n
t fi de , below t bc na v el ‘
. T h is
c o nc i i de s w i t h t he fi rft i l
a rt c e . Tbc f a t
wa s
 [ 29
]
w asy ellow d t ing ed w i tb bi le i n e v ery pa r t
an

b body T h i s fh e w st h e c fi u fion o f
r
g t c .

t h e b il e e v e ry w h e re , a n d a t o t a l c orru p
i f t he f at T b l i v er a nd ers
t on o .
4 . c
fi lt

w er e f ou nd tbc g a ll bla dder t u rg id w il k a

,

b i l b c me Z nt er i c la nd s
r ea t
y f
ua nt i t t j
’
e
g q o , g
w er e enla rg ed a nd o f a r e d dij yb e llow c olou r

t b c [tomu onw a s diflended a nd a si t w er e dz

,

vi ded i nto t w o bag s f u ll of a bla c k lz g u c r

, ,

tb c i nt ef li nesw e r e i nfl a t ed bu t tb ey w er e not
,

o ened T h is art i c l e c on t a i n s fe v e ra l t h i n gs ,
p .

w h i c h gi v e ligh t i n t o t h e c a u fe of t h e d if
t e m per . O p e n i ng t h e i nt e fi inesw ou l d
p rob ab ly h av e d ifc ov e re d a n i nj u ry in t h e
d u od e n u m , f o r t h at w a sg e nerally t h e
p ri nc ip a l fe at of t he d ifte m pe r The d i .

v ifi on of t h e fi o m a c h i nt o t w o b ags oc c u r s
‘

T o f re q u e nt ly t h a t i t c a n h a rd ly b e pl a c e d
,

a m on g t h e m orb i d a l t era t i on s . S e ve ral

ot h e r ob fe rv at io ns v e ry , j u d ic io u fly a nd

a c c u rat e ly m a d e u p on t h e c on t e n t s o f t h e

t h ora x a nd h ea d , I (h all e nt i re ly o m i t , b e
c a u fe t h e y d o n ot i n t h e l e a li i llu fi ra t e t h e

n a t u re o f t h e d ife a fe I f a n y b od y fh o u ld
.

wond e r th at the p art s a b ou t t h e p rae c o rd i a

W CI C
‘
 w ere not f ou nd w orfe f t ate, le t him
’
in a

at te nd to th e w ord so f the f a m ou s J A . .

B ore ll i i n t h at e pittle , wher e h e re l ate s to

t he c e l e b rat e d Ma lpigh i t he b i ll or y of an
pid e m i c f e v e r
e , refe m bling our , b ili ou s on e,
w h ic h r ag e d a t P i f a in t h e y e a r 1 6 6 1
-
.
. In
f ou r bodi es a t , tbc difi él i on o
’
f w bi c b I W ;

f een i n tbc lung s

, exc e ti n
p g dry ne/i pr odu c ed
a

p er ba sb
p y t bc beat f
o t b c f ever ;i n otber r e v

li ke ma nner d its g lan

a n ds w er e nei t ber
p u t r i d
nor c orr u t ed as s it b ebi ed T b a
p w a ffl c
j /b d a n. c e
l d l n wa s i
o f t b c li v e r a
j o a n f p ee not n t bc le afi .

t a i nt ed I be g a ll bladder wasr emar ka bér

‘
.

con/tr i f l i on f
o t be bila ry dual s
) a nd brylidesin

in fi rm t be i ntcfi i neswer e t i ng ed wi tb a y el ,

low c olou r f . Fr o m t he ob fe rv ati ons Upon

f e v e r s i n t h at i mm enfe c olleéti on of the
d iffe é t io nso f d e ad bod i esl ong ag o pu b
’
,

l ith e d b y B one t u sit iseafily fe e l) , th at

i n v e r y m any c a fe s t he m orb id a ppea ranc e

Malpigh i Ope r o
'

V id . .
p ll h u m.
4 t 0
. l
7oe . p . 2 7.
qq
\

a nd f .

a llig ne d
 [ 31
]
a lli
g ned f or t h e e nnfe o f t he d ifea fe wa s
e ve r
y w a
y i na d e q u a te t o t he p rod u étion o f

i t, a nd t h a t t he t ru e o n e w asn ot d ifc o v e red ,

b e c a u fe h a rd ly pe rc e t i b l e Nor will th is
p
.
,

a ppe a r fizra ng e t o a n y b od y w h o k no w s ,

I
. Th e fe nfi b ili t y a nd i rri t ab ili t y o f t he
w h ol e i nt e fi in al f yfte m 2 H o w v e r y d if
. .

fi c u lt it ist o d ifc ov er th e m o rb i d a l te ra
‘

t i on s of t h e h u m o u r s , w h i c h f e ld om f a ll

u n d e r t h e c og n i z a n c e o f ou r f e n fe s
3 . .

W h a t c on fid e ra b le c h a ng e s i n re fp e ct of
t h e t e n fi on o f t h e fi b re s , a n d t h e pl ac e o f
t h e fl u id s f oll ow u p on d e at h 4 W i t h . .

wha t v i o le nc e a c a u fe fc arc e ly d ifc e rni b le

, ,,

t o t he e x te rn a l f e n fe s m & p l i
'

a u n
, y a o a v

ing bod y , if it b e i n c ont act w i t h d e n u

da te d ne rv esor m u fc le s 5 In fi ne h o w . .
,

quic kly a pe ri od m ay b e p u t t o lif e b y a n

i nj u ry do ne t o v e lle lslb m i n u te , th at th e y
h av e h ith e rtoe fc a pe d th e fi gh t o f m e n w ho
h a v e fee n fo m a ny f m a ll o ne s , R u y fc h ,

Mo rga gni Al b in u s and H all e r It m u tt

, , .

b e c o nf efié d h owe v e r, t ha t o th e r obf e r v a

t or s h av e dif oov e re d g rea te r i n j u ri e s i n
fim ila n d ilt e m pe r s T h u s w h ile L anc i fi
’
.

a nd G u id e t i e x a m in e d t h e b o wel s o f t h ofe

wh o h ad d ie d b y b ili ou s f e v e rs , t bey f ou nd
t bc
 32

t be cy /li c bi le not
ly b
on e c om e b la c k , b u t a
j o

omet z mes r et ed li ke
f c on c
p i t c b , f q
r e u e n t l
y v e r
y
e t i d, a nd de r a v ed i n a t bou a nd ot ber w a s
f p f y ,
a nd t be li v er a r t i c u la r l b i
p y qf a r o w n f b c o

lou r B u t l e t t h is lu fi i c e f o r t h e c a u f e o f
‘

t h e d ifi e m e r, w e fh all now p roc e e d to the

p
c u re o f it .

T he re a re fom e d ifi e m pe rs in wh i c h if ,

W 6 n e i th e r f u ff e r t he v i t a l fi re n t h t o e x
g
' '

c e e d i t sd u e b o u nd s n or g row de fi c i e nt
, ,

a nd e fc ri b e a p rop er d i e t t h e m orb i d
p r ,

m at t e r is fp ont a ne o u fl y c onc o éte d a nd af ,

t e r t h at e xp e ll e d b y a n at u ra l c rifi s S u c h .

a re a ll t ru e i nfl a m m at or y d ife a fe sin wh i c h ,

e v e n n ow a sw e ll a s in t h e d ays of H ip
oc rat e s an erfon w ill ob fe rv e a re g u l a r
p , y p
o rd e r i n t h e i r c r i le s i f h e h a v e l e arne d
,

t h e i r n a t u re a n d m e t h od o f c u re f rom
Hipp oc ra tes and w ill n e ith er ra fh ly n or
,

i m p rop e rly ra ife a ny c om m ot i on or f orc e ,

f Bi anc h i Hifi or he p at
. . P art III p
. . 231 .
 33 1
any e v ac u at on , i b u t w ill b e c on t e nt w th i
t he il u e nt s a l on e a ppli e d in a ll
m ilde f t d
’
,

f orm s ;b e gi nn i ng a t fi rft w i t h b le e d i ng i f ,

it b e n e c e ffa ry w h i c h is f e ld om t h e c a fe ;
,

a nd n ot b e f ollic it ou s t o e xp e l b y v o m i t ,

i ng p u rgi ng u ri n e o r t h e m ore f u b tile

, , ,

o u t l e t s o f t h e b od y t h e c u t a ne ou s p o re s
, ,

t h e ph log if t i c b l o od ob f t r u ét e d i n t h e b ra i n
’ ’
,

b re a th o r o th e r v i fc e ra : n or a t te m p t t o re
f o lv e t h e h u m o u rs i nf piff at e d b y t h e b rifk e r
v i b ra t i o n s of t h e f olid s b t h o fe a c r i m o
y ,

n i ons f olv e n t s w h i c h i rri t a te t h e fi b re s to

,

n e w m ot i o n s I h a v e o f t e n w i t h p le a fu re
.

a d m i re d t h e fe c ri t i c a l c h an g e s a pp e a ri n g a t

t h e p re fi x e d t i m e a n d n ot v a ry in g i n t h e
,

l e ad f ro m t ha t fe ri e s , w h i c h h a sb e e n p oi nt
e d ou t b y t h e p a re n t o f ph y fi c k But I
‘

m u lt
’
c on e f fsI ,
n e v e r ob fe rv e d t h e m , u n le f s
b ot h I a nd t he i p a t i e nt
i n a é t iv e re m a n e d
’
.

An d I f re q u e n t ly d id fo b e i ng w e ll a ll ure d , ,

t h a t fo rn e t i m e st h e b e lt re m e d y i st o m a k e

n o a t t m p t s b y m e d ic i n e B u t t h is w o u l d g
e .

n ot alw ays p rov e f u c c e fs

f u l n or w ou l d it ,

h a v e f u c c e e d e d in d if t e m pc r ;f o r
’
ou r te

8 Hippoc r d e Ar t ic u l
. .
— W i fe m e n a re not ig norant

w ha t i t i st o b e i naél iv e in a c
m e d i a l fe n fe .
 i 34
p e e re d ex pe rie nc e h a st au g h t u sn ev e r to
ex
p e ét a c rifi si n p u t ri d e ry fipe latou s
, , a nd

ma lig n a nt f e v e rs . I n t bc cure o
f mefint er i c
'

f s
e v er
I b a v e , f
o t e n
fl e a f a ys B a gli v i t b a t , ,

i t w a st o n o end t o t be c r i t i c a l
p pf
u r o e t o a t t
day st b ei r i nfl u enc e a nd power a nd J u n k e r

ha sob fe r v e d t ba t bi liou sf ev e r smay be r e ,

r r ed t o t b o e ki nds b r der s
fi f of j d i i n w b i c b t ba

p ow er
f na t u r ei b e i
fif l i s o b l ig ed i n mm e m e a

is as l e a d y fa id
i
fi ire t o y i e ld t o a r t I a r . It
a n i n fi a m m at o r
~
y d i f po fi t io n w h i c h b e ing ,

g rad u ally f u b d u e d b y m i l d d il u t ion a nd a

c o nt i n u e d m od e ra t e a é t io n o f t h e v i t a l
’

p ow e rs is fpo nt a neou fl y e v a c u ate d o n th e

,

c o n t r a r y t h e f u e l o f p u t r i d f e v e r s b e c om i n
, g
c on t i n u a lly m o re p e rn i c i ou s b t h e a éti on
y
o f t h e v i t a l p o w e rs a nd ro c e fso f t i m e
p , ,

p rod u c e s d a ily m o re d re ad f u l fy m pt om s ,

u n le fs a rt f u l w h at is d e fi c i e n t i n n a
pp y
t u re ;f o r it is n e c e ffa ry t o p roc u re t h ofe
e v a c u a t i on s w h i c h i n i nfl a m m a tory c a fes
,

f oll o w fpo n t ane ou fly W h e nc e th e n a rife a . ,

t h is d i ff e re n c e ? w h e t he r f ro m t h e d i ff e re n t
fi ru é t u re o f t h e p art s a ff e ét e d ? o r f rom t he
’

1
P rax . Md e . L . 1 . dc fe b rib . ma l ig . s
;m e fe nt.

p . m .
5 2.
C onfp eét . Me d i c . th e ore t .
p ra é t
’
. t ab . 62 . p 5 1 0.

d i ff e re nt
 ‘

35
d iff e rent n a t u re o f th e m orb i d m atter ;or
l a f t ly f ro m
’
is t ha t th e af tion of t he
th ,

n e rv e s is t ot a lly d e p ra v e d b y th e p u t ri fie d

h u m o u rs ? I nd e e d h e wh o d e d u c e s t h is
d i ff e re nc e f ro m t h e fe c a u fe sc o nj u nétly is , ,

i n m y opi n i on n ot g re a tly m if t a k e n
, But
’
.

of t h e fe p erh aps I {h a ll t re a t m ore c o iou fl

p y
e lfe w h e re .

TH E c a u fe , w e h av e m e n t ione d p oi nte d
,

o u t t wo i nd ic at i ons , e the r i t o c o rre f t t he

p u tri d f e rm e nt t h at 18 to c h ang e l tsq ua lit y
, ,

fo a st o p re v ent i tsb e i ng n ox i ou s ;or t o

,

e v a c u a te it ;f or c or r u
pt ed bi le , l
a c c u mu a t e d
abou t tb c pr ce c ord i a br i ng s on dr ea df u l ev er s
, f ,

w bi c b a r e nev er t o be c u r e d u nle/i t ku t pu t r i d
k

f er m ent can be r e mov e d . An a lt e r at l v e

m e t hod is f u ffi c ie nt wh e n th e m orb i d m a t
’
,

t er b e i ng f m all i n q u a n t i t y i s on ly h u rt f u l ,

b y it sa c ri m o ny ;t h u s i n t h e d ife a fe s of i n

f a ntsa rif mg f ro m a n a c id a b for b e nt sa re ,

t h e b e lt c u re . B u t t h is w a sn ot ou r c a fe ,

f or t h e m o rb i d h u m o u r w asp re j u d i c i a l
b ot h b y itsac ri m o ny a nd q u a n t i ty
'
Any .

e v a c u a t i o n is f u ffi c ie nt i f b y it t h e c au fe
,

k
V a n S w e te n,
'

99 . T . I p . . 1 4 1.

D 2
 36
of t h e d i lte m e r c a n b e e nt ire ly a n d a t on c e
“

p
d i fc h arg e d w h i c h w a si m p o fii ble i n o u r
,

d i fe a fe wh il e a ll t h e h u m o u rs l od g e d i n
,

m lt o o f t he i l v ifc e ra b e y o nd t h e
a b d om n a

l aw s o f t h e c i rc u l a t i on w e re i n f e é t e d b
y
’

t h e m o rb i d t a i n t It b e h o e d t h e p h y fi c i a n
. v

t h e re f o re c o nf t a n t l t o e n d e a v ou r t o a l t e r
’
y
t h e q u a li ty o f t h e m orb i d m a t t e r i nf u c h a
m a n ne r t h a t if h e c o u l d n ot e nt i re ly d e
,

f tro y i tsd e l e t e r i o u s q u ali t y h e m ig h t at ,

l e ali w e a k e n it m u c h ;a nd a sfoon asit he ‘

c am e c a p a b l e o f m o t i on e ac u ate i t For ,
v .

tbc p i
r nc ipa l r eme dy i n t bi sf ev er i sa t i mely
f
i no t be c a n/li e bi le , f or t be c on e
ev a c ua t o
f
q u enc e o f t ba t i s t ku t t bc
, v i olenc e f
o tbc
f e

v er a ba t es;on t bc ot ber ba nd t ber e i sa v er

y
g r ea t da ng er i n delay i ng tbi se xc r eti on
'
1
. Ac e
f e c h t d ri n ks we re f u fli c ie nt f or t h e a l te ra
t i v e i nd i c a t ion T h e re w asn o roo m t o
.

h e fi t a te c o n c e rn n i g the p arti c u l ar k i nd of

Mi c h l b t i P x i sU ni f l f ét i x p i
A
'

. er ra ver a . e . . ca . v .

I w ul d bf th t t h i s d m n h sf v l a a e e ra
4 . o o
g
e rv e a oo

u fe f u l c t i sc nc ni g b ili sf s d t th
au on o er n ou e v er , an a e

f a m e t m e m a ny g ro f se rrorsa rif mg f ro m t h e fy l
i v
’
ce m

a bo u t t he c
orru t o n o f pi
e , wh b il
h h e e e v e st o b e ic b li
i
a c d , w he n t he t ru t h is
,
a dst o t a y d e ll ro y i t ;t heci ll
f a m e e rro r a tte ndst h e d oé t rin e o f a ll t he ant e nt S tab
’
i
l l ans h h is ic
wort h re m e m b ring
‘

, w .

e v a c u at on , i
 [ 37 ]
ev a c u a t on i ;t h at w a su nd o u b te d ly t he b e lt ;
wh i c h op e rat i ng b ot h u p w ard s a nd d ow n -

w a rd s e v a c u a t e d i n t w o w a y sa t o nc e
, .

N a t u re p oi nt e d i t ou t a nd Hipp oc rat e s h ad ,

e v e n t a u ght t h a t b il io u s d i fc a fe sa re n o t
,

t o b e c u re d b u t b y c a rryi n g o ff t h e b il e b y
o m i t i ng pu rgi ng Th e l oa th i n g
m
v a nd .

a n d n a u fe a a b u n d a nt ly d e m o n f t ra t d t h e
’
e

b a d c o nd i t i o n o f t h e fi o m a c h ; n o r w a s
v o m i t i n g f e r ic e a b le on ly b y e v a c u at i n g
‘

v ,

b u t i t w a sa l fo v e ry u fe f u l f ro m t h e c o n
c u lli on w h i c h i t g a v e t o t h e a b d o m i n a l v i f

c e ra ;f o r b y t h e f e m e a n s t h e m o r b i d m a t

t e r i m p a ét e d i n t h e f o l d s o f t h e i n t e ft i n s e

is a tte n u a te d d i ffolv e d a nd fq u e e z d o u t
, ,
e .

Tbe v e y a ct i on of v omit i ng a d fa y sH u x
‘
r o,

h a m w h m I h av e al re a d y c o m m e n d e d
,
o ,

a nd in w h ofe p ra i fe I c a n n e v e r e x c e e d i s ,

a t t o o e n obfl r u a onse v en i n tb c i nm o l r e
p p l i f
c e is e bod , a t te nu a t esa ll t bc b u mou r s
f f o t b y ,

and pr omot esa ll t b c fi c r et i ons;a nd w bi l/i t bc

oe r w i t b a n a c i d m u c u sor
oma c k loa ded c i t /
d
bi li ou sc ollu v i es
, ba t/9 lm o/l qu i t e lo
a
fl i t st one,

li ke an i ner t bag i mbu ed w i tb a pu tr i d f er m ent ,

m
Arde nt f e v e rsa re not re m ov e d b u t b y v om t n ii g
a nd p ur
g i n
g b il e. Prx not . 1 2 0 C onfe r B ag li v l i b
. . . .

c it a t . p
. 6
5 , 57 .
 ‘

38

it c or r u t p sev er
y t hi ng w hi c h i sput i ntd
it , a nd flc ont nu a ll
i y mentst he di
j ea e
f t i ll i t
i sthoroug hly c lea nfl d ’
.
‘
V om t i s a re c on

fid e re d i n t he fa m e lig ht b y m a ny ot h e r s ,

the f ollow m g , m e n of c h ara t er i n t é

’
he pro .
f e fii on , Fe rn e li u s , R i v e ri u s Frie nd
l oe rh a av e 9
Lu dw ig , T h e w ord s of Fe r
n e liu si n p a rt i c u l ar e x c e ll e nt ly illu l t ra t e
’
~

o u r pre fe nt d oEt rin e E 499 moder a te v omi t

’
.

z ng z s v er
yf a lu ta r
y a nd t he mo i
/ g eli i h le
o f l
a l
'

e v a c u a t i ons , f o r i t f o r c e s ou t a nd e v a c ua te}

t he nox i ou s hu mou r su nmix ed f r om thei r v ery

ou r c es i d l h i h i
f ; ev e r
y k n o
ffi t n t e c a v ty o r

c oa ts f
o t he
fl oma c h i t ec u li a r y c lea n Es
p l , j a wa
y
dr a w sou t f rom t he memhr a neso f t h e
p r a c or z
-

di a , t he c a v i t i eso f t he li v er a nd
jp leen, a nd

h a nc r ea s ll i nds f edu nda nt ha

f r om t e
p a k o r .

s
’

m o u r w i th ou t a n
y m i x t u r e ; w hi c h f o r t h e

mo] ? pa r t nei ther hi er a pi c r a , nor a ny other

v i olent r e med , e v en
t he mo fl y f r q ly
e u ent r é

O bie rv
'

. de Aer m orb . e pide m . T I p

. . . 21.
2 3, 25
°
I n fti tu t lib 5 P
. . . . I
S e a;2 c a p iv
. . . . p . m . 1 1
3 .
P C o m de Fe b rib
. . NO iv p m 1 9
.
‘
. . . .

q Aph or . 1 24 4 .

Infi it ”
”
1
. 15
4 1,
4 a.
 [ 39 ]
p ea ted, i sa ble to f or c e dow nw a r dsby fl l
oo

H ow i s are in t h e le d i f
n e c e ffary e v a c u a t on
'

t e m p e rs a ll a nt iq u i t y a c k no w l e d g e s a n d ,

a b ov e 2 000 y e ars a g o Hipp oc ra t e s h as

'

p re

f c rib e d t h e m ,
a n d a f te r h im G a le n , a nd

a ll t h e re fi ,
p arti c u l a rly in t he 4 t h c en

tu r y Al e x an d e r T1 allia n u s Th e m o
' u

d e rn s h a v e a d op te d a lik e m e th od of c u re .

B ore lli ob fe rv e st h at n o b od y e fc ape d b u t

a f t e r an e v a c u a t i on o f b il e wh i c h h o w
“

e v e r h e d id n ot at t e m p t t o p ro m ot e b
y a

v om i t w h i c h g av e o c c a fi on t o t h e f oll ow
,

i ng j u d i c i o u s r e fi e ét ion of t he i ng e n i o u s
G la fs I c a nnot bu t w onder fa ys h e t ha t
'

, , ,

Ma lpig hi an d B or elli nev er thoug ht of difl odg

i ng t he bi le a nd ev a c u a tz n
g i t f r om t he
fl o

m a c h by a v om i t w hen t hey w er e f a t z s
fi e d t ha t
t he w hole t he dij der ided i n bi le
o
f br re
y t he .

S u r ely i t i sf a i r t o c onc lu de f r om t he b ili ary

De Morb . e oru m
q ue c au f . li b i ii
. . c ap .
3. p
o e r.
om . p . m . 21 0 .

Aslong bile c onti nu es

a w i t hi n, i s
sthe not c onc ofi ed

n or c or r e ct ed , ne i the r the a i ns
p nor
f ev er c a n b
y a n
y a rt

b e r ep ut e d De P r ie z Me d na , c ap 35
. i oe s, 16 ici . . F p . .

C o n fe r oe s, p
F39 6 , 4 ,
8
73 4 9 5 9 5 34 , 5 4 7,
, 1 ,

1 1 39 11
5 2 .

u
De A rte Me di li
’
c b . . Vl l . c a
p . x v i.

Loc i tar c onfe r

. c . . B i anc h i h iftor . he p at .
p . 2 8 2,
 4 0

y
'

f
o t he di i
j ja e tha t ma n
’
er i hed
p f f o r w a nt f
o
‘

Th e i llu l t riou sH off m a n h a st w o i n

’
it Y
.

d ic a t i o n s t l f t h e pri m m v im a nd
‘

5 o c e a n e ,

o b t u n d t h e b il e W h a t p a t tic u la r m e
.

t h o d i n c on f or m i ty t o t he fe p r i n c ipl e s I
'

, ,

f oll ow e d 1n e a c h fpe c ie sI m u ll now re l a t e .

A L L t h e li c k h a d b e e n ill f or le v e ral d ays

b e f ore t h e y le nt f o r a p h y fic ia n , lo t h at I
of te n pre fc rib e d a v om i t a t m y fi rf t v ili t 5
’

i t O pe ra t e d w e ll e no u g h , y e t d id n ot a l w a y s
a nfwe r i
m y w th e ; f or t h e s e v a c u a t on i s
w e re n ot f u fii c ie n t i n q u an t i t y n or w e re
'

t he a n x i e t y a n d n an ic a re m ov e d 5 a nd t h re e
or f ou r i
t me s wh e n th e f e v e r fi rf t b e g a n t o ’

g row i d e m ic k , i t w a sn e c e ffa r t
e
p y o
p re

f c rib e a f e c on d d o fe a f t e r a n i n t e r v a l of
‘ ‘

f o m e d a ys , w h i c h w a sn ot t h e c a fe a f te r
w a rd s ;f o r w h e n I w a sc on fi d e rm g w i t h
m y fe lf t h e is p h ae no m e n o n I
c a u fe of th ,

r e c e i v e d f o m e lig h t f ro m Hipp oc r a te s s d oc
’

t ri ne o f c o n c oét i on a nd th e f oll o w i ng 111 ,

d i c i ou sob fe rv at ion of V a n S w ie te n . I w ell

7 C d e fe b rib 7
o m m e nt . . p . 1 16 . R e ad a lf
o the m
g e n io u sG ra n e r s
g H ifi i
or f e
’
. b r. A n om _
B a tav p .
73 .

2
D e d u ode n m u t m or b . l . . c au fa 2 0. o e r p . T 6 . .

11 1
9 4:
 [ 4 1
]
fa ys h e , w hen af ter a mo/z v i olent
'
r emember ,

h f
ot u mm er ,
b i li ou s
f ev er sw er e e
pi de m i c a l a nd
a tt ended w i t h a t r ou blef ome na zf ea , a nd a n a l

/
mo t
‘
c on la nt v omi t i ng
/ f , sg tha t
av e I omet i me

a v omi t i mmedi a t ely w i t hou t a ny r eli ef ;bu t

,

w hen f or one or t w o day sI ha d m a de ufie of

ox mel or j u c h li ke m edi c i nes di lu t ed wi th a
y ,

la rg e por t i on of w a ter t he c or r upted bi le w a s

,

r e u ent l e v a c ua t ed by a j pont a ne ou sv om i ti n
f q
“

y g ,

i nfl ifla ted a lmofl like g lu e ;or i t w a seafily

elled b a g en t le emet i c h g i v en a f ec ond t i m e
p y
P a yi n g n o re g a rd t h ere f ore t o t he t r ifli ng
o b j e ét io n so f f om e m od e m s , I ppli e d m y
’

fe lf t o f orw a rd t h e c on c oétion . Th at w e
m ay t h e b e t t e r u n d e rft a n d w h at c on c o c

t i on in a b ili ou s d ife a fe
is I ,
{h a ll m a k e
f om e ob fe i v a t 1on sc on c e rn i ng c on c o ét ion

a nd t u rg e fc e n c e i n g e ne r a l .

i n d ife a fe s f or w e d on t
’
C on c oc
‘

r ro n ,

t re a t h e re o f t h e a é tio n o f t h e fi o m a c h ,
'

o u g h t t o b e re c k on e d o f t w o ki n d s ; t h e

o n e re fp c ét s a m 1t 1g at 1 0n a nd t h e oth e r a n ,

e v a c u a t i o n ;f o r 1t 1 3 f om e t i m e sfu ffi c ie nt t o
c orre ét t h e n o x i o u s q u ali ti e s of t he m o r

a 64 4 , l . 2 . p . 2 25 .
 4 2 1
b id h um
ou r ;t h e n it is
fa id to b e c onc e it
e d , a l t h o u g h n o e v a c u a t i on f o ll ow ; n a
y .

f u c h a c o nc oét io n of t e n re nd e 1 s t h e h u
_

m o u r/
un fif o r an e v a c u a t i on t o t his c la fs
t ,

b e lo ngs c o nc o étio n i n d ife a fe sof t h e f oli d s

’

Ag a i n a c o n c oé tio n re fp e éting an e v a c u a
,
’ '

t ion is a l fo o f t w o ki n d s ;f or fo m e t i m e s it
is ne c e fTar
y t o a t t e n u a te a n d r e n d e r fi t f or

m ot i on t he m orb i d m a t te r w h e n i t is
, ,

g ro fs ;gl u t i no u s a nd te n ac i o u s b e f ore it
i
'

, ,

i sfa f e t o a tte mp t i t se X pu lfi on 5 a n d w h il e
t h e h u m ou r is t h u s d ilfol e d an a c ri m on y v ,

is f re q u e nt ly g e ne rate d W h e n c e it appe a rs
, ,

t h a t a c o n c o f ti on i n re fpe c t o f t h e d ifeale,
'

s
i re a l ly d iff e re nt f ro m t h at t ow a rd s e v a
e na t i o n O u t he c o nt ra ry , w e m ore o f te n
'
‘

f i nd t h e m or b i d h u m o u rsfo a é t i v e an d
’
/

a c ri m on i o u s t h a t w e m u tt f o rb e ar e v a c u
,

a n t s a sw e w o u l d a v o i d o ifo n l e ft b
y
'

p ‘
,

t a i li ng e v e n t h e m o lt flig h t i r ri t a t i o n t he y ,
.

b e c om e g o v e rn ab l e a nd b e i n g i m p e ll e d
un ,

e e ry w h e e
v w i t h t h e g re a te ft
r i ol e n c e v
,

b ri ng o n q u i c kl y ir re pa 1 a b le m ilc hie f s In .

f o c h c irc u m f t a n c e st h e i r a c 1 1m on y is t o b e
’

m i t ig a te d a n d t he i r t e nd e nc y t o m o t i on
,

r e ftr a in e d ;th is f pe c ie so f c on c o é t io n f or
’

e v a c u a t i on re fe m ble s t ha t i n re f e ét of a
, p
d i fe a fe .
 43
d ife afe Th e fi rf c ki nd of c ru d i ty may
.
’

b e c al le d a c ru di ty below ev a c u a t i on ; t he
f e c ond a c r u dity a bov e ev a c u a ti on .

TU R G E S C E NC E is lik e w ife of t wo k i nd s ,

o ne re f e ét sq u an t i t y a n d t h e ot h e r m o
p ,

t i on Th e h u m ou rs a re t u rgi d w h e t h e r
.
,

c ru d e or c on c oéte d i f b y t h e i r q u a nt i t y
,

t h e y i m p e d e e i t h e r a ll or only fo m e o f t h e ,

a n i m a l f u n E tio n s ; y a re a l fo f a i d t o be
t h e

t u rgi d a n d t h at in re f pe ét o f m ot i on w h e n
, ,

by t h e i r a c r i m o n y a n d a ét i v i t y t h e y v i ol e n t
ly f t i m u la te t h e p art s an d c a u fe i rre g u l a r
’
,

m ot i o n s ev e n t h ou g h th e i r q u an t i t y b e
,

“3
fm all

FR O M t h e f e w p arti c u l ars w th i wh ic h
H ipp oc rate s wasa c qu am t e d a nd , wh i c h
d ilig e nt ob fe rv at i on h a sc on fi rm e d , i t is
e af
y to p e rc e i v e t h at t h e h u m o u rs in ou r
fi rft fp e c ie s
,
w e r e t u rgi d p ri n c ip ally b y t h e i r

q u ant i ty and w e re i n t h e {l at e of c r u di ty
,

b
T he clb e e ra te d Gl ai sde fine st u rg e fc e nt ni atte r a s
j me t hi ng t r ou blefom e l ag na t in i the r i m m v i ce , w hi c h
i
/ g n
p
a r ed e i t her u w a r ds ow nw a r ds
if g
m ay he d h c
p o r d , a nd w h i c h
f q
r e u e nt l
yfi i m u lat est he
fi o m a c h or i nt /
e l i n e st o i t s ow n e x

fi C d f b ib
'

om m e n t 0
pu on . e e r 7.
p 1 2 . . . .
 l 44 1
belo w ev a c u a t on 5 i I w as
o b lig e d t h e n to r éu
der t
h
em fl u id a nd fi t f o r m o t i o n b e f ore
e v ac u a t o n ; i h ig
u n le f
h e tt st h e re w a st h e
’

t u rg e f c e n c y w h i c h w a sf e ld o m t h e c a fe ; I

a t t e m t e d t h is b y t h e u f e o f a t t e n u a t i n g
p
a n d a n t i fe pt ic r e m e d i e so f t h e c lafso f t h o fe

c al e d l d ig e fi i v e s, a nd th is w as g e n e ra lly
C

D ig e fl iv e sa re th o fe m ed i i
c ne sb y t h e p i ope r {i g n i
,

fi c a t io n p f t h e w ord , wh i ch RO
a fii fi t h e a ét i on o f t h e
m a c h i n t h e c o nc oéi i o n t he a i m e n ts ;a nd a st h s
of l i
w o rd i su fe d in t wo fe n fe s , t h e n e a fo t h e
y h av e c a e d c l ll
t h o fe m e d i c n e sd i e fi iv e sw h c h
i ro m o t e t h e c o nc oci p
g
t 1o n of m o rb d h u m o u rs i;a nd n o t m ro e r y n d e e d ; i p p l i
b u t a st h e y c o nfide re d o n y t he c r u di ty below e v a c u a t i on,
. l
t he h a v e c o nfi n e d t h e c la fs o f d i e f t i v e s o f a ne , a t : li
’
y t
g
t e nu ati n
g a nd u n e n t m e d c n e s o r u fe le fs
g p a b fo rb e n t s
i i , ;
w h c h 18 c e rt a n y a g re at e rro r, f o r th e re a re a sm a ny
i i l
c la lf e s o f d i e fi iv e s
g , as t h e re a re f e c ie s
p of ru d t
y a nd c i
i n a e r u d i ty a h;v e e v a c u a t i on t h e re a re n o o t h e r nd o f ki
dig e ih v e s , b u t fu c h a sh a v e t he o w e r o f c o nd e n fi n ,
g p
th e a t h in g , a nd re lt rin g in g , asW i l a e a r a ft e rw a rds
’
,
l pp
a nd w a s we ll k
no w n t o oc ra t e s ;f or h isd oétrm e
H ipp
c o n c e rn n
g ic o nc o ét io n w a s ,
t h a t t h e m o r b d h u m ou r i
{h o u ld h a v e f u c h a n a t t u de f o r m o t o n , a st o y e d pi i i l
e a li l
y t o e v a c u a nt s ,
a nd
y e t no t to e c e e d 1 11 t h a t fo , x
t h at a n m ifc h ie f c o u d f o o w f ro m i t s l ll
e b u lh t i on G
y a .

le n ise v e ry w he re o f t h e f a m e O n o n ;h e c on c o él e d pi i
t h e b 1lio u s h u m o u r W i t h c o d w a t e r, a nd t h e l t u to u s pi i
W 1 th e p p
p er M e t h o.d M e d e n d .
-
A d a u o n . L II
. . Gl c .

L 1b I I D e S a n it a t t u e n d L i b I V
. . . Se nne rt u sh a s
. . .

l
a fo f o m e v a u a b e o b fe r v a t ion son t h e f a m e fu bj e ét ,
l l
t ho ii g h d e f pi fe d b m olt of t h e m od e m s d e f e b ri b
y , .

L i b II c . vi
i . .
 45
th e f orm o f th e p re fa ipt ion, t h at th e y
lh ou ld k
ta e a p ap e r of p o wd e rs e v e ry t h re e
h o u rs , a nd d ri n k a f te r i t f o u r o u n c e so f a
d e c oéti on . T h e p ow d e r w a sc o m pofe d o f
T a rt a r . re g e n e ra t . t a rt ar . v it riola t . c re m .

t a rt a r . a n d o th e r th n i gs
lik e t e n d e nc y ;
of a

I f re q u e nt ly a l fo p re fc rib e d t he S u lp h u r
‘

A u rar A n t i m on p rep a re d i n U n tz e r s
. .
’

m e t h o d a nd m i x e d w i t h f u g ar a n d o n e o f
,

th e f ore m e nt i o n ed falts w h ic h f u c c e e d e d
-
, r

v e ry w e ll Th e d e c o ét io n w a sm ad e f rom
.

t h e r o ot s o f g r a fs forre l w il d f uc c or y o r
, , ,

t h e l e a v e s o f m a i d e n h a i r w i th t a rt a r r e .

e ne r a t o r o xy m e l fi m l f ome f l ic e so f
g .
p .

f t e lh c i t ro n p e e l c orre ét v e r y w e ll t he
‘

n au fe ou st a f te o f t h e g ra fs a n d a re
’
f or , ,

t h at re a fon n ot to b e o m i tt e d if w e d o
, ,

n ot a d d t h e o xy m e l W h e re t h e f o rm o f
“
.

a n e le & 11 a r w as m ore a g re e a b l e i t c on fi d
’

y ,

e d of t h e a c e fc e nt re fer e s o f f o rr e l w d
.
p o ov ,

fo rre l t h e liq u i d e xt ra éi o f d a nd e li on a n d
, ,

fo m e n e u t ra l or a c i d f al t 5 f or t h e p rop or
t i o nso f t h e c o m p o u nd w e r a l w a ys d i e

r e ét e d b y t h e f y m to m s w h i c h i nd i c a ted
p ,

t h e g re a t e r o r le fse x a l t a t i o n o f t h e b il e or
’

t h e d e g re e s o f v i fc id it I f a fte r t w o
y .
,

t h re e o r f o u r d ays
,
t h e Ih iv e ri ng g re w
,

m il d e r ,
 4 6 ]
m il d e r, i g u p on the t ong u e s
t h e c ov e r n leli ‘

t e n a c i ou s t h e u ri ne t u rb i d th e b e lc h in s
,
g ,

f e t i d a nd t h e n a u fe a f re q u e n t ; i f t h e re
,

w e re w i n d an d r u m b li n g 1n t he b o we ls a nd ,

t h e {too ls w e re m ore c opiou s i t app e a re d , ,

t h at t h e h um ou r h a d ob t a i n e d a n a p t i t u d e
f o r m ot i o n ; a nd I t h e n p refc ri be d a n
e m e t i c k p ot i o n At h rf t f or fom ef t i m e I ’
.
,

u fe d Ip e c a c u a n , b u t re fe ntl
'

f o u nd t h a t
‘

p y I
th is c e l eb ra t e d root h a d n ot i n t h is c a fe f a f

fi c ie nt f orc e ;i t h a d b e fid e st h is b a d p ro
'

p e rty , t h at a f ter t he e v ac u at i on w a sov er,

i t l e f t t h e p a t i e n t c ofi i v e a n d f o m e t i m e s .

t h irfty ;I w a s t he re f ore gl a d t o c h a n g e i t
f or t he em e t ic k t at t ar, wh i c h I h a rd ly e v e r
d r0p d a f te r t h a t t h e d o fe , b e i ng
’
.
p ro

p ort ion e d t o t h e ag e a nd oth e r i n d i c ation s ,

w a sd iff ol v e d i n e ig h t or t e n o u n c e s o f
w a te 1 w i t h a n a dd i t i on o f a fi xt h p art of
'

fy i u p of C apill a i re I d ire ét e d t h e w h ol e
.

t o b e (11 a n k a t t w o t h re e o r f ou r d r a u g h ts
, , ;
a nd t h is f d i v i d i ng t h e p ot i on
m e t h od o

f u c c e e d e d h appily i n fo g re a t a v ari e ty of
fi c k p e opl e a sI a t te n d e d , t h e g e n e ra li t y of
‘

w h ofe p a rt i c u l a r c onftit u ti on s , I w a st il l
t h en e nt i rel y u na c q u a i nt e d w i t h An d I .

p i l ly
a rt c u a r re m e m b e r th a t a nob e l f ore ig n
 [ 47 ]
e r, wh o m I h ad o rd e re d to d ri n k a f o u rt h
p a rt o f i i
t h e m e d c ne e v e r y h al f ho u r , a f te r

t heh rf t d ra u g ht , w a swi t h g re a t f a c ili t y f o r

’

t wo h o u rs w i t h a c o n t i nu e d {tre a m a lm o f r, ’

p u rg e d b ot h u pw a rd s a n d d o wn wa rd s a nd ,

h ish e a l t h re fi o re d in a fh ort t i m e ;no w

t h is p a t i e n t w o u l d u nd o u b t e d ly h a e f a f v

f e re d a v i ol e n t f u p e rpu rg at ion i f h e h ad ,

t a ke n t he w h ole d o fe a t o n c e as i t is o f te n ,

re fc rib e d T h e re w as a n o t h e r a d v a nt a g e
p .

a tt e n d i n g t h is m e d i c i n e t h a t b e i ng p a l a
,

t ab l e i r w a s n o t i n t h e l e a f : n a u fe o u se v e n ,

t o c h il d re n a nd m o re d e li c a te p e opl e I .

f o m e t im e sm a d e a n a d d i t i o n o f m an na ,

t h o u g h t h e fo lu t io n o f t a rt a r a lo ne f e ld o m
f a il e d t o p ro c u re (too ls w h i c h I a l w a ys,

r e c k one d o f g re a t i m p o rt a n c e ;f o r b e fid e s
,

t h at in t h is w a y t h e m u c h l a rg e r q u a n t i t y

o f m orb i d m a t t e r ise v a c u a te d i t is t he ,

m e t h od n at u re p o i n t s o u t f o r d if c h a rg i n
g
t h e re lic k so f t h e m orb i d m a t t e r Th e
4
.

d
The clb
e e ra t e d P ri ngl e h a sm a d e the fa m e o b fe r

v at io n s
. 7 l u v omi t : t ha t a r e a ffo pr od a fi z v e of fl oo/r, ‘

a r e t be m ] ? af o a l, fi c i a lly b
f b ut
of {f t e
y a re
pow e r
f u l
e noug h t o pr oc u r e a 1 n tz u / ef f/ c ha rg e u wa rd : or d ow n
p 1 f p
w a r d : of { be c or r u pte d bi le .B y t bz sm e a n ;t b ey om et im e :
fi t? a c u r e , w i thou t f a rt he r m e d iu m s o n
. D if Ob .

c a fes of t he A
rm , P I II eh I V
y . . . .

3
 4 8 -

e ff e é c of t h e y w as
ge ne rally
’
re m e d , t h a t
i n li tt l e m o re t h a n h a l f a n h ou r 5 t h a t is ,

fo m e t i m e a f te r t h e fe c o n d d ra u g h t t h ere ,

w as a n 1 n c lin a t i on t o re t c h w h i c h w a s ,

f o ll o w e d b y v o m i ti ng ;a n d if t h e q u an t i t y
o f t h e difc h a r e w a s j u d g e d fu ffi c ie n t t h e
g ,

r e m a i nd e r of t h e p o t i on w a sn ot u fe d ;i f

n ot it w a s
, d ra n k ;t h e v om i t i n g b rou g h t
v ifc o u s m a tt e r m i x e d w i t h y e l low b i
‘

u
p t ,
1

t e r b il e 5 t h e n f oll ow e d {tools o f liq u i d

”

, ,

e ll o w f e tid e xc re m e n t s I o f te n e n
’

y , r
.

h v om i tin ; pl e nt i f u l
c ou ra e d
g t e
g b y
d rau g h t s o f h y d ro m e l ;w h e n i t c e a fe d I ,

p ro m o te d c opi o u s f t oolsb y g iv i ng a t a
l
’

fp oo n f u l e ac h t i m e w h a t re m ai n e d o f t h e
'

p o t i on dil u ted in a l a rg e v e h i c l e T h u s .

a f t e r t h e e ac u a t i on w a so v e r t he p at i e n t
v ,

f o u nd h imfe lf b e tte r W 1t h re g a rd t o h is
,

a nx i e t y d e b ili t y a nd ll e e p
, ,
T he f a m e .

m e t h o d w a sf o ll o w e d b y t h a t c e le b 1 ate d
ra f t i t ion e r W a lc a re n g h i, a n d h a sb e e n
p ,

1 e c o m m e nd e d t o
p o fte ri t b
y y G E S t ahl . .
,

or t he fl oa t / d a de u a t e t o t he r e
f 90
f
o c ure
q ,

m ov a l g t he perc e nt m ower m rbeye f ev er s

‘
,

a rz d
’

c on é e no other t be m v omz z z fi
p g g
‘

ur zn
g

D e fe b re b iliofa, 46 .
 [49 ]
And I c an tru ly f ay t h a t I h av e v e ry of te n
'

fe e n o ne v om i t ac c o m plilh , W h a t re p e a te d
p u rge s h av e f ail e d in I re m e m b er a wo
'

m a n w h o, w i t h o u t c alli ng a p hy fic i an,
,

h ad t a k e n fi v e t i m e s at t h e d iftanc e of ,

tw o d a ys e ac h , a p u rgi n g d ra u g h t w h i c h

{he g e ne rally m ad e u fe o f c o n fi fi i ng of ,

r h u b arb , S e d li t z f a l t , a n d c i t ron , a n d f ou nd

n o t t h e le a lt/ b e ne fi t f rom i t ;b u t f h e w a s
'

p re fe nt l
y re li e v e d by a v om it .

A FT ER t he fi rft e v ac u at i on th e d ig e fi iv e
re m e d i e s m e nt i on e d b e f ore
, , w e re a g a in
p re fc rib e d; f o r w h e n t h e c on c o ct e d m at
te r w ase x p e ll e d , it w a s re u ifi t e t o m at u
q
rate wh at i
c on t n u e d c r u de ; and I ne v er
f a il e d t o ob fe rv e , t h a t t h ofe m e d i c i ne s ,
w h i c h b e f ore h a d h ard ly p rov e d c a th a rt i c ,
h a v i ng th e i r f o rc e e n c re a fe d b y t h e d i m i ~
n u t io n o f t h e m orb i d m a t te r p rod u c ed at ,

t h is t i m e t w o o r t h re e {too ls e v e ry d a y , a l
w ays of a p u t ri d n a t u re Th e l a ng u or .

w as g rad u a lly d i m in ilh e d , a nd a l fo t he

l e ng t h o f the a ro x
y f m .A f t e r t h re e o r

f o u r d a ys if , pl e n t i f u l d ifc h a rg e of u ri ne
a ff or d e d t h e lig nso f a c on c oct i on , we
h ad re c o u rfe t o p u rgi ng b y fa lt s m n n a,
,
a .

E t am a rm d s,
 E 5 0 J
t a m ar nd i s , a n d n ow a nd t h e n a
fm all dofe
of fe n u a S om e t i m e s w h e n t he re w as
.

r e a fo n t o e xpe é t t h at {tools w o u l d b e e a fil
’
y
p roc ure d i t fu ffi c e d to d iffolv e t wo ou nc e s
,

o f m a n n a w i th f om e fal t i n t h e i r c om
m on d ri n k i n t h e m orni ng ;a nd a c opiou s
d ifc h a rg e of e x c re m e n t s f oll ow i ng f rom
t h at, t h e re fc a rc e ly re m a i ne d th e f o rm o f
ar ox f m 5 t h e fkin g re w fof t , t h e i r fl e e p
a
p y
b e ca m e c o m pofe d 5 t h e y n o l ong e r l o ath e d
t h e i r f oo d t h ou g h t h e y h ad n ot y e t a n
, y
d e fire f or it Th e n a t u ra l h e a t w a sm ore
.

fl ow ly re ltore d a nd t h e y w e re a lm olc a l w a ys
’
,

co ld
T h e n the y t oo k on ly a d ofe or t wo
.

o f t h e ir m e d i c i ne s e v e ry d a y ;a ll t h e f m
y p
t o m s w e n t off g ra d u a lly t h e b ilio u s fi ools
‘

'

w h i c h w e re fo fa lu t ary {till c on t i nu e d a nd ,

b ot h e v ac u a te d t he m orb id m at te r a nd ,

fh e w e d th a t t h e v i fc e ra re c ov e re d t h e i r t one 5
‘

f or it w a sw i th u s a st he f a m ou s G all a ,

r ot t i o b fe rv e d i t t o b e at C re m on a we ,

d f af ely hope f or a c omplea t t er mi na t i on of

c ou l

t he e v er , ooz y w hi le t he fl oolsc ofl t z fl uhd hilt

'

f t
ou r
f
. An d i nde e d if w e f e ll fh ort
. of is th
9 h appy

f
j l/l e t hod . j a r fl hr pz ofl zg a nd De f e r te rt i an ,
. .
'

b .

St e . 1 7 . A u fe f u l tre at ife t o b e fou nd at the e nd o f

VVal
 [ 5 1
]
h appy pp e aranc e I w asob lig e d b oth to
a ,

gi v e t he d ig e ftiv e sl onge r a n d i n a l arg e r ,

d ofe a nd t o re p e a t t h e c a th ar ti c a t h i rd
,

t i m e n ay f om e t i m e s b u t v e ry r a re ly a
, , ,

f ou rth t i m e I d on t re m e m b e r a n i nfi a n c e
’
.

of a fi f t h p u rgi n g b e i ng u fe d In lax c on .

fti tu tions w h i c h l a b o u re d m ore u n d e r a

,

v i fc o fit t h an a c ri m on y I f o m e ti m e s a v oi d
y ,

e d a q u e o u s liq u o rs a f t e r t h e firft p u rgi ng ,

a n d ord e re d a p ot i on c om pofe d o f a l arg e

d ofe of t ar t ar re g e ne ra t a f m all q u a nt i t y
. .

o f E li x i r ro ri e t a t i h th e d i f t ille d
’
p p w t .

w a te r s of S u c c o ry a n d Ci t ron p e e l a nd
.
-
,

c o m p o u n d f rr u o f S u c c or y a d d i n g O x
y p y ,

m e l w h e n t h e c i rc u m f t anc e s re q u i re d i t
’
.
,

I d id n ot s pre fc rib e a v om i t
in a ll c a fe ,

f or t h e re w e re fom e p at i e nt s in w h om I ,

c o n tra i n d i c a t i on s t o f o rb i d i t ;b u t
-

bef o re t h e c a th art ic k sp rop e rly f o

c a ll e d w e re gi v e n it w a snec e ffa ry t o c on
,

W alc a re ng hi . How li ttl

b e tru ll e d a m t g a t on of
e to ii i
t h e fy m pt om s isi n ard e nt ou s fe v e rsa song a sb ili
t h e re l
a re no b i o u s fi oo ls
li , w e m a
y e a rn f ro m th e a fe o f l c
He rophy t u s , w b
ho la ou re d u nde r f u c h a d ifte m pe r w th i
v ar o u s
i re m ifli o nst il l
a f t e r t he h u n d re d th d a , w h e n
y
h e h ad g re at e nt
y o f b i ou s
pl (too s D e w or li v u l . b . lg .

L ib .
g 3 g
. m r
9 oe s1 1 06
. . F .
 l sl z
'

ti nne th e d ig e f n v e sf o r
’
a l ong e r h at e . For
th o fe wh o w e re p u rg e d t oo foon w i t o u t a h

p re i ou s v om i t g e ne ra lly fu ff e re d f o r 1t
v , .

I w asi nc li n e d t o ord e r t h e e m et i c k t a rt a r
t o a v e n e ra b l e m a n w h o w a s ill on t h e fi xth -

, ,

d if te m pe r
’
d ay of th e f or I h ad n ot b e e n
( ‘

c all e d at th e b e gi nn i ng ) b u t t h e m e t h od b e
i ng c h a ng e d b y th e a d v i c e o f a n ot h e r ph y
fi c i an , t h e p at i e n t took a p u rgi ng m e d i c i n e;
t h e d if e a fe p ro v e d t e d i ou s a nd w a s f oll o w ,

e d b y p a i n s of t h e f t o m ac h a n d a m u c ou s
’
,

d y fe nt e ry m A u t u m n , w h i c h I d o n ot re
m e m b er t o h a v e h app e ne d t o a ny of t h ofe ,

w ho t ook a v o m i t and w ere p rop e rly tre at e d

a f te r i t .

THEY wh o re f u fe d m e d i c i ne s , a nd a fter
the fi rft v om i t l ai d a fid e all re m e d e is u nle f s
p e rh a ps mall a nd l e m on a d e
w a te r ofor ,

w hom t he re w e re m a ny h avi n g t h e m orb i d ,

m a tt e r le ffe ne d b y m e a ns o f t he d ie t wh i c h ,

t h e i r l oa th i ng d i re é tc d t he m t o g rad u a ll y
'

o t t h e b e t te r of t h e f e v e r i nd e e d b ut t h ey
g ,

1 e c o v e re d th e i r h e a l t h flow l a nd i m p e r
y ,

f e étly ;a nd l ev e rai of t h e m w ere ob lig e d

a f te r f o m e m on t h s t o h a v e re c ou rfe t o m e

d ic i ne s b u t of t h e fe a f te rward s
, I th ri c e .

obfe r v e d
 [ 53 ]
ob fe r v e d y ou ng e r p eopl e
in t h at fy m p to m ,
wh ic h Sy de nh a m m e nti on s 3
, to w it a t u
,

m id a b d om e n , w h e n t h e d ifi e m pe r w a sg o

i ng of f f a v ou ra b ly a t L a u fa nn e a s a t L on
‘

do n ;b u t o u r p at i e nt s c om pl a i n e d o f a n
i n c re a fe o f p a i n u p o n t ou c h i n g t h e t e g u
m e nt s , w h i c h w a s n ot t h e c a f e i n L on d o n .

I F i t w a sd a ng e ro u s t o gi v e o v e r e v ac u

at ion st oo foon , it w a sa l fo d a n ge ro u s to

i
c on t n u e t h e m l o ng ;a nd a m an wou ld
t oo
b e m ife ra b ly d ec e i v e d i f h e i m agi n e d t h e y
,

w e re t o b e p e rfi f t e d i n t ill t h e a pp e t it e a n d
’
,

ftre ng th w ere e nti re ly re fi ore d Th e i n a p .

e te n c a nd d e b ili t y a ro fe i n t h e b e gi n n i n
p y g
of t h e d if t e m e r f ro m t h e c a c oc h m y o
’
p y p
re lli ng t he {tom a c h a n d p ri m ae v i ae 5 a n d
'

p
n ow a t t he e nd o f t h e d ife a fe t h e y w e re

ow m t o a l a x i t y o f t h e fi b re s t h e l a ng u or
g ,

o f t h e fe c re t io n s a n d a d e f e é t o f g ood
,

j u i c e s i n th e b od y W e m u f t t h ere f ore h e re
.
’

a t t e nd t o t h e c a u t i on o f B oe rh a a e w ha t v ,

doesg ood a t one time , may y et he hu r tf u l, if

h
i v en a t a nother , t houg h i n t hej iz me diflem er ,
g p
t Op S e ét
e r. . I . c ap. V . p . m 60
. .

Aphorifm 8 4 9 .
 [M ]
a nd we h ad a fad p roof of th is by e
c r i
e nc e . Fo r w h il e fo m e i
c on t n u e d th e o pen
i ng m e d i c i ne s w i t h a vi e w of d ifc h arg ing
-

t h e m orb i d m att e r, w h i c h t h e y b l a m e d f or

t h e fe c o mpl ain ts I h av e fe e n t he d ife afe ,

rotr a dte d h e d e b ili t y in c re a fe d ;a n d t h e

’
p t ,

fii v e f a f t ric a n d i nt e ll
’
t he
’

e xc e 1 rr1t a t l on o
g
t in a l n e r v e s f oll o we d b th e w h ol e t ra i n of
y
i rreg u l ar fpa fm od ic k fy m ptom s Th e fe I .

ne v e r f
o b e rv e d , if t h e c a t h a rt ic k sw e re d if
i
m ff e d i n p rop e r t i m e
f u it ab le d i e t , a nd a

w i th e xerc ife i n t h e c o u ntry , a n d f om e

fl re ng th e n ing m e d i c i ne s w e re m a d e u fe of .

A n i nf u fi on o f b i t te rs in w i ne w ast a k e n
w i t h g re at f u c c e fs Sy d e n h a m i n a lik e .

c afe u fe d opi at e s , b u t I t h ou g h t i t m ore

1

1
De No v . fe b
ing re lf u ,
r . m 36 7 p I n ma n
.
y. .

c a es h e r e t he c u re i sw holl e v a c u a ti ons
f w y p f e r or m e d b
y ,
z /l u c h t i m e a sw e
if w e
p r/y
e ? t oo oh l i na t el i n t he m ,
/ y t f
ha v e r em ov ed a ll t he fi mpt om s , n o m or e
f qr e u ent ly h i ll
t ha n c a r e ou r
pa t i e nt , 8CC a nd no w o nd e r 5 a n a
. e t te pp i
i sth e f u ncf t ion o f a v g o rou sf t om ac h , w h c h i sne v e r
’
i
’
i
f o u nd, wh e re t h at i sW e a a nd a ng u d ;w h e th e n k l i il
t he a pp i s
e t te i d e fic i e n t , t h e d i e fl io n m u ft b e f o t oo ;
g
n or w rll c ic
a t h a rt s, lo de fi ru ét iv e to the {tre ng th of
t h e fi om a c h c re a t e on e T h is w o u d h a v e a t t e nd e d
. I l
to b t h f e , who m m e d ate i d ra w i nd c a t on s
i l of e va i i
y o
y
xi
f

l i i
l

c u at i n f rom a o a t h n , n a u fe a , t d h
g g a n e
y , ar r e a,

a nd i e n te r 5 and th u s
l m a e b ad worfe k
y .

c a u t ou i s
 [ 55 ]
i s to ab fi a in f rom th e m f dr th e y a re
c au t o u ,

h u rt f u l in a d e b ili t y a nd a re b u t a b ad
,

c u re f or t u m u l t u ou s c om m ot i on s .

The fi t ond Speei es .

I N th e fe c on d f pe c ie st h e v ifc ofi t y o f t h e
m orb i d m at te r w a sle fs , b u t it st e n d e n c y
t o m ot on i g re ater ;e v ac u atio ns f u c c e eded
m ore e a ll f y, a nd it w a sof t e n p rop e r to

ma k e th e m at fi rtt ;f or t he re w asf om e
t i m e s d an g e r in a d e l a y At o t h e r t i m e s
.

h o w e v e r i t d id good t o gi v e t h e d il u e nt
,

d ig e fti v e sw i t h h y d ro m e l a c id u l a t e d f or
t w e n t y
-
f o u r h ou r s I f t.h e re w a s re a fo n t o

f u fpe ét a g re at d e g re e of a c ri m ony f rom

t h e t ro u b le fo m e h e a t t h irlt w a nd e ri n g
, ,

p ai ns of t he b owe ls a nd th e u ri ne I a dd
, ,

e d t o t h e folu t io n o f e m e t ic k t a rt a r p u lp ,

o f Ga lli a or c i t ron j u i c e
, i nfte a d o f t h e
-
,

c a pill a i re For t h e fi rf t d a ys f re q u e n tly

’
.
,

b e f ore a v om i t w a s gi v e n fc a rc e a ny t i m e ‘

o f re m i fii on c o u l d b e o b fe rv e d 5 a f t e r wa rd s
t h e a pp e a ra n c e s w e re m u c h c h a ng e d f o r
t h e b e t te r A ferv ant m ai d o f a b o u t fi x
.

o r e ig h t a n d t w e nt y y e ars old o f a g oo d ,

c onftit u t ion a f t e r fh e h ad b e e n e x t re m e ly
,

E 4 . c ol d
 [5 6 ]
c old w i th a t re m b li n g f or fom e h ours
.
, was
f e i z ed w t h i a i l
v o e nt h e ad -
ac h, a qu i c k ,

a nd c on t ra éte d p u lfe , a b u rn i ng h e at in t h e
fk in , f re q u e n t n a u fe a t h irft, p a u c i t y o f
,
‘

uri ne , a n d C of ti v e ne fs
’
5 a n a p ot h e c a r y b e

i ng fe nt f or pre fc rib e sa c a th art ic k , n i t rou s

p owd e rs , e m u l fions , a nd b a t h i n t he f e e t
g
i n w arm w ate r, b u t a ll t o n o pu rpofe , t h e
v i ol e n c e o f t h e d ifte m e r d oe s n o t i n t h e
p
h all ab a t e : O n t h e fi f t h d a y I v i fite d t h e
p at ie nt, and orde re d h e r e m e tic k t art ar
w i t h t we nt y o u nc e s o f w at e r, a n d two of

c i t ron j u i c e
-
. Of th is {h e w a st o d ri n k
t h re e ounc e s
y q u arte r
ev er of a n h ou r ; h e
t
d ifc harg e d a n i m m e n fe q u a nt i ty of e xc re
m e nt i ri on s m att e r u p w a rd s a n d d o w n wa rd s 5
t h e f oll ow i ng n ig h t th e fle p t 5 on t h e fi x th
d ay h e r pu lfe w a sfo f t e r h ig h e r a n d le fs ,

f re q u e nt ;{h e h a d on ly a flig h t h e a d a c h -
,

a nd h e r t h irl t w a sg on e fh e h a d t h e n a
’
,

r e m iflion ;in t h e e v e n i n g t h e p arox y f m t e

t u rn e d . On the
fe v e n th , t h e f or m e r
d ra u g h t w i t h h a l f t h e q u a nt i t y o f t a rt a r,
a nd d ra n k l ong e r i nt e r als p roc u re d fe
at v ,

v e ra l fi ools t h e e v e n i n g a ro x f m w as
, p y .

m il d e r 5 on th e e ig h t h a nd n i nt h d a y {h e
t ook only l e m on ad e a nd o n t h e n i nt h h a d
,

a
 [ 57 ]
a c lyd i e t ; o n t h e t e nt h t h e p u r gi n g p t i fa n

gi v e n on t he fe ve nth w a sre p e ate d , a n d th e

m ifs d
’
t h e
p a ro x
y f m . O n t h e e l e v e n th,

t w e l f t h , a n d t h i rte e nt h d ays e v e ry t h i n g
,

w e nt o n profpe rou fly ;l e m on ad e w a sa ll
th a t f he re q u i re d ;h e r {to ols w e re b ili ou s ,

a f u re fig n of re t u rn i ng h e a l t h An d n o w
.

{h e h ad t h e u nc om m o n g ood f or t u ne t o
r e c ov e r h e r app e t i te ,
w h i c h h ow e v e r {h e
i nd u lge d too m uc h ; t h e c onfe q u e nc e of
w h i c h w a s t h at on t h e n ig h t o f t h e t h i r
,

t e e n th d ay , t h e f e v e r re c u rre d wi t h a pu n
,

g e nt h e a t , a nd v i ol en t h e ad a c h , w h i c h -

c on t i n u e d f or a w h ol e n ig h t a nd d ay ;u
p
o n t h e re m ifli on of t h e p a rox y f m , I g a v e

h e r m a nn a w i th t a m a rin d s , {h e rec ov e re d
v ery we ll , a n d m ore q u i c kly t h an a n ot h e r
y

FO R th e m olt , p art h ra f t er t h e
l t e v ac u
’

ati on I fe ld om p re fc rib e d a ny t h i ng e l fe ,

e xc e p t fi rong l e m on ad e o r a d e c oéti on of

q u i c k g ra fsw i t h a n a dd i t i on
,

t h e root s of ,

o f t h e e x pre ffe d j u i c e s of c om m on forre l

o1 w ood f orre l ;f or t he j u i c eso f c i t r on a nd

f or r el l m
/ p ef
reu t r a fl i on, a re
of p e c u li a r
fi
a

fi g
c a 1 to r en then t he hea r t, c or r ec i t he ebr i le
t
f
‘
9
 5 8
hea t 5 d po
an
fi j p g q
é
y T h
a n o eni n e y u a lit
k
.

d ra n k t h i s or fu c h li ke liq u ors t o t h e q u a n

t i ty o f t wo o u nc e s e v e ry h a l f h ou r o r of t

n er f o r I n e v e r a pp rov e d of g i i n g fi c k
,
v
'

p e opl e p le nt i f u l d ra u g ht s a t l ong i n te rv als .

Th e m e t h od o f d ri n k i ng f re q u e n t ly a nd
“

li tt l e a t a t i m e w a sh ig h ly a pp ro e d b y t h e
,
v

a n t i e n t s 5 a n d a f t e r f a lli n g i n to d if u fe f or ,

w h a t re afon I c annot t e ll w asrefi ore d ,

b y fom e e xc e ll e n t ph y li c ia n so f t h e fi x
t e e n t h a nd fe v e n t e e n t h c e n t u ry a nd B oe r ,

h aa v e e f t ab li fh e d t h e p ra ét ic e u p o n folid
’

p ri n c ipl e s ; t i sw o rt h
’
w h il e t o re a d h i s i l
l u ft riou sc o mm e n t at or u p on t h e a d v a n
l

t ag e o f t h is m e t h od S u c h a sre f u fe d t he
.

d ri n ks m e n ti on e d b e f ore re c e i v e d b e ne fi t ,

f rom b a rl e y w a te r m i xe d w i t h fy rr u p of
ra fb e rrie s or a c i d c h e rri e s
,
I n fi ne a ll .

k
S e n ne rt d e f e b rib
. . L ib . 1 1. c a p. v u. p . 221 .

Y ou
’
ll fi nd i n t h e fa m e pl c wh
a e sw orth
b fe rv a t ion ,
at
’
o

t ha t om e t m e ;t he u t r c a c t z on a nd hea t w e r e r e dom i na nt ,
p f
j
‘
p
a t ot he r t i m e : ot he r d z or der s
f I n t h e fi rfi . a fe 11 d c I
ci i
t ro n u c e , i n t h e fe c o n d
j re ara t o nso f forre
p p i l .

1
§ 46 0 t i .2 1
.
5 p . b e rt .t r eAl
a t n
g a r tic u a r
y i p i l l
o f t he b ou s
ilife v e r, fa y s , L e t t h e q u a n t i ty f o d r i nk he

z v e n i n la r e d ra u hts t is
fi
’
u f c i r nt
fj , only n o t g g g , h ]
e ? t o f t h
i t in, or t a he i t by a j poon u l at a time , h u t t o r epea t i t
f
f a y
r e u e nt l P.r a x e n e r. g ix . c Lib
a
p . v i § 9. a nd . . .
 [ 59 ]
dri n ks , th at w e re n ot t oo e m olli e nt,
'

ac id
a nfw e re d e xt re m e ly w e ll O f t h is ki nd t h e .

b e lt is p re p a re d f rom t h e j u i c e of f u m m e r
f r u i t s w i th wate r a nd f ug ar ;n or d o I k n ow
a m ore ex c e ll e n t re m e d y i n a ll b ili ou sn
, a
y
and i nfl am m atory d if te m pe rst h a n t he fa ’

on a c e ou s ac i d j u i c e s of m u l b e rr i e s b ra m
p ,

b le b erri e s r afb e rrie s C tura nt s {tra wb e r

, , ,

ri e s , c h e rri e s a nd g ra p e s t oo
, p rov i d e d ,

t h e y are n ot t o o r ip e ;t h e i 1 v i rt u e s a re t h e

f a m e a s all a c e fc e n ts t h e y c orre ét e v e ry
, ,

ki nd of pu t re f aét ion a nd b y t he i r f ap o ,

n a c e ou s qu ali ty re folv e all b ili o u s a nd i n

fi a m m at ory c onc re t i on s a n d p ro m ot e a ll ,

t h e fe c re t io n s ;n o r d o t h e y r e l a x t h e folid s

t oo m u c h f or t h e y e e n p olf e fsf rom t h e ir

,
v ,

g rate f u l fl av ou r a nd f rag ran t od o u r a

, ,

c a rd i a c v i rt u e The j u i c e of ip f r u i tsr e
. r e

q i
u re sno pr epa r a ti on r emov esthi r/l a llay s
, ,

hea t promot esu r ine a nd fl ools a nd af or ds

, ,

t he hig hed c or di a l t o t he d oma c h la ng u i/hi ng

u tr i d hi le n t h e m on t h of J u ly
m

f r om
p I .

I c u re d a n a m i ab le y ou ng l ad y ,

wh o w a sv e ry ill b y t h e u fe of c he rri e s
,

a nd f om e o p e ni ng m e d i c i ne s . Ne ith er in

Va n S wie te n, 5 8 8 t . . I p . . 1 2 6.
 [ 6° l
th is d o I b oalt of a ny n e w i nv e n ti on ;e v e n
’

a nt iq u i t y p ro c l a i m st h e f a l u t ar e fi e éi so f
y
f ru it sa nd w h at w on d e r ! w h e n p e rfo nsi n
,

f e v e rs ar e t a u g h t n ot h i n g m or e pl a i n ly b y
a fa lu t a r
y i n fi in é t Al e xan d e r o f T ra ll e s
’
.

h asi n m a n y pl a c e s gi e n e x c e ll e nt r u l e s v

f or th e i r u fe f c a rc e t o b e e q u all e d a m on g
,

t h e m o d e rn s Tis t r u e i nd ee d t here liv ed

’
.

i n hist i m e a nd b e f ore h i m a pe ltile nt

,

ra c e of m e n w h o f ou nd f a u l t W i t h e v e ry
,

t h i ng t h at wa s l a u d ab l e a sa pp e ar s f ro m ,

a
p a ff a
g e o f the fa me a u th o r
11
5 n or w e re
t h ere w a nt ni g a ft e rwa rd s ph y fic iansof g re at
c h ara éte r w h o d e c l a re d a g a i n ft t h e m f rom
, ,

t h e m olt t ri fli n g re a fon s 5 t he o n ly o ne

w h i c h d e fe r e s
c o n fid e ra t ion is d ra w n f ro m
v ,

t h e a ph orif m sof S an dtori u s

, f or h e fo m e
wh e re m en t i on s me l on s figs , , and g rape s
a sob ftru ét i ng pe rfpirat ion . Th e an f we r
t o t h is i sob v i o u s ;f r u i t s h av e fa m e n ot t h e

e ff e cft o n e v e ry b o d y , a n d I w o u l d b e f a r

f ro m r e c o m m e n d i n g t h e m t o a ll ;f or a s
t h ey a ff ord a n a c i d w a te r to t h e b od y t h e y ,

h u r t a ll t h ofe , wh ofe lto m a c h is op pre ffe d

De Art eMe d i c L ib
a, . xu . c ap . vi .

Me dic in . S ta t . L i b Il l . . Aphor . 25 , 27 .
 61 J
w i th an aC id wh ofe b l ood i st h i n ,
, fi b res
t o o lax , a nd ne rv e s l angu i d ;b y c he ri fh ing
t h e c a u fe sof th e d ifo rd e r t he y u ndo u b t ed
ly d o g re a t m ifc h ie f , d iftu rb t h e fe c r e t io n s
a n d e x c re t i on s , in t e rru p t e rf irat ion , i n
p p
c re a fe t h e a c id ac r i m o ny , a nd h a I
v e m o re

t h a n onc e fe e n t he u fe of t h e m f ollo w ed

b y d y f u rie s
,
i t c h i n gs , a n d w a nd rin p a i n s
g .

B u t if t h e c irc u m lt a nc e s b e c h a n ge d , t h e i r
e ff e ct s a l fo v a ry ;a nd w h il e in b ili o u s c a fe s
t h e y re m ov e t h e c a u fe o f t h e d ili e m pe r b y ,

r e ftoring h ea l t h , t h e y re fi o re a l fo i ts f u nc
t i on s , a n d a m ong t h e re d pe rfpira t io n too .

B oe rh aav e t h e re fl o rer o f fo m any go od

r e m e d i e s re c a ll e d i n t o t he ra étic e o f h
p p y
fi c k n ot w i t h ou t t he c l a mo u rs of e n v i o u s
,

ig nora nc e t he u fe of f ru i t s w h i c h h ad
, ,
'

b e e n l a i d a fid e Nor h a ve I f orgot t h a t
P

w h il e I a t t e n d e d t h e f o re m e nt i on e d y ou n g
l ady a c l a m ou r w a sra ife d w h ic h c ou l d
, ,

b e file nc e d o n ly b y t he f u c c e fs f u l e ve nt A .

f tu d e nt a t Le y d e n w a sfe i z e d w i t h fo g re a t ~

a ftu o r n ig ht a n d d a t h at e e n w h e n h e
p .

y ,
v

w as pl ayi n g a t b illi ard s h e w ou l d o f te n

,

f a ll afl e e p ;t h e re a re fo m e phy fic i a ns wh o ,

11 Van si e te n, ibid .

w ou d l
 [ 62 ]
wou l d h av e ord e re d h im v om its f m art
,

p u rg e s f ti m u lan t sv ip e r b roth a nd th i ngs

,
’
,
-
,

o f a lik e n a t u re ;h e w e nt t o B oe rh a a v e ;

t h at g re a t m a n p re fc ri b e sc h e rri e s f or his

f d
(
o o t,
o t h e q u a nt i t y of t e n p ou n d s a nd

u p w a rd s i n t h e d ay a nd n oth i ng e l fe , w i th ,

a n i n t e n t i on n o d ou b t of f u b d u in h
“

g t e ,

o f h is l
’
h lo il t ic k d e n fit b ood t h f
p g y e c a u e ,

o f h is d i fte m pe r ;t he w orth y y ou ng m an
f ou n d h im fe lf b e t te r ;a nd a lh ort t i m e a f
t e r h e p a ff e d i n g re at pl e nt y t u rb i d a nd
’

th i c k u ri n e w i th a fe d im e nt a n d p e rf ectly ,

r e c o v e re d h i s h e al t h q
.

AF T E R th e it
if I f ou nd b y a c are
v om ,

f u l e x a m i nat i on of t h e fy m p t om s b y t h e ,

fi at e of t he a b d om e n a nd t h e e x c re t i on s ,
t h at t h e re m a i n i ng p a rt of t h e m orb i d

m a tt e r w a s n ot v e ry fi t f or m o t i o n I or ,

d e re d n o e v a c u a t i ng m e d i c i n e b u t a c ly fl er
in c a fe t h e p a t i e n t h ad not a {tool e ac h d ay ,

a nd i n t h i sm e t h od I perfi f re d f or f o u r
’

d a ys ;a f te r w h i c h I g a v e a pot i on w i th t a
"

q T hi st rul y u fe f u l ob fe rv ation c o m m u ni c by t he
a te d

p t i t h im f
a en e lf , a nd n o t e x ta nt i
e the r in t he w or sofk
B rh
oe a av e , or h is u
p p ls I th
i , ou
g h t wou d b e l a cce p tab l e
t o e v e ry b od
y .
 [ 63 ]
m a ri nd s
, m a n n a , a nd t a rt a r . re g e ne rat . to
b e t te r fort
t he p e opl e w i th a d e c oct i o n
of ,

o f g ra fs a nd a n a c i d f rr u p
y T h is d if .

c h a rg e d pl e nt y o f f e t i d m a t t e r a nd t h e ,

m o re t h e b e tte r f o r t h e fy m pto m s
,
re m i t t e d ,

a n d t h e re of t e n f oll o w e d a p e rf e ct i n t e r

m i fi i o n f or fo m e h o u rs w h i c h I d id n ot ,

o t h e rw i le o b fe r v e b e f o re t h e t h i rd e a c u a v

t i o n a b ou t t h e e le e n t h o r t w e l f t h d a y o f
,
v

t h e d ifte m pe r T h e n t h e a c i d d ri n k w a s
.

p re fc rib e d i n f m alle r d o fe s
,
a n d t h e fi re ng th
b e i ng i n fo m e d e g re e re lt o re d , t he y w e re
n ot fo rigi d ly c o nfi n e d i
fp a re d i e t,
to t h e r

a nd ab o u t t h e r t h or 2 0t h d a , t h e y t o o k
o y
i l
t h e r e av e o f m e d c n e i i s
b y t h e f o u rt h d o fe
of p u rgi ng h fi c k ;t h e re li c k so f t h e d if
p y
c afe i
w e re f u b du e d b y d e t a n d e x e r c ife ;b u t
t he y d id n ot h o we v e r re c o v er t h e r h e a th i l
p e rf ef t l
y, fo on e r t h a n fi x or (e v e n we e k s;
a f te r w h i c h t mei I aga i n g a v e t he m a en
g
t le c a th a rt c , i if t he y h a d i n d u lg e d t h e ir
a pp e t i te .

I h av e f
o b e rv e d ,
p a nd is no i
ra él t io ne r

ig nora nt of it t h at t he re a re fo m e p a rt i
,

c u la r c on fl i t u t ion s wh i c h w ill n ot yi e l d
‘

t o c a t h a rt ic k si n a liq u i d f or m : i n f a c h

c a fe s
O
 64
c a fe sI ’

h ad re c ou rfe to b olu lfe sof t a m a

r nd i s a nd , Ga fi i a , t o w h i c h I adde d a sa
Pti m u lu s a f e w g ra i n s of d i ag ry d i u m .

Th ofe p e opl e m ay e x c l a i m ag a inft t h is ,

'

w h o l e a rn t h e v i rt u e s of me d i c i n e s f rom
c e rt a i n m od e rn c o m pil e rs ;b u t t h e y w h o

ar ra é t ic e , a nd a c q u a i n t e d
’
e a c c u fl o m e d t o
p
w i t h t h e w r i t i ngs of t he a nt i e nt s k n o w
”
e ll t h a t d i a g ry d i u m is t h e b e fi: te
v er
y w
m e d y W h e re v e r t e n a c i ou s b il e is t o b e d if
’

f olv e d a nd d ifc h a rg e d ; a n d t hat Hip

oc ra t e s v e r t re a t s o f t h e e v a c u a t i on o f
p n e

b il e w i t h o u t p re fc rib ing d i ag ry d i u m An d
i nde e d w he ne v er I ord e re d it t h e f u c c e fs ,

w asa n f w e ra b le t o m y w ilh e s ,
f o r i t p ro

c u re d b ili o u s {tools in g re at pl e nt y;w i th

ou t
p rod u c n i g an
y g rip e s or h e at .

I F t h e m orb i d m att e r h ad g re ate r d if a

ofi t ion t o m ot i o n I t h e n g a e e e ry t w o v
p ,
v

d a y s o r e e n e e ry d ay a w e a k p u rgi n g
,
v v ,

d e c ocl i onw i t h t a m a r i n d s t o t h e q u a nt it y ,

C o n fe r v g d e atu ra m u lie b r
. .. . N . F s p 5 75
oe ,
. .

D e Mo b M u ] ib 6 4 2 De Afi e cl ib D i nt
'

. . . . . e e rn .

a ff e ct .ib g4 8 8
55 , 5
.
6 0 e,
x T r a . Al . l li L ib i
a n. . vr .

c. xvi f E t iusTe t ra b 3 S 4 c x x v rii

. . . . . . .
— G l
a en dc
c o m pof P ha rm ac
. Li b c ap . . II . . xi .
 [ 65 ]
of th re e o u nc e sat fix, e ig h t , a nd te n o
’

l k
c oc , n or d id w e ever m i fsof t w o o r t h ree

l a rg e {to ols in t h e a f t e rn o on ;b y t h e u fe
of f u c h a t i f an a l on e I c u re d a p a t i e n t ,
p
t h e b i ll or y o f wh ofe d i fe a fe I b e g l e av e t o
l
r e at e . y ou n g m an o f t we n ty a n d u p
A
w ard s w h o li v e d i n t he c ou nt ry w a s
, ta ,

k e n ill n e ar t h e e n d o f a u t u m n ;a t fi rf t t h e
’

f e v e r w a sc ont i nu e d w i t h e x a c e rb a t i on s
,

e v e ry d a ;t h e e rfon w h o a t t e nd e d h i m
y p , ,

b e i n g d e c e i v e d b y t he re g u l a ri t y of it sf orm ,

g a v e it t he n a m e of an i nte r m i tte nt a nd ,

fi rPt pre fc rib e d p u rg e s o f fe n u a a n d r h u

b a rb t he n b i t te r s o f a ll k in d s p a rt i c u l a rly
, ,

c o nfe rv e o f J u n ip e r a n d P e ru v i a n b a rk i n
,

a l a rg e d ofe ;a sh e g re w w o r fe I w a s fe n t
f or on t h e 1 8t h d a y w h e n I w a si n f o rm e d
,

t h at th e a rox f m c a m e on a b o u t t w o or
p y
t h re e in the a f t e rn oo n , a nd laf ce d t ill fix
’

nex t m o rn i ng,
w th i a b u rn i n g h e a t , a v i o
l e nt he ad -
a c h, c o u g h and c on ti n u e d w at c h
i ng . Fro m fi x i n t h e m orn i ng t o t w o i n
h e w a sf re e f rom t h e f e v e r
t h e a f t e rn o o n , ,

b u t h e h ad a n a n x i e ty , m orofe n e fs a n d ,

l oat hi ng of f ood w i th a q u i c k pu lfe an d

, ,

a dr (k i n ;h e w a s g re a t ly e ma c i a t e d , h is
y
c he e ks w e re re d , he c ou g he d ,
w asc olt i ve
,

F h is
 [ 66 ]
h isu ri n e re d , an d f m all i n q u a nt i t y was ,

e x t re m e ly we a k , a nd m d ang e r o f a c on

f u m pt ion . O m i tt i n g t h e b i t t e rs a nd b ar k ,
I c o m b at e d t h e c a u fe of the d ili e m pe r b y
e v a c u a t on i s on ly , a nd
p re fc rib e d f o u r

ou nc e s of a d e c oé rion
‘
of g rafs roots for ,

r e l, a nd p u lp o f t am ar i nd s w i t h f al t of
,

fo rre l a nd fyrru p of rafbe rri e s t o b e t a k en

s
,

f o u r t i m e a d ay T h is b rou g h t on b ili ou s .

fi oo ls ; t h e f e c o n d d a
y a f t e r t h is m e t h o d
w a sb e g u n , t he p arox y fm w asm ild e r ;on
t h e t h i rd h e fl e p t , h a d a n a pp e t i t e , a nd

w as e a f ;i n t e n d ays he w a s e rf e étl
y p y t e

c ov e re d : no w t hi s f a m e pe rfon i n a Ib ort

t i m e w o u l d h a v e d i e d f rom an a t roph y i f ,

h e h a d c on t i nu e d t h e b ark , w h i c h , th ou gh
a v ery fal u t a ry m e d i c i n e wa s i n th is c afe ,

i m p rop e rly ad m inifl e re d B agli v i h a s .

,

a l re a d y c on d e m n e d t h e b a rk i n d ife af es

a ri fi ng f ro m i nf a ré t io n so f th e m e fe nt er
‘
y
and b ow e ls W i t h ou t d ou b t th e re is n ot
.

a m ore e x c e ll e n t fi re n g t h e n e r t h an t h e P e

r u v i a n b ark , n or a n m e d i c i ne of e q u al
y

P rax . Me d . Lib I
d e f e b ri b m e fént
. . . . p .
5 8 .de
fi b r m o tr
. ic
fp e c t r p oll e r
. b r c ap 1 3
. . . li . . . p .
38 8 .

C onf e r ill ufl r O of terd1k Inftit m e d ic

.
’
. . .

c ap .iv .
 [ 67 ]
i
v rtu c '
to it i n q u i e t i ng
d iforde red m oti ons
of t he n e rv e s ; i t se ff e ct s a tto n i fh e v e r
y
b od y i n l
re a x a t on i s ,
ai rre g u l a r t u m u l ts ;
nd
b u t wh at c an t h e m olt p o we r f u l c orro b o
ra nt s d o a g a in f t d ifte m pe rswh ofe c u re d e
’
,

p e nd s u p on e v ac u at i on s T h e re is a p rop e r .

t i m e f or gi v i ng b i tt e r f tre ng t h n e rsi n o u r
m al a d y b u t th a t is ne v e r in t h e b e gi nn i n g
,

of it .

TH E f a m ou s W al c a re ng h i e m pl oy e d a
m e th od of c u re fi m ilar t o o u rs ;t h a t is
m e d i c i n e s c om pofe d o f g ra fs f u c c ory a n d , ,

c i tro n a ll of t h e a c e fc e n t ki n d
,
T h e re is .

one re m e d y h ow e v e r t h at he u fe d f re
q u e nt ly w h i c h I n e v e r d are d t o
, k e t ri a l
ma
of ,
I m e a n oil of fw e e t a l m on d s w h ic h h e
,

re fc ri b e d a f t e r the fi rft e v a c u a t i on s u al 5
p , e

t her e w a st ena c i ou sa na bi le nea r tae

’

627m ) , (121675 , a nd i n t ae z ntefiz nest heta/Hu es

' ’

T h is g re at m an h ad t a ken it f o r g ra n te d ,

th a t f
wber e v er tae m or é i d b a izz oa r
‘

fl a
g a a t ed,

it c r ea t ed a
g r ea t difl en/ion of t he p a rt s irr i
,

t a ted, pr i nt ed, an d la c er a ted t hem . T h at is

is i nf e re nc e
'

tru e, but it a
j u ft f rom t h e nc e ,

Me dic in . R at i ona l .
34 1 .

F 2
 [ 68 ]
t h at w e gi v e oily
m u fc
’
s I be m e d ic ine P

li e v e not ;t h e y h av e i n d e e d th e p owe r o f
r e l a x i n g t e u f e a n d r igi d p a rt s ;b u t i n t h e

p re fe n t c a fe b y i n c re afing t he fi re ng th of

t h e i rri t a t i n g c a u fe , t h e i r e ff e ct i sq u i t e

d i ffe re n t . Fo r f u c h is t h e i r n at u re , t h at
w h e n e v e r t h e re is g re at h e a t i n t h e b od y
’

the y q u i c k ly l ofe th e i r e m olli e n t and footh

i ng q u ali t y a nd a c q u i re a r a n c i d a c ri
,

m o ny ;an d t h u s v er i f y t h e p ro v erb o f a dd .

i ng oi l to t he fi r e T h e i r u fe i n b ili ou s d if
.

t e m p e rs is d ifc o u ra g e d e v e n b y t h e o b fe r
v a t i on of Hipp o c ra t e s t aa t t b o e w b o a éowz d
f ,

s tb llow é z le G le n in
' '

f g a t, ener a t e
y e a

f orm su s t h at ,
in h ist i m e t h e re w e re fe ve
r al d ifp u te sab ou t t h e u fe of oil, fom e b e
li e i ng
v it to be ac r id a nd h e a ti ng ;ot h e rs
f oot h ing ;a nd t h is h e h asi nt i m a t e d t o d e
p e n d u p on t he v a ri e ty of th e c on ftit u t io ns
‘

w h e re i t is gi v e n I p e rc e i v e t h e I t ali a n
"
.

h fi c ians i n g e ne r a l a re f o n d o f oil n ot
p y ,

w it h fl a n d ing B agli v i c on d e m ne d i t ; y e t
t h e re a re f o m e f e w a m o ng ft t h e m w h o a
g re e w i t h h i m ;t hu s Bi a n c h i , i n t re at i n g

Epide m i vi. Lb .
§ 6 . F oe s 1 1 90
, . A .

1“
D e Si mpl m e di . c am . f ac u lt . t ot o f e c u ndo li bro
.
 69 l
o f b ili ou s f e v e rs , f ays I ha v e har m tha t
a f ar t a ki ng oi l o a lm onds hr ot h ma n
j f y p eo
!
e ha d 11 1 1 11 hea t mu c h i nc r eafi d P r im e
y
p i ’
.

r o fe w as f ufp ic iou so f oily m e d i c i n e s a n d

a l m o nd s i n f e v e rs f or f e a r o f t h e i r r a n c i
,

d i ty a n d i n a w ord t h e m olt c e l e b rat e d

2 '

a tftit io n e rsi n d i fte m e rsa t t e nd e d w i t h

p r , p
a g r e a t h e a t , a re a f ra i d o f o ils ;f o r th e

t ru t h o f t h is w e m a y a pp e a l t o Va n S w i e
t en H o w c a re fu lly t h e n o u g h t t h e y t o
b e a v oi d e d , w h e n t h e v e ry c e n t e r of t h e
f e b 1 ile h e at 15 t h e p art , t o w h i c h t h e y a re
a ppli e d ;w h e re t h e p u t ri d f e 1 m e nt is re
p
p a1 e d to f orw a 1 d t h e i r c orru p t i on ;w h e n
t he re is d ang e 1 o f a n o b fi ru étio n m t h e
°

li v e 1 w h i c h t h e y w ill p ro m ote L a ft y e a r
,

i n au t u m n I w as w it ne fst o t h e d e a t h , ra
t h e r t h a n p h y fi c i a n t o t h e d if t e m p e r o f a
’
,

w om a n w h o p e ri fh e d b y a v i ol e n t i n fl a m
m at i o n o f t h e li v er w h i c h {h e h a d b ro u g h t ,

U p on h erf e lf b e a t i ng h a rd ly a n t h i ng
y y

Y Hifl or he p a t P 3 p 69 8 Vid i c e
. . . . . . . .

2
D e f e b r i b L ib l l c a p i x p m
. . . . . . . 14 5 .

A ph .
35 . p 46 . Nothm g w ar/e t ha n a ny t he
m ildefi w hm i l ex re é d The m o/L’ [ wee t
’
p ( or r u t au .
p fl o

rom a m and s ay s
°

f
’
c or w
pt cd i n a
f e w d , t h f ’
a t r om b e

i ng m i ld, 1 t bec ome: i ng/2c a tfi it , a nd w he n f w a llowea m

°

a ma nr er ha r m the a u m
f l b A p h 8 9 1 30 . . . . p . .

F 3
 "

7 0
q

e l fe f or fe v e ral w ee ks e x c e p t w al nu t s a n d ,

d ri n ki n g o f c off e e f ou r t i m e s a d ay t o re
‘

m o ve th a t l o a d w h i c h th e y l e f t o n h e r {to
’

m ac h I h av e f re q u e ntly fe e n o ils pre

'

.
,

f mi be d t o p at i e n t s n e i t h e r i n a p u t ri d n or
i nfl a m m at ory d i fte m pe r w i t h a v i e w o f ,

f ooth ing a nd re l a x i ng t h e 1r1 it at e d ne rv e s

°

p rod u c e q u i te oppo fite e ff e ét s ; f o r t h e y

o c c a fi on e d a fe nfe of h e a t a c ri m on y a nd
, ,

p ai n in th e b ow e ls , d e f t roy e d t h e a ppe ti te
’
,

a nd r e n d e re d t h e b od y c of t iv e b ot h f rom ’
,

t h e p ec u li a r a c ri m on y a rifin f ro m t h e i r
g
r a n c i dn e fs a n d a l fo f ro m t h e i r c o rr u p t i ng
,

t h e b il e a nd p re v e nt i ng its
, p rop e r op era
t i on on t h e i n te ftine s L e t o ils t h ere f ore
‘
.

b e r e j e éte d wh e re v er t h e re is a pu t re f a ét ion
o f t h e b il e h e a t a nd re l ax a t i o n ;a n d i n
, ,

o th e r c a fe s le t th e m b e re fc ri b e d w i t h c a n
p
t i on . Th e a r t of m a ki n g t h e m i nt o e m u l
fi o nsg u ard s ag a in ft t h e i r b ad e ff e éi sa nd
“

a d m i ra b ly re f e rv e st h ei r i rt u e s ; or w hen
p f v

oi l
y fi ea s a r e tr i t u r a t ed w i t h w a t er t he
’
y g c
“

f o r d a W ?
}ff o t n z i lh li
y g u i d i n w h i c h t hi,s
[a nt e oi l i s c ont a i ned h a t
, j h ma c h c ha n ed
g
h e f a ri n a c e o u s p a rt n o d ou b t
(y
b t
) t ha t i t
wi ll not t u r n r a nc i d hu t g r ow sa c i d u ery
,
f

3
.
 [ 7 1
]
j han And it is t ru e t h at e m u lfion swil l
i ly c u re i n fl a m m atory difi e m pe rs b u t
e n t re

i n b ili ou s c a fe s I f ou nd it b e t ter a f e w i n ,

Fra n c e s e x c e p t e d t o r e f ra i n f rom t h e m
,

f o r t h o u gh I w a s n ot a f ra i d of t h e i r t u rn

i ng ra n c i d ;y e t w h e n th e re w asn o h op e
t o ob t u nd (0 g re at a q u a nt i t y of p u t ri d
m a t t e r it w a s m u c h b e t te r t o gi v e li ro ng e r
‘

a c i d s w h i c h w ou l d c orre ét a nd a t t h e fa m e
,

t i m e att e nu at e it The h rf t i nt e nt i on t h e ’
.

e m u lfio n s w ou l d h av e a n fw e re d w i t h d if
fi c u lt y , a n d t h e fe c on d n ot a t all I a lfo .

d re a d e d t h e i r re l a x i ng q u a li ty ; f or not
.

w it h fi a n d ing t h e fi b re s w e re i rri t at e d b y a
fti m u lu s
, y e
‘
t t h e re w a sa l w a ys l
a re axa t on , i
wh ic h ne ver f a ils p a n y pu tre f a c
t o a c c om
t i on h ig h ly n ox i ou sa nd w h i c h t h e e m u l
, ,

h ons w ou l d h av e i n c re a fe d For i t i sa
'

f c a nd a lou sa n d p e rn i c i ou s e rror b o t h h e r e
a n d i n fo m e ot h e r c a fe s t o a t t e m p t the c u re

o f a n i rri t a t i on f ro 1n a fl i m u l u s b y rel a x ~

i ng m e d i c i n e s i n t h e f am e m anner a sa
, ,

t e nfi on f rom rigi d i t y

F 4 T HE R E
b
Ib i d . Aph orifm 8 8 . p . 1 2 7.

Ju nk e r h asob fe rv e d i t is
t ha t da n e rou s g
t o u fe the
f ame m eth od in p tri d
u a nd i n nfl am m ator d ife a fe s
i
, y .

-
C onfp .
 l 7 2
l
TH E R E is a noth e r k i nd o f re m e d e i s in
t h e fe 1 d e rsv e 1
d i fo m u ch c om m e n d e d ,
y
wh i c h I c ou ld n ot pafsov e r in file n c e w i t h
o u t gi i n g m y re a fon s
v f o r n ot u fi n g t h e m
m ore f re qu e nt ly ;I m e an m ilk w h e y a nd -
,

b u t te r m ilk whi c h hy i tsa c i d fl a v ou r af

-
, ,

f or ds o a r eea hle a nd a lnt a r y a

f g f r eme dy i n a ll
r i d di e es e h rl r is ll e nt
d

p u t f a/ T h .
’
a n e xc e

d il u e nt , a nd v e g e t ab l e
fo ap, w h i c h I fo m e -e
i
t me s g av e w i t h t a m a ri n d sa nd a f m all d ofe
'

of e m e t i c t a rt a r , w thi a d e fig n t o p u rge ;
f or c om m on I v e ry feld om pre fc rib e d it ; 1 .

b e c a u fe li c k p e opl e a re v e ry ap t to n a u fe ate
i t ; 2 i t re l ax e d too m u c h and I k n ow
.
,

f e v e ra l p a ti e nt s w h o c om pl a i ne d a ft e r i t
,

o f w e ig h t i n t h e fto m a c h a nd a n x i e ty ;
t h e re m e d i e s m e nt i on e d b e f o r e w e re
3 .

m u c h m ore e ffic ac i ou s , a sb e i ng f ar m ore

C o nfp . Me d th e or. .
p ra él . t ab . 62 . If how e v e r a

p e r fo n i solyi i na tely éi e d t o a dd i th e u fe o f e m u lfi on s,

he w ill fi nd a v er
y g oo d f o rm u l a in B o e rha a ve
’
sl 1t tle
b oo k u p on the Ma t e n a Me d i c a
8 8 No . . .

4 V a n S w ie te n Aph 8 8 1 26 Se e a fo on e rn . . p . . l c c
xc l l
i ng t h e e e e n t v rt u e s of t h sre m e d , t h e te fh m onie s
yi i
o f t he fe i llu l t r io u s
’
m e n, J orte r, Me d ic i n Hippoc r . G . .

Ap h o r 2 5 7 . T ra e sd e C ho e ra m o rbo ,
. ll 29 7 l p . .

P r ng e o n c a m dife afe s
i l , ar t 3 p h a 3 K loe k ho f p . . c p . .

h if cor fe b r sc u le nb palii m
’
. i De ae n d e d e lu t i t
.
g . H .

i mpe d t i p
4 . .

7 .

ac efc e nt ;
 [ 73 ]
a c e fc e nt ; 4 . I h av e m ore t h an onc e Bb w -

f e rv e d , tha t a l t h ou g h i t sfi rft c h a ng e b e

i nt o id p u t ri d
it of t e n b ec om e s
'

an et
y ac ,

f oo n a f t e r a n d I m e t w i t h f o m e p a t i e n t s
, ,

i n w h o m a f t e r a f e w h ou rs i t p ro d u c e d
f e t i d b e lc h i ng s s e ll a st h e
°

;b u t t h is a w
e m u lfi o n sh ad itsu fe , i f y t h e re w e re an

i nfl am m a tory fy m pto m s T hu s laf c fpring ’

.

I re ftore d to h e a l th a y ou ng m a n of a b ili
ou s c on fi i t u t ion (w h o i n t h e b e gi nn i ng o f

w i nt e r h a d t a k e n a ftring e nt sa n d g re a t
q u an ti ti e s o f rh u b arb f or re m ov i ng a d y
f e n te ry ) a t t h at t i m e e x t re m e ly ill of a b i
li ou s f e v e r, a nd a rh eu m atic k h u m ou r fe t
t i e d u p on h i s d i a p h ra g m b y t h e c o nt i n ue d ,

a n d c opi ou s u fe o f m i lk ~ wh e
y i m re na t e d
p g
w i t h t a m a ri nd s a nd b arle y w a te r w i th
,
-

j u i c e s of forre l , a nd t h e g re a te r c re e pi ng
h ou fe l e e k - f w e e te ne d w i t h f y rru p of a c i d
c h e rri e s gi v i ng at t he fa m e t i m e c lyfte rs;
,

a n d a pplyi ng b lilte rst o t he fol e s of t he

f eet ,

T h e refe v e ra l fpe c ie s
a re of hou fe e e The fe d u m l k
-
.

m aj u s8: m nu s,
a re i
p o lfe lf e d o f a o o n
g a nt if e
p t ic li
c v i r

t uc . ci -
l k ic
T h e a r d h o u fe e e w h h i sa nt ifc orb u t ic k , i s
l
h ard y t o b e u fe d for fe ar of a f ata e rror, f or w h h l ic
c onfu lt
 I w aspre v e nte d f rom mak i ng a g ene
ral u fe of b u t te r m ilk who fe v i rt u e s I
"

f o u n d m u c h g re ate r i n b ili ou s d ili e m pe rs

'

b ot h b y t h e c o m m on m e t h od of p re p ari ng
it i n t h 1 sc ou nt ry w h e re i t 13 n ot f re e d
,

f rom i t s o il w h i c h is v e ry p re j u d i c i a l ;a nd
,

a l fo b e d i f t a n c e of t h e pl ac e s f ro m
’
y t h
w h e n c e it w a st o b e b rou gh t : b u t b y
G od s b le fii ng , w e d id not w a nt f u b f rit u t e s
’ ’

f or t h e fe a sa pp e a rs f rom W ha t h asb ee n
,

I N t h e th i rd fpe c iest h e c au fe w asth e

f a m e a si n t h e fe c ond , b u t m ore v i ol e nt ;
th e m e th od o f c u re w a s i n lik e m a n ne r th e
f a m e b u t m ore v i ole n t ; t h e e v ac u a t i o n s
,

w e re c a rri e d on in a fi m ila r w a y e x c e p t r
,

w h ere t h e re w as t h a t ki n d of c r u di t
y a hoe e

e v ac ua t i on, f or t h e n it w a s re u ifite t o c o n
q

c o nfu lt t he b o ta nic l
a au tho r s I ll
, L u d W 1g , D efi nit
. .

p la nt a r N . 6 1.
3 .n nae u s en e r
Li G a n t d e do d e c an dri s
. pl
ol
yg y iis A l f Dl
a e su fe f u l
’
h P
arm a o o cl i L i b
p
n . o
g a ,
i .

l . 16 . c
w h e re h e t h u s om m en dst he g re a te r h o u fe
le e , i ts
k p r i nc i a l u
p fi i n w a r d l is
y i n hi li bu s
f e v er s i t a
f
a es hi l
w
j g t rd , a n d a l a
y : h ea t .
 [ 75 ]
c of t the h u m ou rs a n d a f t e r c on c oétion t o
,

gi v e a v om it ;a f t e rw a rd s t he b od y w a sk e p t
op en b b arl e y w a t er w i t h l e a v e s or f a l t
y ,

o f f o rre l a n d a v e ry fm a ll q u a nt i t y o f re d
,

rofe l e av e s a n d t a m a ri n d s Th e fi rft v om i t .

w asn e v e r o m i tt e d w i t h o u t g re a t m ifc h ie f ,

t h e n e g le él: b e i ng a l wa ys f oll ow e d b y t h a t
f e t i d p u rgi ng w h i c h I m e n t i one d b e f ore
, ,

a nd w h i c h a g re e s e x a é t ly w i th t h e o b fe r
’

v a t io ns of Sy d e nh am
f
.

W I TH g ard to d ri nk
re , in the w orl r
’

k i n d of f e v e rsat C re m on a , W a lc a re ng h i
g a v e j u i c e of p o m e gran ate s , d il u te d i n a
l arg e q u ant it y of w ate r an , e xc e ll e nt me
d ic ine , a nd c o m m e n d e d b e f ore b y t h e a n
t ie nt s p a r t i c u l a rly Al e x a nd er ,
g
a nd a
,
p
p rov e d b y a ll ph y fi c ians; f or b efide sits
offe lli ng a n a nt ife t ic k v i rt u e in a n e m i
p p

Se a . I
c a p i v p m 31
. . . . . .

De Art Me d i c Lb
i v ii c ap x v B u t p e rh ap sit
. . . . .

c
m ay b e obj e él e d th a t the j u i e of p om e g rana te s is aftri n

g e nt ; i si t t h e n fi t t o g i v e a li rin e n ts
g i n f u c h a d i fo rd er ?

c
No pe rfon wh o iswe l l a q u ai n te d w i th th e t he ory of
h isart, c a n be i g nora nt of t he p rop e r a nfwe r, a nd
Al e x ander ha sg i v e n it a l re ady T he j u i e o f po m e . c
ra na te s m ak e s p e opl e i n h e al th c oll ive , b u t h asnot the
ga m e elf ea u on the he ir
p I d i. v i i i c a .
p Lb
v iii . . . .
 [ 7 6 ]
n e nt d e g re e , b e i n g a t t h e f a m e t i m e li re ng
t h e n i n g a nd i n c ra ff a t i ng i t w a sp re f e ra b l e,

to oth e r ge t a b l e a c i d s in o u r c a fe t h e
ve ,

m o f t o f w h i c h re l a x t o o m u c h f o r i t a d
’
,

m ira b ly c orre ét st h e e x c e lli e a c ri m ony o f

‘
v
'

t h e p u t r i d fl u i d ;a nd a t t h e f a m e t i m e c o m

m u n ic at e s n e w ftre n t h t o t h e fi b re sw h i c h
g ,

e n ab l e s t h e m t o re fi ll t h e d i fl e n fio n c re at e d
b y t h e p u t ri d fi a t u le n c ie s t o w h i c h i so w ,

i ng a sI f a i d b e f ore t h a t t y m p a ni t i c i n fl a
t i on t h a t w a s fo b a d a p re fag e f o r i t fh e ws ,

b ot h th e h ig h e f t pu t re f a étion of t h e
’
’

a t on c e
‘

m o rb i d f e rm e nt , a nd t h e g re a te f t d e bili t y
o f folid s
t he o f t he a b d o m e n I t is t o b e .

l a m e n te d t h a t f o r w a nt of p o m e g ra n ate s ,
w e w e re d e p ri v e d of t h a t e x c e ll e n t m e d i
i
c ne ;i n ft e a d of t he m I f u b l t it u t e d w i t h
’

v er y g o od f u c c e fs t h e ,
d u lc i fi e d a c i d m i
n e ra l fp ir it so f fe a f a l t , i
n t re , v i tri o l , a nd

ef e c i a lly fu lph u r f or w her e t her e i sa

p n
p
i t og ether w i th fl i j
e e di ola t i on
tr e f a éi on a n e xc e

of t he hu mou r s
,
or
y pp
an ha
fi f
en on o re i t i n a

oor t t i m e h t he a c i dj lhi r i t s oht a i ned h t he

fl t en , y
ma r i ne ll , ni t r e , a nd
f f fi f
or c e o re r om
fi (
v i
t r i ol, hig hly a/cfi t l ;f or t hey mod p
are

r efi/i a ll a ét i on , a nd a t t he i
p ef
’
t ll
j
'

fi y a tr z me

t u ne do not dij o l veh hi lt r a ther c oag u la t e oa r

'

hu mour s .
 77
hu mour s Thi s i ntent i on i sex c ellent ly a nf wer
.

e d h the [c i r i t of j p
u l h n r
per c a m ba n
/ w hi c h
y .

i elds the pa r efi f ofi l a c i d c onta i ni ng nothi ng

y ,

m eta lli c i n i t A nd i n de e d i f t h e y a re
good iny an c a fe , c e rt a n i ly h e re , w h e re
the u t re f a ét io n , d ilf olu t i o n a nd re l a x a
'

p ,

i
t on a re f o g re at ;I
p re fc r ib e d t h e m e i t he r

in p u re fprin g w at e r , or in a d e c oél i o 11 of

t he mm l e av e s of forre l re d rofe l e a v e s
a nd , ,

a n d fo m e t i m e sw i t h f rr u p
°

of b ra m b l e
y
b e rri e s ;b a rl e y w a te r w i t h a n ad d i ti on of ,

r e d r o fe l e av e s w a s a v e ry c o n v e n i e n t v e
,

h ic le : t h e y d ra n k t w o o u n c e s e v e ry t wo
h o u rs a n d w e c o u l d gi e n o o t h e r c arm i
,
v

n a t i v e s i n f o g re a t a n i n fl at i on nor w a s it ,

p o lli ble to fi nd a ny b e tt e r

T H ER E w asa n al a rm i ng fy m pto m in
t h is fpe c ie su n k n o w n t o t h e t w o f orm e r ,

t h a t is a c on t i n u e d d e li ri u m n ot on ly a s ,

a fford i n g a v e ry b a d re f a e b u t b e i ng
p g ,

p e rni c i ou s in itsc onfe qu e nc e s f or t h e pro ,

11
Va n Sw ie te n , Aph 8 8 . . p . 12
7
. C o n fe r . B oe rh a v .

C he m . t . 2 . p c
ro . 15 1 . p . m . Se n ne t t d e fe b ri b
2 70 . .

Lib . II . c ap . v ii . w h e re h e h asv e ry ood ob fe rva t xe ns g

u p on t h e u fe o f m i n l c i ds
e ra a .

1
Van S wie te n, Aph 65 0 . . t . 2 . p . 24 1 .
 7 8
°

d ig iou st oHi ng w h i c h it g e nerally o c ca fion

e d , totally p re v e n t e d fl e e p , i nc re afe d t h e

b éat, a nx i e t y , a n d re fl le fs ne fs
, a n d o f t en

re n d e re d t h e p a t i e n t s re f raéi ory w i th re

g a rd i
t o th e r m e d c n e i i s . It m ay b e a t tri

b u te d t o m an y c a u fe s 1 t he v i ol e n c e of the
, .

f ev e r ;2 . t h e t u m i d i nfl at i o n , w h i c h o h

fi r u é t e d re fp irat io n, a nd t h e w a n t of fp ac e
’

f or th e e x p an li on of t he l u ngs (w h e n c e t h e
re a t e f t fh ort ne fso f b re a t h i
’ k

g ) y b w h c h
t he p u l m on ar y a 1 te ry w a s i m pe rf e ét ly e v a
c u a te d a nd t h e r ig h t a u ri c l e b e i ng t u rgi d ,
,

c ou l d n ot re c e i v e t h e b l oo d o f th e a fc e nd

i ng c a v a , a nd t hu s p re v e nt e d t h e e m p tyi ng
o f t h e v e r t e b ra l a n d j u g u l a r v e i n s ; 3 t o
,
.

a n a c ri d b ili ou s h u m ou r t ra nfla ge d t o t h e

f e a t of t h o u g ht ;lafl ly t o fy m path y f or ,

o b fe rv a t io n t a u g h t t h e a ri t ie n t st h a t t h e

b ra i n f uff e re d b y c onfe nt f rom an i rr i t at i on

of t he a b d o m i n a l a n d p h re n i c n e rv e s ;t h e 1

c a u fe o f t h is wa sd ifc ov e re d b y t h e i n d a f

try of t h e m ode m s , a nd w h at S e n ac p ar
t ic u la rly h asw rot e u p on t h e f u bj e ét d e

3 Fo r th e d ifo rde rs o f re f pirat ion f rom infa réi io ns in

t h e a b do m e n , c o n f u l t t h e e l e
g a n t d iff e rt a t io n d
-

e Re f i
p
r a t i on e diffi c ili , 1 6 3, 1 6 6 , l ate l y pu b lifhe d by
t he clb
e e ra te d F . de S au vages .
 79
f e rv e s an atte nt i ve re a d m g By re m ov i ng 1

t h e c au fe of t h e d if te m pe r, w e c u re d t h e
’

d e lir i u m a t t h e fa m e t i m e , a nd Hipp oc ra t es
h as fa i d tha t in a b ili ou s d e li ri u m p rope r
a t ten t i on m u ft b e p a i d t o t h e l o w e r be lly ,

a nd we m u l t
’
gi v e v i n eg ar h o ne y a nd

wh ol e m e t h od
m
w a te r . O ur c on fi fte d in
m od e rat i ng th e f ev e r e v ac u a ti ng a n d c or ,

r eét ing t h e b il e b oth in t he p ri m m v im, ,

a nd i n t h e b l oo d a n d i n re pe lli ng t h e i h
,

fl a ti o n ; it re ma i ne d t he re f ore to re m ov e
t h e fy m pt om sw h i c h w e re b rou g h t o n b
y
f y m pa t h y , a nd a sb y t h e c onfl i t u t ion o f
t h e h u m an f ra m e , a d ife a fe f ro m c on fe nt
o f n e rv e s is m i t ig a t e d b y a c on t ra ry i rri

ra t i on, t h e ory d ire tfte d u sto a n 1rr1t a t 1on

’

o f t h e i n f e ri o r p a rt s A m on g t h e k now n .

fi i m u lan ts ,
n o n e ar e f o m u c h u fe d n or

Op e rate fo q u ic kly a sC a nt h a ri d e s ; t h u s

Efl b y sde P hyfi qa e c a pxt u lo le sm au v eme ns[ p

y m a t hi

q ue s; fe v e ral i
ot h e r
g h swort h
w t p re a d n av e ro e u on

f y m p thy F B y l C W l t h
°

a . . a H Rg E B h
e, . a e r, . e a, . uc ne r ,

D L g h ns;t h ill fl i sH ll wi t h t h t f g ity

. an a e u r ou a er a a ac

a nd cc cy by w hi c h ll h isw ks di fti g m fh d
a u ra , a or a re n e ,

h sd i i d d t h
a v e i sfy m p t hi si nt l ff s L in
e v ar ou a e o c a e , .

P hy fi l 5 55
o . H i sp i nc ip l
. s h b n d p t d r e av e ee a o e
,
a nd d éi in o x pl ai n d by L ng hans
r e e e a .

De Afl e él ion F e s p 5 1 8
’

“1
. o , . .
 80 l
le d a wa y by fi rft orde 1 e d hlif
c u ll om , I at

t eri n g la il t e rs b h e y d id n ot a n fvve r
’
u t t
p ,

m y w i th e s a n d I re m e m b e re d a f te 1 w a 1 d s
, ,

t ha t t h e y f u c c e e d e d n o b e tt e r w i t h W a lc a

ot er h sd u difir i mz na tely do In li ke
m an n e r B ore l li fays , th
li g , f or
‘
a ll the p a t i ent swe re c a rr i e d t o thei r

g s
ra v e w i t h t hei r a r ms eet
f a nd other
pa rts , ,

u lc er a ted I re c olle éte d a nob fe rv ation of

a g re at p ra éi it io n e r C . R i c h a, wh o i n a

u fe f u l bu t n ot fu fli c ie n tly k no wn w ork u p;
p u t rid T u ri n fays tha t the
°

on a fev er at , ,

ce i /f ul . And a li ttl e after he add s ,

w hen
t he hu mou r sha v e t endency t o c olli g u a ti on,
'

when they id a nd tu m lt u ou s w h n t h
a re a cr
u , e e

Me dic in l § 35. R ti
a o na 1 .

E pi fl l d M lpi g h i p
o . a a , . 28 . G la fsob fe rv e son
t h i spl c (C
a e m m t p o en . . how i
w er e blfi er s
li d o t he j hi n , t o e v a c u a t e c or r u t e d hu m u r s fl
a
pp e t p ag : e

na t i n a bou t t he om a c h ;b u t t h s re a t m a n d o e s i g
g fi
f u fli c ie nt ly a tte n d t o a ll t he e fl e ctsof f rim u la t in m e d
’
i
' '

g
ci ne s t h e r nc a of w h c h i s
p i ip l a i
o nt rar
y
°

rri t a t o n c i i
b e fid e sa pl i l
e nt fu f u ppu rat ion d ifc h a rg e sm any ou s b ili
i i
f p ic u la m x e d w t h t he b oo d l
ne t h e r ore l n or a n
y i B li
l b li
o ne e fe e v e r e e v e d , t h a t a a o hy m
y i ccc
n t h e a do
’

b
c
m e n w ase va u ate d b y t h e m , a s G lafs wou d fe e m to l
i nfinu ate .
 8I 1
blood i sr a ther to be qu i eted tha n j ii mu la ted,
t her e i snothi ng mor e hu r tf u l, nothi ng mor e
er ni c i ou s a n S w ie t e n , fo f re q u e nt ly
9
p V .

q u ot e d , o b f e r v e s, t ha t w he n t he hu mou r sa r e
c olli u a ted, a c r i d, a nd t endi ng to pu t r e a cti on, f
'

q
a nd t her e i svi olent mot i on, i t does
f
not appea r
a e t o u e t hem A n d th e f a m ou s G u i
[ ff fi
q
0 .

d e t i f u ppo rt e d b oth b y re afo n a nd e xpe ri

e n c e a ffi rm bli/ler sa r e not g ood i n a ny
s , tha t
ki nd f
o bili ou s
f ev er s ev en t ho ob li na te, “
/ ill ”
’

l if
c ia l y t he bi le be a c r i mon ou i sa nd f er v id ,

a nd i t a efl
fi the oli d f s
a nd t he blood T he re
f ore pre fe ntly c h a ngi ng m y m e t hod , a nd
l ayin g a fid e c ant h a ri d e s I h ad re c o ur fe t o ,

c a t a la f m sm a d e of l e a v e ne d afl e t h
p p e ,

fi rong e fl v i n e g a r a n d a l a rg e q u ant i t y o f ,

m u f t ard fe e d w h i c h I ord e re d t o b e a ppli e d

’
,

t o t h e l e gs b u t m ore f re q u e n tly t h e fol e s of

,

t h e f ee t
5
Nor d id t h ey i rri ta te w i t h le fs

P C o nfl i t Epide m T a u r n a nn 1 7 20
. .
3 2 C o n i . . . .

f e r B a g liv d e U f 8c Ab u f Ve fic
. . . 11 6
1 47 , 810 . . p . . .

9 A ho r 8
p 75 p
. 1 0 . . .

B c i
i an h h ifi o r h e at
3 0
3 7
. V ipd lo c . p . . p . . . .

I re m e m b e r v e ry w e t o h a v e re a d o n c e i n ll
a e n, Gl
but Ic an no t fi nd t h e ac e t h at a t e ntsplw h o fe Ho m a c h, p i
i sdifi e nde d w th fl a t u le nc ie s
i , re e v e e ne fi t b
y a
y ci b pp l
ip
i ng a fpu ng e d t i n t h e m o H u ng e nt v ne ar t o t h e
.
p i g
a rm sa nd fe e t, t ill i t rodu e d h
p y l c t w nae p c .
forc e th a n b h lt e r
’
s a nd
,
the
y w e re n or p o r .

d u ét iv e o f th e f a in e m ifc hi e f sa sc a nt h a ~

r i de s ,
w h ofe m ore f ub t ile é
p a rt b e f
a l ali n e

i ng ab forb e d a n d m i xe d w i th t h e b l ood
p ro m ote s itsputref aé t ion a nd t h u s ag g ra ’
,
x

v a t e s p u tri d d ifi e m ers ; w h il e on the c o n

p -x

t ra ry t h e a ci d p a rt i c l e s of t h e fi n a p i f m ,

b e i ng c on fl a ntly i nh al e d b y t h e b i b u l ou s
v e i n s ob t u n d t h e f 0
,
rc e o f t h e p u t ri d m at!

t e r w h i c h is c on t i n u ally c on u pt i ng t he
,

hu m ou rs Th e e v e nt c onfi rm e d th e t he ory
.
,

f or I of t e n f aw w i th ple a fu re (I w i th i t
h ad b e e n a lw a y st h e c afe ) t h e fo l e s of t h e
x

f e e t be c om e ex tre m e ly red in t w e l v e h ou r s ,

a nd b e f ore t h e e n d o f t h i rt y v er
y l a rg e ,

v e fic le sw e re r a ife d w h i c h c op iou fl y d i f
,

c h arg e d a e llow liq u or A

y ‘ f t e r t h e fi rll:
.

d ay a nd n ig h t if w e w e re t o h ope f or a
,

f a v o u ra b l e i fiil e t h e re fi le f ne fs a n d {ub
, ,

f u lt u s o f t h e t e n d on s fe n fi b l
y r e m i tt e d t h e ,

d e li ri u m w a sn ot t h e n e nt i re ly g one b ut ,

t h e p at i e n t s w e re m o1 e q u i e t a nd m t h re e ,

d a ys re c o v e r e d t he i 1 f e n fe s ; e op e nin g
t h
m e dic in e sh a d a g re a te r e ff e ét a n d t he y ,

n ow b e g a n t o g e t fo m e fl ee p Th e irt i
"

.
a

t a non f rill d id g ood e v en w h e n 1 t h a d

’
“

h app e ne d e i th e r by wa nt of c a re o r f u l ,

En ne fs
,
 [ 83 ]
rle nne fs,
t h a t t h e fi n a
p i f m sc a m e o ff , b e f o re

t h e y p ro d u c e d b lil t e rs d u r i ng t h e
’
; a n d
i
t m e, t ha t t he m orb d m at te r w a sm ov e d
i
a nd a gi tat e d a b ou t , t h e re w a sa p rodigi
ou sc on fl u x of the fh a rpe lt f e ru m t o t he
fp ott e d pl a c e s , w h i c h w o u l d o t h e rw i fe h a ve
f all e n u p on t h e m ore n ob l e p a rt s;h e n c e
a pp e a rs t h e u fe of t h is re m e d y a n d it i s ,

he a ph orifm of Hipp oc ra te s
c on fo na n t t o t ,

if a ny pa r t i sp a i nf u l br ore a d ee e
f i/ y t here ,

the dif eaf e fix esi /elf

t

T I L L f u c h ti m e asth e t hi c k e pi de rm is ,

w h i c h e v e ry b od y h asi n t h e f ol e s o f t h e i r
f ee t, f e pa ra te d , I d id n ot f orb e a r t he u fe o f
t h e fi na i fm , wh i c h a l w a ys e v a c u at e d a
p
g re at q u anti t y of fe ru m , a n d t h i n p u ru
l e nt m atte r W h e n af te r fix or (e v e n d ays
.

i t h ad e nt i re ly c om e o ff b y pi e c e m e al t h e ,

m ild e l t b alfa m sw e re a ppli e d t ill i t w a s

’

e rf e étl h e a l e d , n o r w o u l d t h e th i n c o v e 1 e d
p y ,

b y a n e w e pi d e rm is (0 t h i n, h av e b ore a
p u ng e nt appli c at i on .

f
Lil) . iv . Aphor .
33 .

T H ERE
 T HE RE 1sanothe r re m ed y wh i c h is
‘

u fed

wi th th e fam e v iew a sf nap1fm sb u t is ,

v er d iff e 1 e nt i n i t se ff e ét a nd w h i c h 1 3
y ,

o f t e n follic it e d f o r b t h ofe a b ou t a p at i e n t
y ,

a nd h a sb e e n p re fc r ib e d b y f o m e w e ak
h fi i s t h t 13, li v i n g a n i m a ls , or p a rt s
p y c a n , a

o f a m m al sa ppli e d t o l s of t h e f e e t
t he f o e ,

W i th a n 1nte nt i o n o f d ra w i n g o u t t he m a
l ig n ity ;and f or a p ro of th a t t h e y d o f o ,

t h e y a p e a l t o t h e g re a t u t re f a éti o n w i t h
p p
w h i c h t he y a re q u i c k ly t ai nte d ;n ot t e
fl e ét ing that th e fa m e c orr u p t i on w o u l d
h a v e f ollb w e d i n any oth e r pl a c e e q u a lly
w a rm an d m oilt W h at h op e is t o b e e n
.

t e rt a l ne d f rom f u c h a m app li c a tion None

t a ll, f o r it d oe s n o t gi v e a n i i t a t i
a y rr o n ,

an d t h e re f ore m a k e s 11 0 re v u lfi on ;it c on
’
“

t a i n s not h i ng a nt ife pt ic , wh i c h b e i ng a b
f o rb e d c a n c orre ét t h e p u tri d c olliq u at i o n
o f t he h u m o u r s ;it d oe s not c au fe a n y
e v a c u a t i on ;t h ere is 11 0 w a t h e n in w h i c h
y
it doe s g ood ;b u t it is h u rt f u l b ot h a si t ,

f om e n t s t he n ox i ou s h e at a n d ,

q u i c kl y p u tre fc e nt, i t b ec om e s t he fou rc e '

o f p u t ri d e fii u v i a wh i c h b e i ng fuc k e d i n
,

b y t h e a bforb e nt v effe ls , i nc r e a fe t h e v io

le nc e of t h e d i fte m pe r
’

.
 [ 8 s]
ab ou t th e h h d ay , by
'

IF 1
5 t or 1
7 t

t h e u fe i s e x te rnal a nd i n te rn al
o f re m e d e ,

t he re w a sg re a t pl e nt y of fp o nt a ne o u s
(tools t h a t w e re c on c o él e d a n d b ili o u s ;i f
,

t he d e li ri u m h a d e n t i re ly c e a fe d a n d t h e re ,

re m a i n e d on ly a w e a k n e fso f t h e b ra i n ;i f

t h e u ri ne lof mg i t s o ily a pp e a ra n c e w as
'

, ,

fi rf t e q u a lly t u rb i d a n d a f t e rw ard s d e pofi t

’
,

e d a f e d i m e nt i f t h e t o ng u e g re w m o ift ,

i f t h e g u m i n t h e e y e s a nd t h e ford e s a ,

b ou t t h e t e e t h w e re le ffe ned ;a nd wh at w a s
a l w ays a v e ry f a v o u ra b l e p re fag e , i f t h e
fk in g re w fof t wi t h o u t t h at c l a m m y a nd
,

c ol d f w e a t w h i c h 1st h e f ore ru n n e r o f
,

d e at h 5 t h e n I re c k on e d t h e p at i e n ts t o b e ‘

i n a v e ry f af e w a y ;a n d i n a fh o rt t i m e ,

w i th ou t c h a ngi ng t h e i r m e d i c i n e s o n ly ,

le fle n ing t h e d ofe t h e y g rew w e ll

’

On , .

t h e c o nt ra ry if n ot w it h f t a n d in h e u fe of
’
g t ,

t h e b e lt m e a n s a ll t h e fy m to m s d e fc r i b e d
p , ,

T he u r ne i w asno t f u fli c ie nt f o r a c rifi s;b u t th e

c o nc o ét io n of d i t sfal u t a ry e x c re
t he m o rb id m at t e r a n

t on w a s ro v e d b
i t hpe Pt o o ls ; a nd t t h f m t m e b i
y a e a e
y
t h e u r n e w ase v a c u at e d t h a t
i a rt o f t h e m o rb d f e r p i
m e nt, w h c h h a d b e e n t ra n fm it te d to t h e v e fl e ls f o r a s
i '

t he a nt e n tsr h t i rv e d c ri fe so f t h e v e ffe lsa re

i l
'

g y o b fe

m ad e b y t h e d ne y s, a nd h e a t h n e v er f o lo we d (too s
ki l
, l l
f o lon as g
t he u ri ne ont nu e d ru de c i c .
 [ 86 1
m th e h i ftory of t he d ife afe ,d i
c ont nu e

a nd were rot ra éte d b e y o n d t h e fe ve n t e e nt h

p
d ay t h e re re m a i ne d l itt l e if a ny h o p e I
‘

.
, ,

r e m e m b e r h o w e v e r t h a t a bo u t t h e e n d o f S e
p
t e m b e r I w as
, c all ed t o a wo m an o f t h i rt y ,

o f a fi e n d e r h a b i t , w h o h ad b ee n i l t w e lv e
l
d a ys , i n w h o m t h e d ife a fe v a rie d f o m e w h at
’

f rom t h is f orm : m y w orth y c o ll e ag u e m e n

t ione d b e f ore h a d a t te n d e d h e r ; th e h a d
‘

a ll t h e w o rd f m t o m sexc ep t p u rpl e f ot s
y p , p ,

a n d fo j u d i c i o u s w a s t h e m e t h od w h i c h h e
h a d p u rfu e d t h a t I c ou l d fi nd n ot h i ng to
,

a l t e r 5 n ot w it hfi a n d in {h e re a p e d n o h é
g
n e fit f ro m t h e m of t p owe rf u l re m e d i e s
’
.

H e r fi oolswere c 0piou s fan ion s ,

v ery ,
‘

f e t i d a nd c a m e a wa y w i th o u t h e r b e i ng
,

f e n fi b le of it ;h e r d e li ri u m w asc onf t an t, ’

t h e i n fla t i on v e ry g re a t , a n d h e r u lfe e x
p
c e e d in g b a d . W e g a v e h e r a g re e a b l e a c i d
.

d ri n k , a n d e v e ry t w o d a ys a n e le é ru a ry of ’

c a fli a a n d r h u b a r b u fe d b t h e f a m ou s
y
s
, ,

Kloe k h of Th e re afon h a flip t m y m e

m ory , wh y in t h e b e gi n n i n g a v o m i t w as
,

o m 1t t e d ,
and a f t e rw a rd s t h e fi n api fm s .

S h e c on ti n u e d i n f uc h a c on d i t i on ev er y

x
O pu fc ula Me di c .
p .

5
 [ 87 l
d ay, a sg av e u sre a fon t o e xpe é r fh e ’
w ou ld
ill t h e 2 6t h d a y w h e n at
'

d ie t h e n e xt, t ,

l aft toge t he r w i t h all t h e f av ou ra bl e fy m p

,

t o m s t a k e n n ot i c e o f b e f ore lh e h a d v e ry ,

g re at d ifc h arg e sb y fto ol n ot c ad a e ro u s ,

v

a sf or m e rly b u t t ru ly b ili o u s wh i c h in a
, ,

h or t t i m e re fto re d h e r t o h e al t h n t he
f O .

2 0t h o f Marc h i 7 5 6, I fa w a n ot h e r wo
m a n f o rt y y e arsold ,
t h e m ot h e r, if I am

n ot m ift a k e n , f fe v e n c h il d re n , w h o h a d
o

t he n b e en ill n i n e d a ys , a n d I w a s f u rp ri
z e d to fe e he r c o u n t e n a nc e q u i t e a l t e re d ,

a nd a lm ofi: s ; b y fo m e b od y s
c a d a v e rou ’
’

a d v i c e {h e h a d t a k e n a p u rg e of fe nn a a n d

fa lt sa nd a f t e rw a rd s w a rm c ard i ac s h a d
,

b e e n gi v e n pl e n t i f u lly to re m o v e h e r w e a k
n e f s a nd t h e l a n g u o r o f t h e fto m ac h I .

f ou nd h e r pu lfe w e a k i rre g u l a r a nd h e r , ,

i re n t h e n t ire ly w a fte d ;fh e w a s li i s

f g d e r o u

b u t q u i e t h ad 11 0 [t o o ls f or t w o d ays a nd
, ,

a n a l m of t c on ft a nt t re m or
’
I ga v e h e r a .

g e ntl e o m it m u c h d il u te d ;{h e d ifc h arg ed

v

b y it g ree n ifh b l a c k fl u ff b u t a sh e r b e lly

-
,

c o n t i nu e d b o u n d w h i c h I d o n t re m e m
’

b e r t o h a v e h a pp e e d t o a n b od y e l fe
n y ,

Y Vid . F es p
o . . 2 31 . Lib . vn .

G 4
 38 l
“

and wh ic h h o d ou b t p roce e de d f rom t

d ry ne fso f t h e in t e ftin e so c c a fi on e d b y t
u fe of t h e h ot m e d i c i n es , I w a s o b lig e d

o rd e r fe v e ra l c ly fte rs
; fh e re c o v e re d a li t t l e

f t re n g th , a n d h e r p u l le rofe b u t t h e fy m p
’
,

t o m s i n c re a fe d w i th th e f e v e r;h e r d ri n k w a s
m ad e v e ry a c e fc e nt : I ord e re d fi n a pif m s to b e

a ppli e d b u t as t h e y a éte d ll o w ly a nd t h e re
‘

w sn e
a e d o f
fpe e d y re v u lfio n I c a u fe d
a ,

o t h e rs t o b e p u t t o h e r l e gs fpri nk le d w i t h

c a n t h ar i d e s ;f or fom e h o m s e v e ry t h i ng
'

f e e m e d t o g row w orfe ;n a y a l t h o t he re
’

w a sa c opi ou s d ifc h a rg e o f f e ru m f ro m t h e
l e gs an d fe v e ral b lif t e rs w e re a lre ad y
,
’

r a ife d i n t h e fol e s o f t h e f e e t ; w h ic h b e in g
'

o p e n e d , di f c h a rg e d t h e lik e h u m ou r ple n

t i f u lly ; y e t (w h i c h I a t tri b u t e d t o t h e
f m all q u a n t i t y d ra n k b y t h e p a t i e n t , w h o
‘

W as e xt r e m e ly f u ll e n ) f or t w o d a ys t h e
d if t e m pe r d id n ot in t h e l e ad re m i t : on t h e
’

e ig h t e e n t h I g a ve he r ta m ari n d s a nd m an
,

n a a fe c o nd t i m e f h e h ad fi ools
, f u ffi c ie n t ,

b u t n o re mifli on 5 011 t h e t w e n t i e t h , t h e re
‘

a pp e a re d re a fon t o app re h e n d t h e
’
re a t e f t
g
d a ng e r f ro m t h e 1n fl a ti on d e l11 1u m , w e a k ,

s
.

f r e f t le fn e f s f f
’ ’
p u lf e , t u p or , ,
fh o rt n e o

b re a t h a n d d i ffi c u l ty of f w a llo w i ng ; b u t
,

wh en I f ou nd h e r fk in fof te r, t h at th e re
‘

vve re
 [ 89 ]
w e re no fpot s t h at it w asn e a r t h e
p u rpl e ,

t w e nt y fir t d a y , a n d t h a t t h e re w a sw i nd
f
-

r u m b li ng i n t h e a b d o m e n 5 I v e n t u re d t o

e n c ou ra g e th e h op e s o f h e r f ri e nd s , b e lie v
‘

i ng t h a t t h e m orb id m atte r w a sc on c oét e d ,

ut i n m ot i o n , a n d b ali c u i n g t o a c rifi s
p .

I ord e re d h e r l e m ona de w i th a li ttle w i ne ,

i f i t w a spolli b le t o g e t i t d o wn ;f or a t
f u c h t i m e s a sI e xpe é t e d a c 1 1fis I i ’
, o m t t e d
t h e m in e ra l a c i d s , n or d id I re p e nt i t .

A b o u t th e m id dl e of t he n ig ht fh e d ifc h ar
ed b fl o ol c o iou fl , a n d w i t h v i o l e n c e ,
g y p y
b u t in fe n fi ble o f it , a n d w it ho u t i nt er m i f
fro n a lm o ft f or h a l f an h ou r . T h is w as
'

f oll o w e d b y t h e g re a te ft d e b ili t y , a nd f e v e ral

i nt e rm ifl i o n so f t he p u lfe ;h e r re fp ira t ion
w a sn ot d i ffi c u l t , b u t f c a rc e p e rc e p t i b l e ;
t h e ftu p or v e r y g re a t , a n d e v e ry b od y

look e d u p on her a sd yi ng 2
E arly in t h e
m o rn i ng t h e f u rg e on b e i n g fe n t f or t o d re fs
t he b lifte rs t h ou g h t i t n e e d le fs
, 5 I c a me a
li t t l e a f t e r a n d f o u n d t he a ppe a ra nc e of
,

fle e p, rat h er t h a n d e at h ; h e r re f
p ira t io n

w as fl ow , b u t e a fy , h e r p u lfe v er y fin al ] ,

b u t fo f t a n d re g u l ar ;a nd t h e 1n fl at ion of

2
H ipp c r t s l t s c f n t nlike th i sof Ti m o
o a e re a e a a e o u ,

cr a te s E ide m
.
p Li b v F oe s
. p 1 1 42. . . . .
 -
9 0
th e h ad f u b lided
a b d om e n I per f uaded .

t h e m t o d re fsh e r l e gs a nd t o pu t i nt o h e r ,

m o u t h n ow a n d t he n l e m ona d e w i t h h a lf
t he qu a nt it y of w rne ;a nd to apply li nn e n
c l ot h s w e t i n e qu al p a rt s of w arm w i ne ,

v i n e g ar a n d w,a t e r t o t h e a b d o m e n a ,n d
b re ad e v e ry h ou r a nd to m oili e n f re q u e nt ly
,

w it h th e fa m e liq u or t h e p art s w h e re t h e ,

l arg e r v e ffe lswe re fi t u ate d H er pu lfe was .

g ra d u ally re fl ore d t h e c ol ou r re t u rn e d t o ,

h e r f a c e a nd (h e e nj o y e d a c a l m fl e e p a nd
, ,

d id n ot a w a k e t ill n e x t d a y fi x a n d t h i r t y , .

h ou rs a f te r t h e c ri fis a n d n e a r t h re e d a ys ,

a f t e r t h e fi rf r a t t ac k o f t h e fi npo r ;flre
’

re w w e ll f oon b t h e d i fc h a r e o f b ili ou s
g
g y
{tools a g re e a b ly t o w h a t Hipp oc ra te s f ays ,

w h o re c k o n s fle e p a m o n g t h e c rife s of a

f e b ril e h e a d ac h f o r t-
h e l e t h a rgi c f t at e
’

w as

C oa c .
p raen ot . 1 72 . F spoe . .
'

1 45 . D u re t . Li b .

II . c ap . 1 . 88 . T h e re i sa not h e r paff ag e o f
Hi pp oc ra te sf u itable to ou r u r o fe ,
p p w h e re h e f ay s ,

p ro rre t . Li b I . . i s t o be c a r e u ll
f y c on ider e d ,
/
w he t he r a pr o f ou nd d ee l
pf pee z si n a ny ra e t o he c onde mn
/

ed ?
’
c
f ro m wh e n e tisf u fli c ie nt ly a n , t h a t fom e o h pl i
f e rv a tionsh av e ve n r fe to th sdo u b t ;the fa m e fe n
i i i
g
c
t e n e isf ou nd l n C o ac No b u t a sa ll t h e oo s
. b k
d on t pe rfe é t l a re e a m ong t h e m fe lv e s
g
’ ’
a nd in fo m e
y ,

upd e i s anti n , oth e r i nte r re te rsa sw

g as Fo e fru sp ll
.

y w e

re ad
 [9 I

w asth e firl r li e f ou r p ati e n t h ad b e f ore

’
re

an oth e r c ri fi s A f e c o n d fle e p f oll o w e d

y .

t h e c ri fis w h i c h w a sv e ry g ood b e c a u fe
, ,

it fh e w e d he r fa f e t y . S ou nd an d qu i et j l eps e
p

p r ov e t he c omplea t ne i o / f a c rz
fi s b
.

T H ER E w a sa noth er i nfl anc e to c onfi rm

t h e t ru t h o f Hipp oc ra t e s s d oét rine w h i c h
’

it is w o rth w h il e t o re p e at it oc c u rre d i n
t h a t m a n w h ofe b od y w a s d iff e ét e d ;f o r
d u ri n g t h e l a ft d ays o f h isd i fi e m pe r h is ,

w h o l e b od y w a sc o v e re d w i th p u r u l e nt
u f t u le s w h i c h g a v e h i sre l a t i o n s h op e s
’
p , ,

t h a t w ere e nc o u ra g e d b y t h e q u a c k 5 b u t
o n t h e a u t h ori t y o f H ipp oc ra t e s I c on ,
»

c l u de d t h e m a c er t a i n p re fag e o f d e a t h ;
or t he a u/lu les ll ov r t he bod :
f pp ear a nc e
o f p ) a e

i n c onti nu edj et ter szsmor t a l .

re a d fi m ply , A pr of ou nd a nd deep f le ep isu ndou bt edly ba d .

B u t D u re tu s re t a i nst he f pz r i t of H i oc r a t es s B
pp , (a a
g
l i v i e x pre ffe sit ) a nd pre fe rv e st h e do u b t i h h isre adi ng .

W het her j leep 1sm a ny c af e ba d ? p 9 1 B u t t h e c on

. .

t rov e rf
y is e nde d b
y e x e rre n c e , w h 1c h t e a h e s
p , t h —
a t c
c i
fle e p o m ng o n i s a w a s ood ,
y g l p i
ro v d e d i t b e n o t oc

c afione d b y a m e t a fi afi s t o t h e b ra n , f or w h e th e i il tu
m u t rs
l th u sc o m po fe d, t h e r t c i ic l c
a e v a u at ons ro i p c e ed

b e t te r.
0 C oac .
p ra not . 1
5 1 . T h i saphorifm ne e d sno ex

pl i
a na t o n .

C oac . 1 19 . D ure t. p .
59 .
 T H rsth e n'

w a st h e h il t ory
’
f t he d if o

c a fe , a nd t h e re m e d i e s ;f o m e p e rh a ps w ill

w ond e r at , or r at h e r c on d e m n t h e c on fl a n t
a d h e re n c e t o o n e re m e d y w i t h ou t fo m u c h
,

a sf re q u e nt c h a ng e so f t h e f o rm , d u ri ng .

t h e w h ol e c o u rfe o f t h e d ife a fe B u t wh at
.

t he n ? fh all w e 1m 1t at e th ofe w h o w i th ,

o u t a tt e n d i n g i n t h e l e ali t o t he c a u fe of

t h e d ife a fe a n d re g a rd i n g o n ly t h e f m
,
y p
t o m s a re b y t h a t m e an s c on t i n u ally m a ki ng
,

b l u n d e rs a n d a t e v e ry v ifit pre fc rib e fe v e

,

r a l f o rm u l a o f t e n o ofi t e e i t h e r to e a ch
pp
ot h e r,
or t o w h at w a s gi v e n b e f ore ? A
m a n o f a v ig orou s c onftit u t ion li v e s h e a l th y
a n d fi rong u p on b re a d w at e r a nd m ilk ,
, ,

w h il e t h ofe w h o f t u d y n oth i n g
’
to 1 50 , ,

e l fe e v e ry d a y b u t n e w v a ri e t i e s o f f ood ,

h a rd ly re a c h t h e ag e of fi f t y w i t h f re q u e n t
,

fi c k ne ffe st o o I s t h e n t h e h u m a n b od y
.

f o m u c h c h a ng e d b y a d ife afe , t h at i t c a n
"

h a rd ly b e re li e v e d f or a f e w we e ks t og e t h e r
b y t h e f a m e re m e d i e s ? By n o m e a n s n a ,

t u re lik e s n e i t h e r a c h a ng e n or c o m p o fi t ion
of m e d i c i ne s ; n ot h i n g t e rr i fie s p a t i e n t s
m ore , wh o fe n a u fe a g oe s off b y c u ll o m
.

I h a v e of t e n c u re d d ifte m pe rsb oth ac u t e

a nd c hron i c a l b y on e fi ng le f orm u l a 5 b y

a not h e r
 [ 93 ]
a not h e r I h av e p re v e nt e d a relapfe 5 I ne v e r

re g ret te d my c onfl a n c
y , bu t I h av e
'

re

f
e n te d o m i n on fi a n c , w h i c h a j u d i
p y c
y
c i o ns f e é ra t o r l a u g h s a t , a nd w h i c h d e
’
p
ftroysa ll th e c o nfi d e n c e of th e p a t i e nt .

Th e an t i e nt s g av e n ot h i n g e l f e b u t pt ifan,
ox y m el , a nd a v er y fe w ot h e r m ed i c i ne s .

W h y fo m an y c h ang e st h e n ? w h a t m if ~

c hi e f s h a v e f oll o w e d t h e n c e ? a p e rpe tu a l

u n c e rt a i nt y a b ou t t he v i rt u e s of m e d i c i n e s,

a n i n c re a fe o f t h e d il t e m e r, t h e d i f ra c e
’
p g
f the h fi c ra n , a n d fe a rs o f t he a t i e nt
o
p y p .

W h e n t he c au fe of t h e d i fea fe is kn o wn ,
le t t h e ph yfi c ia n i m m e d i a t e ly e m pl oy th e
b e lt m e t hod , a nd if h e h a sh i t t he c a fe ,
le t h i m n ot v ary i n th e le a f t Ig n ora nt by
’
“

fi a nd e rs m a y b ra nd a re m e d y w i th t h e ti t l e
o f u fe le fs, b e c au fe i t h a sn o t r e m o v e d a f e

v e re d ifte m e r i n a f e w h o u rs ; b t a j udi
p u

i s p h yfi c ia n k no w s th at a d ifte m pe r h as
c on

itsp e ri od s a nd t h a t e v e n th e m olt p o we r
,

f u l m e d i c i ne s fig n if y n ot h i ng w h e n t he y ,

a re p re m a t u re ly a d m in iftre d ;h e is n ot i
g
mora n t t h at t h e re a re f o m e d ife a fe sb e y ond
a ll t h e p ow e r of h fi ck Nor is
p y a re .

m ed y f or t his re a fon t o b e a l w a y s re j e él e d ,

b e c au fe i t c a nn ot p re e nt a d ife a fe f ro m
v

2 ter
 { w }
i i g
in d e at h L et u sc onf ra ntly
’
t e rm n at n .

t h e ir re m em be r t h e p re ce p t of Hippo c rat es ,

a nd t h e a d v ic e o f h is a d m i rab l e 1n t e r re t e 1
p
G orte r He w ho a élsupon a r a ti ona l pla n,
.
‘

e nufl not c ha n e z t , w hen t hi n s d fi c eed

“
’

on t
g g t c

are t he fi z me a sappea r ed a t fi rfl 5
. For wh er e

t o appr ov ed r eme di es i t mufl not be a t t em p te d

s
,

ones And a s oon a

“

by u nc er ta i n .
f a r a t i ona l

h
p yfic i a n e nd ea v u
o rsby
f
va
g ue tr i a l st or emove
i
“

t he ca u e o
f f a dif eaj Z , he ’
dt
fi
”
t: not the l ea/i
f r om an ig nor a nt a nd /h m n who t r i es
*

ra a ,

thi ng
f A g er i ment
’
sf a ke
‘

e v er
y p or ex r e a t
d e a l m ore m ay b e fa i d u p on t h is i m
p orta nt a rt i c l e w h i c h t h ere is n e i th e r t i m e
,

n or roo m f or It w ill a f te r w a rd s a pp e ar
.
,

t h at m o u r m a l a d y e xc e p t t he re m e d i e s ,

m ade u fe of w h i c h h a v e b e e n m e nt i one d
, ,

t h e re w e re n one e l fe w h i c h wou l d n ot h a v e ,

d on e h a rm .

d
Apho r i 11 § 5 2
. Lb . . .

Me dic in Hippoc r Co m e nt
. . . ibid .
 l 95 l
The D i et o
f t he P a t i ent .

Die t i nc l u d e s t h e a i r a nd f ood
'

o f t he
p at i e n t . Th e a i r, f o f ar a sw a si n m y
p owe r I,
k e p t c o ol , a n d h ad it f re q u e nt ly

re n e w e d in t h e c h a m b e r ;f or n oth i n g pro
m ot e s pu t re f af t ion m o re , n or d oe s g re a t e r
h u rt t o re fp irat ion , th an a h ot a ir 5 a nd t h at
l
c a u fe a o n e is f u fii c ie ntgg rav ate p rod i
to a

i ou fl t h e f e v e r a nx i e t y a n d d e li ri u m ;i t
g y , ,

is ftill m ore p re j u d i c i a l if it b e h e ate d w i th

,

t h e p u tr i d e ffl u v ia of t h e p a t i e nt a nd t h o fe

a b o u t h i m w h i c h is a l w ays t h e c a fe w h e n
, ,

e v e r t h e a i r is n ot c h a ng e d f e v e ra l t i m e s i n

a d ay . T h e re a re h ard ly a ny d ifl e m pe rs
m ore pe f rile n t t h an t h o fe w h i c h a re g e n e
’
,

r a t e d i n pl a c e s w h e re m a n y p e opl e a re c o n

fi ne d to b re a t h e t h e fam e air w i t ho u t h a v ,

i ng it re n e w e d No r is a n y o ne t h i ng m ore
.

h u rt f u l t o t h e c o m m on p e opl e t h a n t h e i r
f c ru p u lou se xa é tne fs i n k e e pi n g t h e w in
’
,

d o w s o f t h e i r c h a m b e rs c onfi a nt ly fh u t ,

b ot h f ro m la z in e fsa nd f e ar of c ol d b y ,

w h i c h m e an s t h e y p e rp e t u ally b re a th e i n
a n a t m o f h e re olllrt e d w i th t h e e fli u v i a
p p
of h u m an b od i e s b e aftsf ood a n d e x
.
, , ,

c re m e nt s.
 E9 6 4
]
c re m ents
; Th e va p ou r of v nei g ar wa s
o f te n ve ry fe rv ic e ab le

W I T H re g ard t o f ood th e re are t wo r u l e s ,

“

f rom w h i ch a ph yfi c ia n m u ll: n ot r e c e d e ,
h rf t t h at fth e q u antity b e n ot t oo g re at f or
'

p owe rs ;a nd fe c ondly th at t he
pp
7
of i t b e b , ofe d t o t h e c au fe of t he
,

I n ou f c a fe t h e t h inne ft d i e t w a s
'

ou t b o t h by t h e f t om a c h , wh i c h
’

loat he d e v e ry t hi ng, and b y re afo n t oo

,
f or w h e n th e f t om ach w a sd if te nd ed b y
’
-
’

p u tri d ford e s , all th e d ig e f tiv e p o we rs w e re

’

a t b e ne fit t h e n f rom f o od ?
,

ag ai n b v om i t i
y
i ng
s
, e r t h an o n c e ;or

w ha t w a it w a sret a i n e d a nd ,

f u rriiihe d f re fh m at t e r o f oppre fi i on t o t h e
fio a m c h ;a n e w fti m u lu s a n d f re fh f u e l t o

t he f ev er Noth i ng n ou ri fh es , b u t w h at 1s
m
d ig e fte d;a nd t h e f to a c li c a n c on c oét li ttl e
or n ot hi n g w h e n 1 t a b o u nd w i t h a b ili ou s
, s
h u m ou r .B u t t h e fe t h i ngs are n ot c om
re h e n fi ble b y t h e re l a t i on s o f t h e p at i e nt s
p ,

e ft ile n t f e t o f p e opl e ;f or t h e y c a n n ot
a
p
b e pe rfu ad e d , th at t h e re isa v e ry w i d e d if 2
”

f e re nc e b e twi xt c ra m m i ng a nd n ou rifh ing ,

a nd
 97 l F
a nd t h a t, wh at e v e r d oe s n o t n o u ri fh t he

p ati e nt, f ee d s th e d ife afe I mpu r e bodi es ,

.

t he mor e y ou nou r ij h t he m, t he m or e y ou hu r t
‘

f
t hem . I do n ot k n ow n b e tte r a
p h o ri fin

in Hippoc ra te s , no r o n e m o re f re q u e n t ly
t ra nfg re lf e d d e l t ru é rion
’ ’
t o the of m an
k i nd .

TH E f t re ng th ’
ftom ac h w a snot of th e
e q u a l t o t h e c on c oét ion of folid s
; h ere
I t

f ore g av e on ly liq u i d s o f v e ry e afy d ig e f

t i on, a l ways ob fe rv ing H ippoc rat e s sr u le 5 ’

t h e m ore -
v o e nti l th e f e v e r, t h e t hin ne r m u fi:
b e th e d iet .

I T w as b u fine fst o c h u fe nu
.

ou r ne xt a

i
t r m e nt , wh i c h b e i n g oppofe d t o t he c a u fe
o f t h e d if t e m e r, w o u l d n ot u t ri f : the
’
p p y
g re at m atte r of ou r p rof e fli on u fe d h ist wo ’

k i nd s of pt ifa n w h i c h w e re n ot h i ng e l fe ,

b u t d e c oé rions o f b a rl e y : t h e b e lt i ii
’
ou r

d ife afe w asu n d ou b te d ly oat g ri t s f or no ,

a r i na c eou s ec i es s ou nd b
f fp i f y ex eri enc e
p f o

owerf u l a s oa tst o tbdu e a n a lc a li u i c hl

fi
3
p g ,
y .

Aph orifm . Lib l l

. 0 . 1 .

8 B oe rh a av . P x i sM d i c
ra e . c olle cfi e d by an u n k nown
pu pil . T . I p . . 1 9 3.

A c c ord
At c ord ing to t h e f a m ou s Van S w re te n,
R ye is n ot i nf e ri o r to it; b u t asth e e t h od m
of
p re
p a rm
g 1t 1 '
sn ot c om m on h e re I m a de
z
,

u fe o f o at s , n ot h o w e v e r w it h t h at ob fti

n ac
y a sn ot to p re p a ra t i on s
ad m it oth e r

f ro m a ce fc e n t g ra i n s b u t t h e fl av ou r of ,

r u e l w a sa g re e ab l e t o m olt p e opl e s
’
ou r
g
p a l ate s Th e b e lt m e th od of p re p ari ng it
.

w as b o ili n g t h e g rrts 1n w at e r t h e n {t ra i n ,

1 11 g 1t an d a f t e rw a rd s a d d i ng a li t t l e f u g a r -

, ,

a m olt m il d a n t if e t i c e fo lv in f al t n ot
’

p r, g , ,

a t a ll d a n e rou s h e re ;a nd t h e n
g i v i n g t h ree
“
'

g
o u n c e s e v e r y t h re e h ou rs I h a d n o ob .

e éti on t o t h e a d d i t i on o f p a rt o f a y o u n g
j
h e n o r c h rc k e n to t h e g r u e l w h il e i t w a s ,

b oili n g ; f or t h e y b e i ng f e d u p o n o at s or
o t h e r g ra i n s a ff o rd a n a c e fc e n t j u i c e al
; I .
a

way sa dv ife d
(
a in f t t h e u e o f b u tt e r, f or
’
i

o
a
g f
the fa m e re a fon s t hat
,
-
I d e c l a re d a g a inf t
’

o ily i c i ne s : fo m e tim e s t oo c h i c ke n
m ed
b rot h w i t h a li t t l e o
, f t h e e x preffe d j u i c e
of f orre l p ro e d e x c e ll e n t n o u ri fh m e nt
‘

v .

Th e c e l e b ra te d Lu d Me rc at u s ;p y n
h fi oi a .
‘

t o P h ilip t h e fe c o n d tre a t i n g o f p u t ri d f e
,

v e rs r e c o m m e n d s t h i n gs o f t h e f a m e n a
,

t u re . The c om mon nou r

i/hmen

asc hi c ken br oth w it h lett u c e or g ou r d , a nd we

 l 99
ou nd mi x tu r e f c hi c ken br oth d f ug a r ,
f a o an

w i th lem on j ui c e or v i neg a r ,
‘ f
g uer
y a r eea ble
ood i s a de
t o t hei r ta /l e5 t he fl
mo ex c ellent
f m
a ll r o or t i on
f p
o a na do a nd f u
g ar, w i th a
f m p p
g
“
j lemon u cei I h ate T h e re is not h n i g
mo re t h a n t h e fi ron g fo u p sof b e ef f o wl s , ,

a n d pi d g e o n s f o a d m ire d b y t h e re l a t i ons
,

o f a p at i e n t b u t a ff ord i n g a n i nd ig e f ri b le
’
,

m a fst o a b ili o u s fi om a c h ;a nd w h ofe c l an

d e l t i ne u fe o f t n e r t h an fi o ne d v i o
’
o nc e o c c a

l e n t e x a c e rb at i ons ,
n a k ill e d f e v e ral
y T h ey .

m a y d o g ood w h e re t h e , fto m ac h l a b o u rs
u n de r a n a c i d c ac o c h rn w h i c h t h e y c or
y y ,

r e ét fp o n t a n e o u spu t re f a ét ion , b u t in
by a

p u tri d d ifte m pe rst h e y d e fe rv e n o oth er

n a m e th a n
p oi fon . W h a t fh all w e f ay o f
m ilk ? W e a n fw e r f ro m Hipp oc rate s ;tha t
i t i sba d t o g i v e m i lh t n t he hea d a c h It is -
.

ba d a [0 to thofie z n a f ev er , a nd w ho ha t e
w i nd t u t he hypoc hondr esa nd t o t hofe w ho a r e
t hi r/ly i t i s r e u di c i a l w he r e t he r e a r e bi li ou s
p j ,

i oolsor a c u t e e v er s e re a fo n rs
j f A n d t h .

pl arn f or t h e re ism u c h o ily n o u ri fh m e nt

,

i n m ilk , w h i c h is h ig hly d e t ri m e n tal .

1‘
O p M di c T I I p 38 6 C m p
e r. e . . . . . o are Fe rn e l .

p . 8
3 9 P i m f
. d hrs e ro e a n ot er .

iL i b 5 Aph 6 4. . . .

TH E Y
 i

[ 100
‘

TH E Y made drink t han u fe o f no ot he r

th e p t ifa ns m e nt i one d w h i c h t h e y a l w ay s ,

f w alloW e d c ol d ;f or w arm drau g h t sd o a s

m u c h h a rm 111 p u tri d lax d ife a fe s , a st hey
d o g o od 111 t o o re at r igi d i t y , f u c h a si n
g
fl a m m a t o ry d iford e1 s ;f or any t hi ng hot pr o
°

du c esloa thi ng di mi ni/hesthe appet i t e, i sof

,

en v e t o t he bow els a nd de/l r o s i

f fi h
i
t
‘

y e r t one , ,

wea kensthe ner v esj lupifi esthe mi nd, a ndpr o- ,

1 ,

du c esf a int i ng sa nd hemor r hag es W h en:

.
k
.

t h e f e b ril e h e a t w a s not t oo g re a t I re a d ily

re fot 1b e d w i ne f o r I d o n t k n ow a m ore
’

p ,

e xc e ll en t or m ore le a fa nt c ard i ac , a t t h e
p
m
f a e t i m e th at 1t is a nt i le p t i c a n d d il uen t , ‘

a nd I o b fe rv e 1t V a sapp ro v e d b
v W alc a
y
re n g h r 5 i t wa s r o er t o a llow u r e
fi
”

o en
p p p

der ed mor e e la
f t i c ex p elle d the bi li ou sh umou r
‘

k
Li b 5 . . Aph . 1 6 . Gl a en m Com m e nt d b ni t e a a t.

tu e nd .
pa ilim .

E n i i nfl m m a t y d il m p s whe n the c rifis

1
ve n a or
’
re er ,

w as pp ac h i g ;t h sft n f
a ro d d d m i rab l y w i th
n i a o e uc c ee e a

m t g i v th p at i nt n fp onf l f f ft ag e ab l e
e o e e e o e o u o o , r e ,

c rd i c w i n e t h h s f t h e b y t he fi e ng t h ou r or er r
a a
y e ver re e

w s ai f d w i th t ny t u m u l t a nd the h ofh le m atte r

a r e ou a ,

molt e afily e x p e ll e d .
 I l
w i th g r ea ter y f a c i li t
s
m
. Hipp oc ra te e v er y
p roc l ai m s t he pra ifesof w i ne , a nd
(

w h e re
G al e n h a se v e n fh e w e d u st h e w ay i n a b i
li ou s f e v e r, an d gi v e n e xc e ll e nt c a u t i on sf o r
it su fe . W i ne mu/l be ent i r ely f or bor n t i ll t he
difi emper be c onc oél ed bu t w hen t he c onc oél i on ,

ha sbeg u n one may g i v e w a ter w i t h a f ma ll

,

c
q u a nt i t
y o f w i ne , a nd w hen t he e
pp o i s d e

i be u ed m or e r e el A n d 1 11
.

c li ni n
g ,t m a
y f f y
f o m e p at i e n ts I d id n ot fi nd a ny m e d i c i ne
e q u a l t o a n ou n c e of S ra c u fe w i n e a nd
y ,

a lik e q u a nt i t y of f ri n w a t e r, w i t h h al f
p g
a n ou n c e of f r u of a c i d c h e rr i e s gi v en
y p
t h re e 01 f ou r t i m e s a d a a d ra u g h t
°

y
w h i c h f a r f rom i n c re a fi ng r at h e r m od e ,

r a te s t h e h e a t , c re a t e s a n a pp e t i t e , r a ife s

t h e fi re n g t h a n d fp ir it s ,
a fi i fi s c o n c o ét io n

a nd th e f e c re t i o n s
,
a nd w h i c h I h a v e f u c

s l
’

c ef f u lly u fe d , a nd w o u d p re fc rib e i n all

b ili o u s l an g u or s I nfi e a d of t h e f y r u p o f
.

c h e rr i e s , a n ot h e r or c i tr o n j u i c e m a b
y , y e

ad ded . A n oth e r d ri n k a l fo b e l ongs t o th e

d iet e t ic k b ra n c h , w h i c h I of te n ord e re d

Me d ic i n . R ati on . 34 5 .

3
De R ti a on . m e de nd . ad Gl c a u on. Lib I c
. . .
9 .

T V‘ P 5
37 7
 wh e n th e p ati e nt s w e re rec ov e r n i g , w th i a

i
v ew to fi b re s of th e ftom a oh
b ra c e t h e lax ,

an d at t h e fa m e t i m e e n t i re ly d e fi roy t h e
u t ri d re li c k s s
p i f t h e re w ere a n
y t h is w a , ,

f pirit o f fa l t w i t h ly ru p o f o rang e f kin

and fp ring w a te r, or th e fi m ple w ate r of
b l ac k c he rri e s .

W H E N t h e d if te m pe r w a sg one oh a nd
’ "
,

the i asf e e o f a ll f e b ril e f m t o ms

pa t e n t w r
y p
a nd c om p lain e d only of w e a kne fs a m ore ,

le h t i f u l d i e t w a sre q u i re d h i c h mu f t
’
p w ,

b e fu c h a sa ff ord s a f of t n u tr i m e n t (f or
t h e fi b res of t h e f t om a c h a nd i n t e fti n e s
’

W ou l d n ot b e a r a n h i n g p un g e e afil
y t nt
) y
e x tra ét e d n ot q u i c kly p u t re fc e n t
,
n or t oo ,

r ela x i ng W e ll f e d v e a l 1 oa fte d w a se x
.
°

t re m e ly f u ii a b le a lfo c a l f s t o ng u e a n d
’
’

T w e e t b re a d y ou n g l a m b c h i c k e n s ;o f t h e
-
, ,

fi fh k ind perc h y ou ng pik e t ro u t f a l

‘

, , ,

m on f a lm on t ro u t g ra yli n g a nd r i v e r
, , ,

c a rp ,in f u c h pl ac es a st h e y a re t o b e f o u nd ,

rov i d e d all o f t h e m a re n o t d re ffe d i n f u c h

p
a m a n n er a s t o d e ll roy t h e i r n a t u ra l q u a li
,

t i e s b y f a t or t oo l a rg e q u a n t i t i e s of a rfo
, ,

m a t ic k s O f th e v e ge ta b le t ri b e we u fe d
.

t h e root s of y ou ng fk irre t y e ll o w g o a t s
"

b e a rd ,
 1 63

b e a rd , f c orz onera, a nd fom e of t h e c arrot

ki nd ;l e av e s of f u c c ory forre l , l e ttu c e , a nd ,

fp in ag e ;o f t h e t w o l af t
’
I w ou l d h a v e i t
o b fe r v e d , t ha t t h e yl i g a re o ften t oo re a x n

a n d c o oli n g o r e l fe t h e y a re l on g r e t a i n e d
,

i n t h e f ro m a c h u nd ig e f t e d o r t h e y oc c afi on
’ ’
‘

a d i arr h e a w h i c h b r i ngs t h e m off u n c o n

c oét e d Afp a rag u s t h e l e a v e s a n d e v e n

°
.
,

th e t e nde r {ta lks of a rt i c h ok e s a re n ot t o

b e d e fpife d 5 b u t t h e b ot to m s a re t oo li ro ng
'

w e a k f t om a c h m u f r be
’ ’
f or a ; a nd c a re

k
t a en i n all c a fe s , t h at Wh a t is j u d ic iou fl y
ref c ri b e d b y t h e p h y fi c ian b e n ot re n d e red
p
h u rt f u l t o t h e p at i e nt b y t h e c ook P
Th e .

f u m m e r f ru i t s w h ofe e x pre lfe d j u i c e s w e re

,

f o g ood a m e d i c i ne i n t h is d ifte m p e r a f ,

f ord e d a v e ry f a lu t a ry n o u rifh m e nt i n t h e
rec o v e ry , p rov i d e d t he y w e re r ip e a nd ,

The a nt e n t i sto c orre ét t h e l i

ax a t v e q l i ty
ua of v e

g e t ab le ,s a dde d fto t h e m
a t a n d v ne a r
g l i .
5

P I w ou d q u o t e o n t h s
l oc c a fi o n t h e w o rd s
i of a m an

s o w h o m w e fh a ll fi nd f e w e q u a s l
i n t he f o rm e r o r f u c 5

W e ha v e, fay s h e , i nf oc ie ty t w o or d er so
’
c e e d i ng a g e .

f
m e n , phyfi c ia ns , a nd c oo/f r, one o w hic h la b ou r s
f i fl y
nc e a nt /

t o pr e er v e bur hea lt h, a nd t he ot her t o tle/ tr oy i t ;w i t h t hi s

j
a z l r e nc e , t ha t t he lafl a r e m u c h u r e r o
fi f a i ni n
’
’
f g g t he zr

p oi nt t ha n the
fij t l d e ro t
. E nDi
c
y c lo p : A r
.t
f fi
o a .

e a te n
 [ 1 04 ]
f or b y b ak i ng i s of
th e
'

e a te n raw 5 , v rtu e .

m oft o f th e m a re d e ftroy e d 5 t h e y ent i re l y

‘ ‘

1012 ? t h e i r a g ree ab l e a ro m at ic k fl a ou r a nd v
,

b y t h at m e an s t h e i r c ard i ac fi im u lating ,
“

a n t i fe t ic q u a li t y a nd b ec o m e l o a d i n g
p , ,

l a x i n g a n d fi at u le nt b e fide sp rod uc i ng t he
, ,

m ifc h ie f sf oll owi ng f ro m w h e at or wa rm t h

‘

A u th ors of g reat c h ara fi er b e ar tefti m ony

t o t h e c u re o f m an y f e v e re d ifte m p e rs e r
p
1

f orm ed b y th e u fe of ra w f ru i t s a nd l a m
'

a lf u re d of it b y m y o wn e x p e ri e n c e 5 b ut

t he re a re n o infi a n c e s of t h e i r fu c c e fs wh e n
b a ked . I k now feve ral p eopl e Wh o c annot
h e ar t he m in t h at w ay w it h wh om t he y,

ag re e v e ry w e ll r aw .

I a v oi d e d t h e u fe of m e at ab ou n d i n g
’

w it h b l ood (f or t h e m o re b l ood i t c on ta i ns
f o m u c h t h e m ore it n ou ri fh e s , a n d h as

t h e g re a te r t e nd e n c y t o p u t rif y ) fu t h a re
‘

a ll t h o fe wh i c h t he y
ll b l ac k ;e ggs a lfo
ca

w e re i m p rop e r 5 t h e c a k e s t oo b oth p re
"
are d b t h e p a ltry c oo k a nd a t h o m e
p y
w e re v e ry b a d 5 b y p le afi ng t h e b l un t e d a p
’

e ti te t h e y h av e a v e ry p e rn i c i ou s e ff e ct
p ,

u p on th e h ea l th p rodu c e m a ny d iforde rs
,

in th e fi om ac h , and ob f t i u ét ion
’
sin t he
b owe l s
,
 1 05

b owe ls ; f rom w h e nc e p roc e e d i nc u rab le

l ang u or3 5 n or a re c om m on c a k e s m u c h
b e tte r, a f ood fo a g re e ab l e t o m a n y p e o
e a nd e ltab lilh e d b y c u f tom , t h o u g h t h e y
’
p l
b e p re j u d i c i a l t o t h e fto m ac h , and wh i c h
e v e ry b od y o u g h t t o f orb e a r, w h o l a b o u rs

u nd e r a w e ak n e fs of t h a t org a n or l a x fi b re s
.

W h at pu rpofe c a n t h e c u fi om fe rv e to d ro wn
t h e j u i c e of fl e fh i n w a t e r, fp oil b re a d b y
t o a ll i n g i t , a n d f ub v e rt t h e c onc oct i v e
p o we r of t h e fi o m ac h , at a t i m e whe n i t
w a n t s t o b e r a ife d , b y t h at l a rg e d ofe of
h ot a nd e m olli e n t p u lfe . B u t e no u g h o f
t h is , i n n u m era b l e e rrors p re v a il i n t h e d i e t
b ot h of f ou n d a nd fi c k peopl e , t o e xpl od e
w h i c h , w ou l d b e a v ery u fe f u l u nd e rta k
‘

i ng , of fom e l e arne d p ra ct i t i oner of th e

rof e fl i on
p .

TH E u fe o f w i ne w a sa l w a ys atte nd e d
w i t h g re at fu c c e fs5 h ot d ri n ks w e re e v e r
h u rt f u l
. E x erc if e in th e c ou nt ry a ir fin ilh
e d t h e c u re .

W H I L E th e f a m ou s K loe k h of w i th h i s
u fu al j u d g m e nt a nd l e arn i ng , ra é t ife d a
’
p
m on g
 7
[ 1 06

m ong t h e peopl e of C u le m b ou rg , h e m e t
w i t h f e v e ral re la pfe s
, t h a t we re l on g an d
ted i ou s , and n o i
w a y d ff e re nt f rom t he fi rft
d i fe afe , exc e pt t h at t he y s
w e re Iof f e v e re "
.

W e h ad n ot th e f a m e m is f or tu ne 5 f o m e

i
t me s o u r d if te m pe r g re w ’
m il d e r, a nd
u i c k ly a f t e r ret u rne d w i t h g re at e r v i ol e n c e 5
q
b u t t h at h a s n o c on n e ct i on w i t h re la fe s
p ,

w h ic h w e re e x t re m e ly ra re w h e n t h e p a t i
'

a-f

e n t h a d b e g u nt o r e c ov e r n or d id t h e y l a f t
’
,

a b ov e t wo d a ys d u r i n g w h i c h t i m e h e w a s
,

reffe d w i t h a n au fe a h e ad a ch h e at
“

o
pp
-
, , ,

f e v e r an d d e b ili t y ;I n e v e r m e t wi t h t h e m
, ,

b u t a f t e r a n e rror i n t h e d i e t d e l a y o f ,

p u rgi ng a gi t at i on s of m i n d or u pon a
, ,

c h an g e o f w e a t h e r I n t h e fe c ond c a fe
.
,

d u ri n g t h e p a rox y f m c ly fte rsw e re o f u fe , . ,

a n d a sfoon a s t h e re m ifi i on f o ll o w e d a n ,

e v a c u a t i on b f ool w a s n e c e ff ar h
’
y t
y I n t e .

fi rft i f a fpo nt a n e ou sv o m 1t 1ng or p u rgi ng

, l

c a m e on a ll w a s
a
, w e ll 5 i f no t a c a t h a rt i c ,

d ra u g h t re m o v e d at on c e t h e c au fe a nd t h e
m a l a d y a nd I f e v e ra l t i m e s f a w t h e d if
‘

11
W hi h c hisw r t ng th at e e ant oo
oc c afio ne d ii l g b k
u o n re la fe s
p p , w h h a swe a sa ic
ll th e a u th or
’
8 wor s
, ll k
d e fe rv e s p
re e ate d re a d n i g .
 10
7
ord e r i i
t e rm nat e d w th o u t a n y e v a c u a t i on ,

on ly by th e c on c o ct o n o f t h e c ru d e i m at
t e r, w h c h t hei d i v i n e Hipp oc rat e s h a sa lfo c

t a k e n n ot i c e o f I o nc e f aw a n 5i n f u fi on
o f c a rd u u s b e n e d iét p rov e a m o lt fpe e dy
.

r e li e f t o a w o m a n w ho b e i ng b u t w e a k
,

t he n h ad e a t f or b re a k f a f c f o m e h ot r o ll
’
,

b u tt e re d , w h i c h w asf oll ow e d b y n a u fe a,
'

p ai n of t h e f t o m a c h , a n x i e ty , h e a d a c h,
’
-

a nd d e b ili t y , to fo v o e nti l a d e g re e , th at
t h o fe a b ou t h e r w e re f i d of t h e i ff u e 5
a ra

fc a rc e h a l f a n h ou r a f t er th e h a d v o m i t e d

c o iou ll {h e w a sv e ry w e ll 5 a c ly f te r
p y ,

a l on e w a s o f t e n fu fli c ie n t Th e t h i rd a n d .
1

f ou rt h c a fe h a rd ly req u i re d a ny a fi i fta n c e
f ro m m e d i c i n e A c lyfte r or d ra u g h t o f
.
,

b a u lm w a t e r w i t h t h e a n o d y n e m i n e r a l
,

liqu or of H off m an f re qu e nt ly re m ov e d ,

t h e t u m u l t s oc c a ho ne d b y t h e p a fli ons; t
o f
n e r t h e y c e a fe d o f t h e m fe lv e s T h e c a fe .

‘
.

w a sh a rd e r w i t h old m e n f or a t u m u l t ,
“
'
f ro m wh a t e v e r c a n fo is m ore p e rn i c i ou s t o
‘

t h e m , a nd I re m e m b e r a n old m a n, at that
t me i g e tt i ng
p f étly w e ll w
er e h o b y a v io ,

l e nt fi t o f p a fli on w a s t h ro w n i n t o a ft u or
p

P rorre tic or . L i b II . . 1 6 . F oe sp
. . 85 .
 8
10

ly o e étic sa pp e are d b y th e c on
'

l
'

t ru a
p p , a

c om i t ant p alfy of t h e l e f t fi d e f rom w h i c h ,

h e w asre f t ore d w i t h d iffi c u l ty a f te r fe v e ral

’

w e e ks . i n t h is c afe t h e f ore m e nt i one d -

d rau gh t w a s of g re at f e r v i c e ;n or w a s
'

an
y
t h i n g re q u ifite b u t c ly l t e rs or rat he r p e r
’
, ,

h a ps f u p pofi torie sa nd t h e m ild e ft l e n i e nt s

’

, ,

t h ht w e re a t t h e fa m e t i m e a g re e ab ly c ar
d i ac Th e u fe of w i ne re ftore d th e f t re ng th
’
.

i m p a i re d b y a re l a x at i on of th e fib re s ,

roc e e d i n g f ro m r a i n y w e a th e r a nd f ou t h
p
e rly w i n d s .

Cotgfeg u enc eso

f the D g eegfi .

A FT E R t he re m ov al of f e v er t h e re
the ,

f re q u ent ly re m a i n e d f om e m orb i d " re lic k s ,

i f t h e m e th od of c u re wa se i t h e r b e g u n
‘

t oo l at e , or b ad ly pu rf u e d , or t oo foon
l a i d a fid e Th e re lic k sof d if t e m pe rsa re
’ ’

a l wa ys o w i n g , e i t h e r t o t h e m orb i d m a t t e r

n ot b e i n g e v a c u a t e d , o r t o d e b ili t y b rou g ht

on b y t h e v i ol e nc e of t h e d if e afe Th e .

m orb i d m at te r b e i n g re t ai n e d , e it h e r ftag
n at e s i n t h e p a rt s o rigi n ally a ff e ct e d as ,

w h e n a n i n fl a m m at i on i sn ot re folv e d t he ,

art e i t h er fu p u rat e sa nd an a b fc e ls f ol
p p
l ows ,
 [ 1 09 ]
lows ,
or i t g ro w s f c h i rr o u s 5 or l e av i n g th e

pl ac e wh e re it wa sg e ne rate d , it is tra nfla

t e d t o a n oth e r, wh i c h is c all e d a m e t a ft a fi s .

T h u s I on c e fa w in the h o fp ital of S t
E l oy at Montp e li e r, a y ou ng rob u fl: fol
d i e r a ffi ié t e d w i t h a m olt v i ol e nt p a i n i n
’

h isl e f t a rm ;th e p a rt w a sh a1 d 1y f w e lle d

o r re d h e c ou l d n ot o fii b l m ov e i t, p re f
, p y
f u re g a v e h 1 m p a i n, and h e h a d a p re tty
b ri th f ev e r 5 t h e ph y fi c i an pre fc rib e d b le e d
i ng fe v eral t i m e s c ly fte rs
, , c o o li n g d ri n k ,

a nd e m o lli e n t c a t aplaf m s ; b u t t h e p a i n in

c re a fe d . A f te r t h re e da ys p e rh aps ab ou t
,

h a l f a n h ou r a f t e r th e d e p a rt u re o f th e
,

h fi c i an as I w as t ol d b
y t h e f u r e ons f
p y , g o

t h e h ofpita l it f u dd e n ly c e a fe s
, ;t h e y f u f
ea a a n re n e a n d a pply aro m a t ic k f o
p g g , 7
m e nt a t i on 3 5 i n fc a rc e h a l f a n h ou r , he
row s c ol d fh i v ers c o m pl a i n s of a p a i n
g , ,

in hish e ad is pre fe n t ly f e i z e d w i t h a d e
,

liriu m b e c o m e s l e th a rgi c a n d d i e s in l ofs

, ,

t h a n f ou r h o u rs . Ne x t d ay h isb od y w as
ope ned ,a n d fe v e ral m ore a s w e ll a s m y fe lf
,

o b ferv e d t h e e x t e rn a l m u fc le s o f t h e a rm

f e p ara te d f ro m t h e p e riofte u m of t h e h u
m e ru s , t h e i r a d ip ofe m e m b ra n e d iff o lv e d ,
a nd th e t rac e s of us f rm e rly c olle ét e d i n
p o

t h is
 1 10

s p art : the m u fc u lar fi bre sof th e e x:

thi
t e nfor l on g u s c u b i t i h a d l oft a ll c o nne étio n
‘

w it h one an ot h er . Th e v e nt ric l e s o f t h e
b ra i n c on ta i ne d m at ter w h i c h d rop (1 o u t
’

f rom t h e w h ol e b afe of t h e c ra n i u m T h i s
,

. .

is a v e r y u fe f u l h if t or owe v e r f o ig
’
y an,d h re n

t o o u r p re fe nt p u rpof e w ill be a c c e p t a b l e
,

t o e v e ry b od y .

J
SUCH met af t afe sh app e n of
’
c o u r fe m uch
m ore f re q u e nt ly fla m m a t ory t h a n in
in in , .

u t ri d g a fi ri c d ifte m e rs f or t h e m orb i d
p p
'

5
m a t t e r, a sfb on a si t is c on c octe d h as al

w a ys p re p a re d f or i t t h e lon g i nt ei t in al
’

c a n a l , f ro m w h ic h i t is fp on t a ne o u fl y e v a !

c u a t e d 5 th is is t h e re a fon , w h y i n a b ov e
.

3 0 0 p a t i e nts a n d u p w a rd s , I m e t w i t h on ly

o n e m e t a ft a fis A w o m a n o f a g o od c on
.

fl it ut ion a b ou t t w ent yfi v e y ea r s o f ag e ,
-

w ast a k en ill i n t he m o nt h of j u ly 1 7 5 5 ,
t h e e v a c u at i on s b y p u rgi ng w e 1 e n e g le éte d
’

i n t h e b e gi nn i ng a n d f ud or1 fic k sa d m in i
,

ft re d 5 t h u s t h e m orb i d m att e r b e i ng n e ith e r

c or re ct e d n or d ifc h arg e d , b u t a b for b e d by
t he lym p h at i c s or laét e a ls in f e ét e d t he
,

w h o l e m a fsof h u m ou rs an d w as,
t h e c a u fe

of m an y d iftn e fiés t o t h e at i e n t a n d m u c h
p ,

t rou b l e
 I
t rou b l e to m e 5 h o w e v e r t h e d if t e m pe r g re w
’

m il de r by t he i
c ont n u e d u e f of a c e fc e n t

e c c oprot ic k sa nd t h e p at i e nt
,
wa s nea r g e t ,

i g
t n we ll . B e i ng f e n fi b le f r om t h e c ru d t iy
of i
t he u r n e , t h e d e c e nc f b ili ou s f t ools
fi i ,
y o
’

t he l a ng u or
a nd w a nt of fl ee p t h at t h e ,

c ri fi s was i m pe rf e fi I ad v i fe d t h e c on ti n u
‘

a n c e o f t h e m e d i c i n e s , w h i c h fh e u t te r ly
-

r e f u fe d T h re e w e e ks a f t e r, on t h e d ay
.

th e w e n t fi rf t a b ro ad fh e w a sf e iz e d w i t h
’
,

a fh i v e r i n w h i c h w as f oll o w e d b a v ery
g y
.

p a i n f u l e ry fip e latou st u m ou r in t he l e f t leg .

H er l a ng u or w e n t off th e fl e p t , a nd ex c ept ,

t he /w elli ng h a d n o oth e1 c om pl a i nt 5 f h e
,

fp e n t f e v e ra l d a ys t re at i ng t h e t u m o u r in
a w ro ng m e t h o d ;a t l aft I w asa g a i n f ont
f or , f ou n d t h a t b y t h e
a nd appli c a t i o n o f

o ily t hings t h e f w e lli ng h a d b ee n m i fm a n a

and w as a ct u a lly f u
‘

ed u ra t e d : a fl u c
g , pp
t u a t ion u p o n t h e t i b i a w a sp e rc e p t ib le t o .

t h e to u c h t h e t u m ou r is op e n e d b y a l a n i

c e t, a n d a t h i n y e l lo w p u ru l e n t m a t te r is .

d ifc h a rg e d t h e re re m a i n e d
, f o r f e v e ral
m on t h s a t e d i ou s u l c e r w h i c h w a son ly
‘

fu b d u e d b y i nt e rn a l alt e ra t i v e s I s
. n ot t h i s . ( .

h if t o ry c o n f or m a b l e t o t h e d of trin e o f Hip
’

o c ra te s f or t h u s t h e v e n e ra b l e o ld m a n
?
p
h as
h asob ferv e d, I n fi teh w ho zem ne i st hi n
’ ”
'
'

fl ’

a nd c r u de fi t
; a lon t z me t o ether a nd t he
'

g g ,
,

helow the di aphr ag m 5 a nd pe rh aps a n a t ‘

t e nt i on to t h e c a fe o f P y th i on a m on g oth e rs
g av e ri fe t o th is a
p h orif m , w ho
fi u r i ne e v en

f or med nea r the a nu s

I

Relz ohs r om oh
h i n the home/s
'

f r a étz om .

H I P P O C R A II ‘
ES h asob ferv e d ab ov e t wo

t he had m a nag ement of t hem hi le, or phleg m , ,

or hot h fl ag na t ea a hont the [ l

’
p een I n e v e r
y
a g e t h e f a m e ob fe r v a t io n h a s b e e n re pe ate d ,
a nd P ri m e rofe fa ys t ha t oh a te oh tr néti ons
fl i n
f ,

P f ae not 7
. 8 No
F o e sp
.
4 0 C o ac
.
p rae no t 8
5 2.. . . . .

Foe s 2 1 3 d e j u dic at oes p F

‘

. .
54 . . . .

He lab ou re d u nde r a n a u te f e v e r hf th e ili ou s c b

_

b
k i nd, a nd v e ry l i ttl e il e h ad e e n d ifc h arg e d b y ftool, b
wh i h wasou r p at i e nt safe a l fo Epide m IIl
c c
’
I . . . .

I F oe s 105
3
ae r
g . . . .

De Aff ef tioni c ap. x x i. Foes5 2 1 . .

 [ 1 1
3 ]
a re to he hared hy la x a ti v es Gia ne ll a r ec~

k onc d ob ftr uét ion sa m ong f t th e c on fe qu e n ’

ce sof f e v er s a nd w ha t is m ore to ou r

p p ur ofh u pon a c c o u nt of th e fi m ila ri ty o f

t he d ift e rnpe rs, W a lc a re n g h i had r ec ou rf e

t o di lu ent a nd r e olv ent medi c i nes r e a r ed

f .
p p
r om g r a i a nd a nd mi ner a l wa t er s
f j fi t c c or
y , ,

t ha t he mig ht pr e v ent oh u eti onshoi n

fi g 0 1 ?
‘
r

i n the v efi ls‘
o t he li v er
f jp leen, a nd ru /ea t e r ,
e y ,

hy t he c or r upt ed a nd t enac i ou shile

(

Th e 2
.

f a mo u s P ri ngl e t re at s fe pa ra t e ly of th e re
‘

li c ks of t he b iliou s f e er in th e c a m p a nd v ,

re c i t e s t w o c a fe s a n a fc it e sa n d t y m p a ni t i s
, ,

b ot h of t h e m ar i fing f rom o b f ru t f t io n s
i
'

W i t h re fpe ét to o u r p a t i e nt s I w asc on ,

f u lte d b y m a n y , o f t he p oore r fo rt e fpe c i

a lly , i n w h o m I f ou nd t h e li v e r e n l a r e d
.

g
a nd i ndu ra te d a n d t h e o t he r b ow e ls n o t
,

q u ite fo u nd 5 t h e i r ftre ng th w a si m p ai re d ,
t h e fk in y e ll o w ,
’
t h e f co m a c h l a ng u i fh i ng ,

a nd t h e re w a sa n a l m of t c onft an t f u ll e n
’

Dc fe b rib Li b II . c ap . ix . p . 1 6
7. Co m p a re

F e rnc l, H e re d a ,i M e rc a t u , sS e nne rt u sLa nc ifi , , a nd fe o

v e ra l o th e r s .

7 D e S uc c e lho nc Mo rbo ru m , Lib II . . ca

p 4
. . p .

77 .

2
Mc d ic in R at i ona l C a p xx i
. . . . F oe s5 2 1
. .

f Di fe afesof t h e army &c P , . .

3.
-c ha
p . iv . 6 .

anx e t i y .
 mi 1
i
a nx e t y . As f ar asI
l d l e arn f rom the c ou

a c c ou n t so f t h e p at i e nts t h is h app e ne d ,

f ro m t h e fe c a u fe s 1 I f c at h a rt i c s w e re
‘

. .

gi v e n in th e firft fpe c ie sb u t th e c on c oc ti on ,
‘

b y m e an s of d ig e ft iv e s n e g le ét e d
.
as a lfo a ,

v o mi t wh i c h b y t h e o b fer v a t io n of t h e f a
,
“

m ou s G ra in g e r c e rt a i nly p re v e n ts ob ft ru c
‘

t i on s fo f re q u e nt i n a n a u t u m n a l e pi d e
'

m ic k
3
Th e i r p rod u f tion w a sp arti c u l ar
.

ly fa v ou re d b y giv i ng i m m e d i at e ly a f te r th e
fi rft p u rgi ng c ard i a c s o r ft re ngth e n ers
, ,

w h i c h ftro ng ly i m paé t e d t h e c r u d e m atte r

‘

i n t he b ow e ls p a f t ic u larly t he li v e r w h i c h
,
'

was a l wa ys t h e p ri n c ip al fe at of t he d if t e m

t r u é t i on s e re f or m e d in t h e
’
p
.
er . 2 O b f . w
f e c ond a n d t h i rd fpe ci e s if t h e m o re fl u i d ,

p art of t h e m orb i d m a t te r w asd ifc h arg e d

.

b y r e p eat e d c a t h a rt i c s a nd t h at W i th t oo ,

e a t p re c ipi t a t i on o r w i t h o u t c op i o u s d i
i

g r ,

l u t ion w h il e t h e g rolte r p a rt 1 e m a in e d fi x e d
,

i n t h e m o1 e 1 e m ote b ow e ls L a fi ly t h e y .
,

f o ll o w e d t h e f e v e r i f i t wa st oo fo on f t opt
’
,

b y t h e u fe o f a ftri ng e n t st h e P e u v 1a n b ark , i

a n d n a 1 c ot i c k s w h i c h h a pp e n e d t o t h re e

w om e n i n t h e f a m e h o u fe f ro m t a ki ng an ,

3
Hifto r f e . b r. Anom al . p .
74 .

e le ét u a ry
 [ 1 1 5 ]
c le é t u ary
’
o f c on fer v e of rofe s b ark
, , an d
Ve n i c e t re a c l e . I fh all n ot now gi v e a de
il f t h e fy m pt om so f ob f t ru f tionsi n t he
’
ta o

v i f c e ra o r t h e i r m e t h o d o f c u r e
,
f or the y ,

a re a rt i c l e s v e ry w e ll e x pl a i n e d i n a u t hors of

t he é t e r ;I w ou l d only t ak e
’
b e lt c h ara no

ti c e o f fo m e t hi ng m ore p a rt i c u l arly t o ou r

re fe n t f
p u
p pr o e .

B rr rou st u m ou rs ho w e v er ha rd, a re m ore

e a li l
y c u re d t h an a f c h irr u sf ro m ly m p h
c oa g u l at e d i nd u rate d b y i nfl a m m at i on 5
a nd

f or t he re are m o 1 e folv e nt sf o1 b il e th a n ,

ly m p h or adipofe c onc re t ion s ;wh e n t h e

,

b il e h a sa c q u i re d e v e n a li ony h ard ne fs ,

t h e r e 1 3 f till f o m e h op e f 1 o m re folv e nt s a s ,

d aily ob fe r v a tion sc onc e rni n g hil a ry ftone s

t e f t i fy o n t h e c on t ra ry a t r u e f c h i rr u st h e
’
, ,

off sp ri ng of i n fl a m m a t i on or a fte a t o m ,

a re h a rd ly e v r d iffol e d
e T h is is t he re a
v

f o n w h y w e fi n d m a n y t u m o u rs
, of t h e li v e r

e r f e f tl c u re d a nd b u t v e ry f e w f c h i rri i n
p y ,

o t h e r p a rt s a n d b ili ou s t u m ou rs a re o f t e n
:

m o re f or m i d ab l e b y t h e c orru p t i on o f t he
b il e w h i c h ftro ng ly c orro d e se v e r y t h i n g
, ,

t h a n b y t h e i r h a d n e fs H e nc e i n pr a ét ic e
1 .
,

we m u l t b e c are f u l to ad m ini f t e r a c c ord

’ ’
,

I 2 i ng
 1 1 6
ing t o th e great e r or le fsd eg re e of ac r i
m ony i n t h e ob f t ru f ting i s
’
h u mo u r,
'

re m e d e

Th u s I me t
'

m ore i l
v o e nt or m il d e r . w h en
w it h bf tru é t ion sf rom
’ ’
th e h ri c’
c au f e I
‘ '

o ,

b ol d ly pre fc ri b ed pills of g a l b anu m , m y rrh ,

e xt ra ét o f t h e re a te r c e l a n d i n e , a n d Ve
g
i fo ap ;or u p on oc c afl on t h a t of S t ark e y
n ce ,

giv i ng a f t e r t he m fom e fu c h d rau ght as ,

t h a t m e n t i one d i n t h e h rf t fe étion a l fo
’
,

f rif tion o f t h e rig h t h y poc h o nd re o r ev e n ,

t h e w h ol e a bd om e n a nd I now a nd t h e n
,

i n t e rp ofe d g e n t l e l ax at iv e s if t h e fy m ptom s
‘

i nd i c ate d t h e re folu t ion of t he m orb i d mat

t e r i n p a rt . B u t wh e n w e a re f e n fib le t h at
t h ere is a g re a t d e g re e of ac r i m on y i h ,

fp iffat e d a t ra b ile c a l c u li al re ad y i n d u rate d

, ,

f p a fm sa n d p a i ns t h e n w e m u l t a é t in a
’ ’
,

f ar m il d e r w ay : l ayi ng a fid e t h e g u m s ,

a n t i fc o rb u t ic k s, alc ale fc e n t fo apsa n d the

m ore p u nge nt f a lt s
,
w e m u tt h a v e re c ou rfe

t o a c e fc e n t f ap on a c e ou sv e g e t a b l e s Th e .

b e lt re m e d i e s i n f u t h a c afe a re t h e re c e n t
e x reffe d j u i c e s o f f u c c ory , d a n d e li on , f u l
p
m i t o ry , fo w t h iftle , g ro un d fe l, a nd g ra fs 5
a nd t h e i r l e a v e s a l fo re d u c e d t o a p u lp w i t h
,

an y a c i d f y r u p 5 m ilk w h e y -
a nd b u t te r
m ilk , a f tr ong d e c oétion of qu ic k ra f s
’
g ,

a nd
 - H 7 ]
a nd ab ov e a ll t h at ex ce ll e nt m e d i c i ne o f
Hipp oc ra te s fi m ple hy drom e l t h a n w h i c h
, ,

t h e re is n ot h i ng b e t te r i n d i ford e rso f t h is

k i nd 5 w h i c h w asb u ri e d in o b li v i on b y t h e
v a i n b o aftsa nd av a ri c e b f c h y m if t s b u t
’
,

r e fl o re d ag a i n t o u fe i n ou r o w n a g e

S om e y e ars ag o I at te nd e d a p a ti e n t of a n
a t ra b ilar h ab i t w h o h a d a h a rd t u m o u r
y ,

I d on k now b y w h at u n
’
t lu y fate th e m i fcak e ck ’

c c i
o n e rn n
g t h e u fe o f h on e
y c re t nt o h
p y f p i
i c k, to

i
w h c h e v en m e n o f c h a raéte r i n t h e pro f e fli o n h av e g v e n i
t h e r fa nf t io n ;t o w it , t h a t h o ne y is
i of a b ou s n a t u re , ili
a nd t he re fo re h u rt f u i n b ila ry d iford e rs
l ; oc ra t e s , H ipp
i nftru él e d b y a u rate o b fe rv a t io ns cc , w as o f a d ff e re nt i
pi in o n, and e v e r w h e re p re fc rib e sh o n e i n b ou s ili
O
y y
d ifl e m pe rs , (v de a mon i ot he r ac e s
g oe s pl F p
, , 54 7, .

55 8 , 5 6 0 , 5 75, 6 3 6 ,
a n d f o w e re e a n d e r ,
Al x
( L i b . v i i . x c v i
.
) e rn e u s
. F, ( li p i ll B oe. r h a v . .

( C h e m . rop c T. H 1 02 . A p
.p h o r. 8 : C o
. m m e n t ) . .

I w o u d re c o m m e nd a rt c u ar y , w h a t h isf a t hf u p u
l p i l l i l
‘

pil De Ha e n h a sw ro t e , de z m ed d e lu t d
p g p 49 a n . . .

ic
w h h e v e ry ph y fic i a n o u g h t t o re m e m be r o ne
y i s . H
t h e m o fl: m d u e of
j il ic
a n ts ; pl
a f o f t ac e fc e n t fo a , d e
p
fi ru é t iv e o f a ll pu tre faét io n , re fo lv ing b o u si nfl a m m a
’
ili
t o ry a nd v ifc o u s o n re t i o ns c c, a n d r e
j u d c a t o n o ne b u t p i i l
we a k p pl eo e , t ro u b e d W i t h a n a c i dl nfl a m m a t o r
y d i
. f I
c a fe s , a n d b ou s
ili
,
b o t h a u t e a n d h c
ro n c , a re c u r c
ed b
y i
l
h o ne y a nd w a te r a o ne ;a nd w th a n a d d i t o n o f a ro i i
m a tic lc d i u re t i c k si t re m ov esd ffi c u ty o f b re a t h ng i n i l i
o ld m e n ix i
m e d w th c h aly b e a t a ro m a t d e c oa i o nsi t ic
w ill p e rf o rm , i n c h ro n d i fe a fe s , ic re a a t o n , a n d o h l x i
ftru él ion s , wh a t y ou w o u d n e v e r ob t a n f ro m o t h e r l i
m e d ne s ici .
 [ 1 1 8 ]
i n h isli v e r ,
i l
v o e nt g rip e s y e ll o w c olou r
, ,

w a nt fl ee p a n d
of d e b i li t y a n d d iftre ffe d
w i t h fo o bf t i n a te a c o f t iv e ne fs t h at h e
’ ’
,

w o u l d o f t e n b e t we n ty d a ys w it h ou t a
ftoo l, a nd it m ig h t j u ftly b e appli e d to h im
g

w h a t w as fa i d t o Fu ri ns .

C u lu s
-
t i b i p u rior fa lillo e ft
Ne e t oto d e c ie sc ac a s i n a n n o :
At q u e i d d u ri u s e ft f a b a e t lapillis ,

m
( o d fi t u m a nib u stera s f ric e fq u e
Non u n qu a m d ig itu m i nq u ina re pofli s '

I h i m to t ak e e v e ry t wo h ou rs
a d v ife d

t h ro u g h t h e d ay t h re e d ra c h m s of a n e l e c
,

t u a ry c on fi fting o f t h e t e nd e r l e a v e s of
roun d fe l a nd d an d e li o n , p u lp of c afl i a ,
g
m a n n a , a n d f y ru p o f ra fb e rrie s
“

; d ah
a n

f t ai n ing f ro m a ll a n i m a l f o od t o li v e e n
’

t ire l u p on g re e n s a n d f ru i t s : a n d t o d ri nk
y
w a ter w th i a f mall q u a nt i t y o f h o ne y in i t .

Fo r t he fp ac e of t hre e m on t h s he i e
g u larl
y
o b fe r v e d t h is c ou rf e , w a s p e i f e é t ly
’
a nd

l e ft o re d to h e al t h , a f te r h a v ing l oft a ll

h op e s of a c u i c f o r t wo y e ars . H e h ard ly

j C a tu ll us C
, i
arm n. 2 0.
 [ 1 1 9 ]
rec e v e d i y b e ne fi t t h e fi rfl: m ont h
an a nd ,

t h e n h is g rip e s an d a n x i e t y b e i ng m u c h in
c re a fe d , I p re fc rib e d h im m ilk w h e y t o -

d ri n k y pl e n t i f u lly i c h p roc u re d
'

ver , wh the

i i ft u fi
’

e v a c u at on of m o lt a b o m n a b le 1e
p ,

f e n t ly a f t e 1 the a pp e a ra nc e s we1 e ag re e a b ly

c han ged ,
a nd h isfpi rit sw e re ra ife d b y t h e
d aily f u c c e fs .

I h av e o f te n ob fe r v e d t h at f t im u lat i ng
or p u rgin g i c i ne sre nd e r m a n y oh
m ed
f t r tl ét ion si rre folu b le w h i c h w ou l d h av e ,

b e e n t ot a lly re m o e d b y a m il d e r m e th odv .

Th e re is a fpe c ie so f ob ftru étion f ro m re

l ax a t i o n a nd ft ag n at ing j u i c s n ot y e t c on e

c re t e d w h i c h m a y b e rem o e d b y b ra c i n g
,
v

m e d i c i n e s b u t t h e re a re m a n y m o re w h i c h
,

a re i n c re a fe d b gi i n g f t re n t h n e rst oo
y g v

f oo n W h e re t he re I S a d ry n e fso f t h e
.

fk i h o r t h e p ati e n t i se m a c i a te d o r old
, ,

t h e u ng u a rd e d u fe o f t h e g u m s a l o e sf t e e l , , ,

a nd f i ri ts ne v e r o p e n e d o n e o b ft r u ét e d v e l
p
fe l b u t h a s‘of te n b ro u gh t o n a n a t rop h y
,

a nd p al ly .

IN th e fe c ond c a fe , I f re q u e n tly m ad e
u fe of t he in fpifl at e d j u ic e o f d a n d e li on
I 4 . w thi
 [ 1 20
]
wi th c re am i tri ol ate d t artar
o f t a rt a r, v ,

an d a d e co ét io n o f g ra f s f we e te n e d w it h
i

h one y .I n b ot h c a fe s t he pr op e r t i m e f or
b rac i ng m e d i c i ne s is w h en th e ob ft ru é rion
’
,

is re m ov e d ;a nd t hou g h th e u nfe afonab lé ‘

u fe o f t h e m is h u rt f u l e t a t o tal n e lef t
y g ,

1s o f te n d a ng e ro u s E v e ry part w h ere t he re
.

ha sb e e n a n o b ft ru étion r e m a i ns w e a k a nd
‘

re l a x e d a f t e r t h e ob fi ru ét ing m a t te r is d i f
,

fi p a te d ;a n d u nle fsit b e ft 1 e ng t h e n e d t he
d ift e m pe r e a fily re t u rn s W e h a v e d a il y
d

o port u m u e so f f e e i n g p a t i e nt s , wh o a re
p
f re e d f ro m ob ft ru é t ion sb y t h e u fe o f re
’

f olv e n ts a n d fo m e m o nth s a f te r are fe iz e d

,

a g a i n, a n d f o m e t 1m e sc u re d b t h e lik e
y
m e a n s t ill a t l af t t h e d ife afe d p ar t is (0 i r
,

1 e p a 1 a b ly t a i n t e d a st o e x c l u d e a ll m e a n s

o f re li e f I h a v e h a d fe v e 1 a l d ropfi c a l pa
.

ri e n t s w h o c on fi rm e d m e i n t h is , t h e y h ad
e a fil c u re d t h e fi rf t a t t a c ks of th e d ife afe
y
b y d ri n ki ng fom e l a x a ti v e d e c oé tion b u t
’
,

a f t e 1 w a rd s t h e re l ax a ti on b e m m uch
g
c 1 e a fe d it w as1 m p olf b le t o re ft ore t h e m ;
,

w h e n t he y m ig ht h a v e p re v e nte d a ll re

d
I onl y i nt nd h n ob fl r ué ion from i nfa ct i on
e e re a
’
c r :

i n the c i ty f the efie ls

av o v .
 [ 1 21
]
lapfe s , if af t e r t h e re m ov a l o f
t ac k , t he y h ad p roc e e d e d t o
f tre ng th e ne rs .

TH E die t w a sl e a n m e at an d p ri nc ip ally
‘

ve ge t ab l e s ;t he d ri n k w h i te w i ne a nd w a
te r ;t h e y a v o i d e d h ot a q u e ou s liq u ors e f ,

e c i ally t e a a n d c off e e ; a n d c h o c ol a t e
p , ,

w h i c h b e i ng a f at a ro m at i c k f ood c a n b y
'

n o m ea n s b e g oo d R i d i n g on h orfe b a c k
.

w a s e ry fe rv ic e ab le b u t w a sn ot W i t h i n
v ,

t he re a c h of t h e po ore r f ort .

W H E N t h e c u re w asu n d e rt ak e n 1n
p r
o
p er i
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.

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all h is a flio n s a nd b e e n o re ft w i t h c are s
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,

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y
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a n e wdi fte m e r i n f ri n 6 ; i t b g
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i ,

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.

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th e
c ou gh by l e n i e nt s , fl e e p b y
the w a nt of

n a rc o t i c k s a nd th e f e v e r b P e ru v i a n b a rk
, y .

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fi te d h im on t h e t wen t i e th d ay o f t he d if
e a fe . Th e f e v e r h a d i
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p u lf e w as(t ill qu i ck ,
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’
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w e a k e n e d b y t h e q u a rt an ag u e f o rm e rly ,

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y ,

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.

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,

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e v e ry w a : b e i n g c alle d t o h i m i n th e m id
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dle o f J an u ary 1 7 5 7 I f o u n d h i m t e r ,

m e nt e d w i t h a c onfi ant c o u g h e fp e c i a lly

'

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,

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u p o n a c c o u n t o f t he t h re a t e ni ng f u ff oc a

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a ll j
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y m 1 h t h a v e be e n
g l ong er if ,

a fte r t he fi rft b ili o u s f e v e r th e p rop e r re m e

d i e s h ad b e e n a d m inif re re d i f the i h ’
a nd

fl a m m a t ion of t h e li v e r l a ft y e ar h ad be en
'

d ifc ov e re d a nd rig ht ly m a nag e d ;if h e h ad

f ollo w e d t h e d i re ct i on s gi v e n a t th at t i m e ;
a n d la f t ly , if h e h a d n ot t ak e n t h e fo ap
’

pills w hi c h are to b e a v oi ded wh e ne v er t he

,

h u m o u r s a re p u t t id .

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i

re a te
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relic k s
.

m e l anc h oly c a fe f rom t he of b ili ou s

 I 2
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f ev e rs negl e ct e d At C h rifi m as1 7 5 1 m y
.
,

a dv i c e w asd e li re d h y t he re l a t i on s o f a n
'

u n m a rri e d wo m a n a b o v e fi f t y y e ar s old .

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v e ra l t i m e s a ffl if te d w i t h a b ili o u s f e e r v ,

w h i c h w a sa l w a ys a c c o m p a n i e d w i t h a d e
li riu m Th e lafl a b ou t t h re e y e ars b e f ore
.
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le n h ad b rou g h t o n a w e a k ne f sof fi g h t
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,

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,

f rig ht c h a nge d i nto a v i ol e n t d e li ri u m {h e ,

wa s t or m e nt e d w i th t h e m of t d re ad f u l i m a
in a ti on s {h e w a s f u f ic i ou so f h e r re l a
g p
t i on s a nd fe rv an t s ;a nd wh en fh e w asa
w ak e , f a nci e d h e rfe lf t o b e d ea d
of t e n .

H er pu lfe w a squ i c k , fof t , a nd t he a n x ie t y

c on ft a nt ;th e h a d n o fl ee p W h e n I c on .

fi de red ev e ry t h i n g at t e n t i v e ly , I f o o n d i f
c ov e re d t h e c a u fe T h e h e pa t ic k v e fl e l s
'

.
oh

ftr u éte d b y p re c e e d i n g d iford e rs ,

t h e b ra i n

w e a k e ne d b y f e b ril e d elir i u m s , a n d a t pre

fe n t i rri t at e d b oth fy mpt o m a t ic ally b y t h e
d ife afe i n t h e h ypo c h o n d re s ,
a nd p r i
m a rily a l fo by the b ile m ixe d 1n t he

b l o od .
 [ 1 26
]
b l ood Th e k now l e d ge of t h e c au fe om t-o t
'

p
e d ou t th e m e t h od of c u re . Th e co ll e e
i
t o n of i rri ta t i n g b il e w asto b e
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’
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p e ne d ;a nd th e w hol e v a fc u lar
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v ou s f fi em
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.

ob lig e d t o c onfe n t a t t h e c a rne ll re u e f t of

’
q
[

t h ofe a b ou t h e r t o v e n e fe ét i on w h i c h {h e ,

i m pe t u onfly i n fifi e d o n a nd at t h e f a m e ,

t i m e r e f u fe d e v e ry t h i n g e l fe ;li tt l e b l ood

w ast a k e n aw a y ;i t n e i t h e r d id t h e l e ali
g ood , n or m u c h h a rm An ag re e a b l e d i .

l u t i ng a c e fc e n t d ri n k re m ov e d h er t h irft f or
;
t w o d a ys a n e m e t i c l a xa t i v e d ra u g h t d i f

c h arg e d a g re a t q u a n t i t y of b iliou s
'
'

m at t e r
‘

a nd b y t h e pl e n t i f u l u fe o f pills f rom a c e f

c e n t fo a ps t h e d e c oétio n of g ra fs a nd t h e
‘
'

, ,

j u i c e of g rou n d fel w h i c h wa st hen f ortu ,

n ate ly t o b e h a d g re e n th e re c ov e re d h e r ,

h e a l t h v e ry w e ll b u t l a i d afi d e h e r m e d i
‘

c i ne s foo ne r t h an w a sfi t Ne x t f u m m e r ‘

fh e d ran k t h e w aters of t h e v illag e of Va ls i

e
In t we nty de li ir um s(i w ou d l ex c pt
e a nat u ra l
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oc ot h a c
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o nd ri a w h c h i st o b e w ei r e m e m b re d , that w e ll .

m ay n or h u rt at e nt swho a re w th fo mu h d ffi u ty
‘
p i i c ,
i c l
a nd (0 ra re y re e v e dl li .
 [ 1 2
7 ]
i n t h e Viv a rois f f l d ys i n f m a ll
’

,
o r e v e r a a

q u a nt iti e s ;th e y e ar f oll ow i n g , 1 7 5 3, i n th e

f pri ng , {h e h a d a fe c o n d a t t a c k b u t n o t f o ,

i l
v o e nt a st h e fi rft, w h i c h yi e l d e d t o a c e f
l
c e n t a x at v e i s . A ph y fic ia n b e i n g c on fu lte d
at a d ift an c e , a d v i fe d t h e w arm b a t h f or
t w e nt y d a ys , a n d ord e re d her to d ri n k fix
pi nt s f m ilk w h e y e v e ry d a y , w i th a p o w
o -

d e r c o m p ou n d e d o f n i t re c re a m of t art ar, ,

a nd fu g a r W h at a d v a n t a g e c o u l d b e e x
.

e tfte d f ro m t h e w a rm b a t h i n t h i s c a fe
'

p .

I n a fb ort t i m e it b r i ngs o n a v i ol e n t p a
f m T h e f u r e on t a n u p on h i m
r ox
y .
g ki g ,

t o p re fc rib e , op e n e d a v ei n w h i c h c h a ng e d
.

t h e c irc u m ftan c e s m u c h f or th e w orfe Th e .

ob ftru ét ion s p re v a l e n c e of t h e b il e
, w e ak ,

n e fs a nd i rr i t a b ili t y w e re i n c re a fe d
, Th e .

p at i e nt u n k n ow n t o e v e ry b o d y e n d e av o u r
e d t o p roc u re fl e e p b n a rc ot ic k s ; t h
y e c on

f e q u e n c esof w h i c h w e re e r y m ifc hie vo u s v

t h e re l a x a t i o n w a sh e ig h t e n d t h e c a u fe
.

e ,

o f t h e d ifte m pe r m ore fi rm ly ro ot e d a nd ,

a l l t h e f ec re t i on sfi op d t h e b ra i n e nt i re ly
’

d e b ili t a t e d a nd t h e m e l a n c h oly g re a tly a u g

,

m e n t e d ;lh e re c i e d fo m e re li e f f ro m a n
,
e v

e le él u a 1
'

y o f c re a m o f t a rt a r a n d e x t r a ct o f
d a nd e li on , w i t h a d ec o ét ion o f g ra fs in ,

wh i c h
 1 28

wh i ch a fmall q u ant i ty of b l ac k h elleb ore

w asbo ile d , an d a litt l e c itron j u ic e
-
“
.
B ut

s
h er f u lle nnef in c re a fi ng , a nd all th e rem e -
l

d i e s b ei n g t h row n a fid e , t he paroxyf msbe

c a me m ore f re q u e nt Du ri ng fix month s
’
.

e ve r y y e a r {h e w asd e liri o u sand f or ot he r ,

fi x w a sn ot a l tog e t he r fe nfi b le ;th e viole nc b

o f t h e d e li ri u m w as on c e a pp e aled b t h e c o l d
y
b a t h t,h e f re q u e n t u fe of w h i c h I h ad t e

c om m e nd e d . At lafi , f ro m t h e i ne le menc y
of t h e w e at h e r, {h e c at c h e d e ri n
p a
p eu

m on y b y fi t t i n g on t he c old g rou nd , a nd as
f a r a sI c o u l d l e a rn w a sc arrie d O E i n a
f e w d ays S he w as e xt re mel y fo nd of
'

e mu lfion s , a n d {h e n e v e r t oo k t he m w i t h
o u t f u ff e r ing f or i t n e xt d ay , f or t he f tm
’ ‘

m ac h , be i n g d iftre lfe d a ff e c te d a lfo t he ,

b ra i n Le t t h ofe le arn t h e i r m iftak e wh o

.
,

i m ag ine b le e d i n g a nd all ki nd of c ooli ng

”

m e d i c i ne s t o b e i nd i c at e d b y a de li ri u m ;
Hippoc rat e s w a sn ot of t h e i r opi nion wh o ,

h as ob fe rv e d a nd a c c u rat e ly d e fc ri b e d a d i f

t e m p e r v e ry li k e t h is , w h i c h h e d i re c t s t o

b e c u re d b y b l ac k h e ll e b ore , w a ter, h one y ,

a nd v ne i g ar f
.

f H e c ll sit
a a g j
ra i
M
d em
p f
er r ambile, t ube): t be bil;
a wsto dy e li v er , a nd
fi g si n tbe bea d De Inte rn
fl a na te . .

a ff e ct
. C ap . LI . Foe s p 5 5 8
. . .
 { 12
9 }
SO ME pl e s I h a v e ob f d of a dif
'

e x am e rve a

pp e ara nc e in ob f t ru c t on i so f
'
’
f e re n t a t he

l i v e r ; on e c a fe I fb all i
re c t e . A b u lky
w om a n , fi xty y e a1 s g o f a e, in th e y e a r

1
75 5 , b e i ng fe iz e d w i th t h e pi de m i c f e e r
e v

a nd c u 1 e d by af u rg eon , n e v e r p e rf e c t ly re

c ov e re d her h e al t h , b u t w as a l w a ys w e a k ,

h e av y , of t e n fb ort b re ath d , a nd
’
an d - at

oth e r i
t me s l
l o at h i ng of v ie
t ro u b e d w t h a i
t u als Fro m t h e m on t h o f J u n e fh e w a s
.

m o re fev e 1 e ly d if t re ffe d b y t h e f ore g oi ng

’

f y m pt o m s ; a n d a {h a rp b ili o u s p u rgi n g
c am e on w h i c h o f t e n re t u rn e d ;h e r b el ly

f re q u e n t ly f w e llsasif (h e h ad a t y m p a n i t i s
~
,

a n d a lm of r c on fta n t ly gi v e s h e r p a i n fo
’ -

t h at {h e t he le a f t t ig h t n e fsof
’
c a n n ot b e ar
h e r c loat h s
;h e r a pp et it e is e nt r e i ly gone ;
a nd {he n a u fe at e sm e a t pa rt ic u la 1 ly {h e IS

o fte n th ir f t y fle e p sVe ry li t t l e ;t h e gio n

’
, re

o f t he li v e 1 IS f vve lle d ;h e r u r ne i f m a ll in

q u a n t i ty a n d t u 1 b id . W h at th en is the
c a u fe f t e d ifte
h b ili ou s
’
o m er ? o b l tr u c
p a

t i on l e f t 1 11 the y e arsa g o ;a n d
li v e 1 t wo

n o w t h e m o rb i d m a t t e r b e i ng c olliq u a t e d ,

u t ri fie d a n d f e t i n m ot i on c c a fio n sa ll
p , o ,

t h e f o re g oi ng f m t o m sa n d w i ll p ro b ab ly
y p ,

p rod u c e m ore d re adf u l ftill ;f o r t he liv er

K
 ll 30

w il l tot ally pu trif y ;a n d t here w ill f ollo w

a n h e at i c k c onfu m pt ion, a t y m p a ni ti s
p ,

i s j a u nd i c e and d e ath u nle fsth e

af e t e ,
'

v i o le nc e of th e difi e m pe r c a n b e re fi raine d

b y re m ed i e s w h ic h I d ou b t; I t h u s d ire ct
,

e d t h e m et h od of c u re ;h e r d i e t t o b e of

a c e f ée nt v e ge t a b l e s ;t h e m e d i c i ne s m a d e

f rom th e ac i d f oapsw i th d rink of th e fa m e ,

n at u re , to c o rre éi th e u tref a éi ion, an d

p
n ot p re v e n t th e e v a c u a t on of t h e i p u tri d
m atte r T h e y f ee m t o d o g ood ;I fh all a
.

v o i d d ra fi ic p u rg e s f or t h e y w ou l d ru in
‘

e v er y .
t h ng i — I w rote th is a b ov e two
rft fh e e tsb
,

m onth s g a o, b u t wh il e
fi y t he
t h e p rin t er s de l a y w e re {till in th e p t e fs , a
’

f at al iffu e c o n fi rmed th e t ru th of m y p rog

n ofl i c k , a n d t h e pa t i e nt re m a in i n g i n ,

e xtre m i t y f or t h re e d a ys d i e d t h is d ay , .

T H ER E a re e xc e p t io n s of forne c a feswh i c h —

re qu i re ape c u li a r m e t h od of c u re ;a gir l of

e ig h t e e n of ,
a fc ro h u lou sf a m ily
p w a s ,

fe i z e d w i t h th e e pide m ic k d ilte m pe r in w in
{h e w a s u t i n t o t h e h a nd s of a
”
ter I 7 5 6 p
u ac k o f t h e l o we ll k in d a n d t h ou g h {h e
q ,

h ad t h e d if t e m pe r v e ry f a v o u ra b ly y e t i t
’
,

l e ft b e hi nd i t a deaf ne fs and aff ected h e r ,

m i nd
 [ 1
31
]
m i nd fo asto Mie n th e q u ic k n e f sof he r
a h e nfion , fo t h a t {h e w a s not f o f e nfib lc
pp re

as b e f ore ;h e r ik i n w a s a l fo f re q u e n t ly d if

fig u re d w i th i tc h i n g pu fftu le sof a d ry ki n d
of fc ab ;I b e li e v e d t h at i n t h is c afe I m u tt
a g re at e r reg ard t o h e r f c ro hu lou s d if
p y a
p
o rd e r, t h a h t o t h e b ilar ob ltru éi ion of t h e
y
l i v e r : f or f u c h is t h e n at u re of t h e fe ro
p h u lou s oifo n i n a d u l t s , t h a t i t i i nc re a
p s
f e d a nd n ot f ub d u e d b y a f e v erp a nd ro

d u c e s in f a rét io n s
in m ofi o f t h e f m a lle ft v e f

fe ls . p t i e d t he
I em p ri m ae v iw a nd p re fc ri
b e d P l u m m e r s al te ra t i v e W 1t h m ill e p e d e s
’

, ,

f u g ar a nd c a m p h or
, T h is is n ot a b o v e .

fi f te e en d ays ag o a nd fh e fi nd s h e rfe lf b e t
t e r a l re ad y
g
.

3 Se e th e a u th o r
’
sp ap e r c c i g h i sf f l
on e rn n t u e u re

m e dy , a nd a t ra nfl at io n o f , t e it w h i c h h i ll fl i
u r ou s

W e rlhoff a m a n o f g re at c h a ra f l e r i n t h e profe fii o n

b k
h a spu b li fh e d i n a oo b y i t fe lf , t og e th e r w t h h iso w n i
a ni m ad v e rli ons p
u o n it ;i t f u c c e e de d b e tt e r w t h m e m i
'

th e fo rm o f a o wde r ;i t i s
p f u c c e fsf u lly m e d w t h fu ix i
g ar a nd m e e de s T h e
ill p a m. h c p
o r I a dd e d u o n a c p
! c o u nt o f i ts i
v rtu e i n re v e n t n
g p i
a f a liv a t io n , w h h I ic
a m we ll c i c
o nv n e d o f o th b b
m y o wn e e r e n e a nd xp i c
t h a t o f o t he rs B u t I w o u l no t h a v e i t f ro m t he nc e
.

i m ag ne d, th at I a w a y s
i l i
a v o d a f a liv a t io n in fc ro h u
p
l ou s d iforde rs f ppil c '

, o r I h a v e h a
y u re d m an
y f c rO
p h u ~

loustu m ou rsof t h e tra he al, j u u ar, a nd m a c x i ll

j

g l ar
y
e v ac u atxon

R efi t /i ;
 l

R eli c /i sf rom D ehi /iv .

I m e nti o ne d a t h rd i ki nd of reli c k s .

nam e ly , t h o fe w h c h i p roc e e d f rom a re

l a xat i on of t he fi b re s : f or the how elsc ontr a é?
dehi li ty hat h f o t he a nd the
'

a r m fi ner
f r om

medi c i nes
, w he nc e f ollow sa r e a x a t i on o
l f t he

p a rts ,w h i c h r e u i r es
q a/l i i n ents
g a nd c or r oho
’

t s ;S e n ne rt u sa m o n g t h e i n d i c a ti on s
h
r an

i n a p u t ri d f e v e r re c k on s r ej i or i ng t he pa r ts
dehi li ta t ea hy t he f ehr i le hea t a nd i nor hi a ma t
’ '

t er t o t he i r na tu r a l t em er a ment a nd lr eng th
i
p / .

L a xu y o ffi b re s is g e n era te d in f o m e
the
p art s a f te r t oo g re at ten fion in o th e rs a f te r ,

t o o f re q u e n t v i b ra t i on s i n a ll b y h e a t d e , ,

f e él: of g oo d n u tri m e n t a n d t h e i n fl u en c e ,

o f p u t ri d h u m ou rs T h is is n ot a p ro p e r
.

pl ac e t o e n u m e ra te th e p e rn i c i ou s c on fe
u e n c e s w h i c h a tt e n d a l a x fi b r e ;b ut t h e
q ,

p r i n c ip a l fy m pt om sw h i c h app e a re d in ou r
,

c a f e w e re 1 a c e rt a i n d u lne fs
, . o f t h e f e n fe s
;
a n d t hi s w as o n ly i n f u c h a sh a d b e e n e x

t re m e ly ill ;n e i th e r w e re t h e y a ll a ff e é t e d
’

h
P rim e ro fe de f e b rib II . L ib . . c
9 . . p . m . 1 66 .

5
D e f e b r tb . Lib
II c ap i v
. . . . p . 146 .
 33 1 { 1

th u s ;i t w a sa t t r i ha t ed t o t he hr a i n shoi ng
’

w ea kened hy the f ehr i le hea t , a nd i t a lw ay s

w eeks,
g lly k
c ea ed in h a nd
f f a ew e n e r a t e

v igou r o f t he m i n d re t u rne d i n e q u a l p ac e
w it h t h e fi re ng th o f t h e b od y fo fi ri ét is ,

t h e i r c on n e éi ion n or w o u l d a
p e rfon h a v e

f u lpe ét e d t w o d if rin ét fu b f ta n c e s i f h h d
’ ’
, e a

b e e n t au g h t b y p h e n om e n a a l on e , a n d h ad
l ifi e n e d f ole ly to re a fon .

O u r m i nd s a sw e ll a sb od i e s feel
Th e p ow e r of m ed i c i ne s th at c h an
g e, or

h e al 1 x

2 Th e fi re ng th wa s
. re c ov e re d m ore f l ow .

ly t h a n is c o m m on a f t e r a c u te d ife a fe s f or ,

t h is re a fon , i f I a m n ot m i f t a k e n , t h a t
’

t h e Pt o m a c h a nd o t h e r p a rt s f u b fe r v ie n t
,

t o d ig e ft i on , h a d f u ff e re d m u c h m ore d a

m ag e i n t h is d ifte m p e r t h a n i n o t h e r a c u t e
c a fe s b y t h e m orb i d m a t t er c o n t i n u a ll
,
y
re fli n a n d i rri t at i n g t h e m : t h e re p e a t
o
pp g
e d e v a c u a t i on s a l fo b {t o o l i nc re a fe d t h e
y
d e b ili t y f or t h e y a re a l wa ys h lil rt f u l t o t h e
,

k
K loe k h of l oc c i t p
. . . . 1 1 .
3
1 L u e re t b y C re e h ,
. c Lib .
3.

fi o m ac h
 s
1
~
34
fi om ac h and inte f t in e And wh i le the di
’
. .

e l cion l si p i re d , t h e f t re ng t h c an not be
’ ’
g m a

r e ltore d I n f ome , wh e re th e nerv e s w e re

.

g rea t ly w e a k e n e d , (an d t h e i r fi r e n
g t h i s
c lofe ly c onne cte d i
w th th e v ig ou r of t he
fi om ac h ) I c ou ld y to ir
ob fe rv e a te nd e n c
re g u l ar m ot 1on a nd i t sfy m ptoms e fpec i ,

a lly i nv ol u ntary t e arS T he i r m eag ef nefs

'

w e nt off w h e n t hey re c ov e re d f h e ng th ,

f om e tim e sfoon e r an d I p e rf e ct ly re m e m
,

b er to h av e f e en le ve ra l, w h o pre fe ntly af
t h e re t u rn o f t h e i r app e t i te g re w f at
O

ter
on a (u d d e n ;b u t it w a sa (of t t u rgi d k i n d
o f f at
g ro fs ly e l ab orat e d f ro m t h e n u tr i t i

ou sm a tte r , h aa nd
v m g 1 t sp a rt i c l e s 1 m p er

ly u n i te d t og et h e r
f e et } N oth i ng d id m ore
.

g o od i n t h at c afe t h a n e xe rc i fe A b o
y .

w ho w asa fi ra nge r, w a sa ffl cte d w ith i al

m of t ’
a ll t h e fym pt om sp roc ee d i ng f rom d e
’
‘

b ility ;h e w a se l e v e n ye ars
f a we a k old , o

t e x t u re a n d d e li c at e c on ftit u t i on, and h ad

,

r e c o v e re d , a sI w a si n f orm e d , w i th d i th

c u l ty f rom t h e m e afl e sa f e w m ont h s be
'

f ore . I n t he b e g i n m ng of Ju ly h e wa
”
'

s
f e iz e d w i th a d e b ili t y la fii t u d e a nd l oath
, ,

i ng i n t he f a m e m a n n e r a sa ll th e rePc 3 b u t
w h a t wa s p e c u li a r to h im fe lf, he h ad at th e
 1 35
1
fi rft a tt ac k of t he d ife a fe an e rruption
h ard ly t o b e d e fc ri b ed i n t he m i dd l e of th e
a n t e ri or p a rt of h isn ec k . I n itsn at u re
an d q uali t y i t re fe m ble d t h e h e rp e s , b u t i t s

fig u re w asv e ry u nc om m on, f or it c onfifi

e d o f t wo c on c e n t ri c c i rc u l ar f a fc iae, w h i c h

c ou l d n ot h a e b ee n m ore a c c u ra t e ly d e r
v -

li ne ate d b y t h e m oi t e xp e rt m ath e m a t i c i an
’
.

E ac h f afc ia w a st h re e li ne s b road ;th e d i

a m e t e r o f t he i nt e r n a l c irc l e (i nc l u d i n g t he

b re ad th o f t h e f afc ia ) w a sa lm oft t wo
i nc he s t he c orre fpon d en t one of the e xte r
,
!

n al w as e q u a l t o t h re e i n c h e s
. I p re fe ri
b e d a v o m i t of Ipe c ac u a n w i th h a l f a n
o u n c e o f m a nn a ;h e g re w b e tt e r, a nd t e
h
er r u t ion b e c o m i n g g ra d u a lly d r , d ifa
p y p
e a re d e n t i re ly m a f e w d a ys ;a n d h isa
p p
p e t i te w asref tore d ;n ot e igh t d ays af te r,
’

h e w e n t i n to t he w a rm b at h w i t h o u t c on
f u lt in g m e u p on w h i c h h is
, d iford e r f u d
d e nly re t u rne d w i t h m ore v i ol e n c e ;e v e r y
t h i ng w a sd o ne w h i c h t h e c irc u m fi a nc e s
,

re q u ire d , wi t h ou t n eg le f ti ng h is p a rt i c u l ar
c onfi it u t io n ;n e v e rt h e le fsh e w a sv e ry ill

f or fi x we e ks ;opp re lfe d w i t h a c ont i n u e d

f e v e r an d d a ily e x ac e rb a t i on s o f i t t h e
,

re a t eft a v e rfi on t o f ood , and a n a lm ofi:

g
K 3 c on
 I 1 36

{tau t p u rgi ng Fro m th e fe c ond w ee k h is

.

b ra i n w a s w e a k e n e d , h e f a l t e re d in h i s
fp eec h , h ism e m ory w a si m pa i re d ;
a nd

w h e n h e g ot o u t of b ed h e h ad f org ot h ow ,

t o w a lk , a n d fh e d t e a rs w i t h ou t a n y re a

f on ;h i sa pp e t i te w a sc ra v ing b u t i f h e ,

i n d u lg e d it t oo m u c h , it w asfoon f oll owe d

,

b y a li e n t e ry or t h e f e v e r, n or w a sh is
.

f t re n g th re fi ore d f or t h re e m onth s a f t e r
’
,

a nd b e i ng w e a k h e {till k e p t b y t h e fi re
,

fi de H e h a d g ro w n m u c h b e f ore t h e d if
t e m p e r h e g re w w
, h il e i t w a su p o n h im ,
a n d h e c on t i n u e d g ro w i n g i n h is ow n c ou n

t ry ;a n d I h e a rd h e h a d f c arc e r e c ov e re d
h is h e a l t h i n h a l f a y e ar, wh i c h a pp e a rs
t o b e ow i n t o h ist oo q u i c k g row t h ;f or
g
i n f u c h c i rc u m l t a nc e s n u t ri t i on i sb u t im
’
,

p e rf e ct ly c arri e d o n, th e n u tri t i ou s p a rt i c l e s
a re b ro u h t ne ar t o e ac h ot h e r b u t n ot
g ,

com p a ct e d t h e fi b re s re m a i n l ax a n d un fi t
,

f or a ll f u n é t io n s C r u d e h u m o urs a re c ol
’
.

l e ct e d a n d fi ag n ate ev e ry w h e re , f or a c a
‘

1
I l i t to the j u dg m e nt of o the rs
e av e , w h e t h e r t h e

m e rfe ct c r ifi s o f t h e m e a fl e sd id n ot ont r b u t e i t s
i p c i
fli a re i n t h sd if t e m pe r
’
i nd e e d I t h n
. I i k
t h a t c a n h a rd y l
b e do u b t e d wh e n i t isc onfi d e re d w h a t h a e ne d b e fo re pp
t h e d iford e r, wh a t were it sf m tom s d u ra t o n a n i
d
y p , ,

c onfequ e nc es .
 .7
3
I

sf oll ow s d e b ili tate d fi b re s ;a nd

i

e h e xy a lw a y

b y m a n y in l t a n c e s w h i c h I h a v e c are f u lly
’

c oll e é te d t h is f u d d e n g ro w t h h a sa l w a ys
,

a pp e a re d b ot h i n f e v e rs a n d a t ot h e r t i m e s

t o c o n c e a l u nd e r it f o m e t h i ng v e ry p e rn i
c lou s ;I h a v e f ee n m a n y w e a k e ne d b y it

a n d la n u ifh in g f or f e v e ra l y e a rs ;f o m e a re
g
f e iz e d w i t h a f a t a l c on fu m p t ion a n d i n o t h e rs
,

t h e d i ford e r b e i n g p rop a g a t e d t o th e i r m o re
a d v a n c e d y e a rs h a s b rou g h t o n a b a d fi at e
,

o f h e a l t h f or all t h e i r li v e s a f t e r No th i n g .

d oe s fe r vi c e in t h is c a fe b u t c orrob ora n t s o f
a ll ki n d s b ot h b d i e t an d m e d i c ine E
, y x .

lig at u re s arom a tic k sfi e e l

, , ,

b a rk a n d g e n e rou s w i n e s a re f o u n d t o b e
,

o f a d m i ra b l e u fe N oth i ng w orfe t h a n
.

e v a c u a t i on s o f a ll ki n d s ; n ot h i ng b e tt e r
t h a n t h e c ol d b a th t h at no b l e r e m e d y
, ,

w h i c h g u i d e d b y n at u re w i fe a nt iq u i t y
, ,

b ot h p re fc rib e d a n d a d m ire d w h of e f a l u
t a r y e ff e c t s a re p oi nt e d o u t b h fi c sa n d
y p y ,

c on fi rm e d b y t h e d a ily p ra c t i c e o f t h ofe
n at i ons w h o m w e c a ll b a r b a ro u s
, t h a t is , ,

n ot e t c o r1 u t e d i n o u r w a ;a l fo b t h
y p y y e

ob fe rv a t ion o f the E ng lifh , an d my o wn

’

ex
p e 1 1e n c e f or w h e n e v e r t h ere 1 3 a 1 e la x

at oni and
( wh e re d o w e n ot i
m e e t w th 1 t i n
t h e fe
 l 3 1 8 .

th e fe d ays ? ) a nd t h e d iforde rswhic h ac

c om p a n y 1t, 1 m a ir e d c on c oc t i on a n d d i
p
e fi ion, w e a k n e fs a nd i i t b ili t y f t h
g , rr a o e

n e rv e s t h e w h i te s , a nd th e nu m erou s c on
,

fe q u e nc e sof t h e fe ;p ro v ide d w e a re not

d e t erre d f rom it su fe b y i nc u rab l e ob ftru c
t i on s o r v o m c ae , i t h e re is n o re m e dy e qu al
to i t f rom t he fi rfl: d a wn of li f e e v e n to
old a e ;a n d I do not fc ru le to a ffi rm, t h at
g p
u nle f s i ts u f e b e re fi ore d , t h a t d e ge ne rac y

o f t h e h u m an f ra m e w h i c h e v e ry b od y ,

f e e s a n d d e pl ore s, b u t n o ne re m e d y will ,

gro w worfe a nd w orfe ;on t he c ontrary it ,

is in c re a fe d b y t h e pe rv e rfe an d de f tru étiv e

’

c u ll om e xc e p t in a f e w c afe s o f h ot b a t h
( )
i ng w h i c h d e fi roy si n a fb ort t i m e t h e
,

fi re ng t h of a H erc u le s a nd b y b ri ngi ng ’

011 d e b ili t y p av e s the w a y f or a t h ou f a nd

'

c o m pla i n t s , or be w bo i s ea k i snex t door

f w
t o one who i s ek t o re t urn f rom t h is
fi B ut

fl
p r j d i c c r i sm th rst f r
Unre afonab le e u e a r e o e oo a ,

w h n t h y d ip th i i nf nts
e e i n c l d w t ;b t I k n w
e r a o a er u o

fia e l infi nc s w h re
v ra a m il d
e ,m th d h s f w e d a er e o a an e re

v ry w e ll ;w fh i g t h
e c hil d ll
a n twi th ie a a ov e r c e or r ce

d y b ginn i g t t h h d wi t h fp g d i p d i c l d
‘ ’
a , e n a e ea ,
a on e n o

w t r ; nd t h s g tl y fi
[

a e tha
y u n th
g d e nd ll
a re re a re e ne a a

t he d fe f sp t d wh i ch p d f m d b ili ty e
‘

t a e re v e n e ro c e e ro .

Hipp te sde Pr ifc a Me d ic in Foe s p 1 2

oc ra .
, . .
 [ 1 39 ]
d ig re fli on . I d u rfi n ot v e ntu re to give
w hat we ll
f tring e nts t o t h e w eak pa
a
ca

t ie nts , l e ft t h e y fh o u ld i m m e d i at e ly b ind
t h e b od y wh i c h m u fl;b e k e p t op e n f or a
,

l ong t i m e B u t m y h op esw e re a nfwe red

.

b y m il d b ra c i n g m e d i c i ne s , g e ne rou s wi ne s ,

f rié t ion s
’
of t he a b d o m e n , w h i c h a re nev er

t o b e n eg le éte d 1n l a x c a fe s , an d e xe rc ife ,
c are b e i n g t a k e n a t t h e f a m e t i m e n ot t o

o v e rl oa d t h e Itom a c h w i t h a q u a n ti t y of ,

f oo d , f or nothi ng is a gre at e r h i ndra n c e t Q

d ig e f t ion, n or c onfe q u e ntly i nc re afe sth e
’

d e b ili ty m ore ;nor w a si t al wa ys e afy t o

manag e th is po i nt , w h e n t h e p a ti e nt s , af
t e r l ong a b ftine nc e , w ere pofi e ffe d w i t h
'

f u c h a d e fire f or f ood , t h at i t w a sh a rd ly
'

ofl i b le t o re f tra in t h e y ou ng e r p e o pl e e f
’
p
e c i all b t t h e y v ery q u i c k ly f u ff e red f or
p y u

t h e i r tra nfg re flion .

S O ME w e re torm e nte d w i th p ain s of t he

f tom as
’
h w h i c h we re e afi ly
, c u re d by an
y
b itte rsinf u fe d i n w i ne , or an e li x i r to
fi reng t hen t h e bowe ls .

I ob ferv ed fy m ptom e xc eed i ngly

a noth e r

trou b lef om e, th at is
, ob ftinate watc h in gs ,

or
 14 0
‘

le al t unk in dly He e p , wh i c h I attri

'

’
"

or a t .

b u te d t o t h re e c au fe s 1 To t h e d iford erly .

m ot i on of t h e n e rv ou s fl u i d, w h i c h a l w ays
h ara ffe s p e op l e w h o a re rec ov e ri ng sz . . .

To d ifu fe ;f or re p e at e d ob ferv ation sh a v e .

fh e w n , t h at flee p
h ab i t u ally p rev e nt e d f or
f o m e t i m e e v e n i n pe rf e ét h e a l t h is re f t ore d
’

w i t h d i ff i c u l t y , wh i c h I m y fe lf c a n t e f t if y
’

t o m y f o rro w T o t h e w e a k n e fs of t h e
3 . .

fi o m ac h f or fl eep depends ,
o
entz r e y u on t he
t p
fl oma e k
°
w h i c h b u t t o o pl a i n ly a pp e a re d
f rom

B oe rh aav Re fponl C on fu lt. i r a Dy fe nt C af ’

. . c c .

t re ns C o n fu lt T 2
. p 2 2 C onfe ra nt illu ftr H a l l e r
. . . . . . .

L in P h y fi olog
.
57 , 8 w h e re h e . d e f e n dso u r O pi n i o n .

O t h e r P h fi olo iftso f e u a l l
y g q y g re a t n am e , t h e i llu ftri

ou s B oerh a a v e , S e n a c , a nd m any m ore re c k o n a q u a n

t 1t
y a nd t h e v ifc g id1ty of f o od a m on t he c a u fe so f fl p ee

is i
n a t u re t h e n d ff e re n t f ro m h e rfe lf P o r a re t h e fe
g re a t .

m e n m ifta k e n 9 e th e r f or n at u ra fl e e p a w ay s
. N i f ol l l
ow s
l a
’
c
e rt a n d e fe é t o f an m a fp i ri ts
i ,
a nd a c o m po fe d i l
m ot on o f a ll th e o th e r h u m ou r s
i , o r a f re e d o m f ro m
an et
y xi
a nd a n W h pi
e n an
y o f t h e fe. o nd t o nsa re c ii
i
wa nt ng i t an no t f u c c e e d c No w t h e n a ftu if e d fl o .

m ac h i n a fo u n d ro b u fl: m an , f rom th e fi i m u lu s o f t he

a m e n t d ra w s
li to i t fe lf a gre a t e r a fHu x of fpiri ts , wh e n e c
a re d e f c e n t f o r t h e o t h e r f u né t ion s
i i : n o r is it fu c h
’
t he
y
a n i rr ta t i on a sc re a t e st h e f e ri fe o f
i a n o r a nx 1e t ; pi
'

y
f or i n a f ou nd man t he f pi 1 it sa re a w ay sc om p ofe d , l
Ft sno w on de r t h e re fore t h a t
i ee f o o ws , b u t in a fl p ll
w ea at e nt th e c a
kp i fe i sq u 1 re d 1ff e re n t , t h e fp iritsa re

I
l
ci
d efi e nt, and y e t fl e e p 13 W ante d too , f rom what t e a
f o n ;
 14 1

f ro m th e b ad f u c c e fsof t h ofe wh o e n ,

d e av ou re d t o p roc u re fl e e p b y e m u lfi on s ,

n i t ro u s m e d i c i n e s n a rc otic k s ,
a n d,
b a th i ng

t h e f e e t i n w a rm w at e rf f o r t h e y t h us ev e ry

d a y c h afe d a wa y fle e p f a rt h e r f rom t h e m ,

b ro u g h t o n a l ang u or of t h e fto m a c h a n d
g e n e ra l d e b ili ty T h is w at c h f u ln e fsré
.

q u i re d n o oth e r c u re t h an t h e fi re ng t h en ing
o n e f u fh c ie n t l d e fc rib e d b e f ore v i ct u a ls o f
‘

y ,

e af d i e fti o n p ro p e rly d re f s d l ig h f
’

y g a t u
,
p
e r, a n d a b ftin e n c e f ro m h o t a q u e o u s li
p
u ors M l ag a w i ne or t h at o f Al one
P
q . a

f on ? b e c au fe isn ot a c om pofe d r e g u ar ty i n
th e re l i
t h e n e rv o u s m o t on s , f or i
f ro m c r u d t y ,
a s I f a d b i
e f o re , i
p c
ro e e d rre g u a r m ot on s
i l ; b e li d e s
i a ll t h e f u né t ion s
’
a re

a ki nd o f l
a b ou r t o a w e a p e rfon i f t h k
e n t he ftom ac h

l ic
b e o ade d , wh h i n a fo u nd m a n by g v ng a g en t e i i l
fi im u lu s , w ou d h a v e l ro u r e d fl e
p p c
e , i n a li
p e r fon ck
c
o n th e o nt ra r b
y y fi i m u lat in
g t oo m u h, a nd o a c cc
l
fi o ning a u ni v e rfal a b ou r , a nd inc re afing th e ru d ty it c i
bi spi
r n
g on a n, a n
y xi
e t , i rre u a r m o t on s
g , a l
n d w a t h i c
f u lne fs L a lt ly , we m ay o b fe rv e , t h at a t ho u g h f at ie ty
.
’
l
f o m e t i m e s ro d u c e s e e , i t is
p fl p
ver
y f e ld o m t h a t ac d ,
pl i
f w e e t , a nd re fre fh i ng fle e p , w h c h f o o w sfo b rie ty i ll .

No r w a ny pe rfon b e e v e t ha t oe rh a a v e h i m fe lf w as
ill li B
i g no ra nt o f o u r d tfl i nét io n , i f h e o m are st h e c p
ac e pl
q i
u o t e d w t h t h a t a dm rab e i l c p
h a te r u on e e i n h is p fl p
I nfi it u te s .

l p
P S ee i s re v e nt e d b y th e ont nu e d f o w m t u re o f
p c i l ix
h ot a qu e ou s u orsw th the liq ood i bl
B oe rh aav n fl . . I .

59 2 ~

b e f ore
 I 11
4 2

b ef ore d i nne r and in the e v en n i g . fu c c eed ed

a dm irab ly S om e ti m e s u p on t he au t ho
.

rit y of B oe rh a av e I u fe d t h e Flor Mar . .

t i al
9
.
;nd Wh at h asa
a nd w i t h fu c c e f s a

ne a r c o nn e é tion wi th t h e prefe nt c a fe ; I
’

re m e m b e r t o h av e c u re d fom e y ears ag o a
lad y w h o e v e ry nig h t, a nd of te n i n th e
d a y t i m e t oo, h ad b e e n t orm e nte d f or fixteen
m on th w s i t h a m o f
’
t v i o l e n t t oo t h ac h , and
-

;
ob l t in at e w atc h f u ln e fs Ve ne fe ét ion, c a
’

t h ar ti c k s, b a t h i n g , m i n e r a l w at e r s , a nd all
k indsof c oolin g m e d i c i ne s , n ot on ly g a v e
n o re li e f , b u t i nc re af e d t h e d iford er;I a d v ife d

h e r t o t ak e tw i c e a d a y a n d a t b ed ti m e , a n in
f ufi on of a rom atic k a nd fi re ng t h e ni ng fi o
m ac h i c k s i n w i ne: th e fy m p tom foo n ab ated , s
an d in lef s t h a n a m onth , t h e p a i n s w e nt e n
'

t ire ly off , and h e r fleep re t u rn e d I wa s

. in
f or m e d v e 1y l ate ly b y th e illu f t riou s H all er,
’

wh om I n e v er e onv e rfe d w i th , w i t h ou t
le a rn i ng fom e t hi ng f rom h im , t h at a f te r
t h ofe e ryfi pe lato u sf e v e rs , w i th w h i c h, to

t h e g re a t g ri e f of all g ood m e n, h e 1 8 of
t e n a filiéte d h isfle e p, w h i c h all c ooli ng
m e d i c i ne s p re v e nt e d , w a she ll: rel cored b y
’

4 Ch e m la Proc e fs I 69. . T II
. .
p . 2 8 6.
 [ 14
3 ]
t h at gene rou sS panilh i new , wh i c h g oe s
u n d e r t h e n a m e of m ou nt a i n .

W HEN p ati ent s we re c om ple atly re

ou r

c ov ere d th e y e nj oy e d a m u c h m ore p ro
,

fo u nd fl e e p t h an t h e y h ad d one b e f o re
,

t h e d if te m pe r a nd t h e c a u fe o f t h is is
’
,

plai n .

I F O U ND m f om e ,
p y ef e c i all th e y ou n g er
fort , t h e fy m ptom s o f a fli g h t f e v e r i n f om e

m e afu re re fem b ling a h e ct i c , wh i c h I i m a

i n e d t o a ri fe f rom n o o th e r c a u fe , t h a n
g
the l ab ou r in ii
n u tr t on ;n or wasit t h e f e
v er w e w e re t o c u re b u t t h e d e b ili t y un

le fsw e we re u n fu c c e f s
fu l i
w th re g ard to
the l atte r . And t h at p e rni c iou s p ra é ci c e
’

ou gh t to b e h e re c on d e m n e d , wh i c h f rom
t he fen f a tion h e at i n f e r s t h e n e c e fi i ty of
of

r e f r ig e ra nt s , a s th e y a re c a ll e d b y t h e w ri
t e rs on t h e Mate ri a Me d i c a , f or t h a t fe n

f a t i o u v e ry f re q u e n tly a rife sf ro m t h e a c r i
m on y an d c ru d t i y g e n e rate d b y re l axat i on
a nd t h e d efi c i e n c y o f g oo d j u i c e s ;an d o f
te n a f e v e r i sc a u fe d b y a d e f e ét in t h e c i r
c u la t i on H o w m an y p e opl e e v e ry d ay
.

h av e t h e i r he al t h d e ftro y e d , b y h av i n g r e
3
.
c o u rfe
 [ 144
]
c ou r fe i n f u c h a c a fe t o v e ne fe dtion, rel
'

f rig e ra n t s
, c ly lt e rsa n d w ar
,m b a t h i n g ;t h e

d e b ili t y , iy
c ru d t ,
ac r i m on y , a nd t ro u b e l
f o m e h e a t in c re a fe ;a n d a t l aft a t ru e he c
t i c f e v e r c o m e s o 11 wh i c h m ig h t h a v e be e n
,

p re v e n te d b y c orrob ora n t s , P e ru v i a n b ark,

(f e e l, w i ne , an d l d b a th N o t h in g
the c o .

o c c u r s m ore c om m o nly i n p ra ct i c e
'

t h an ,

p a t i e n t sc om pl a in i ng o f a h e at eeka zy e ,
’

n nt a s
ze th e y c a ll if ) a n d p h y fi c i a n sa re -

ros fi y m i ft a k e n i f t h e y p ro c e e d u p on t h e
g
o if t i c k m e t h od ;f or
’
a nt i
p h l g n o a rt w h at
i sp erh aps a b l e t o ra ife i n f u c h
s
e v er ,

p a t i e n t t h a t i n fl a m m a t i on w h i c h t h e y ,

e n d ea v o u r t o re m o v e A t r u e h e at, p ar
.

d o n t h e e x pre fi i o n is a flig h t i n fl a m m a
,

t i o n ;b u t a f a lfe o n e d i ff e r s f ro m a n i n

fl a m m a tio n ;fo m e f y m pt o m sa t firf t fig h t

’

a re c o m m o n t o b o t h ; i f t h e n i n b ot h

c a fe s , d e c e i v e d b y t h e o u t w ard a pp e ara n c e

y ou em pl oy t he fam e m e t h od , wh ic h
l s t o o o f te n h app e n s in
a a , the
'

o ne
y ou

w ill c u re y ou r p at i e nt a n d in the ot he r
‘

kill h im .

T1 sh ard ly w 01 t l1 w h il e m en t i on a
’
to

f y m pt o m , w h i c h a l a rm ed th e p at i e nt s
g re atly ,
 1 45 l
g re atly b u t wa sn ot a tte nde d w ith a ny
,
.

d a ng e r I m e a n a n u n 1v e rf al a n a farc a
, ,

w h i c h m a n y o f t h e o l d e r p e opl e w e re a t
t ac k e d w i th i t g e n e ra lly v a ni fh e d fpon
t a n e ou lly a st h e f tre ng t h re c r u i t e d ;I n e i
t h e r fa w n or h e ard o f a n y b od y w h o i n

t h is c a fe re m a i n e d t r u ly d ropfi c a l t h e c or

r ob ora n t m e d ic i n e s fo o f t e n m e n t i o n e d b e
f ore w e re f uffi c i e nt f o r t h e c u re . In an

o e d e m a t ou s f w e lli n g of ic h t he l egs , wh
w a sa li t t l e m o re ob f t i nat e I u fe d t h e a c i d
’
,

t iné t u re o f fi e e l a n d l i k e w if e r oll e d t h e
‘
,

p a rt s w i th li nn n b an d age s moif ce ne d w i th
e
’

b ra n d y a nd i ne g a r w h ic h w e re d ra w n a
v ,

lit tle t ig ht e r e v e ry d a y S u c h a m e th od .

w o u l d h a e b e e n h u rt f u l a sw ill a pp e a r
v ,

a f t e r w a rd s i n a f w e lli ng c a u f e d b y o h
,

ftru ét ion s .

I F t h is d i fe a fe , i m prop e rly on i m pe rf e ccly ’

c u re d , e nt a il e d t 1 o u b le fo m e re li c k so n f e

v e ra l , it p roc u red to ot h e rsm o re c o n fi r m

ed h e a l th Fo r b y p u rf u in g t h e p rop e r
‘

m et ho d , a ll t h e f o rd e s a d h e ri ng to t he

b o w e l sw e re e v a c u ate d , a ll o b ft ru dt io n
’
s
l
c e a re d , a nd e v e r y a c ri m o n y fh e a t h e d ,
a nd

I m ay af fi rm of t he f e v er at L a u fa nn e ,
L wh at
 1 116 3
w ha t h a b e e fa i d c onc e rh ing i ntermitte nt
s
n
f ev ers b y D 1 Ki f k pat rick t o w ho m m an
.
' '

k iii d g at ly i nd b t ed f or his e x ce ll en t
‘

a re re e

book u p on i noc ulat i on th at it p rep a red ,

th e p a t i e nt s f or a f a v u rab le fm all po x d
’ ’

I atten d e d t h ree b oys i n t h e e pi d e m i c f e

v e r, a nd d id not l ea ve t h e m t ill t h ey w e re
’ ’

e rf e i tl éih e d i n l efs a m onth th e

’
h
'

t a n
y
p y
h ad th e fmall pox fo f avou rab ly asn ot to ~

f e nd f o 1 me , and I f a w t h e m a cc id en tall ; y
t w o w e re o f t e n y ear s , a nd o ne of t h i r a

t e en L a f t fpring a nob l e G e rman t went y

’ ‘

t wo y e a rs o ld Wasfe iz e d wi th t h e f a me
”

b iliotisf ever, at th e t i m e wh e n h e wa s
u n de r a r e 1m e n f or i noc u l a t i o n ; I re
g
m ov ed t h e d ifte mp e r, and a d v if e d h i m t o
’ ’

e at a s m uc h h u rt a s wa sag re e a b l e t o h i m ,

t h e w h ol e f u m m e r G i v i n g n o t h i n g e l fe
.

b u t a l ax ati v e p oti on o n th e 1 4 th of S ep
t e mb e r, I h a d h i m i noc u l at e d w i t h a v a
ri o bu s t h re a d 6 11 t h e s t h ;a mil d er fort
l o
of t h e d ife afe c annot b e d e fi red th an h i s ,
‘

P e rhaps a lat e r ec ov ery

fi f et e/ moder a t e i nter
’

anz 9 a

m i t te nt a sb a d lef t no i n a r tt z ons behz a d z t,

'

f b
Z f
t e t n e er a

m fg /at e on/i nu re a t e mpe r a ment t at w ou ld not v iole nt ly

w z tb tke wa r z olou si iff eti z on, &c Th e Analy fis
’

p
e o o er a t e .

“
o f I c
“

no “
ulati on, p . 21
9 .

l
a th ou gh
 l l
l
a thou gh »
h e h ad h undre d p u f
a b ov e t wo

t a le s a nd, t h e y c a m e t o m a tu r i t y p e r f e ét ly '

t urgi d wi th a fi ne m atte r Nor w ill t h is

a e a 1 ftran e t o a n on e w h o h as f e rio fl
n y
pp g y ,

c onfide red th is p oi nt ;f or t h e f e c re t o f m

o c u la t i on c on fi lt si n 1V1n t h e vari ol o us
g g
i nf e étion t o a b ody f re e f ro m all rigi d i t y ,
r e l a x a ti on , d e b ili t y , ob fh u ét ion s c a c c h
, o
y
m y , p oy fon, and e v e ry ot h e r d ifo rd er ;i n
a w ord t o a fo u nd b u t n ot a n a th l e ti c
,

b od y The a rt of p1 e p a1 ing is t o p ro
.

c u re f u c h a h a b i t t o t h e p a t i e nt , a nd to

r e m ov e b v a ri o u s re m edie s t h e fe v e ral d if
y
o rd e rs
[

m e n t i on e d ;b u t le t t h ofe b e l e f t t o
' ’

a n u n h appy f a t e , w h o l ab ou r u nd e r any

i n c u rab l e d ife a fe A ny one m ay e afi ly per

.

c e i v e t h at o ur p at i e nt s , w h o w ere c u re d ,

o ffe ffed a ll t h e re u ifi t e c on d i t i o n s b i
p q a

li ou s c a c oc h y m y is t o b e f e are d b e y ond
e v e r y t h i ng , a nd n on e w e re m ore di f t a n t
’

f ro m it , t h an t h e y w h e n p rop e rly c u re d .

I had k
t a e n th i st h re ad on t h e 1 7 t h o f l
J y u
’
1 75 5 ,
tha t i st we nty a
b
fix m on th s e f ore ;I h a v e n ot h e ard
t h a t t he
y h av e b
e e n u fe d fo o ld a nd i t i so f 1 m o rt a nc e
p
to k no w, t h a t f u c h a n a e d o e s i pi
no t m a r t he r v rt u e 3 i i
g
row ill on the 2 2 d of S ep
fo r t he p i
at e n t b e a n t o
gg
te m e r b .

z ‘
Kirkp atr i ck , ih . p 2 33
. .

L 2 H A V I NG
 H A V I NG t h u s g on e t h rou gh th e h if t ory ’
'

m e t h od o f c u re a n d re lic k s o f t h e d ife a fe ,
,

i t re m a i n s to re l at e t h e c u re o f f o m e f y m p
s a n d e xa m ne i
i nt o c e rta i n re m e d i e s,
'

t o ru , ,

u fe d by o t h e rs w h i c h I e n t i re ly om i t te d
,

i
w th d e fig n .

The t he oms
c ure o
f fy p
m t .

A P h y fi c i a n , w h o u n de rt a k e s t h e c u re
o f fy m t o m s ou g h t t o re m e m b e r B e n ne t s
’

p ,

ru e l , t a ke doesnot g r ow ,
heed t ha t t he tr u nk
w hi le y ou a r e loo i he hm nc hes, a n d
f
“

p ng o t
t h e c au t i on of t h a t g re a t c i a n G au
.

h
p y fi
b iu s,
di r o c
‘
i t he c a r e n ot t o e ver
y f y mpt om ,
f

hu t onl h / f fi
2
the f h
’
ét r o
’

y t
- e m o z ur
g eti t or e t e

(ii /tem
pe r oet
fi w h f if g
en i z e t o ether , w i t h i ts
c ot: e i sr em ov e d 5 a nd t he oms
fi p
m t a re
f am e

t i m es h dzf er e tz t m
j y a nd o
pp fi
o t e a s t o
g i
, v e

i ndi c a t i on s And i ndee d h

x
c ont r a r
y t e . .

f y m pt o m sa re n o t m a n y w h i c h r e q u i re a ,

p e c u li ar t re a tm e nt n or is a ny t h i ng e v er ,

t o b e gi e n w h i c h is c a l c u l at e d t o a gg ra
v ,

Th e at r T a i d Ex e rc it
. b . . 27 . de u fu p e rdu lc i u m ,

p . m .
9 1.
1
De Me th od . c onc i nnand. f orm u l asMe di c s
a , 45 .

v at e
 1 49
th e c au fe f th e d if ce m p e r An i n
’

v a te o .

i s
c a u t ou p e rf o n m ay b e v er y e afi ly de c e i
ve d, b y i s pp e a ran c e s
t h e v a r ou a a of d if l
-

c a fe , b ut c ont ra i n d i c a t i on s oc c u r m ore
rare ly th an is e rh a s c re d i b l e a n d t h o fe
, p p ,

fy m pt o m s w h i c h a t h rf t fig h t fe e m c on
’
,

t ra r y t o t h e g e n i u s o f t h e d i f t e m p e r h a v e
’
,

t h e f a m e or igi n w i t h a ll t h e 1 e l t a n d a re
’
,

h appily 1 e m o v e d b y c o nti n u i ng t h e p ri n
c i al re m e d y D e p e n d i ng u p on t h e fe
’

p .

a x i om s ,
I v e ry fe ld o m p a i d a ny p a rt i c u l a r
r e g a rd to t h e fy m t om s S t ools w e re t h e
p .

o nly r e li e f f or t h e h e a d a c h i t w a sm i ti
-
,

g a t e d a l ittle b y t h e w o m e n applyi ng lin

n e n c l o t h sw e t w i th v i n e g a 1 My re a fon .

f or r e e ét i ng
j n a rc o tic k s1n t h e m of t ob fi i
’

n ate w a t c h f u ln e fs
,
w ill a
pp e a 1 a f t e r w a rd s .

P a int i n g sw e re e x t re m e ly r a re , and a h
p y
h e i a n fe ld o m m e d d l e s w i t h t h e m Th e .

p u rgi ng n e 1th e r re q u i re d , n or w o u l d h a v e
b o re a ny o th e r r e m e d i e s , b u t e v a c u a n t s
a nd a c ids . .E nd e a v o u ri ng t o c re at e a n a p
p e ti te by h ot a ro m a t i c k s w ou l d h a v e b e e n
,

a b f ol u t e l
y w ro n g
T h a t c h a ng e a b l m e e

t h od o f c u re is r i d i c u l o u s a n d p e rn i c i ou s ,

w h i c h b e i n g d i 1 e ! t e d f o m e t i m e st o t h e
°

h e ad , fom e ti m e st o t h e b re aft, n ow t o th e

L 3 k i d n e ys ,
k i d neys , a n d t h e n t o t h e i nte fi in e s d oe s ,

n o go od a t a ll b u t a g re at d e al of h ar m .

I h av e t h e r f
e o re o nly o n e c a fe w o rth re ~

l at i ng in w h i c h I atte nde d to the fymp .

a

t om s .

A Germ an
‘

fh oe m ak e r, of Z u ri c h , if I
r e m e m b e r r1g h t , W a s fe iz e d w i th t h e e p i
d e m i c k f e v e r i 11 t h e m ont h of O ét ob e r
1

1 75 5 I w as
. fe nt f or on t he t h i rd d ay , “

a nd o rd e re d a v o m i t on t h e f o u rth , a nd

o t he r fu ita b le m e d i c i ne s b u t t h e obf t in a te
’
,

m a n d ra nk y
v e1 l i t t l e , b e i n g av e t fe t o i t,

n or d id h e obfe rv e f u c h a d i e t a sI h ad

p re fc rib e d ; on the e igh th d ay I p u rge d

h i m ;on t h e t en t h t h e t u m i d i n fl at i on w a s
f o g f e at t h at t he {k in of t h e a b d o m e n b e
,

a n t o g row re d f ro m t he v i ole n t d i fte n ~

g
fi on : h i sb re ath w a svery ib ort f rom t h e
‘

i mpOfli b ility o f t h e d e fc e nt of th e di a
h ra g m h is u lfe w a sf m a ll a nd w h at
p p , ,

f u rp ri z e d m e h e Vva sa lm ofi f ree f ro m a
'

d e li ri u m B e i ng a f rai d of t h e m ifc h iev ou s

.

c on fe u en c e s f 1 o m a c om re fl i on of a ll th e
q p
b owe l s a n d a n o b fi ru é ce d re fpira ti on ;
,
’

find i ng no othe r c au fe b u t a ir 1 a1 e fi e d by
the bil e, whofe pu tref aétion h e h ad n ot
f uffi c iently
 [ 1
5 1
]
f u fh c ie ntly co1 re ét e d b y d ri n k i ng a nd b e
'

;
.
,

i ng f at is fie d f ro m f e e li ng th e a b d o m e n b e
f ore t h at t h e re w a sn o obf cr u éh o n p r i o r
,
’

t o t h e d i l e m p e r , a n d h av i ng t o d o w i t h a
’

t
f u ll e n p a t i e nt w h o w ou l d h ard ly c onf or m
t o r u l e s a n d e m pl oyi ng m y t h ou gh t s i n
,

f e arc hing f o r a re m e d y , w h i c h w ou l d m olt

q u i c kly {tre ng the n t he fi bre s re fi ra in t h e ,

fl a t u le nc y and fl op th e p utre faét ion , I re

,

c o lle ét e d t h e ob fe rv at io n sof th e a n t i e n t s

a nd f o m e m o de m s
"

a nd m o w n e x eri
’

y p ,

e nc e w i t h r e f e ét t o c old w a t e r H av i ng
p .

w e ig h e d t h e m a ll c are f u lly I o rd e re d a li n ,

n e n c l oth , t w ic e d ou b l e d d ip t i n c o ld fpring
w at e r t o b e a pplie d ov e r al l t h e a b d o m e n ,
,

a nd t o b e c h a ng e d e v e 1 q u a rt e r of an
y
h ou r , an d t h e pa t i e n t t o d1 i n k a sof te n
.

L 4 . t hre e

7 In an a rde nt b ili ou sfe v e r H ipp oc ra t e spre fc ri b es

th e fa m e re m e dy , W he n t he hea t i sv ery g r ea t , apply
lm nen c lothsd zpt i n c old w a ter t o the pa r t , w here t he
p a t i e nt c om la i n:
p f
o t h e h e a t bei n
g m j fl v i o le n t ,
d e 111

t e rn a ff e ét c a p
.
’
. 1 xl i p
55 3 C .o nfe r . e an d e r de. . Al x
A rt e Me d e nd vu
. Li bca
p . x v C .oe li u s A u re h a n
. d e. .
’

A c u t pafii o n Li b 1 ii x x i f E t i u s T e tr ab
. . ca.
p . .
3 . . .

S er m . C ap v xx ii xx iii
. v Th . arth ol n d e U f u. . B i
N iv is ,
‘
C ap v:
. xx i Bi c i p
an h
5 8 2 Z a c u t u s u ht . . L .

c u re d a
y ou n
g m an o f a v e r
y b o u sh ab t b
y t h s ili i i
m e ans , a f te r a ll o t h e r re m ed e s h a d e e n tr e d i
in v a n b i i .

W hen
 [ 15 2 ]
t h ree ou n c e sof t he f a m e w at e r I n t wo .

h ou rs the fwe lli ng of h isb e lly f u bfi d e d .

,

h 1sre fpira ti on b e c a m e e afi er ;in le fst h an

t h re e h ou r s a flig h t c olic k c a m e on w h i c h ,

p rod u c e d m a ny larg e b iliou s(tools w i th a ,

c o n t i nu e d d ifc h ar e of w i nd , t h e li nn e n
g

n a s s
"

IWhen p thei f y h
a e ,
w a v é r y v i ole n t ,
a n d t h e t h i r/i
t r oa hi fome , I m a d e a n a i now t o t he a i nl
l c a t i on f
of
‘
‘

e p p p y
'

d a v e t he eola e t w a t e r w i t h a a r d
/ z nh ,
’
p art
, a n
g / g t o r

c a r c e ha a t i ll t he nt c r ie d ou t he u a s
f if a n hou r
pafi
’
p a t i e

u e ll . P r a x a d m t L ib . i . O b fe r v 2 3. II . m 195
. . p . .

I t m ay be o bj e é te d e rh a s ,
t hpa t h e tpre a ts h e re o f a

c o li c k , a nd n ot a fl a t u le n t f w e n
g ; b u t llim a e t h e I k
c o nc l t fi o n a i f or t i or i ; w h e re t h e c a u fe i st h e f a m e ,

W h a t d oe st h e v a r e ty o f fy m pt o m s i fig ni fy ? i t i sno t
o u r b u li n e f s to e a n, w h x pl i
y t h e f am e b ou s c a c oc h
yili
m y rod u c e sa t d ff e re nt t m e sa c o lic k , c h o e ra , i l ra c
p i i l
p a fiion , d fe nt e r , a nd a o
y y p e
y , b up lx
t r e a to u d iét a t e s,

a nd e xp
e ri e n c e h as ro v e d t h e f am e r e m e d
p y t o fu c c e e d

i n all c a fe s No r a re w e d e ftit u t e o f ob fe rv a t io n s,
.

i
w h c h b e a r a n e a r re fe m b la nc e t o o u r c a fe , r nc a
y p i ip l l
t h a t re c t e d b i t h e f am ou s C o m b a l u fie r 1 n h isu fe f u l
y
P ne u m a top a t holo g i a A W o m a n a b o u r e d u nd e r a
. l
t y m an it 1s t h e c h oi c e ft r e m e d i e sh a d n o e ffe é c , a nd
’
p
D r R a ft a j u dic 1o u s a nd e e r e n c e d p hy fi c ian a t
. xp i
Ly on , s c u re d
h e r b y th e e t e rn a a x l pp l
c a t 1o n , a n d

d r i n k l n g o f o d w a te r cl n o w fe v e ral,
. I k
who have
c u re d v 1o le n t c h o h c k
’

a ns , a f t e r o t p i
h e r m e d ic n e s w e re i
i
t r e d in v a n , b ai
y pp y g l m c l
o d w a te r i n a fi t o f d e fpa i r .

p
A r a fh a t te m t u n do u b t e d y ; f or a v o e n t re m e dy
'
l i l
u fe d c a u t 1o u fl
y m a
y d o
g re a t f e rv :c e , b u t m ro e r
y , it i p p l
i s11 k e t o pro d u c e t h e w o ri t d 1fe a fe s 4 c a r e i s
’
p ra .

d e nt y e onda ti e d by a pr u de nt phyfi c i a n, medd le not if y ou

he ig no/ a r t o h et hod
f t e
. m .

l
c ot h s
 [ 1
53 ]
bloth sw e re , f
ta o ken
llo wi ng a wa y t he

n ig h t h e fle pt a n d n e x t d ay h i sb e lly w as
,

f of t t h e f e v e r m u c h a b ate d a n d in a fb ort
, ,

t i m e h e g ot w e ll w i t h ou t c h a ngi ng his ,

d ri n k wh i c h I o f t e n f ou nd e x c e e d i n g fa
,

lu t a ry , a n d i t is t o b e l a m e n te d th a t t h e
‘

u fe o f w a t e r h as g row n ob fole te W e gi v e .

n ot h i n g n o w u nle fsi t b e p re p a re d
, a nd ,

o f te n f oile d b y t h e a p ot h e c a ry s a rt T
’

p h e c

w i fe r a n t i e nt s , w h e n t h e c on c oéti on w a s
p e rfe ct e d g av e c ol d wa t e r a n e x c e ll e nt ,

fi re n g th e n e r a n d a s m u c h of i t a s
, t he a
p
t i e nt w a s w illi ng t o d ri nk a s a pp e ar s f r om ,

t h e w or k s o f Hipp o c rat e s Are t mu s G a

2

, ,

le n Al ex an d er
3

,
b
l i u s Au re li a nu s ,

a n d o t h e rs G a l e n h a se v e n re p ro ac he d
.

h isc o t e m p ora ri e s f or n eg le ét ing t h e u fe

-

of c ol d w a t er , a n d c a lls t h e m H y d roph ob i .

A m ong t h e m od e rn s Fe rne li u s , H off

‘ d

Z
Li b . II . c ap . V 1 11 .
3
Me thod Me de nd . . Li b i x . . c ap .
~
v i . we ll W orth
i
re a d n g .

b
L i b v u c ap x v
. . X 11 c a
p 11 . . L ib . . . .

C
D e Ac u t p a fl i on i b L i b III c a p
. . . . xx i . .

Me thod Gu ra nd f e b re sC ap
. . . I I Op . e r. p . 8
3 9 .

m an,
 1
m an
"
, Kloe kh of
Van
~ Gra i n
d n y oth ers h
8
g en a n m, a a ve p ref c ri b e d ,

c ol d Wa te r, a n d add ed c a u t i on s f or i t su fe ,
]
.

C O NV U L S I VE m oti on s of li mb s arr
the .

fing f rom t h e fym p a thy, ‘

wh i c h is c au fe d
b y t he c onne cti on b e t we e n t h e f1x t h p a1r
.

of n erve s, a n d all t ho e of t he f ine r e :

f p
q uir e n o partic ular remed ies and with '

fo m e t h e u fe of antifp af m od ic ani m a l f u b
Franc e s h a d a v er y b ad e ff e ét , thou g h forg e
t im e s t he f pa fm od ic fy m pt om s ap ea re d t o
p
b e t h e p ri n c ip a l d iforde r A worthy c l er .

m a n l ab ou re d u nd e r a f ev e r, h e a d ac h ,
gy
an d n a nfe a , b u t no f m tom w a s (0 t
y p ro u
b le fo me asv io l ent c onv ulfiv e fh a in s
k g fl e

q u e nt ly ret u rn i ng , w hi c h be i ng prop ag ar
e d f rom t he d i a p h rag m , or fome c on ti

g nou s ple xu sgre at ly dif o1 d e re d t he whole

b od y , at ot h e r t i m e t h e t re m u l ou s m o s
De Me th od Me d . . Se é t
' ’
. II .
c ap .
xi .
p m 4 69
,
. . .

De I nte fi in . dolori b . O bf i v . . 8: v. t .
4 .
p . 29 3 .

Ed i t f ol
. .

Aph o r 64 0 Tom II . .
ts
2 1 5 wh e re he tre a w th
. . p . . i
h isu fua l j udg me nt u on the u fe o f o d wa ter in f e v ers
p , cl
i b Aph or
. . Aph 7 4 3 4 94 . . p . .

f O u fc u l
p 1 8 . p . .

8 Fbi
e r s Anom al B atav 79 . . p
 [ 1
55 ]
i
t on a fle éte d ly p a rt i c u l a r
' '

- on on e or two

m e m b er s . If I h ad a d m in if rr
’
bd t h e m e
d ic ine sc all e d n e rv ou s , I w o u l d f oon h a v e
'

'

brou gh t m y p at ie nt t o h isg ra v e b u t pa y
i ng no re g ard t o th e fy m p to m , I e v a c u
a ted iliou sc ac oc hy m y b y v o mi ti ng
th e b ,

c ath a rt i c k s a n d ac i ds Th e f a m ou s Al
'

. ,
,

b e rt i t oo k t h e fa m e m e t h od W ben c onn u l
fi f
ue moti onst br ea ten,
p j a r t i c u la r c a r e ra n i be
t a ken tha t t be bi le be pr oper ly ex c r et ed t ba t ,

t be belly be open or kept /o by c ly/ler s

h
An d ,

m a ny s b e f ore Al b e rti G a l e n h a sgi v en

g a e ,

us ad m i rab l e ob fe rv at ions: I n j onze f eve s r

w e ba v e fi en f ays h e pa t i ents
‘
fi '
z dd nlyfi
, i d , e z e

o b e b er e w a s
w i t/o a lfi n w
c on vn n t r
n o
pre c,ee d
o ro n /Zi c a te i t , a nd b t ba c omi n
g fig
‘

zn n t p g o y g
a bi li ou s tb ey ba n e been i m
on o
f v om i t i ng ,

medi a t ely f r eed f r om a ll da ng er a nd j b m e o f ,

t be m t bu safiebl ed ba v e v omi t ed fi zfi o f a
‘ r

br ow n c olou r , an d ot b er sa li qu
o j r r e e nz bli ng
j ui ce o
f leek
i
. l oo k i n to Va n
An d i f w e
S w ie t e n, who h asb e e n lo f re q u e ntly q u ot

1‘ Ub i f u pra p 7 70
. .

i D e Afl e é r Loc No tit

’
'

. . . Lib . V . c ap . v . Op er. om n .
T . IV p 1 2 5
. . In wh i h . c pl c a e,
y i
nan t he w h o e l
b k w ill
oo b e f ou nd v a u ab e l l o b fe rv at ions h ard y t o b e l
me t w th a m on th e m odem s
i . g
e d, a nd wh o c a n n ot b e t oo
"
f
o te n q u ote d ,

w e fh a ll fi n d t h a t w bile tbe a c ri d bi le fl u él u
'

i g i n plenty a bou t tbc pr ee c or di a , di/lu r bs

at n
‘

t bef u nbl i onso t b e br a i n,

f g i v in a v oi ni t w i ll
g f

u i c kl
q y r emov e f uc b d f f
a cr u e o b i le c onv u l a e r

j ien Af te r t he e v a c u a t i on o f t h e b ili o u s

c oll u v i e s I pre fc rib e d

,
c orro bo r a n t s b e i n g ,

a ll u re d t h a t a ll di fo rd e rsof t h e n e rv e s ea

fi ly b e c o m e h a b i t u a l , if t h e i r t o ne n ot is
r e fi ore d w h i c h c a u t i on b e i ng fn e g le éte d
a f t e r a c u t e d ifi e m pers o f t en p av e s t h e w a y

f or s l a ng u or ;n or i n d e e d b y t he
a n e rv ou ,

w a y d o I k n o w a ny o t h e r c u r e f o r n e r
,

v o us d i fe a fe s I f th e re is a n
.

fi i m u la ti n
.
y g
f u b l t a n c e w h i c h b y c on t i n u a l i rr it a t i on
’
,

c a u fe st h e a ro x f m s l e t i t b e t a k e n a
‘

p y ,

w ay, a nd th e n le t fl re ng t h n e rs b e m a d e
f
u e o f . I f t h e re b e no
'

f uch th n i g , t he n

c o rr ob or a n t sw ill f u l ly a n fw e r t h e p u rpofe ,

wi t h ou t y fi
anr on
g e v a c u a nt s w h i c h a re
to be a v o i de d .

kAph 7 1 3 T . .
35 9 .Y u w
I I
o . p fi
. nd ru e s . ill l
a a i nft th e ab u le of fpe c ific k sw h c h c a nn o t b e t o o i
'

g
c i
mu h n c u c a t e d ;f o r c o n v u lfio ns m m e d a t e y t e rr i fy
l i i l
t h e re at o ns
l i th e e a rn e ft l Ca f e m e d i e sa nd a d ll
, y y o r r ~

m m ifl e r t he m ; a nd a w e a or wav e r i ng phy fi c ia n

~
k ’

ra m s a ll .
 [ 1
57 l
I W OUL D n ot f t h e ac c ou nt of t he
c lo e

d ifi e m pe r w i t h o u t ob fe r v i ng t h at t h e b ile ,
‘

or a p u t r i d c a c o c h y m y o f t e n o c c a fi on s
m o re
m dil fh o rte r f e v e rs
a nd ; e v e r y b o d y h as
m e t w i t h a n e p h e m e ra o r fi m ple fy no ,

c h u s f ro m t h is c a u fe f or i f i t h a v e a te n
d e nc y t o m o tion , b e f m a ll i n
,
q u a nt i t y ,

and h av e i t sp ri n c ip al f e a t i n t h e i n te f
t i n e s , i t w ill r a ife a f e v e r, v i ol e n t i n d e e d;

b u t f oon c e afi n g i
e th e rb y fp ont a ne o u sor
p ro c ure d s
e v a c u a t i o n ;f e v e ra l b e i ng h a

r a lfe d f or a n ig h t a n d a d a y a re p e rf e ct ly

re fl ore d , if the y c le ar t he r i {to m a c h and

b ow e l sb y o ne or
'

tw opl e nt i f u l e v ac u a

i s if t he c au fe
t on ,
i sm o re fi xe d
th e l a n ,

g nor is p rotra ét e d f or t h ree or f ou r d a ys

B u t it is t ed i ou s t o i nfill: on t he fe th i ng s .
 1[ +5 8 3

H O S E p e opl e .
, w ho a re ;f ond : of
ve ne fe étion , i b u te e v e ry difea fe
‘

. a ttr

t o t he
. . b l ood , i nc e flantly t al ki ng of
a n d a re

a le t h ora a n d fi a n ati on , a n d o m i t b le e d
p g
in g i n n o d ifte m p e r w ill b e a m a z ed , th at
.
,

I h a v e n ot rm a d e th e le a f : m e nti on of it .
,

t h ou g h w e f re q u en tly h a d h e at , d ry ne fs of

t h e f k i n h e ad a c h e , a v i ol e nt d e lir iu m , an d
1
, .

a c u te f f e v e r, w h ic h m h e em to s re u i
ig t f q re v

f a c h a n ev ac u a tion B u t i t is a fa d m if
.
-
,

f ortu n e t o t hofe , w h ofe phy fic i ansm ake

no e n u it af t e r t h e c a u f an d a re f or
q y e ,

w a rd t o fl op a ll v i o l e nt f ev e r s b y bl ee di ng
f or w h e n th e f e v e r i si nc re afed a f te r t he
O p e ra t i on , 1t kills t he p a t i e n t ’
It 1 8 n o w .

f o u r y e a r s fi n c e I p u b li lh e d m y op1nion m

t h a t v e n e fe éti on is n e v e r u fef u l w h e n t h e re

is n ot a pl et h or a ; I m a
y a dd , e x c e p t in

t h e b e gi nn i n g o f a n i n fl a m m at or y d if t e m
’

1 S uc h an i di c ti
n se nt i re l y oppofite to th e doc
a on 1

t ri n e o f H ipp oc ra te s w bo w a s
, [ 0 m u c b a m i d of bleedi ng
p
u on a c c ou nt
Q f
7a e v er i b ot b , f
e a ter: oug b t
p p
r o er t o
or be a r i t on t ba t t e a
f f / n i .

“1
I noc u l ation j u fi ifie d, p 4 9 . .
 l ' 1
59 l
e r, o r wh il e it is i n a c ru d e fl a te , a f t e r
‘

- '
-

p
v i ol e nt e xe rc ife , b e i ng h e at e d in t he f u n,
a f all , a nd i n p e opl e on ly , t h at fi riét ly a re .

n ot le th oric k , b u t rob u ll “ f a n u i ne o u s
p g
a nd fi orid
‘
And f a r f ro m c h angin g m y
f
.
'

m i nd fin c e t h a t t i m e , I y
'

1
ever -
day . m ee t
w t h t h e m ifc h ie v o u s
i c on fe u e nc e s
q o f b l e ed
i ng , w h ere t h e fe c on d i t i o n s a re n o t f o u nd .

I g rant t h a t re -
d u n d a n c
y o f -b
lo o d m a
y
'

b ri ng on d i fi e m pe rs , w h i c h i n d i c a te b le e d

i ng b ut
"
t he b loo d re p olls d ilte m p e rst h a t
do
‘

n ot ar fe i
f rom itfe lf ; f or t h e m ore a
e i fou h a s of t h is v i ta l fl u i d ,
p rov id e d h e is
p
x

n ot ple th o ric k , a n d t h at is n ot f req u e n tly t h e

c a fe n ow a d a y s -
,
t
u h e b
'

e t t e r is h i sfi t u at io n,
a n d h e is t h e m ore a b l e t o re fil t t h e
‘ ’
ro
p .

d u étion an d a tt ac k s o f o t h e r d ife afe s Th e

~

m o re b l ood th e re f ore h e l ofe s , t h e m o re

o b n ox io u s h e w ill b e c om e t o t he m ;f or
'

i t is ab folu t e ly c e rt a i n t h at a n e v ac u at i on
~
,

o f b lood f rom a fou nd m a n w h o is n o t

"
' ‘

l e t h ori c , d ifp o fe sw h a t is l e f t t o a c ac o
p
c h m , d e ra v i t y a n d t h e d ifo rd e rs
"
y y p ,

c eed i n
g f r om
p u t re f a é t i o n
’
B u t l e t u s .

c on fid e r th e po i nt m ore a t t e nt i v e ly w i th

r e g ard t o t h e b ili ou s f e v e r , b x m i ni n g
y e a

fi rfl:
 [ 1 60 ]
fir lt w h e th er th e la n c e t c a n d o a ny g oo d,
‘

a nd fe c on d ly , w h e th e r i t c an d o h arm .

T ue i i nd c a t on i s w e re -
to e v a c ua te '
t he
m orb i d f e rm e n t , fi t u at e d w i t h ou t t he l aws
of i n t h e v e ffe ls
t h e c rc u at oni l i
of t h e fto ~

m a c h , i nt e ftine s
, m e fe n t e ry , a n d li v e r ;
t o c orre ét t h e p u tre f aé tion w h i c h w a s
’

g e ne rate d a nd t o fi re ng th en th e b owe ls
, .

W h at l d b l ee d i ng c ontri b u te t o t h e fe
c ou
'

e nd s P T h at w ill a pp e ar b y e x a m 1n1ng l ts
e ll e é rs 1 It I t d im in ifh e st h e q u a nt i t y o f
’
’
. .

b lo o d a nd t h u s re m ov e s d i lt e m pe rsa rifi ng
’
'

f ro m a re d u n d a n c y a dl
y W h en f ro m
.
, ,

t h e t oo g re a t {tre ng t h of t h e v e ffe ls a n d -
,

t h e i n c re a fe d f orc e o f t h e c i rc u l at i on f rom -
.

a n y c au fe i n a rob u ft b od y
,
b l o od i n ,

fl ame d a n d c onde nfe d is a c c u m u l ate d a nd

ftag n a te si n t h e a rte ri e s o r v e i n s v e ne fe c ,

t i on b y le lf e tt ing t h e i m p e t u s r e l a x i n g t h e ,

v e ffe ls a n d e m p t i n g t h e f m alle l c o n e s
’
, y ,

p ro m ot e s th e re folu ti on a nd re pu lfi on of
t h e i m p a ct e d m a t t e r or i t s re for t ion if i t
p , -

b e d i ff u fe d d
3 y l I t
. p ro d u c e s re l a xa t i o n
, ,

a n d f ro m t h e n c e t d e b ilit i i s
'

w t h t c o nfe
y
»

q u e n t d ifo rd e rs inc re a fe st he i rri t a b ili ty

,
~

a nd p a v e s t h e w a f or i rre g ular c om m o
y
t i o ns ,
 [ 1 61 ]
ti ons a s,
l e awe
rnb y i n n u m e ra b l e o bfe r s -

v a t ion s For w h o ha sn o t f e e n b l e e d i n g
‘

f oll o we d b y f a i nt in gs t re m ors fl a t u le n t ,

fpa fm s a st h e y a re c a ll e d u n iv e rfa l o r
, , ,

p a rt i al a deli ri u m f e v e r a nd c o nvu lfi ons

,

w h e n i m p rop e rly u fe d t o fe v e r al gi rls f o r

f a i nt i ng fi ts or h y fi e ric f u ffo c at ion s i t
, ,

h as b ro u g ht o n re a l and d re adf u l c on v u l -a

fi v e m ot i on s ; I v e ry l at e ly f a w f u c h a
c a fe , f u rg e on a é t ing t he ph y fic i an
w h e re a
’
,

h a d p re fc ri b e d b l e e d i n g i n t h e a rm , a
c l fte r o f a f t ri n e n t r e d i
’
y ' g w ne , a nd a

d ra u g h t w i th y olk of e g g , oil, a nd fe ve ra l
ot h e r t h i ngs o f a m e n at u re ;b y t h i s
f th e

m e a n s (a nd it w a s n ot
p ofl i b le it Ih o u ld b e

o t h e r w ife h e c o n v u lfi on s e re h a rd ly re
) t w
m ov e d i n fe v e n d a ys W h e re a s if h e ha d
.

b e e n q u i e t, t h at p a rox y f m lik e fe v e ra l o
t h ersw ou ld h a v e g on e off fp ont a n e o u fl y ,
a nd l e f t a n o pp or t u n it y f or a d m i niftri n
g
p re v e nti v e m e d i c i ne s W h oe v e r t h e n w il l
.

c o m p a re t h e i n d i c a t i o ns i n o u r d ife a fe w i t h

t he e fi e ét s of t h is re m e d y , w ill foon be f a
'

t isfie d t ha t it c o u l d n ot in t he lc aft p ro
,
-a

m ote t h e m ;f or th e re w a s ne i th e r
p le t ho -a

t a, i nfl a m m ati on , n or r igid i ty ; No w le t
u sc onfide r whethe r it d id no t a u g m e n t
M th e
 l
th e Vi o e n c e of t he d il t e m pe r ?
’
It is ve r
y
eal y to p ro v e i t d id .

I ll . EVE RY y and e fpec ial ly b l e e d

re m e d

i ng w h e re it d oe s not d o g o od is p re in
, ,

d ic i al ;f o r w h e ne v e r i t d oe s n ot re m ov e
t h e c au fe o f t h e d ife a fe i t w a lt e st h e
‘ ’
“

fi re ng th t he pre fe r a t ion o f w h ic h i s
,

lo
’

,
v

i mp 01 t a n t f or not bi ng c onduc esm or e to a

,

c er t a i n c u r e t b an t iou t t ba lr en tb o t ba
, [ g f
i ent be ti /b a b en : i t i s b r e or e t o be
p a t n t e
j flp
i

or t ed b a ll mea ns F o r t h e m ore t h e
n

p y
l tre ng th o f t h e pa t i e nt w h i c h 18 a ll t h e ,

re m a i n s o f h ish e al t h is we a k n e d t he , ,

g re ate r w ill be t he v i ol e nc e of t h e d ifeafe f

a d ly , B L E E nI NG
s ;a nd f rom t e r e ax el
l ax at i on f oll ow t wo v e ry b ad f y m pto ms ,

q u i te c on tra ry t o t h e in d i c at i o ns a n i n
, ,

c re a fe of t he p u t re f a ét ion a nd w e a k n e fs
b ow e l s s
'

of th e ,
w h e re as i t w a o u r a i m t o

l tre n t h e n t he b ow e ls , a n d d ell ro y t h e
’ ‘

g
p u tr id c ac oc h y my .
“
B u t to p re v e nt oh

n
V a n S wie te n Aph or 5 9 8 2 . l . . p .

0
l x
W h a te v e r re a e si n g e ne ral, d ifpo fe st o orrup t c i n o »

P r ng e sdi fe a fe sof t h e a rm y ,
i l 1 82 C onfe r, a p B gl i
’
. . iv

d c fi b r m o tr h b
. oll fp c a p 1
. .
7 p 39 4 .

j . . p . .
 [ 1 63 ]
j e éti o ns f rom c av ill e rs , w e m u l t ente r i nto ’
‘

a lh o rt d ifq u ifi t ion w h i c h t h e i nt e llig e nt

re a d e r w il l p a rd on . By a v i ol e nt infl a m
m a t o r y f e v e r, f a y t h e y , t h e w h ol e m a ls
of b l ood g row s p u t ri d , a nd t h is p u t re
f a él ion 1sp re v e n te d b y b l e e d i ng i nW h at ,

w a y t h e n d o e s it p ro m ot e p u t re f a ct i o n i n
a n ot h e r a c u t e f ev e r ? Th e a n fw e r is pl a i n ,
c h a ngi ng t h e t h e e ff e ct s

a l lo v ary ;t h e i n d i c at 1o n si n a n a c u te i n

fl a m m a t ory , a n d a n a c u t e p u t ri d f e v e r a re
w i d e ly d i ff e re n t. I n t h e fi rlt a p u ru l e n t
,

o r g a ng re nou s t re f a cl io n is g e n e ra t e d i n
p
‘

t h e la ng u i ne o u sv e ll e lsf rom a n e x c e fs of

m o t i o n , a n d v i ol e n t h e a t I n a p u t ri d
.

a l t r ic d il ce m er h o w i h
’ ’
g p , w e av e t o d t
f o rd e s d epofit e d w i t h o u t t h e v e lfe lso f c ir
c u l a t i on ,
w h i c h a re a c c u m u l a te d t h e re b y
r e a fo n o f t h e ll u g g i lh n e ls o f t h e lolid sa n d ,

b y t h e i r f po nt a n e ou sp u t re fc e n c e , r e l a x a ll
t h e p a rt s a n d p ro d u c e fl a t u le n c ie s w h i c h
fl a t u le nc ie sd ilte nd t h e fi b re s a l re a d y la x,
a n d t oo w ea k t o r e fil l t h e m , b e y on d t h e i r

d u e t on e ob l t ru cf t c om pre fsa n d i rri t a te

,
’ ’
,

the nei g hb o u ri ng p a rts H e nc e it pl a in l y

.

a pp e a rs t h at b lee ding b y re l a x i ng t h e
‘

, ,

p a rts wh i c h c ontai n t h e m orb id h u m o u r

, ,

M 2 aca
 °

1 1 64 .
1
i g asthe d i ford e r I S e 1th e r 1nfl am
a c c ord n

m a tory or p u t r i d re v e nt sor p ro m ot e s
p ,

the p f
u t re a é t i on
’

d
3 y 1 , T H E d i fe a fe w asa gg rav a te d if t h e

u tri d m at t e r w a sh u rr i e d i nto t h e m als

’

p
of b l o od , a nd t h is 1 e lorpt ion w a sf o r

w a rd e d b y p h l e bot om y f or , w ben t bc la r

f ma ller bi bu lou sv efielst opour i nto t bc larger

‘
vez n st bc bu mou r sw bi c b ba ve i mbi bed, t/oey f

w benc e tbe a b/b rpt i on o / r i d ma tt er w l

f t ye
p u t i l
bec ome m or e eafir "
T h u s th e n t he d i fe a fe i s
.

m u l tipli e d a ll t h e h u m o u rs a re i n f e cte d ,
,

t h e w h o l e m a c h i n e 13 d i lfolv e d b y a p u tr i d
co lli q u a t i on ,
a n d a ll h op e sof c u re c u t off .

4 t h ly, I T n ot ly p rom ote s itsab forp

on
‘

t i on , b u t i n c re a fe si tsv i ru l e n c e f o r t h e
‘

q u anti ty of g ood b l ood b e i n g dim inilh e d ,

t h e e fle él sof t h e oi fon b e c o m e g re a t e r

'

p .

I t is a n i nv a ri a b l e m a x i m t h at t h e fa m e ,

q u anti t y o f i n f e ct i ng poifo n p rod u c e s t he

g re a te 1 i n f e ct i on the f m alle r th e q u ant i t y
,

of the h u m o u r 1 s u p on w h i c h i t is t o a ct
, .

P Van S wie ten 35 4 . T . I. p .

55 0 .
 J
T h e a n t i e n t s h a v e f or m e rly o b f e rv e d t h at
b y b l e e d i ng t h e b il e w a sh u rr i e d i nt o t h e
b l o od , a nd t h at t h e b lood fe rv e d a s f e t t e rs
t o t h e b il e W h e re v er t h e n t h e re is a pu
.

t r i d h u m o u r b l e e d i
,
n g is h u rt f u l a nd w e ,

m ay o b fe rv e t his t o b e c o n fi rm e d e v e n in
'

i n fl a m m a tory d il t e m pe rsw he re p h y fi c ia n s
’
,

o f g reat c h a ra ét e r f orb i d v e n e fe él i on a f t e r

t h e f o u rt h d a y T h is r u l e is n ot t o b e
.

u n d e rl cood too ll ri ét ly , f o r b l e e d i n g h a s
’

o f t e n b e e n fe r v i c ea b le a f t e r t h a t t i m e ;b u t

i t is h ow e v e r t ru e t h at it d oe s m ore g oo d
o n t h e h rl t d a ys , a nd of t e n h u rt s af te r t h e
’

f ou r t h 1 ‘
.Nor a re t h e re a fon sh i t h e rt o a l
le dg e d f o r t h is p h e n o m e non f u llic ie n t t o
a c c ou nt f o r i t ; b u t t h e p ri n c ip a l o n e a
p
e a r s t o m e t o b e t h e c h a n g e , a f te r t h e
p
f o u rth d a y o f th e d ilte m pe r : f or b e i n g i n
,

fl a m m a t or y b e f o re i t h asn ow b e g u n t o
,

t u rn p u t ri d Bl e e d i ng in th e b egi n n i ng
.

Y
q H ipp c
o ra te sb rok e t hr ou g h is l
. th ru e , wh i c h h im
f e lf h ad e ll a b lilh e d , Gl d li tt l
e re a rd t o it ; e r

s
a en a 1
p g p
h a p B oe rh av e t ru ll e d it to o f a r K loe k ho f i n a n e x
'
‘
.

c e lle nt t re a ti fe a e Tan nin V S i n Ac u t h a s

‘ ’
. . . a u ra t e
y . cc l
c olle éte d b o t h t h e at ro ns a n d e ne m e s
p of th s o i
n on, i pi i
a nd h asf o o we d t he m d d e w a
ll i l b ut w o nd e r t h a t I
y
re a t m an h a s t m t d i
t h e re afon wh h ad ic I
g n o e n o ne

v anc c .
 [ 1 66
]
t h e re f ore p re v ente d an app roac h i ng pu tre
f a étion a nd p ro mot e d t h e re folu t ion ;a f
,

t e r t h e fi rl t d ays it i n c re a fe s
’
t h e put r e f a c
t i on al re a d y b e g u n f ro m henc e I ob fe rv
:

e d t h is r u l e i n i n fl a m m a t ory d i fe a fe s ;as
l on g a st h e fy m pt o mso f a c ru d e infl a m
m at i on c on t i n u e b le e d i ng d o e s g o od on
,

an
y d a
y b u t w h e n t h e re a re a n
y g fi n s o f
a b e gi n n i ng f u u rat ion I a v o1d e d i t al
pp ,

t og e the r w h a t e v e r o t h e r fy m pt o m s
, t h e re
m ig h t b e ;le ft I lh o u ld a l t e r f o r t h e w orfc
t h e d ill e m p e r w h i c h b e f ore w a si nfl am
,

m at o ry a n d n o w b e c o m e p u t ri d d e ll ro y
, ,

a ll h op e s o f a c rifi s and re nd e r it m ali , g

na nt a n d m ort al .

MY l ate r ob fe rv at o n i si ndu c e me to
i of a n o t h e r w a y b e fi d e s i h
”

t ak e n ot c e
’

w h i c h b l e e d i ng is m ore f re q u e nt ly a b u fe d
i n a c u te d ife afe s t h a t is t h e y re ly u p on it
f ole ly , n e g le él: o t h e r a n t ip h log iltic k re me
d i e s , a n d e nd e a v o u r t o a t t a i n t h a t b y re
p e at e d v e ne fe éti on , w h i c h t h e y o u g h t t o
.

a c c o m plilh b y d il u e n t e m o ll i e nt a n d fu c h

;
,

lik e m e d i c i ne s f or t h e v i t a l ltre ng th b e i ng
d eb ili tat e d b y a w r on g t re a t m e nt , t h e re

mifii on o f t he i nfl amm atory fy mp tom s

fome
f o m et im esf o ll ow s ;b u t w h il e t h e h u mou r s
re m ai n c ru d e , a nd t h e fi b re s re l a xe d an ,

o b ll i n ate c a c h e x y e n fu e s w h i c h
, m igh t ,

h a v e b ee n e a fily p re v e n t e d , b u t is rem ov e d
i
w th d f i fi c u l ty I k no w fe e ral gi rls w h o
. v ,

a f t e r h a v i ng a n a n gi na t h u s c u re d h av e ,

u i c k ly f a ll e n i n t o a c h lorofis B t t
q u o
—

r et u rn f ro m t h is di g re lii on ,

"

W E m u ll ob fe rv e 5 t h1y , T h at t he p ro

d u ct i o n of a b ili o u s f e v e r is k
’

n ot t he w or
of o neh ou r ;t h e f o rd e s a re
g ra d u a lly a s
c u m ul ate d , t h e b o w e ls ob ltru éte d , t he

f u nél io n so f t h e w h ol e in t e ltin al c an a l a re
l a ng u id ly pe rf o rm e d , d ig e ll ion re m a i ns i m
p e rf ect an d f or t h at re a fon n u t rit i on is i m
,

e rf e él t oo ;ne i t h e r is t h e f a m e q u a n t i t y
p
o f b l o od p re pa re d n or is t h a t ki n d o f
,

b l ood e l ab o r a t e d w h i c h a l o ne is c a p ab l e
,

o f t ru e i nfl a m m at i on I n t h at m om e n t
.

t he re f o re t h a t a p e rlon is fe i z e d w i th a b i
li s
o u f e v e r, he g r lly c e a fe sto b p
e n e a e le ;
t h or ic a n d a t h l e t i c.

é t hly , M A NY f e v e re fy m pt o m sw e re
b rou gh t on b y a n e rv o u s fy m p at h y w h o le ,

v i o l e n c e is in c re a fe d b a g re a t e r t e n d e n c y
y
M4 in
 h u m ou rs t o m ot i on, a nd th i s as
'

in t he I
’

o b fe rv e d b e f ore a l w a ys g a th e rs lt re n t h b
g y
-

b l e e d i ng , a n d i t is of t e n in t his w a y t h at
it b ri ngs on a d e li ri u m a nd c onv u lfion s .

B U T it m ay b e e ik e d , w oul d it not ab a te
a t l e a li , the f re q u e n c y o f t h e lf e , or t h e
p u

f e v e r ? I a nfw e r it n e i t he r d id n or c ou l d
’

d o i t , f or wh il e i t a gg ra v at e s a ll t h e c au le s
o f th e f e v e r, 11 is d i ffi c u l t t o c on c e i v eh ow
.

i t c zin f m it ig a te t he f e v e r itfelf ;b u t 1a u s
i ‘

ex a m ine th e m at terf m ore c are f u lly The

‘

m o re f re e t h e c irc u la t ib ri i slo m u c h th e
s
‘

m ore fl ow c ent er i s r i bu s i t h e m ot i on o f
pa

t h e b l o od ;b u t b v e n e fe él ion ob ltru ét ion

y s
w e re g e ne ra t e d i n t h e a b d om e n a sh as ,

b e e n lu fli c ie n t ly d e m o nl t ra t ed t h is t h e n
’

i s t h e 5 1 11 c au fe of an i nc re a fe d rapi d i t i n
y
t h e b l ood
’

ad lyTH E b l ood m ov e s w i t h m ore v e

,

Ioc it y , (t h is i sp u t b e y o nd d ifp u te b y t h e
'

d oct r in e o f t h e i llu l rriou sHa ll er ) i f t h e

’

h e art b e c om e s m ore i rri t a b l e a nd t h e

,

b l ood m ore i rri t a t i n g

’
I n ou r d il re mp e rf
.

h l e b o to m y i n c re afe d t h e i rri t a b ili t y of t he

p
h a
e r t an d t he irr,
i t at i n
g p o w e r o f t he
“

bl ood,
 [ 1 69 ]
b l ood a nd t his is c a u le
'

,
a no t h e r .

of .
a

q u i c k e r p u l le .

AND b e li d e st h e ob fe rv a t on i sf u rnilh ed
by ou r E pi d e m i c , to b e i n fe rte d a f t erw ard s ,

we a re n ot d e ltit u te of o th e r s . t o c on f r i m
th is t h e or y
W h il e I f o rm e rly a t te nd e d
.

t h e h ofp it a l of S t E l oy a t Mo n tp e li er, a .

c u ll o m p re v a il e d t h e re , w h i c h h a sb e e n

f trong ly re c om m e nd e d b y t h e p ra ct i c a l
P hy fic i a n s G ou ra ig n e a n d Fi fe s , o f b l e e d
r 5

ing in t h e h e ig h t of t h e pa ro x y f m i n i n
te r m it t e n t f e v e rs ;a nd b y
a nd re m i t te n t
t h is m e a ns I d i d n ot w a nt opp ort u n i t i e s o f
ob fe rv in i t s e lf e él sin t h o fe d ill e m e rs
g p ,
w h i c h a m ong l t t h e p e opl e of G u i e nn e a l
’

m olt a l ways a pp roa c h to th e b ili o u s k i nd .

A nd I fole m n ly prof e fst h at I fe v e ra l t im es

Traa at dc fe b rib
j . I I I C p . ux ta c i rc u l. le g . P a rt . a .

1. p 4 3g.

T él t d f b ib C p
ra a . p m 8
e e I m t r . a . xu . . . 2 1. a no
i cl i d t
n ne i t h x mi i
o e n te r f l ch m
n o t e e a na t o n o u a e

h d b
t o hi sI l y h f m h p d bl d i g s
ut t a , t at ro t e re e ate ee n ,

th fi iét d i t
e too dr f q fe f c h
, anics to o re u e nt u e o at a rt ,

I bf o d ge rv e m b si h h fpi l w h f m
re a t nu er n t e o ta , o ro a
fi m pl m il d T t i
e f ll i i c b l d pfy h
er an, e n to a n n u ra e ro t e

b k isb l m d w h l
ar a l y f l is h b i g d m i
e , o e on au t , t at e n a

nilt d re l t it c l d
t oo m
a e, h t l n ou not re ov e t a re a x a on

wh i c h the form e r m e di c i ne s
h ad oc c ali one d.
 1
7 0 J
f o u nd the pu lfe q u i c k e r a f ter b le e di ng;b u t
I n ev e r c ou ld o bfe rv e t h a t i tsf re q u e nc y

a b at e d , or t h at th e p a ro x
y f m w a sf o o n e r

t e rm nat e d i . O nly t h e f ollo w i ng ac c id e nt

o nc e h a pp en e d t o
y ou ng m an wh o la a ,

b ou re d un de r a te rti a n ;a li t tl e a f te r h e
‘

h ad b ee n b l ood e d t h e b an d ag e w a s loofe n ed
b y c h anc e i n a fh ort t i m e h e loft fu c h a
,

q u an t i ty o f b l ood t h at h e h a d fev e ra l ,

f a i nt i n g fi t s ; h i sf e v e r i n de e d
p re f e n t l
y
c e a fe d w h i c h I w ou l d hav e t a k e n n ot i c e
‘

of a sc on f n a nt t o the d oct ri n e of t he
‘

,
o

b u t h e w a sopp re fe d w i th a
‘

a nt i e nt s ,

l an g u o r o f l on g c o nt i n u a nc e
f T wo ph y
o
.

fi c i a nsh ad t h e c a re of th e h fp ita l , a nd

t he y a t te nd e d a f ort n ig h t e ac h b y t u rn s .

when one y ou nge r m an

of the m , t he ,

t re a t e d b ili ou s an d p u t ri d m a lig n a n t f e v e r s
b y b l e e d i n g p u rgi n g a nd c o oli ng m e d i
, ,

c i ne s
m a n y p at ie nt s
, p refe n t l
y l oft t h e d if

t e m pe r a n d t h e i r li e st og e th e r T he 0 v

t h e r a n o l d e r ma n p re fc ri b i ng a v o m it
, ,

a t t h ei r fi rf t a pp e a ra n c e c u re d a lmo l r a ll
’ ’

s
,

fi ee zd é f ,
fiy
al , 4 1724 “
g/
er é to bz spa t z em s
‘
.

IN t he y e ar w h d w t h us b i i
75 3 e a 1
~

li ou s e ri n e u m on ie s a ll t h ofe w h o w ere
‘

p p
b le d
 b l e d pe ri lh e d : I f e v e r al o m it t e d
a tt e n d e d ,

'
b l ee d i n g a n d c u re d t h e m a ll ;f o m e w h o m

I v ifi t e d n e ar t h e e n d o f t h e d ifi e m p e r, a f
y h a d b e e n b l ood e d b re ath e d w i th
t er th e ,

m ore d i ffi c u l t y an d w e re b e c o m e d e li r i ou s ;
'

I re m e m b e r t o h a v e f ou n d t h e m t o r m e n t e d
w i t h a m ofl: q u i c k a nd th ort re fpira t i on a

fi rong d e li ri u m , a f m a ll p u lfe v e ry q u i c k ,
f re q u e n t a n d h a rd
, Th e t ru e m e t h o d of
.

c u re w a s f t a m t n i n l g
, a e r v o l
g tv e a a r e

q u ant i t y of d il u e nt liq u or t o inj e ét c ly f ,

t ers of t e n t o m a k e t h e m d ri n k pl e nt i f u lly
'

o f d i u ret i c k sand a c i d s a n d d r a w i n w i th
’

t h e i r b re at h t h e f u m e s o f v i n e g a r f re
q u e ntly .

IF w e c on f u lt t h e w ork s of t h e m off c c
le b ra te d ph y fi c i a n s w e fh a ll fi nd o u r op i
,

n i o n c o n fi rm e d Le t u sg o t o th e b oo ks of
.

Hipp oc rat e s t h a n w h i c h t h e re a re n o ne I
re a d i
w th gre a t e r
p lea fu re a n d r e v e re n c e ,

n or w h ofe au t h or t i y I p re f e r , w e fh a ll fi nd
i n m a ny pl a c e s d e fc ript io nso f b ili ou s f e
v er s a n d t h a t t he y w e re c u re d b y c ath a r
,

t i c s o xy m e l a nd t i f an a nd n o w h e r e b
,
p y,

p h l e b ot om y : on t h e c ontra ry h e a ffi rm s ,

t hat th e b l ood is a tt e nu at e d in a b il iou s

c a!
 c ac oc h ym y , t h at it
fi re ng th ac qu i re d ne w

f o r in c re afi ng t h e d i fl e m pe r b y v e ne fefi ion ,

w h i c h w a st h ere f ore t o b e a v oi d e d Nay .

1 n 1n fl a m m a t i o ns if a c ac oc hy m y d id pre -

v a il , h e g a v e a c l fi e r b u t did n ot b l e e d
‘
‘ ‘ ‘

y
h e f orb i d s b l e e d i ng in a fp itt in g o f b l ood
i f t he p a t i e nt b e of a b ili ou s h ab i t ;w h i c h
t '

g a v e ri fe t o fom e e x c e ll e n t ob fe rv ationsof
P r ofpe r Ma rt i a n on e o f h isb e ft c o m m e m
t at 01 s if the hlood f a ys h e , i s v ery thi n ,
‘

a nd a r oa c hes o t he na t u r e o a hz lz ou s h
pp t f u

m ou r z t z s
, fl z ll m or e a t t enu a t ed h
y h l eedz n ,
g
a nd ther e z som e da n er le i z t de ener a t e to
f g / g
t a l y z nt o a hz lz ou shu mou r Hipp oc ra te s
l
“
.

t a k e s n ot i c e t h a t lyi ng i n w o m e n h a v e bi -

li o u s f e v e rs f rom t h e e x c e lli v e l ofs of

b l oo d a n d M a rt i a n t h u s a d m i ra b ly c o m
x

m e n t s o n t h a t p a ff ag e ;hleedz ng c ools
’

, w hen
t he hea t pr oc eeds f r om t he Hood hu t ha s n o ,

ect w hen i t a r z es r om a c a c oc h m
'

u ch e
f j j f y y
na z t ma nif efl y ap ea r s t ha t the hodv w hen
'

y t p ,

h ea t ed hy t he r edu nda ncy of hz le g r ow shott er

af t er h/ee dz n h H e h as f e v e ral ot h e 1
'

af
g p
r

De Hu m o rib 6 7. Foe sp 5 1 . . . .

Mag n Hl ppOC C o u sP ro fp Ma rt i a n p 1 07
. . . . . .

x
De Mo rb Mu lle ru m i II I oe s637
. Lb . . . F . .

7 b
I id p . .
‘
1
93 .
 '

I
73
fa g e sworth re m e m b ri n
g , but p arti c u l arly
an e x pl a nati o n o f o ne of t h e c oa c ce P ra
not .
“
f p h y fi c f o rb i d s
w h e re t h e f a t h e r o

b l e e d i ng i f t h e re b e a l oath i ng of f ood
, ,

a nd a f w e lli ng o f t h e h oc h o n d r e A
yp re .

t wu s C e lfu s
, , Al e x a n d e r e v e r y w h e re a g ree
w i t h Hipp oc ra t e s I m u lt c on f e fst h a t
’
.

G a l e n a pp e a rs t o d i ff e r, w he n i n fe v e ral
pl ac e s h e pre fc rib e sb le e d i ng i n p u tri d f e
v e rs ;b u t a n b od y , wh o r e a d s o v e r h is
y
w orks a tt e nt i v e ly m ay t h u s f olv e th e d if
fi c u lty H e h a sw rot e i n f u c h a m a n ne r
.

a st o a d v a n c e fe v e ra l t h i n gs o f t e n m ore

f ro m h y pot h e fist h a n e x p e ri e n c e , h e a l
w ays f u pp ofe s a f u ln e fs o f t h e v e ffe ls ,

w h iéh is t o b e re m ov e d , b e f ore o t h e r m e
d ic i ne s
;a re a d m i n if t re d
’
b u t Ga l e n is m if
k
t a e n , a nd t he b u il d i ng f a lls of c ou rfe

w h e n t h e f o u nd at i on is d e f t roy e d ,
’
a nd

c ont ra d i éti ng h i m fe lf m ore t h an on c e

wh e ne v e r h e l ays afi d e t h e no t o n i of a

le t h o ref, h e p roc e e d s u p on n o ot h e r d oc
p
i
t r n e t h an ou rs I n h isMet hod Medend
. . .

fi rm s hieedz ng snei ther

'

he af ,
t ha t c ure h
o

C oac 4 01
. .F sp 1 9 6 M t i n 4 1
oe . . . ar a 1. i
w t h wh h ic
ou g h t t o be c om p d D e t sUp n th
are ur u o e fa m e ho Ap
1i fm ,
p 37 0 .
 ru oii on u t r c a él i on I n th e
‘‘
'

fi
f
nor
p y v er
y
'

t re at ife w h e re h e de f e n d s p hl e b oto m y a

g a in fi: E ra fiftra t u s
, h e fh a rply re
p rov e s
t h ofe , wh o b le e d i n d ifc rim in a t e ly in a ll

p u t ri d fe v e rs ;t h ere is one w he re b l e e d i ng
d oe s g ood ;i n ou rs it w a sh u rt f u l ; in t ho
'

fi rfi G a l e n w o u l d h av e m a de u fe of it i n -
,

t h e fe c o nd he W ou l d h a v e a v o id e d i t
t

A .

m on g f c t h e m od e m s Fe rn e li u s c 01n c 1d e s
’

W 1t h fe nt im e n t s B leeding i sha d i n a
ou r

r eg u lar t e r t i a n hec a u/Ze i t ev a c u a tes

,
t he
q l
hu mou r , a nd lea ue s hehi nd t he
a nd nec
ef y
'

f
ar

i mpu r e , i n t hi s
a nd nox i ou
f e v e r t h e hody sf or
i sc ommonly w afled a nd t he qu a nt i ty (y hlood
r '

f ma ll an d t he acr i d hi le , t he v er
yf u el
f
o t he

f e ver a s
hou ndsa nd f
u nder t he o i
dd y t er m ent

o
f t he li v er ;a nd a st hisi s not r e mov ed h
y
hleedi ng c onfi g u ently the i nor hi d ma tt er i s
, not

lcj ened hy i n Nay if hlood he dif c ha rg ed c i

l

t her /pont a neoufly or hy a ny oper a t i on y ou w i ll ,

l
a
Lib I I. O p O m T i p 78 I
. c a p x iv
. . e r. n. . v . . 2 . n

th d h f l l w i g ch p
at a n t e o h p f ib sb l d i g
o n a te r e re c r e ee n 111

pu t i d f
r s w h
e ve r c h h i s pp fi i
en e hi m f l ft? en t o o t o n to e

I p id f
n l u tr sh f bi d sb l d i g
ever p cc
e or f ee n , u on a o u nt o

h p f él i d b fl él i s ;w h i c h h d s el f
’

t e n t re a on a n o ru on e or e r e

where for a pl e thora and i nfla m m at on. i

 [ 1 75 ]
anta Cru z
b
a nd t he f ev er
g i fi g
a n r en t h S .
~

l
r e ate s a c a fe , w h i c h I w ou l d d e li re t h o fe

t o re m e m b e r , wh o a re a l w ays d e li rou s o f
b l e e d i ng i n a f e v e r a n d h e a t He wa s
c a ll e d o n t h e a 8 t h d ay o f t h e d ife a fe t o a

m a n o f fig u re , w h o h a d a v i ol e nt h e a t ,
m ad e re d u ri n e , h a d a p a i n a nd w e ig h t i n
the h e ad , a n i n q u i e t u d e , l oat h i n g of f oo d ,
a d ry and b l ac k t o n g u e : t h e p a t i e n t r e

f piring w i t h d i ffi c u l t y a pp e are d t o b e d y
i ng w i t h a n i n t e n f e p a i n o f t h e b a c k a n d
b t e af r, a nd a q u i c k , u n e q u al a nd f u ll
’
,

u lfe : t he ot h e r ph y fi c i a n h a d p re fc rib e d
p
p h le b ot o m y w h i c h S a nt a C r u z f o1 b a de
,

f ro m a c onj e ét u re w h i c h h e f or m e d b y
,

f ee li ng t h e l o w e r b e lly t h a t t h e origi n o f,

th e f e v e r w a s f rom t h e nc e ;he b e g a n i m .

m e d i at e ly t o re m o v e it b y a p u rgi ng c ly f
t er ;a nd t h e a d u lt b il e t og e th e r w it h o th e r
‘

g rof s e x c re m e nt i ti ou s m at t e r b e i ng e v ac u
a te d t h e p a t i e n t i m m e d i a t e ly f ou n d h im
,

f ei f m u c h b ett e r The i llu f t rio u s

’
J G o r .

b
De Me th . Gu ra nd f e. b r. c a . 11.
p p . m 388 . . wh hic
w o rd so u g h t t o b e c mpo a re d W1 h t he q u ot a t o n i sf ro m

Fife s a nd G o u ra i ne
g .

De 1m pe d m a g nor . aux i l L i b IlI p

. . . c a . 11 11 . o n th is
acc ou nt a lf
o re ad t h e V a u a l bl w k f B k
e or o a r e r, Elf ay ,
St e . p .
35 3
.
 I 1 7 6
te r h fi c i an to t h e E m pre fsof Ru fli a ;
p y
w ho b e i n g m a tt e r o f a ll t h e l e a rn i n g o f ,

t he a n t i e n t s a n d m o d e m s , a n d h a v i n g .

t he a d v a n t a g e o f a l a rg e e x
p e r1 e n c e h a s ,
'

li
d e v e re d t o u s t h e w h o l e f u b ft a n c e o f
p raéli c e ;i n a c h a p te r u p on th e b iliou s

a nd e l f e w h e r e p h le h ot o m y i s
, p j r e u di c i a l i n , .

di/lemp e r s a r ifigfn r om a c a c oc h m
y y I n t h e

e pi i
dem c f e v e r d e fc ri b e d b y B o r e lli , h lee d
i ng w a sf o n o r
a,h h ec a z
d e t hi s r em e dy w a s
not omi tt ed i n a y n w h o d i ed f , y
o i t n a i t
f
e v en r e ea te d t o t he thir d t i me An d I a m
p
.

i
a f ra d it m u c h i n c re a fe d t h e d if or d e r
f o r ,

e v er hody m u fl i m m e d i a t e
ly f e e h ow u n e q u a l i t
y
w ast o t he e v a c u a t i o n f
o c o r r u
p t e d h u m o u r s
i
j g a na t i ng ah ou t t h e [ l om a c h g
Bi a n c h i ,
.

i s b f i s
’

p
u on t h e c r e d i t o f G u i d e t o e r v a t o n ,

c o nd e m n s b l e e d i n g in b ili o u s p l e u r i fi e s i f ,

t he b e lly is i n fl a t e d ;f o r w e o hfi r v ed h y m e .

la nc hol ex e
y p r i en c e t h a t t hi s h i n d of r e m e dy ,

i n a hi li ou sple u r z
fi ,
a lt hou
g h t he
j y m p t om s o
f
a n heu t e d fi a/
i Z m ig h t d ec ei v e a’n z nc a u ti ou s

d S y fte m pra x e osn

.
. 2 30 .

p 61
'

e
. C o m e nd t r 5 4 . . . .

f M a l pi g h i
b i f u pra , u p . 2 82

3 G lafsC om m e nt 7
. . . p . 1 15 .
 l 17 7 I
p j er an,
j it ddenly deflr oy ed ma ny an d pu t an

fi t he h h
d t o thei r lif or ni nth day
‘

en e on v ent

B leedi ng i n a hi li ou sa r dent fi v er i sne v er

n a c onti nu ed hi li ou st er t i a n i t i s
i
ood I
g .

e r ni c i ou s t he c onc t h h d
fi f l i
y
sf
t
p on o
,
e oo o c c e on

cd hy v e ne h él i on
j i nc r ea/ed the t u m u lt o t he
hi le éa és
k
I n the heg i nni ng o
.
f i/ j
d , t h e
f e r

m ent i ng or r edu nda nt hi le m ud not he f or cl

e d t hr ou h t he v e
g fi ls,
hy r em ov i ng t h e r e
’

j i/li ng -
an d oh/lr u fi i ng pa r t i c lesof the hlood hy
m ea ns h ehot om T h e f oll ow i ng a p h o
'

f
o
p l y .

r if m A v i c e nn a
of fe e m sp rop e rly to be ;
l ong t o th is pl a c e , Bl e e d i ng o ft e n c a u fe s
a f e v e r, a n d o f t e n o c c a fi on s
p u tr e f a ét i on .
”

And l f o t h at o f Z
a a c u t u sL u fi t an : In
b ili o u s f e e rs t a ki ng a w a y b l oo d w h i c h
v ,

b y i t sm il d te m p e ra m e nt fh e a th e d t h e ,

a c ri m o n y o f t h e b il e m a b ri n g o n a n
y
e b u lli t i on of c h ole ri c k h u m ou rs
‘ ”
I
j aw t hr e e v e r
y h fi men la hou r i ng
ro u , d
u n er a

fi p
m l t er t i a n, whof r om hoi ng hlooded the
’

e on

Hifi or He p at Part
. . III p 4 8 . . 2 .

Ib i d p 6 5
3
. . 2 .

k
I bi d 6 36 . . Th cc s li t l
e re o ur a t e afte r t h is n, a

exc ll t c t i
e en au on o f G id i c c
u i g
et . o n e rn n t he m ifc h ie fs
of b l di g ee d h n an t e a d v a n ta ge of v om i ts b
, ut it ist oo
l g on f ib h
t o t ra n c r e e re .
Ib i d 64 6 . .
 f 178

t
‘

p eri o d i c a l da f h f h i
'

y o e ev e r ,
u
p o n t e c om n
g
on o f t h e
p y/
a r ox m
af t er
f e ll i nt o a , t er r i hle

c holera a nd hr ea t hed t heer loft w i t h a v i olent

,

dzf c ha rg e of hi le, li ke a t or r ent m

B leedi ng ; .

i n hi li ou s f ev er s , f a ys J u n k e r, if t he r e i s n ot

a v ery g r ea t plet hor a a nd t he a t i ent ha s

, p not

heen long a c c u/lomed to i t , pr odu c esa metafl af s

h h rs h hea d w i h d eli r i u m a nd
o f t e u m o u t o t e t ,

i nfl a mma t i on of t he thr oa t Venefi c ti on hy

‘

a ug menti ng the m oti on o h e hlood z n a hi li

f t
ou s ev er , i nc r e fis or c on r msit sheat a nd
f a fi
’

a fs o v e r i n n u m e ra b l e a u t h o
°

f er v ou r I p
r it i e s, b u t c a nn ot o m i t t h e w ord s of H u x
h a m , w h o h a sf o g re at we igh t w i th m e ;
a nd t h ofe of P W alc a re ng h i
. W hen a n .

a c r i d hi li ou s c ollu v i es a hou ndsi t i s mo hp p r,o er

to e v a c u a te i t hy v omi t or hy fl ool ;f or i ts

p r i nc i a l
p fl a t i s i n t he
p r i mm v i m a hdomi na l ,

deed, tha t v ery f r equent ly the w hole m efi of

hlood i st hor oug hly i ry eéted w i t h i t hu t even
f

i n t hi sc aj h , t her e i sno i ndi c a t i on f or hleeding ,

m
Ib i d . wh e re th e re a re fe v e ra l o the r fa ta in
7 01 . l
fia nc e sof t he e ff e ét of ee d ng i n bl i
ou s fe v e rs b ili .

C onfp Me d th p r
. .
5 5
1 . . p . .

Sc
ard ona Aph de c og n 8: c u t m orb T om i v
. . . . . .

p 8
.
5 .
 1
79
w hi c h may [ i n the r edu nda ncy o
d f hlood, hu t

c a nnot c or r eél i t sa c r i mony a nd a shleedi n

g
sex ha u/lst he fi r eng th hut doesnot r emov e
'

t hu
t he a c r i mony i t doesha r m
,
I n t hi sw ay I .

ha v e mor e t ha n onc e fi en w i th g r ea t c hag r i n ,

i ng/l j Z a nda lou sa nd i r r etr i ev ea hle m ifla hes

‘

ma de Venefi c l i on i n they} di/lempersi sef

‘

t eemed a lt og et her i mpr oper f or a g r ea t ma ny

r e fonsf or if as e ha v e 0 o t en i nc u lc a t ed
a ,
w [ f
, ,

t he or ig i n o cc h ev er si s ener a ll t o he a t
f fi f g y
t r i hu ted t o t he hi le depr a v ed i n v a r i ou sw ay s ,

w ha t g ood can he done hy hleedi ng w hi c h w i ll ‘

e v a c u a t e no hi le j épa i a te f r om the hlood he

'

id s
/ , y
e h m ea nsf
o i t t he
fi hr esf
o t he f oli dsare

mu c h r ela x ed a nd w ea kened, an d t her e or ef

t hei r e la fl i c
f or c e i sdi m i nzfi ed i n pr oport i on ;
w henc e they r ender ed la } o r omote h
are
yfi t t p y
t hei r u
fi ca l a nd nec e h r
fl y v i r a t on
h i s t he , de
ex c r et i on sof t he hi li ou shu mou r 9
.

I HAVE h i th e rt o oppofe d b l e e d i ng ln bi a

li ou s d ifte m pe rsb y re afon a nd a u t h ori t y

w e m u f t n o w c onfi d e1 w h a t lig ht w a s
’
of

f e re d b y o u r f e v e r A m on g t h e c o m m o n .

P O bfe rv at de Ae re
. m orb . Ep ide m . T II. .
p .

1 77 .

‘
1 Me dic in . Rat i onal .
78 .
 [ 1 80 ]
p eople I re m e m b e r fe v er al , w h o d i e d i n a
f b ort t i m e a ft er b l e e d i ngs q u i c kly r e p e a te d ;
w h at I w asw it ne fst o m y fe lf , I fh a ll l
'

re a t e .

O nc e v er y
m u c h a g a i nfl: m y c h o c e , i I was
f orc e d ll
t o a o w v e n e fe ét ion t o a p at i e n t i n
\

th e b e gi n ni n g o f t he d ife a fe , w h o fi re nu
o u fl f ollic it e d m e f or i t ;a f m a ll q u a nt i t y
y
w as t ak e n a w a y h owe v e r t h e re w a sre a
f on t o re p e nt it ;t w o d a ys a f t e r t h e p a ,

i i
t e nt w th ou t my k n o w l e d g e h a d a m i nd ,

t o a pply l ee c h e s t o t h e h e m orrh oi d al e i n s v ,

a c op i ou s h e m o rr h a g e f oll ow e d a nd i n a ,

litt l e t i m e all h isfy m ptom sw e re ag g ra

y a te d Tw . o y ou ng m e n of t h i rt y w h o ha d ,

b e fore e nj oy e d a fi r m fi a te of h e a l th f rom ,

t he v io l e n c e of t h e h e a d a c h a n d h e a t h a d -
,

b o th r e c ou rfe t o b l e e d i ng u p on t h e i r ow n
j u d g m e n t o n e of t h e m t w i c e a n d t h e ot h e r
,

Vifi ting t h e h rf t u p o n t h e lix t h

’
onc e .

d ay of th e d ifte m pe r, I f ou n d h i m f o m u c h
d e b ili t at ed , w i t h f o g re at anx e t i y ,
a nd a

h e at fo i l
v o e nt , a h e ad i i g
-
ac h fo e x c r u c at n ,

a n d t h e t e n d e n c y t o t u m u l t u ou s m ot i on f o

c o n fi d e ra b le t h a t I d u rf t n ot t h i n k e v e n of
’
,

t h e m olt g e ntl e e v a c u a nt s f o r a l t h o u g h b y ,

e v ac u a t i n g t h e m orb ifi c c au fe w e of te n ,

re m ov e d t h e d e b ili t y e t i n t h is c a fe i t wa s
y ,

fo
 fo g re at fo d i ff e re nt f rom t h e c au fe of t he
,

d ifi e m pe r t h a t I w a s
,
a
pp re h e n fi v e , l e ft a n

u ne x e ét e d i n c re a fe of t he t u m u l t u o u s m o
p
t i on s lh ou ld i nc a p ac it a t e h i m t o b e a r t h e
fi rft fh oc k o f t h e e v a c u ati ons By t h e .

m ild e ft a c i d c ard i ac s , d a ily c ly f t e rs a nd

'

’
,

b lif t e rsh is
’
,
ftre ng t h w a sg rad u a lly reftore d ,
a n d t h e n t h e d if t e m per w a s i n fo m e m e a
’

f u re re m o ve d b y ev ac u a t i o ns ;b u t th e d e
b ilit ating c au fe a d he ri ng t o t h e b ow e ls ,
a n d l e a v i n g a n o b ftr u ét ion o f t he l i v e r,

r e n d e re d t h e c u re te d o ui s , a nd m ad e a

c h an ge of a ir ne c e ffa ry : f or fe v e ral m ont h s

t h e p at i e nt c o n t i n u e d u n fi t f or a ll e m pl o y
m e n t s a nd h ard ly re c o e re d h isf orm e r
,
v

fi re ng t h f o r a y e a r a f t e r Th e fe c on d a
.

c o u nt ry m a n f oon a f te r h is
,
b e i n g b l ood e d
w a sfe i z e d w i t h a c ou g h a n oppre fi i on , ,

fi u p or , a n d de b ili t y w h i c h w e re v e ry
,

d a n g e ro u s t o h i m a nd
, c re at e d much
t ro u b l e t o m e ;f or t h e f e v e r b e i ng re m ov e d

w i t h g re a t d i ffi c u l t y i t r e m ai ne d t o c u re
,

t h e d e b ili t y w h i c h t he c on fe q u e n t r e l a x a
,

t i o n a n d c ou g h h a d b ro u g h t u p on t h e

l u ngs ;a nd I w asf or a l ong t i m e a f ra i d

of a c o n fu m t io n , a nd t h a t o f t h e w orlt
p
k in d, in wh ic h t h ou g h t h e re b e l
n o u c e ra

N 3 i
t on
 t ion o f th e l u ngs , y e t t h e re 1 3 u c h f a l a x i ty ,
a ll t h e re d u n d a n t ,
’
th a t f t ag n a nt , a nd c or

r u p te d h u m ou r s , w i t h g re at fh o rtn e fsof
b reat h , a re d ifc h a rg e d u n d e r t h e f or m of
a c r u d e gl u t i nou s m att er His w ou ld h a v e
.

b e e n t he fe c on d fpe c ie so f t h e d ife a fe , if
b l e e d i ng h a d b e e n o m i tte d ;b u t w h at g ood
“

d id i t d o i n t h e t h rd i ? t h e a n fw e r is e af
y .

I f th e n a t u re o f a d ifte m pe r w ill n ot b ear

a p art i c u l a r re m ed y , t he g re a te r the de
g ree o f t he d iford e r is th e m ore h u rtf u l ,

w ill t h at m e d i c i n e b e ;n o r w a si t pofIi b le
t h e e v e nt c ou l d b e d i ff e re n t in t h is c a fe ;
f or t h e re w ast h e g re a te ft p u t re f a fi ion a
'

g e n e ral inf e é t ion of th e h u m ou rs a n d

’
,

t h e re f ore b l e e d i ng w as e x t re m e ly b a d The .

t ru th of t h is is c o n fi r m e d a m o n g ot h e r o h

f e rv at ions b y o ne , w h i c h I fh all n e v e r re
,
.

m e m b e r w i t h ou t fo rrow , t h e d e at h of a n
e x c e ll e n t e rfo n b e l ov e d b all g ood m e n
p y .

B e i ng t h i rt y y e ars of ag e , h e w a sfe iz e d i n
t h e m on t h of J u n e 1 7 5 6 a f t e r l on g ,

t ro u b l e s w i t h a rh e u m a t i c k f e v e r a t t h at ,

t 1m e e pi d e m i c w h i c h re ad ily fi x e d u p on
,

the d i ap h rag m ;fom e ou n c e s of b l ood w ere

t a k e n a wa y w i th a v i e w o f p ro m oti ng a
,

moif t u re of t he fk i h , wh i c h a c c o rd i n gl y
’ -

f u c c e ed e d ;
 l 1 8 I
3
f u c c e e de d : o n th e fi f t h d a y o f th e d ifte m
e r a f te r t u r b i d u ri n e w h i ch e rf e étl d
p , p y e

o li te d l arg e f e d i m e nt , and c o pi ou s
p a

f w e at s h e w a sv e r y w e ll ;o n t h e fi x th h e
,

w as e nt i re ly f re e of t h e f e v e r, b u t t h e f u d

d e n a t t a c k an d r e t u rn s of fom e f u b fu lt ory
m ot i on s i n t h e j oi n t s i nd i c a t e d t h at t h e re
,

w a sf o m e m o rb i d f e r m e n t i n t h e p ri m ae
v ise , w h i c h m ig h t b e e v ac u at e d n e x t d a
y .

I n d e e d a ll t h e f y m pto m sof i nfl a m m at i on
w e re al re ad y g o n e o ff . B u t a l a s w h ile I ,

w as a b fe n t i n t h e e v e n i n g a f t e r b e i n g in
,

a fIi o n , h e w a s f e i z e d w i th n e w f m
a
p y p
t o m s e n t i re ly d i ff e re n t . His pu lfe w h i c h ,

i n t h e d ifo rd e r w a sre g u l ar h ig h , a nd ,

li ro ng w a sn o w b e c o m e f re q ue n t v e r y
, ,

q u i c k a nd v e ry f m all ; h i t h e rto h e h ad
,

b e e n fe n fi b le a n d d id n ot w a n d e r i n t h e
le a f c ;b u t n ow a f u dd e n d e li ri u m c a m e on
’
,

w h i c h h ow e v e r d i fa p pe a re d w h e n h e w a s
,

a l a rm e d ;hi su ri n e w asli m pi d h i s{k in

,

d ry h is
,
e xc re m e n t s c r u d e ,
a n d re f i ra t ion
p
p e rf orm e d w ith d i ffi c u l ty W h at i d e a .

c o u l d I f orm o f t h e d ifi e m p e r ? By t he
c o m m on c au fe so f t h e e pi d e m i c , b y h is

c a re s e fpe c i a ll a n x i e t y a n d fo rrow , a u
y, p
t ri d f e rm e nt w a sg e ne ra t e d i n t h e v e fie b
N 4
. o f
 1 84
[ ]
of t he li v e r ;f or n ot h i ng ob ftru é fsth e (e
’
.

c i e t or ff e ls f t he b il e f o on er t ha n g ri e f
y v e o .

I n t h is c on d it i on h e f a lls i n to a c a t arrh al
'

f er
e v , w h i c h w a sm u c h p ro m ot e d b y t h e
w e athe r a nd t h e fi tu a t io n of h is
, d om e ftic
aff a i rs a t t h at t i m e : n e i th e r wa sit v i ol e nt
b e c a u fe i n a b od y w h o fe h u m ou rs b e gi n
,

t o g row p u tre fc e n t a {b ong i nfl am m a t i on

,

d oe s n ot e nf u e b u t t he c onfe q u e nc e is
v e ry b a d f r b a n i nc re a fe of h eat , t h e
, o y
m orb i d f e rm en t m olt re a d i ly t u rne d pu
t ri d e x c e fIi v e g ri e f is f at al, f or, i f r om .

ner a t ed i n the ho
dy a . t he f
fe c re t io n o

b il e b o t h fo un d p u t ri d is Pre p d w h i c h
’
a nd ,

is f oll o we d b y w h i t e e x c re m e n t s , a nd p e r
h aps a t ra nfl a t io n o f t h e p u tri d ma tt e r i h
t o t h e b l ood f or w h o h a sn ot ob fe rv e d a
,

j a u n di c e f rom a fi m ila r c a u fe 3 From f

r .
»

t h e f a tm o d ic k c ont rafi io n o f t h e w h ol e
'
'

p
a ll t h e o t h e 1 f e c re t ion s
‘

v a fc u la r f f te m a nd
'

y ,

e x c re t i o n s we re e q u a lly i n te rr u p t e d wh e n c e ,

t h e t h in n e fsof t h e u ri ne and d r ne fsof

y
t h e fk i n .
4 F r.o m h e n c e W 1 t h t h e c o n
cu rre nc e of t he f or m e r c a u fe , the b ra i n s
’

t
 1 85

w a squ i c k ly h a d t o deal
a ff e é t e d W
’
. e

t h e n w i th a p u t ri d a nd fpaf m od i c k d i f .

t e m p e r : t h e i n d i c a t i on s w i t h re g a rd t o t h e
p u t ri d h u m o u r w e 1 e t h e f a m e , t h a t h a v e
b e e n to of t e n m e nt i on e d , b u t t h e re w e re
con tra i n d i c a t i o ns f ro m a c o m pli c a ti on o f
-

fy m pt o m s ; f o r v o m i t i n g w a sf o rb i d b ot h
b y t h e {p a lm o f t h e a li m e n t a ry c ana l ,
wh i c h d ifc o v e re d it fe lf b y t h a t f e nf e o f
’

an x e ti y f w h i c h t h e p at i e n t c o m pl a i n e d
o

a t t h e p it of h is fi om a c h , a nd a l fo t h e t e n
‘

d e n e y o f t h e e p i d e m 1c 1 n 1 t s v ig ou r to a n

i n fl a m m at i o n of t h e d i ap h rag m , f or it
o u gh t t o be a f a c re d r u l e w i t h a p h fi c ia n
y ,

t o d o n o h ar m a t le a ft , i f h e c a n d o n o
g ood Th e d if t e m pe r m igh t b e c onfid ere d
.
’

as a b i lar
y a rd e nt f e v e r, w be r e Needi n
g i s

la ed m z be beg m mng , on a e e e z mz o h i e 3a
p y f /1 ]
‘

medz ek di or der o
f f
t he fl oma eb a nd z f iz c
fi
‘
net

W h at w ast o b e d on e ? B e i ng c a ll e d 1n ,

t h e m i d d l e o f t h e n ig ht I p re fc ri b e d a c ly f
. .

te r a n d a d ra u g h t of b arl e y w a te r w h i c h
,
-
,

w a sat h a nd w i th f o m e d rops o f H off

'

m an s a nody ne m i nera l li qu or, wh i c h af t er

’

B iang hi fiz G iu det i,
‘
p . 6 25 ,

a gitati ons ’
 1 86 ]
on s
a gi t at i of m i nd , I h a v e f ou nd a n ex

c e llen t re m e d y b y d ri n ki ng fo m e t e pi d li
q u o r a f ter it Th e fy m pto m sab ate d a nd
.
,

i n t h e m orn i ng I c ou l d f a f e ly gi v e m an na ,

t a m a ri n d s a n d a f m a ll d ofe of e m e t i c t ar
,

t ar d iffolv e d i n a d e c oéi io n o f g ra fs of ,

w h i c h h e w a st o t a k e t h ree otm c e s e v e ry

h ou r a nd a f ter t h is d ofe w a s
, fi ni lh e d t h e ,

f a m e d e c oé t ion of g ra fs w i th j u i c e of for
’

r e l a n d c i t ro n R e t u rm ng 1n t h e e v e n i n g
.
,

f or t he p at i e n t li v e d in t he c ou ntry I f ou n d
'

h e h ad d ra n k fc a rc e h al f t h e p u rgi ng
d rau g ht a nd b u t li t t l e of t h e ac i d p tifa n
, ,

b u t h e h ad t a k en t h e a nod y ne m i ne ra l li
q u or f re qu e ntly h e h ad g one t hri c e t o ,

fi o ol a n d t h e d if c h arg e w a sb ili ou s h i s
, ,

h e a d w h i c h I l e f t c l e ar w h e n I w e nt a w ay ‘

i nt h e m orn i n g w a sn ow c onf u fe d ;a n d
’

'

h is p u lfe v e ry q u i c k : t h e f oll o w i n g n ig h t

h e p a ffe d w i t h ou t flee p a nd t h e d e liri um ,

i nc re a fe d I n t h e m orn i ng I pre fc rib e d t h e

.

f a m e lax at1v e ptifan , a nd a noth e r of b ar

T he
‘

e xc l l cy
ef e m e t tartar in a fm all dofe a nd
en o ic
l arg e v e h c e , a nd u fe d w th a n n te nt on to u r e i s
i l i i i p g
f u fii c ie ntly a are n t b o th from ot h e r a u t ho r t i e s
pp , a nd i
b
f ro m w h at h as e e n m e nt one d e f ore i n t h s ook i for b i b
i t is a v e ry g ood fi im u lu s t i t h l fi i it ti n d
‘
n n n a
, o e e a rr a g
t h u s re fe rab le to th e m de r (a ts
p il l .

ley
 [ 1 87 ]
Ic y wa te r, a n a c i d fy r u p , a nd fpi rit o f
-

n i t re a n d fi ro ng
,
fin apif m st o t he fol e s o f
h isf e e t I took my l e a v e a nd e v ery t h i n g
.
,

w asfe t afi de , a c on fu lt at ion is ta lk e d of ,

wh ic h m et in t h e a f t e rn oon f t he
;i n fi e a d o

f ore m e nt i o ne d d ri n ks , m ilk w h e y w i th
- -

t a m a ri nd s is p re fc ri b e d i n fl e a d o f t h e fin a ,

p i f m s , b l if’
t e r s t o t h e l e gs ; n e x t d a
y e v e r y
t h i ng g re w w o rfe , n o e v a c u at i on s f o ll w
o
ed t h e d a y a f t e r t h ere w a sa n ot h e r c on

f u l t at io n a t fi x i n t h e m o rn i ng ;h e l ab o u re d
re a t e f t r e fi le fs n e fs d ft
’
u nde r th e a n a ro n
g , g
p h re n it i c k d e li ri u m , h i s p u lfe a sb e f ore

f re q u e nt f m all a nd q u ic k , wh i c h w a s v er y
"

, ,

b a d f or ph re n fi e sw i t h a ftrong t e nfe a n d
,

fl ow pu lfe a re c u ra b l e , h ard ly w i t h a fm a ll
a nd q u i c k one Up on a c c ou nt o f t h e
.

d e li ri u m h e is b l e d , w h i c h I re m onf t ra ted
‘

a a in ft i n v a i n , h e g ro w s m ore ou t ra g e
g
o u s a n d h is h y poc h ond re s b e c o m e t e n fe .

T h re e h ou rs a f te r b y t h e a d v i c e o f t h e
ot h e r
p yh fi c i an, h e is ag a i n b l e d m T h e

E xc ll e e nt o b fe rv at io n swh i c h
fa m e e re ate l the
i i i
‘

v e nt are f ou nd in t he u fe f u l a nd e nt e rt a n n d f
‘

g ar
y o

t h e f a m ou sV a n de rm ond e , T i v 4 6 8 T . vi . p . . . . p .

2 4 0 4 63
. It isre m a r e d th at i n t h e de r u m o f t he fe
k li i
;b l i g
.

b i ou s
il f e v e rs e e d n in the foot was f a ta , 1b 4 72 l . .
 1 88

f oot fi ill a g a in fi: m y j u d g m en t ;t h e pas

'

.
,

t i e nt f a i n ts a nd t h e d e li ri u m a b a t e d a
,

l i t tl e f ro m h is w e a k ne fs
, f or it re t u rn ed a
gai n w i t h h is{i re ng t h fe v e ral d o fe sof a n
em e t i c m e d i c i n e a re gi v e n b u t h a rd ly a ny
,

e v a c u a t on if oll ow e d , h e h ad a v e ry b a d
i
n ig h t Ne x t d a y t he re fu lt of th e f ou rth
8

c o n f u lt a t ion w a s gi v i n g a fi ron c a t h ar
g
-

t ic ; h i s p u lfe w a s h ard ly p e rc e p t i b l e , wi t h

a fi ron d e li ri u m : h e h a d n o (to o l ;in t h e

g .

a f t e rnoo n a { a rp c ly fi e r is i nj e éte d
h an d
‘

t h e r e f o ll ow e d a n im m e n fe d i fc h a rg e a nd

b y c o n t i n u e d f a i nt i ngs a n e n d w a sp u t t o
t h e li f e o f t h is w or th y m a n I l e av e it t o
.

t h e j u d g m e n t o f p h y fi c ians w h e t h e r t h e ,

f o r m e r m e t h o d w a sp re f e ra b l e t o t h e la t
t er . D e a t h c e rt a in ly c o u l d n o t f oll ow w i t h

m ore c ru e l f y m pt o m s n or m ore ra pidly ; , .

,

a ll i n d i c a t i o n s w i t h r e g a rd t o t h e fi re n t h
g
w e re ne gl e ct e d , nor w e re a n y o t h e r r e m e
d i e sa d m ini f t e re d , b u t f u c h w h of e f u t ili ty
’

I h a v e d e m on f tra te d ’
W o u l d t h e c ol d
.

b a t h h av e d one a ny fe rv ic e i n t h is c a fe ?
Th e a n t ie n t s u n do u b te d ly t h ou g h t fo f or
’

m a c ont i nu ed pu tr i d fi v er , zf t be pa t i ent
'

w a sm t e m a c i a t ed a nd wa sy ou ng
, t he t e m
,
 9
'
v i olent , tbey p er m i tted f w i mnzin
g in c old

A S T R O NG m an , b y t ra de a f m it h , o f a

b ili ou s gi i ki ng ,
c o n fi it u t io n , a n d v en to d r n

i n t h e m on t h of J a nu ary l af t y e a r, wh ile
’
.

h e w a si n h isc u ps w a sf e iz e d w i t h a fb i
v e r in , f oll o w e d b a v o m i t i n g o f b l ac k
'

g y
m at t e r ; h i sf ri e n d s g a v e h im f u d ori fi c
y

m e d i c i n e s b u t n o th i ng e l fe ;o n t h e fi f th
d ay a f u rg e o n w a sfe n t f or to b l e e d h im ,

x
Se nne rt d e f e b rib
. . L i b II. . ca
p . x .
p . . 2g o . C on
f e r P ri m e ro fe ,
. A ic
C oe liu s u re a nu s
v e n na , ,
C e lf u s,
A li
a n d e fpe c i all
y Gl
a e n , b o t h i n M e tb e d m e d e na
’
lib i1 . . . .

ca
p . xxT . . 2 88
6. p a nd i n m a n
.
y o t he r
. a c es pl .

Dr B a n a rd h a s c o lle ét e d f e v e ra l hiftori e s f m wh c h i
.
y r o

cl
i t a e a rst ha t t he o d b a t h h as e e n o f e c e e n t u fe
pp b x ll
i n a rd e nt f e v e rsa t te nd e d w t h a d e r u m , Pfy c r olzgfia , i li i
or t b e g e nu z ne u e c
f f t b e b at a nd c old ba t / 7, 2 2 9 A n p . .

u fe f u l i n fi a nc e i s f o u nd i n a tt e o o , w h o fe t t e i s li l b k il
T/g e a nti e nt pbyfi t i a n sleg a cy t o hisc ou ntry , p i
’
121 w th . .

g
t h e fe o u h t t o b e o m are d W c p sd e a n m b ru ton illi i .

x
.

P a rt II c a p
. . o er. T 2
. p 2 65 . S m ar h if
. . p . . i il
t or e sm a b e f e e n e v e ry w h e re ;n a t u re o n t so u t th e
i p i
y
y c i
W a , a n d re afo n o n f rm st h e m e t h od , w h
y lh o u ld we

f e ar t o fo o w i t : form e r a g e sd i d , a nd f u c c e e d in g ag e s
ll
c
W 111 d e r d e ou r oward e , a nd t h o fe o f o u r o w n t m es
i ic i
f u ff e r f or i t .

Y A d i fc h a r e o f at ra
g b il
e e th e r U w a rdso r d o w n i p
w ards , i n t h e b e
g n n n
g o f a n i i
y d i fe afe is m orta H1p l .

p oe r . Libi v .A p h .2 2 . .

I
 1 1 9°
1
wh o
. re f u fe d to d o i t w i th ou t m y fanf tio n
c om n i g t o the p at1e nt ab o u t noon, I f ou nd
h e h a d b e e n d e lir i ou s f or t w o d a ys a l re a d y ;
h isc ou nt e n a n c e w as c ad a v e rou s h is b re at h ,

e xt re m e ly fh ort h ispu lfe v e r y f m all a n d

’

i n t e rm i tt i ng , a nd I d on t re m e m b er t o h av e
'

m e t w i t h a worfe H e h a d n ot g on e t o
“

{to ol f rom t h e b e g i nnm g of t h e d if te m

’

p er . A f t e r m a k i ng a f at a l p rog n oftic I ,

re fc ri b e d c l fi e rs g t f u l a c i d c ard i a c s
p y , ra e ,

a n d li n n e n c l ot h s d ip d i n v i ne g a 1
’
to b e ,

a ppli e d t o t h e ab d ome n ;a ll t h e fe are n e

g .

l e ere d ;at t h re e in t h e a f te rn oon h e is b l e d

’ ”

b y fom e ob fc u re b arb er ;f or fo m e m i n u t e s
!

h isph re nz y w a sm oft ou t rag e ou s , a n d i n

a li t t l e t i m e h e fu d d e nly d i e d D u n ng .

t h e h it h ou rs O f h is li f e h e h ad c rie d ou t
e a rn e f rly i n h isd e li r i u m f or b l e e d i ng ;b y
’

t h is m a ny m ay l e a rn h ow li t tl e re g a rd is
o f t e n t o b e p a i d t o a b li nd i nfi in ét , w he n

i t 13 c ont ra r y t o re afon .

S P O NT A NE O U S h e m orrh age s th ou gh t hey ,

h a pp e ne d fe ld o m w e re n o t m ore b e ne fi
,

c ia l ,b u t m ort a l f ro m t he c o lliq u a t i on of
t h e b l ood a n d t h e re la x a t 1on o f t h e v e f
, ,

fe ls . A ro b u fl: m an a b a k e r wh o w as ,

n ot
 "

1 9 1 1
n ot v ery ill atfi rf r t ook n oth i ng e l fe , b u t
’
,

a d e c o éti on O f v u l n e ra ry h e rb s w i th Ve

n i c e t re a c l e ;w h e n t h e d i fo rd e r g re w w orfe

h e w a sp u rg e d a nd a f te rward s b y t he ad
,

i
v ce o f a n old w om an u fe d a de c oé rion of
,
’

C ard u u s B e ne d ict w i th h a rt ih orn o f a

.
,

p u t ri d a nd h u rtf u l te nde n c y B e i ng fe nt .

f or o n t h e n i n t h d ay I f ou nd h i m e x
.

t re m e ly w e ak i n fom e m e a f u re d e li r i ou s
,

a nd c at c h i n g a t t h e c l ot h e s h e h a d pu r
le f ot si n h is b re a ft a n d n e c k ;a n d t he re
p p
h ad c om e on a l re ad y a f e t i d d i a rr h e a wh i c h
b rou gh t awa y
fo m e t h i ng b lood y ;in fh ort ,
t h e re re m a i ne d n o h op e For t h e f a t if
.

f a ct i on O f t h ofe a b ou t h im , I pre fc rib ed a

g rat ef u l c ard i ac a nd a ntife ptic d ri nk wh ic h ,

h e w a st o m a k e c om m on u fe O f ;b e f ore i t
w asp re p a re d a n h e m orrh a g e f ro m t h e
,

n ofi ril s and b

y {tool
p u t a n e n d t o t he u n

h appy m an s li f e W h a t a re w e t o l e a rn
’
.

f rom t h e t w o l af t c a fe s
’
t h e t ru e c a u fe o f
a lig n a nt f e v e rs ;t h at is t h e n e
m y n m g
18a O f e v a c u a t i ng i n t i m e t h e p u t ri d c ol
l u v ie sb y a v o m i t , i nc re a fing it b y b l e ed i ng
o r fu d orifi c s a nd f orc i n g i t i nt o t h e b l ood
, .

I d id n ot ob fer v e e it h e r a fl ood i n g or t he
m e nfe s in t he t i m e O f t he d ifi e m pe r A »

n ob l e
 t l .

n Ob lei erfO n f u b j e é
p f t t o c o p 1on s d i fc h a r
g e s
b y t h e h e m orrh o i d a l v e ffe lsa n d t orm e nt e d
‘

e v e ry y e a r w i t h a n a m a zi ng h e m orrhag e

f ro m t h e n ofe ;wasfe iz e d w i t h ou r d if
t e m p e r a nd l oft n ot one d rop of b l ood
,
.

e i t he r o ne w ay or t h e ot h e r N atu re w i fe.

l y d id not e nd e a v ou r a f te r a c r i fi sfO d an
e r o n s w h e n t h e a n i m a l o e c on om y w a s n o t
g ,

l abou ri ng u nde r the g reate fi oppre fii on .

NO T to l e av e ou r wor k i m perf e ét, it

re m a ni s to be expl a i ned , wh y i llu ftriou s
h f i c i a nsf ro m a nti q u i t y
d ow n t o ou r
p y
o w n t i m e s , h av e a d vife d b l ee d i ng 1n u
p
t r id f e v ers I h a v e a l re ad y t ou c h e d u p on
.

t h is p o i nt ;t he re a fon t h e n is t h is , t ha t
t h e re are t wo ki nd s O f p u t ri d f e v e rs , f o m e
fi m ply p u t ri d , i n w h i c h p h l e b ot om y is a l
w a ys h u rtf u l a nd wh i c h phy fi c ian s
,
wh o
w e re t ru ly fl< ill e d in i c a l a rt
t he m ed ,

n e ve r a tt e m p t e d t o c u re b y b l ee d i ng : b u t
“

i t m u f t b e ob fe rv e d t h at f re q u e nt ly m en
’

d e ft it u t e O f all a c c u ra te e ru d i t i on a c q u i re
t h e c h a ra cl e r of f a m o u s p ra ct i t i o ne rs ;a nd
‘

h o w e v e r illu ftriou st h e y m ay b e re c k on e d
b y t he i r 1g n ora n t ad he re nt s t h e y a re d e e m
,
w

ed b O t he r h fi c i a n sa nd i mp a rt i a l Of
y p y R
-
i

t er1ty
 ’
I
93
t
e n t)?
p ftile nt
e q u ac ks , w hofe d e ftru c
ti v e p ra ftic e
c
‘
c annot be t oo c a u t iou fl
y a

v oi d e d ;
.

T11 12 fe c on d is Of th at k i ndp utrid of

d ife afe s ,
w h e re th e re 1 3 a c onc om i t ant
,

i nfl a m m atio n, i n wh i c h b l e e d i n g is a n ad
z

m i ra b l e re m e d y W
. e a re n o t y e t f u fli c ii
,
‘

e n tly a c q u a i nt e d w i t h t he t h e ory O f i n

fl a m ma t ion , or t he m a nne r i n wh i c h i ts
fi i mlfl i a ct , t o b e ab l e t o e x pl ai n w hy i t ,

is fom e ti m esj oi ned t o a p u tre f aétion, a nd

f om e ti m e snot ;e x p e ri e nc e h asc on v i n c e d
"

us t h at it 1 3 fO, a nd d if rin é tly f h e wn t he

’ ’

at h og nom i c f m t om s of b ot h c afe s ;and

’

p y p
ev e ry d a y s pra éti c e aff ord s m an y i n fta nce s
’

of i t ; t h e y a re t o b e f o u n d b oth e l fe
w h er e , a nd i n th e el e g ant h iftorie sof ep ié
d e m ie s p u b lifh e d b y t h e 1llu ftri ou sH u x
h am . All ow m e t o infi f r a li t tl e u pon
’

t h at w h i c h th e c e l e b ra te d P r i ngl e h a sf O
a c c u ra t e ly d e fc 1 i be d I t 1 8 d e n o m in a t e d
.

i nd ee d a 62110t f ev er , b u t b y a n a t te n t i v e
c o nfid e ra t ion it will foon a ppe ar , t h at t h e
a pp e ll a ti o n isnot c om preh e n fiv e e n ou g h ;
t h e i n g e ni ou s au t ho r fpe ak sfe v e ra l t i m e s
‘

o f an i n fl a m m a t i on o f t h e fi o m a c h ;t h e re

0 w as
 1
94 I
wa sa tru e in fl am m at ry p h re n z
o
y w h i ch ,

h e c u re d b y a ntiph log iftic k s W h e n t h e .

i n fl am m at i on w a sre m ov ed , it re mai ne d t o
c o m b a t w i t h th e b ili ou s c oll u v i e s , wh ic h

h e u d ic iou fly d ifl odg e d b y vom i t s a n d

j
p u rg i ng w h i c h 1n d if te m perspu rely 1n
’
,

fl a m m at ory a re f ou n d v e r y h u rt f u l B ut .

t h e E d i nb u rg h p h y fi c ia n h a d t o d e a l w i t h
r ob u f t fold ie rs y ou n g , a nd b re d in t h e
’ '

m ou nt a i n s , a c c u f ro m e d t o d ri n k fpi1 it u ou s
’

l iq u ors , a n d m fi ne , O b n o x i o u s t o all t h e
c a u fe s O f i n fl a m m a t i o n , a nd i n w h o m it
v e ry e a fi l f o ll o w s t h e a ppli c a t i on o f a Pri

s
y
m u l u T h. u s t h e fi rft m i f c h i e f O f t h e
p u ll

t r i d f e rm e nt w a sto p rod u c e a n i n fl a m m a
t i on I f i n f a c h c irc u m ftan c é s
. it h ad b e e n
a t te m p t e d t o v o m i t o r p u rg e b e f o re t h e i n
‘

fl a m m at ion w a sre folv e d , it w ou l d h av e

b e e n a tte n d e d w i t h t h e w orf t c o n fe qu e n
’

c e s S u c h a d ifte m e r o u g h t t o b e e fte e m
‘

.
p
e d a n d t re a t e d lik e a n i n fl a m m at i o n O f t h e

b ow e ls ;a n d h e re t h e e x c e ll e n t p re c e p t s _O f
Hippo c ra te s h ol d g o od . Vehem en t pa i nsof
t he d w eig ht of
li v er , an the f alc on a nd other
i nf la mma t i on: a nd c ompli c a ti onsof dif eafi s
'

c a nnot he r em ov e d
, if t he c u r e f
o t he m he he
'

g un
j itfi hy a h
c a t a r ti c medi c i ne, ha t i n fi tt b
'
 l I
95 l
j
ca é s h leedi n
g m u/l he
p r e mi e d
f T . hen the nex t

s o c y ter s a nd a t er t ha t pu rgi n
fip e i t l/ f g,
m e

di c i nes w hoe ver a t temptsi mmedi a t ely i n the

heg i nni ng o d
f / p i lem e r s t o r e
f ol v e i n
f ia mma ‘

t i ons hy a pu rg i ng medi c i ne ; w i ll ma ke no de
r i v a t i on r om t he c ont a i ni n a nd i nfla med
f g
a r t ;ta 2 no di/tem er v es i n t he
’
p m / p g i w »
a
y
Jedi w hi le i t c ont i nu esc r u de ;ha t t hey w i ll
,

e a r t s w hi c h r efi e di ea e a nd
w a/te t ho h f f
’
[
/ p fl t , ,

a nd T us en t he hoa i s r ender ed
’
a re
fi h w h .
y
w ea k , the ma la ay g a i nst he j nper i or i ty , a nd
w hen i t ha sov er c ome t he hody , a dmi t sqf no
Th e w h ol e fe c re t o f t h e c u re
dy
2
r em e .

t h e n c on fi ftsi n r e m ov i n g t h e i n fl a m m a t i o n
b y a n ti phlog iftic k s , a n d r e d u c i n g t h e d if
c a fe t o t h e fi a t e O f fi m pl e u tr e f aé t io n
’
p .

“
2
De V i c t . Ac u t or . C ap . xx i F
xv . oe sp, .
39 6 .

W h at H ipp sa d v i fe d in a a rt c u a r
o c ra t e p i l c a fe , Sy d e n d

ham h asd e l i v e re d a sa n u niv e r a a o f l xi m , n or d oe si t

t h e nc e ll
f o o w th at t h e fe g re a t m e n d i ff e r ;b u t a sa pe r
f on re m a r a b e f or h isg e n u s
k l ,
e a rn n
g, p r a ét i c e ,
a nid l i
g c
e e an e , o b fe rv e s
l , a v i fc o u so r n f a m m a to r
y d p li i l i ‘

t on o f t h e h u m ou rs
i ism u h m ore f re u e nt i n E ng a nd c q l
t h an a a c oc h m
y y c o r o r ru t o n a nd c o nt ra r
y c
W 1fe i n pi
G c re e e B u t h e hi m fe lf h aso b fe rv e d a nd d e fc ri b e d , a nd
.

f e v e ra l o th e r B rit i fh ph y fi c ia n sh a v e m e t W i t h fe v e rs
ic
w h h w o u d n ot a t a ll b e a r l e e d n , b u t re u re d
g bl i q i
p g g in t h e b e g nn ng
ur n
'
i i
a r e r a re e m e nt b e t we e n. B k g
&C B il ay p
'

.
34 4 . .
 4 9 6
Bu t it is to b e ob fe rv e d , wh e n th ere is ,
s
a I fa i d b e f ore , a c ac och y m y
p re fe n t ;a n

i n fl a m m ation a sf u c h, is n e v e r O f l ong
,

c o nt i n u a n c e , n or Ob fti n ate , b u t is re fe ntl

p y
c h a ng e d i nt o a p u tri d c olliq u at i on The .

t ru t h f t h is is c onfi rm e d b y fc orb u t ic k
o

f c ro ph u lo u s ,
an d v e n e re a l p at i e nt s , w h o

o f t en l a b o u r u n d e r a f a lfe , b u t n e v e r a t ru e

i n fl am m a ti on ; a nd t he fy m pt om s , w i th
w h i c h t h e y are a fii iéte d , a re a gg ra v ate d b y
'

a n a nt i h log ift ic k m ed i c i n e
‘

p 2 A s f oo .n . .

as t he c ru d i t y o f t h e i n fl a m m a t i o n I S g one ,
t h e n e x t Pre p is t o c u re t h e pu tre f aél io n .

3 W .h il e w e fe le é t r e m e d i e s t o f ub d u e t h e

i n fl a m m at i on we are not t o l ofe fi g ht al

,

t og e t h e r O f t h e c onc o m i t an t p u t re f a é t io n
’

E v e ry h fi c ia n ou g h t c are f ully t o t e
‘

4 .
p y
m e m b er, t h at t h e dife a fe sOf t h e a b d om e n ,
i
w h c h in th e b e gin ni ng w ere fole ly infl am
m at ory , le a v e b e h i nd a f te r t he infl a m m a
t 1o n IS c u re d , a p u t ri d fa n ie s w h i c h w
, ill
b e t he f u e l , Of a n e w d ifl e m e r
p i f i
, t is n o t
d i fc h a rg e d For w h e n any o ne p a rt p f
”
'

t h e a b d o m e n is i n fl a m e d a ll t he o th e r , {

p art s of i t b e i ng a ff e ét e d b y fym p athy at

le a fi , fo m e t im e s i d i op a t h i c a lly ,
a nd th e
’

d ife afe b e i ng p rop ag ate d t o t he m b y re a

 [ l
'

I
97
fo n of t he r i i i i ty
h
v c n
, a v e a ll t h e i r f u nc

t i on s d iftu r b e d ;t h e fe c re t i o n sa re i n t e r .

r u te d b y t h e fi riét u re t h e h u m o u rs fl ag
p ,

n a te , a nd b t h e f éb ril e h e a t q u i c k ly
y , p u

trif y t h e nc e is g e ne ra te d t h e m orb i d f e r
,

m e nt . S om e y e a rs ag o I fa w a m a n i n
t h e c ou nt ry , t h i rt y y ea rs old u po n t he
e l e v e nt h d a O f t h e d ifte m e r ;h e l a b o u re d
y p
u n d e r a v i ol e nt i nfl am m a t i on O f t h e li v e r ,

a difi cfi mor e f r equ ent t ha n i s c om monly

i mag i ned t houg h i t i so
, f t e n no t kn ow n w he n

p fi nt, ne le oi ed, or t r ea ted u nder t he t i t le o

f
‘
rc
g
h me other di or der , w h i c h h a d a l fo b e e n
j f
’

t he c a fe h e re , h e w a sfe v e ra l t i m e s b l e d ,
a n d b e y on d m e a f u re , i f I a m n ot m ifta k e n ;

c ly f re rs w e re f re q u e n tly i nj e él e d , a n d v e ry
’
f

p rop e rly O ily m e d i c i ne s w e re u fe d f or t h e

c ou g h , b u t w i t h n o g o od e ff e ét t h e y w e re
i nte n d e d t o p ro m ote e x pe éi ora ri o ri h e w a s
w e a k , a nd d if t re ffe d w i t h a n a n x i e t y I d if
’

c ov e re d t h e t r u e n a t u re o f t h e d ife a fe a n d

W as p er fu ad e d b t he
y p u lfe , u r i ne , a nd f e e l -
r

B oe rh a av e Aph 0 7 w h e re h e fpe a k so f th e P a
9 .
,

ra ph re ni t is b u t t h s o b fe rv a t io n i sno t le fs
i a ppli
c ab e l
t o t h e he at t s
p ii, a t le a ft i n o u r o u n t rc y M e n O f c ha
.

t aét c r h av e fa d t he di fe a fe wa sm ore rare e lfe wh e re ,

i
 [ 1
9 8 ]
ing Of h ad b e e n h i:
t h e ab dom e n , w h c h i
t h e rt o n e g le ét e d , t h a t it w a s
I '

c on c oé t e d
’
I .

re fc ri b e d m il k w h e y w i t h t a m a ri n d s a nd
p -

f al p ru n e ll t o b e d ra n k pl e nt i f u lly a n d a
.
,

p u rgi n g c ly f t e r to b e inj eét e d t w o h ou rs a f

’

t e r t a ki ng t h e fi rf c c u p O f t h e pt if a n’
T h is .

w as f oll o we d i n a li t tl e t i m e b y {too ls w h i c h
w e re b ili o u s a lm o f t p u ru l e n t a n d v e ry
’
, ,

f et i d t hro u g h t h e d a y a nd n ig h t h e w e n t
m ore t h an t h i rt y t i m e s t o fi ool ;th e a n x i
et
y, a n d f w elli n g o f t h e h yp o c h o n d r e v a

n i fh e d ;t h e e llo w n e f so f t h e fk i h W e nt
y
O ff a nd i n a v e r y li t t l e t i m e h e ot r
, g p e

f e é t ly w e ll b y t h e u fe O f m il d c le a n fing
'

’
.

m e d i c i ne s .

I N f u m m er l a ft y e a r , a y ou ng G e rm an
w as p ati e nt in o u r h o fpit al ;h e c a m e t o
'

t h is c i t y v e ry w e ll b u t b e i ng h o t a n d t h irft
, y
he h a d d ra n k pl e n t i f u lly o f w at er a t a
f p r ing S oon a f te r h isw h ol e ab d om e n
.
,

e f e c ia ll t h ig h t fid w as m h f w e lle d
p y e r e u c

a nd p a i ne d a n d h e w a so e d w i th a
"
, pp re fl
f e v e r a n x i e ty a n d f h o rtn e fso f b re at h
, ,

t o re m o v e t h e i n fl a m m a t i o n a ft e r ene ,
v

fe ét ion I a ppli ed c a t aplaf m sO f b re ad and

,

m il k to t h e a b dom e n, ord ere d h im g re a t

p l e nt
y
 I I
99
pl e n ty Of the m i lde ft d ri n k , a nd c l fi e ré ;
'

y
o n t he fi ft h d a y , m ann a d iffO lv e d in m ilk
w h e y ;an d I w as a lm oft a m a z e d a t t h e i m

m e n fe q u a nt it y o f p u t ri d a n d f e t i d m a tte r,
w h i c h h e d ifc h a rg e d , t h e g re a te fi: p a rt o f
wh i c h h a d b ee n g e ne ra te d w i t h i n few a

d ays i n t h is y ou ng m a n w h o w asb e f o re in ,

v e ry g o od h e al th , a n d h a d n o te n de n c y t o

a b ili ou s h ab i t ;on t h e e ig h t h d a h e w e nt
y ,

o u t O f t h e h ofp it a l Th e a nt i e n t s h a v e
.

a l re ad y m e n t i on e d t w o ki n d s o f a rd e nt f e

v e rs o n e 1 n fl a m m a t or a n d t he ot h e r b i
‘

, y ,

li ou s ;i n t h e l atte r m e d i c i ne s o ppo fe d t o
t h e b il e w e re o nly u fe f u l, i n t h e firf c i t w as
’

n e c e ffa r b l ee d
b
to
y .

IT is n ow ab u nda ntly pl a i n w h e n it m ay
b e p re j u d i c i a l t o b l e e d in b ili o u s f e v e rs a n d ,

w h e n f a lu t ary I h a v e n e i t h e r i n c li n a t i o n
”

n o r opp ort u n i t y t o t re a t O f v e n e fe éi io n i n

o th e r d if t e m pe rs
’
; b u t I m a
y a d d , i n fh or t ,

t h a t i t is p e rn i c i ou s t o a ll w h o l a b o u r u n
de r a c a c oc h ym y ,
a re we a k , f u b j e ét to c a
t ar rh s fc orb u tic k
, , o r t ro u b e d l w th i co ld
v if c id h u m ou rs , or w i th w orm s . W her e

c
B i an h i 8c G u ide ti, p . 62 1

0 4
 r m 1
t he a n ex ec u ti oner a nd not a h
p y/ i i
qf p a rt c a tz

L a nc ifi i n h is
°
t o h1eed 2enti u ll d e fc rip
p f y .

i
t on O f a n e pi de mi c f ev e r h a sob fe rved th at

v e ne fe ét on i m u fi be c a u ti ou fly u fed : I
'

w or ms A y ou ng gi rl O f a we a k , la x ,
a n d v a l e t u d i n ary h a b i t , d i e d m oft c r ue lly

he re v e ry l at e ly a f t e r fe v e ral b l ee d i ngs ;{h e

lab ou re d u nde r a pu t ri d worm f e v e r, wh ic h
w ou d l
h a v e b e e n c u red b y v om i t i ng c a ,

t h a rt ic s d p i l ly i d s I
“

, a n a rt c
'
u a r a c n a
b aft a rd p e r1pn e u m o ny tha t w as
’
e i d e m i c al
'

p
h e re 1n fp ring 1 7 5 4 , all t hofe d i e d wh o ,

w e re b l e d m o re t h a n o n c e ;f or t h e m o re
l s k en aw y
'

b oo d w a t a a f O m u c h t h e m o re ,

w ast h at v i fc id m a t t e r i n c re a fe d w hi c h ,

p eopl e O f f an g u i ne ou sh ab i t sa re n e v e r
l
t rou b e d w t h , t h e i p u lf e b ec a m e m ore f re e

B all on. E pi d m i c L i b
e t I p
. . 11 . . . . 1 08 .

d
Hiftor . fe b Epide m B l ne o
r. R . a .
- e
g i e nfi sC a
p i v . .

20
i .

e
Th e fam o usS c
d e fc ribe s
o rd o na
an e de m u tr d pi ic p i
ic g ci
w orm fe v e r , i n w h h a dsw e re O f li n u ar u fe , a t er
f l
d i/c ha rg i ng g r e a t nu m he r sof w or m s , t he t hi rfi a nd i mm o
d e r a te e v a c u a t ionsc e a n , t hey
f g g r ew
p fi y
er fi / w ell U b i .

S u ra, Li b
p . III
c a p V1 .t 3 .
7 8 . . . p . .

z q u est
 f z ox
]
q u e nt and l u ngs w e re a l tog e t he r
we ak , t he
re ff e d ;a nd t h u s a f ter e a c h b l e e d i ng r e
O
pp
fp ir a t i on b e c a m e m o re d i ffi c u l t t h,e b ra in
w a sobftru éi ed and the p at i e nt pe ri fh ed
,

w i th a n x i e t y ,

-
E VE N in in fl am m at ory di fi e m pe rs
, a f te r
a fi rf r f e c ond , or a t m off , a t h i rd b l e e d
’
,

i ng t ak i ng a w a y a ny m ore g e ne ra lly re n
,

de rs t he d i fe a fe i nc u rab l e ;all h op e s o f a
re folu t ion are g o ne ;a n d t h e e q u ili b ri u m

b e t w e e n t h e folid sa nd fl u i d s b e i ng d e
f troy e d , t h e c i rc u l a t i o n is e nt i re ly p e rv e rt
’

e d ;ev e ry i m p e t u s l S d i re ct e d t o t h e d ife af e d
'

a rt ; t h e h l o i fi ic k ft a na t io n is i
p p g g n

c re a fe d , a nd c o m p a cte d in p rop ort i on t o

t h e q u a nt i ty o f b l o o d t a k e n a w a y m ore ,

h s p p i f i p s f
'

t a n w a r o e r ; or t r o c e e d a r t h e
,
r

a nd it f re q u e nt ly d oe s (0, t h e f m all re m a i n s

o f r e d b l ood c i rc ul ate i n t h e l a rg e r v e ffe ls ,

w h il e t h e re is a c om pl e at f t ag na t ion i n t h e
’

f m alle r ;a nd t h e re f oll ows i n a n i n fl a m

'

m a t ory d il t e m pe r a g a ng re n e f ro m d e b i
’
‘

i
l yt a n,
d f h or t ly a f t e r d e
, a th W e a re

n o t d e fti t u t e o f m e a n s t o fu l t h w a nt
pp y e

s
o f v e n e fe étion , a nd u nle f t h e c a fe h e v e ry

la rm i ng , it m i h t a l wa ys b e f a f e l om i t
a
-

g y
ted ;
 2 02

t ed ; b u t i t is v e ry d iffi c u l t t o re p ai r the
mifc hie f sd one b y i m p rop er b l e e d i ng t o a
'

w e a k pe rfon T h e fe a re no trifl e s
.
, h ow
eve r d e fpife d b y m u t t u d e , b u t t ru t h d e li s s
m on f rra t e d b y t h e or , a nd d a
’
c on rm e d y ily fi
by l a m e nt a b l e ex p e ri e nc e
W h at fb all w e .

f a y t h en ? The hlood i sthe tr ea/icr e a nd flip

n t he hlood i st he oc u s
p or t qf na t u r e I f qf
t h e v i t a l h e a t
g
T he hlood . i s t he v i u i
fi g’i n ‘ f

neéta r , hy w hi c h t he fl eet i ng v ig ou r o a ll t he
f
a ts
p r i s r c r cyhea a nd r ec r u i te d t o t he
y
‘ ’
p fi
rc r

v a ti on a nd c ont i nu a nc e o lif e d t he a ni m a l
‘
f an

Ts e fe a re t h e p re c i ou s w o rd s
h
h
'

j nnétz on .

o f Fre nc h a u t h ors w h ofe m e ri t t ra n fc e n d s

ou r ra ife a nd I w i th t he y w e re c on fta nt ly
p ,

a tt e n d e d t o b h f i c i an s H o w m a n y a re
yp y .

d a ily fe n t t o t h e i r g ra v e s b y t ho fe w h o ,

c o nt rar y t o a ll re a fon p re fc ri b e ph l e b ot o m y

i n a c u t e d ife a fe st ill f u c h t i m e a s t h e fy m p

t om s a b at e ; w h ofe re m i fli o n t h e y ob f t ru ét
’

w i th all t h e i r p o w e r ? H o w m a n y b y t h o fe
wh o a re c ont i n u a lly b l e e d i ng b y w ay of
'

re v e nt i on as t he y l ov e to c a ll it b u t th e
p , ,

f B ll on
a . ubi fu pra .

8 D u re t . i n C oac as
, p . 2 85 .
I‘ Ib ib . 1 9 2.

m ore
 [ 2 03
]
m ore fu itab le ter m is
b y w ay of d e ftru c -l
i
t on ? B y the r e p e a t e d u fe o f v e ne fe é tion
t h e m o re ro b u l t b od
’
ie s
g rad u ally worn
a re

ou t, wh ic h t he a n t i e n t s k ne w l on g a o
g
m u c h m o re t h e w e a k i n w h o m t h e re is n ot
a m ore f re q u e n t c a u fe o f d i ford e r s
, t ha n
t he d e f e ct o f g ood b l ood . T h e d e b ili t y is
g rad u ally in c re afe d , t h e d ig e f t io n d e f rroy ’ ’

ed e rf ira t io n i n te rr u p t e d , a c a c oc h y m y
,p p
g e ne rate d , n e rv ou s d iforde rsb ro u g h t o n, a
li
m u t t u de o f c a t a rr h s f oll o w , a nd ob f t ru c
’

t i on s a re f o r m e d a n d f ro m , y t h e nc e m an
ot h e r d ife a fe sfp rou t a s f ro m t h e i r t r u n k .

S o m e ob j e ét i d ly t h at in a f e w d ays a f te r
,

v e ne fe éti on t h e q u a nt i t y o f b l ood e v ac u
,

a t e d is re pl ac e d a n d t h e y q u ot e t h e e x
,

e ri m e nt o f t h e f a m ou s D od a rt w h o c au fe d
p ,

fi x t e e n o u n c e s o f b l ood t o b e t a k e n f ro m
h im fe lf a nd a f t e r fi e d a ys ;w i t h ou t i i i
,
v

c re a fi n g in t h e le a f t t h e q u an t i t y of h is ’

f ood h e w e ig h e d m ore t h a n h e d id b e f ore

,

t h e e v a c u a t i on Fro m t h i si nl t a n c e a p
.
’

p e ars th e m ifc hie f and not th e u tili ty of

Hi ppoc r
i
i . Lb I . . Aph 3 w h i h . . c pl c ppa e a e ar sto
me h i g hl y w orthy o f a t te n t o n , i fo r 1t c o n t a nse x c e e n t
i ll
p i ipl
r nc e so n th i sf bj &
u e , w h1c h no p hy fic i an h asf u fli ,

c ie nt l
y tre ate d o f h i t h to er .
b l e ed i ng ;f or t h at in c re afe of w e ig ht argu es
a d i m i nu t i on o f t h e fe c re t io ns , a n d e x c re

t i on s , w ea k n e fs of t h e v if c e ra a nd v e fie ls
'

a n d a n a pp ro a c h i ng c ac oc h m y
y All t h i s .

i sm olt a c c u ra te ly e xpl a i ne d b y th e i ng e
n io u s Mat y , a nd m a ny w ou l d h av e d o ne
w e ll w h o a re n ow i n a no t h e r w orl d i f
, ,

e v e ry h fi c i an h a d t a k e n h i sw ord s f o r th e
p y
r u l e of h isp raétic e I w ou ld he r e ohfi m e
k

t ha t t he f r e u ent r e et
q p i t i on
f
o vene
'
fi éi i on 15 a

had cu /i om . Ther e are /owe w ho c hufi to ha v e ’

a ‘
i
ve n o ene
p d /ev er a l t i mesi n a
y ea r , an d h]
t hi smea nshope tha t t hey f r ee t he mf el ves f r om
‘

ma ny a zj hr de r s h h s
’
; w i c i c er t a i nly a
p e r /x i
c i ons o i ni on f or v an é éi zb n a lw a s cli mz ni hes
e/ j
'

p y
t he hlood fl i r i t s a nd fi r eng t h
.
, .
,
Rec au d e .

t her ef or e nz ufl only he ha d t o i t i n nec rj ity a st o

a r em ed a lw ay sdifag r ee a hle h ow e v er
j h zne
y ,

t i mes efl y B u t t ho e w ho a r e a c c u/lomed
j
‘

ne c ar .

t of r equ e nt hle eding s loj e the he/l o f t he i r h l o od ;

t he a c qu i r e m or e i n d eed z n e u a l
q Qu a nt i t
y hut
y ,

n f
o t o t h e
f a me
q u a li ty fi; r t h i s n e w h l oo d z s
w a te ry fl ug g ij h u nfit f or c i r c u la t i on
'
c r u ae , , , ,

s s h d es
'

a
c u
fi d r o
pfi e , a n al a lm /
o t z n e w t a ly p r o u c

M Maty Diffe rt de
1‘
. . C onfu e t u din. Efli c ac ia in
C orpu sh u m Lc idae 1 74 0 . .
 2 05

t he di/le mper sf r om dehi li ty drfi fi of g ood ,

hlood and f pi r i ts ,
a nd t he r edu nda nc y f
o w a t e r .

Th e m ifc h ie f is g re a t ly i nc re a fe d b y th e
u fe o f c a t h a rt ic k s h ot a q u e o u s liq u o rs ,
,

a nd a f e d e n t ary li f e , w h i c h t h re e c a u fe s
'

j oi ne d to p h l e b otom y are f u fii c ie nt t o d e ,

fi ro y g rad u a lly t h e w h ol e h u m a n r a c e .

Nor is t h e re a m ore a ét iv e c a u fe o f t h at d e
a nd d e p o p u l at i on w h i c h I h a v e
g e ne rac
y
f
el ew h e re l a m e n te d J
r
.

Of the f f
u e o a hj h r hentsi n hi li ou s
f e v er s
f
.

I i ly
e n t re re f ra n e d i f ro m a b fo rbe nt sre
c om m e nd e d f ollo w e rs of S t a h l a nd
by the
fe v e ra l oth e rs Th e c e l e b ra t e d T ra ll e s h a s
.

t re a te d fo c l e a rly o f t h e 1 r m u t ilit y t h a t I
h av e n oth in g ne w t o a d d Th e f u b f t a n c e
’ ’

l Fa ll i ng m u ti tu de o f o th e rs
ov e r a , l fhall o n y I l
q u ot e o ne b o o k
o f t he c e e b ra te d e te r l
a rb e re , w h c h P B i
fe n t o m y h a ndsa t e y , Ohfi r u a t ions
ll i l l Ana tomi qu est i n e s f

d er ou w r t u resd u n g r a nd nom hr e d e c a da v r es
’

, 4 to 1 75 3 . .

A y
ver u fe f u l wor k u nd o u
if h
p y fi c i a b d ly
ns wte l , il
le arn f ro m i t t o a v o t he e r n c o u s ra ct i e o f t he
id p i i p c
a u th o r ;w h c h i I
d o no t m e n t o n f ro m a de li re o f fi nd i
i ng f a u t w th a g o o d m a n, who re a b o u rsi n n a t u ra l
l i l
h 1lto ry d e fe rv e p ra i fe ;b u t w t h a v e w o f a u t o n n g i i c i i
y ou n
g m e n a a i nlt t h e a u t h or t
g y o f a
p ra fl i ti o n t i
r, w h o

h as fu m e tam e n t he wor d‘
i l .
 2 06
]
of w h at he fa ys is , t h at t he y h a v e n o o th e r
i
v rt u e , but t o a b fo r b a n a c i d ; an d w h e n

th e re is i d t h e y oppre fst h e fi om ac h
no ac ,

w i th a u fe le fsl o ad In ou r d ifte m pe r t h e
.
,

b il e w a s p e c c a ii t b
y i t s e x c e lli v e a lc a le fc e nc e ,

a n d a c i d s w e 1 e n e c e flary t o f u b d u e it ;it

w ou l d h a v e b e e n a b f u rd t o opp o fe t o t h e
f a m e d ifte m p e r b ot h u fe f u l re m e d i e s a nd ,

o t h e r s w h i c h d e ft i o y t h e i 1 v i rt u e s a nd t h u s ,

p re v e n t a ll t h e i r e ff e et s T he re a i e a lfo .

a b forb e n t s w h i c h n a t u ra lly p ro m ot e
, p u

t re f aétio n S u c h t h e n w o u l d h a v e be e n
.

p re j u d i c i al u p on a d o u b le ac c ou n t b oth b y ,

r e n d e ri n g t h e u fe o f a c i d s i n e ff e ct u al and ,

b y f or w a rd i ng t h e p u t re fc e n c e T h e y c ou l d .

h av e d o ne n ot h i n g b y w a y o f fh e a th i ng ;
f o r t h e y on ly {h e a t h an a c i d a c ri m on y ,

w h i c h w e e n d e a v o u re d t o t a i f e Nor i n .

d e e d a re t h e y b e li e v e d fa f e b y fe v e ral ph y
fi c i an si n e v e ry a c i d re d u n d a n c y W h at .

m u tt b e t h e i r e ff e é c t h e n w h e re t h e re is
‘
,

n on e . Th e u fe o f a b fo rb e n t s w h i c h a ,

m ore g e n u i n e p a t h ol ogy o u g h t t o h av e 1 e
e ét e d h a d p re a il e d f ro m a f a lfe p re j u d i c e
j ,
v

c o n c e rn i n g a c 1d b il e w h i c h e v e r y b o d y
,

n ow l a u g h s a t S t a h l fee m st o p re f e r th e
.

ro c k c r fi a lj t o t h e r e l t t h a n wh i c h t h e re
’
y ,

18
is not a fub f t an c e
’
m ore u fe le f st o t he hu f -

m a n b od y . B agli v i h a s
y j u di al re a d y v er

c iou fl y c on d e m n e d t h e m i n p u t ri d f e e r s
’
v .

And H off m a n w h o f o rm e rly h av i ng d ra w n

,

h isk n ow l e dg e o nly f ro m t h e p re c e p ts o f
o t h e rs a n d b e i n g p e rh aps t oo re a d y t o
,

f oll o w g re a t n a m e s h ad c om m e n d e d th e m ,

i n b ili ou s d ifte m p e rs;w h e n h e w a sa f te r

w ard s i n ftr u ét e d b y a n u n c or ru p t e d c he
m ifl ry, a n d t h e a c u t a t e o b f e rv a t i o n o f d if
c a fe ll ow e d t h e i r u fe only i n d if t e m pe rs
s ,
a
’

p roc ee d i ng f rom a n ac i d a nd wh e rev er ,

u t re f a ét io n h e tr u f t sfo le ly
’
t h e re I S a p to

ac id s . N e i t h e r d id I
gi v e ni tre ;in of t e n

t h e fi rft fpe c i e st h e ot h e r ne u t ra l f alt s a

p
e a re d p re f e ra b l e ;i n t h e f e c on d a nd t h i rd
p ,

e v e ry r e m e d y w h i c h w a sn o t a c e fc ent fi
g
n i fi e d n ot h i ng ;a n d I h av e o b fe rv e d m o re

t h a n on c e t h a t n i t re b y n o m e a n sf h e we d
,

t h at c o m p ofi ng a n d c oo li ng v i rt u e i n pu

t rid d ife a fe s w h i c h it po lfe ffe si n f om e

,

ot h e r d iford e rs B e i ng m ixe d w i t h t h e
.

b l oo d i t i nc re a fe s it sfl u i d i t y a nd c h a ng e s
'

, ,

1
De fe b r. m ott . lib . p oll: Spec ic m . C ap . x iii p . .

38 8 .

O b fe rv at . C he m i c Li b II
. . . c ap . x ix . Op e r. T .

iv . 0
5 2
 [ 208 ]
i tsp u rpl e n ay b l ac k l r i nto a ru ddy
c o ou

o ne , and it sv i rt u e a pp e ar s t o b e t h at of

re fo lv i ng a p h lo if t ic k
g
’
f id it y h en c e in
vi c

i n fl a mm at or y d ilte m pe rsi t is a n e xc ell ent

c oo l e r, p rov i d e d it b e n ot gi v en in t oo g re at

u a n t i t y ;b u t in a b ili ou s d if t e m e r, wh e re
’ ‘

q p
t h e h u m ou rs a re t oo t h in a li k e e ff e él: w as
,

n ot t o b e e x p e d it e d Th e b a fe o f n i tre c on
.

fi f rsof an a l c ali ne p u tri d m a tte r of te n

’

lo ofe ly j oi n e d t o a w e a k a c i d , fo th at if
t h e re f oll ow s a fe p a ra t ion o f it sc on fi i t u e nt

p ri n c ipl e s in the h u m an b ody , w h ic h e afily

h a pp e n s , m ore m ifc h ie f isd o ne b y i ts al e

c a li n e b a fis , t h an g ood b y it sa c i d . Nor
are a tt e nt i v e p ra c t i t i one r s ig n oran t t h a t ni tre

d oe s m o re g ood inb e gi n ni n g of in
t he

fl a m m a t o ry d il t ém pe rs
’
, t h a n i n t he f ol .o

lo w i ng p eri ods , w h e n a
p u tr e f a é’
t i on i s .

be g u n .

I hav e bfe rv ed b e f ore th at fpon ta ne ou s

‘

f w ea t sw e re h u rt fu l , a nd t re ati n g t h e dif -a

c a fe b t h at m e t h od p rov e d t he c ru e l me ans
y
o f d e at h .For w a h t is th e a él ion o f fu d o s -

r i fic k s
? By t he m th e e v ac u ati on of th e
m orb i d
 [ 2 09
]
m orb i d m att e r b y {t ool is p re v e nte d ;t he y
i nc re a fe i tsf orc e a n d a c ri m on y , p rom ot e
1t sab forption ,
t he b l ood is m o re q u i c kly
i n f e ét e d , a nd t hu s f ro m a g e n e r a l p u t re

f c e nc e h u m ou rs p roc e e d t h e fy m p
of the
t o m s o f m a lig n i t y ;f or t h e p a rt i c l e s o f t he
b il e a re a l w a ys t oo g ro fs f o r e xc re t i on b y
'

the c u t a ne ou s p ore s or the k i d n e ys . By

di aphor et i c hsthe hi li ou sma tter i sc opi ozyly
hu rr i ed i nto t he blood, a nd t houg h i t he a tt enu
a t ed i t w i ll not g o w h
fi y f is
’

,
w ea t I t c er .

t a inly b ot h a m ad a nd d a ng e rou s a t t em p t t o
d ri v e t h e y m y of t he ab d o m e n i nto t he
c ac oc h

v e ffe ls f o a s t o m a k e i t p a fsb y t h e f m a llef c ’

,

[tra i ne rs of t h e b od y And e x p e ri e nc e .

p rov e d t h at if it wa sc arri e d fpont ane ou fly

,

t o t h e f u rf a c e o f t h e fle i n i t c ou l d b e ev a ,

c u a t e d o nl b c at h ar ti c k s It is l on g a o
y y g .

k nown t h a t t h e m orb ific k c au fe of a n e ry

,

fi p e l a sh a sit sfe at c o m m o n ly a b o u t t h e
g all b l ad d e r, a nd t h at t h e re is n ot a b e tter
m e th od t o e x t e rm i n a te it t h a n b y e m e t ic k s
o r c a t h a rt i c k s I ob fe rv e d t hre e c a fe s of
P
.

P T he clb e e rate d D Arlu c h asg i v e n

de fc ription o f
’
a

a n e ry li pe las c
i n t h e h e ad m u h t o o u r p re fe nt pu rpo fe ,
i i i l
w h c h w th a v o e nt fe v e r ra g e d e de m a y , a nd wh e re pi ic l l
c
t h e u re w asv om t n , 8m ii g
Re u e pe riod iq u e , &c
. c il .

T . v iii p
. .
55 .
 2 10
h ,

ou r
pid e m ic k
e w h i c h c o n fi rm t h is d oc ; ,

t r i n e ;b fo m e un a c c o u n ta b l e a n d f u dd e n
y
c h ang e t h e b ili o u s m a t t e r
, m aki ng it s w ay ,

t o t h e ik i n b rou g h t o n a mol r v e h e m e nt
’ ‘

f e v e r a n d a ki n d of e ry fipe la to u se ru p t i o n
,

i n t h e b re a f t n e c k , arm sa nd t h ig h s w i th
’
, ,
!

a n e x c e ii i v e i t c h i n g ; a n d i t a ff e é t e d a l fo
’

t h e f a u c e s w i t h a fli h t a n gi n a w h i c h a f
g ,

t e rw a rd su lde rat e d ; n ot h i n g w a sof an

y
f e rv i c e b u t re pe a te d p u rgi n g a nd g iv i n g
a c id s I t h e e pi d e m i c d ife a fe o f C re
j
f ‘
n .

n 1 6n a , W a lc a re n hi f e ld o m bb fe rv e d f w e a ts
’
‘

g ,

a nd t h e y w e re a l wa ys p re j u di c i a l b e f o ré
‘

t he fi f te e nth d ay . H u x h a m h a st a k e n n o
ic e d v er s ea t si n
t t ha t
p fl
r em a t u r e
p f w utri
f

mo /l c e r t a i nly fi pp efl
t r e d t he u r i ne ,
a nd t he i n

t e/li na l dif c ha rg e , a nd w er e f oon f ollow ed hy a

For t hi si snot t he way i n whi c h

’
a e li r i u m
‘

fi zc hf ener sa r e c u r ed
8
. No j au nd ce i is ever

T hi sis Hippoc rat e ssApho ’

‘
1 e x ac t y fl c o n fo n a nt to
‘

ri fm , Lib II i h c h he n fo rm su st h a t f o m e i i
{j 5 . n w . 1 .

d ife a fe sof t h e {k i n a nd fa u c e sa re t o c a , a nd o t h e rs pi l
a ri fe f ro m a n e ff u li o n 6 f m orb d e , w he n t he
f a u c es i bil
a r e d fe a or t u t e r c les on t he f l ue , i t i snece a ry t o
i fl d ’
f
ri e
j
e x a m i ne t he e x c r et z ons r i h r e bi li ou s h e w hole
, f f
’

o t e
y a , t

hotly i s e t im e A nd hise a rn e d n t e r l i
fi e fi e af a t t he
f’a
’

a m .

p re t e r J Holle ri u s
.
j u lt l
y o b fe r v e d , t h at t h e u re w as c ‘

p ur m
g g
T . II p . .
72 .

3
B gli v i P rax Me d
a . .
p 57.
- .

r e m ov e d
 21 1

re m ov e d
‘

b y f w e a t in ;j h g r ea t i sthe c ommon
g
o
pp /it i
o on
f
o t he hila r oh
y / lr u c i ed m a t t er t o 62
‘

di aphor efi s An d Al b e rt i f ys a ver y j u die i

ou fl
y , if di aphor et i c hsa r e pr efi r ihed j
t oo h on:

t hen t he f hec om esmu c h mor e v i olent a nd

e v er

i m znoaer a te , a nd the t u mu lt of the hi li ou sma t

'
~

t er w i t hi n t he hody i sg r ea tly i nc r eaf ed ;t he

e i s r e v ent e d, t he
fl y
n ec c a r
f
e v a c u a ti on o hil p
hea r t hu r n g r owsw oij h a nd t he hu r ni ng heat
-
,

a t t he i
p ot f t he [l om a ch i sr e nd er ed m or e W e

hem ent a deli r i u m c omes on, c old w ea ts f i

,
f ,
a nt

i ng spa r c hi ng hea t w i th a nx i ety g

,
f , r ea t en
g a r-

et u des
, f
lli s h d
w e n
g f
o t e nec k a n i nfla mma t or
y
d i/h r der s
, y na c onv u
fi s on h i s p re c e p t o r
S t a h l is n ot m ore f a v o u ra b l e t o f w e at s
,
w h o

o b fe rv e s that
, di aphor et i c lz sw er e nei t her z fi
f u l nor I s
t oler a hle t h e r e th e n n o ro o m

f o r d i u re t ic k sn or fwe a t ing ?
I w ou d l n ot

h av e t h e r u l e u n der fl o od fo fi riétly In .

e v e ry f e v e r, t h ou g h t h e c a u fe o f i t is n ot

l o dg e d w i t h i n t h e v e lfe ls y e t t h e m a fsof ,

b l oo d is a l w a y sc orru p t e d b ot h b y t h e a h
forp tio n o f m o rb i d p a rt i c l e s a n d a l fo b y ,

t h e r e t e n t i o n o f e x c re m e n t i t i o u s p a rt i c l e s ,

Bi a nc h i ub i f p
u ra , p .
303 wh e re . f f l
u e u f
o b e rv a »

i
t onsa re fo u n d .

U b i f u p ra , <5 2 2 . p .
7 7 0 .

D e f e b r b liofa . . .
49 . p . 2 3.

P 2 wh ofe
 l 8
w h ofe e xc re t on i ne v e r f a ils to b e inte i
ru te d by a f ev e r, a n d t h e fe f01 d e s w h i ch
p ,

ou ght to be e v a c u at e d , i d ge b e i ng re t a n e

ne rate a c a c oc h y m y i n t h e i r p ec u li a r v e f
f e ls ; no r i sa d e p u t a t ion t o b e at t e m p te d
'

d u ri ng t h e v i ol e nc e o f t h e f e v e r f or h i s ,

t h e n i m p ofl i b le B u t w h e n t h e f e v e r is al
.
‘

m ott cu re d or ne arl y o v e rc o m e b y t h e p ro
’

e r re m e d i e s w e ma t h e n p ro m ot e a ll t h e
p , y
f e c re t ion s th at t h e o p e n e d fh a i ne rsm ay
,

c o i ou fl p o u r ou t t h e i r c orru p te d h u m ou rs
p y ,

a nd t h e f ord e s of t h e b l ood b e i ng n o w ,

c on c oét e d
“
m a y b e d if c h arg e d
, I f a i d t h at .

t u rb i d u ri ne w a s e x c i e t e d l n t h e d e c li ne of

t h e d if t e m per a nd th a t w h e n i t re m a i ne d
’
,

c ru d e a t t h a t t i m e a n e r y fi pe la s , o f t h e le
g
w a st h e c on fe q u e n c e S om e d i fe afe sa re
.

t e rm i n a t e d b y f w e at s a l one ;t h e i n fl a m m a

t ory w h i c h d o n ot c o m e to f u p pu ra t i o n
, ,

b y u ri ne a nd fwea ts ; b ili o u sa n d er fi e
y p
l atons b y l tools : b u t e e n i n t h e fe t h e re i s
’
v

alw a s f om e t h i n h i c h m u tt b e d ifc h ar
'

y g w , g
ed b u ri n e a nd tw e a t I t is a la w f ro m
y .
,

wh i c h n at u re n e v er rec e de s n ot t o e xpell ,

f ore ig n h u m ou rs b y l a rg e r o rifi c e s w h e n ,

Th u s
,

{h e c an d ifc h a rg e t h e m b y f malle r .

i n f o m e m a lig n a nt or v e ne m oil sd ife a fe s

‘

.
,

i n w h i c h th e m orb i d h u m ou r is h ig hly a t
t e nu at ed ,
 [ 213
]
t e nu a te d , f w e at sa re fu fli c ie nt f or a c ri fi s
;
t he y w ill a l fo i n fl a m m a t or y i f
d o in the ,
‘

t h e d ife a fe b e b u t flig h t a nd is t e r m i n a t e d
,
;

b y re folu tio n a sit is c all e d b u t w h e n i t ,

a d v a nc e s f o f ar a s t o p rod u c e a f u ppu ra
t i on t h e n t h e p u r u l e n t p a rt w h i c h c a n
, ,

not g o o ff b y t h e c u t a ne ou sp ore s is d if ,

c h a rg e d b t h e ki d n e ys I f t h e re 1 3 a l fo a
y .

roffe r m a t te r i n t h e a b d o m i n a l v i fc e ra
g ,

fi ools a re t h e o nly m e a ns f or i t s e x u lfi on
p .

I t is o f g re a t i m p ort a nc e f or a ph y fic ia n t o ,

b e a b l e f ro m a k n o w l e d g e of t h e c au fe of
a d i fe a fe t o f ore fe e t h e w a
y b y w h i c h t h e

c on c oét e d m a t t e r w ill b e e v a c u a t e d In .

t he i e m ic k d if ce m er of L au fa nne ,
’
e
p d p I
h av e v er f re q u e ntly fe e n p rof u fe f w e a ts
y
c o m e on a b o u t t h e f o u rt ee n t h o r f e v e n

t e e n t h d a y a h d p a rt ic u l a rly g re a t a b u n
,
‘

d a n c e of u ri n e d ifc h a rg e d f o r u p w ard s o f
a m on t h . D oe s not t h e f a c ili t y w i t h w h i c h
t h e fe e v a c u a t i o n s f u c c e e d i n d i c at e t h e u fe
,

o f f u d o r ifi c k s o r d i u re t ic k sa c c o rd i n g t o t h e

a h orif m h oi nt s h
w er e na t u r e
p [h e mu
fl
'

p , e

f ollow ed ? By n o m e a n s : f or n a t u re h a v

i ng b y t h is t i m e r e c o v e re d h e r v igo u r a nd ,

n ot b e i n g o re ff e d w i t h a p u t ri d f e r m e n t ,
pp
is f u ffi c ie nt t o a cft b y h e i fe lf ;a nd p 1 e pare s
a n d p e rf orm s wh at i s f alu ta ry If we w e re
.

P 3 to
 l
1
2 14 1
to fpu r b y inc re afi ng t h e fe c re tions
a dd a ,

b e y on d m e a f u re w e w o u l d p ro b ab ly b ri n g
,

o n d e b ili t , b b ftr u fi i on s a n d a fl o wf e v e r
y
'

.
,

S o m e t i me s o n t h e c ont rary , i f b y c ont 1nu

i ng t o o lo ng t he y w a fte t h e fi re ng t h a n d
, ,

a p pe ar t o b e c h e ri fh e d o nly b y t h e w e a k n e fs
"

o f t he o rg a n s 1t 1sp ro p e r t o m o d e ra t e
,

t h e m w i t h g ra te f u l a c id a ro m a t ic k fi re ng
t h e ne r s; t h e E li x i r V i t ri o l o f E d i n b u r g h
s
.

d o e v e ry w e ll h e re ;a n d l h a v e f uc c e fs f u lly
u fe d t h e t in é t u re o f fl e e ] w i t h a w e a k tle
’

c oétion of b a rk
’
Y
.

As m a ny c au e f sa st h e re a re o fde b ili t y ,

{0 m an y c a lfe
l sw e ha v e o f c a rdi a c s ;f o r

t h e re is i
n o o t h e e c a rd a c ,
t h an w h at re

m ov e s t h e c au fe o f d e b ili t y I n a r e l ax a
'

t i o n t h e ftre ng th is r e c ru i t e d b y b i t te rs
,

m i x e d w i t h fi i m u la n ts v i n o u sa nd fp irit u ,

ou s liq u or s ;in a d e f e ét o f g ood j u i c e s b y ,

n ou ri fh m e n t ;b ot h t h e fe in c re a fe d th e de
b ilit y , w h i c h pp O re flé d o u r p a t i e nt s i n t he
bge l n nm g o f t h e d if re m e r
’
p f or t he
fi g
r en t h
eemed t o he r o ir a t ed, hu t t ha t a r o e h
f p / j f r om t e

Y I am f u pporte d in th i sb y the a uth or ty of i L u dw gi .

Infi it Me d §
‘

. . 1
44 6 .
 [ 2 15 ]
t he h hile a nd w a sr e l or ed
p g y f
u n enc o
yp g ur , /
i ng A n d i t e v i d e n t l y a p pe a 1 e d t h a t v o
z
.

m i ti ng or p u rgi ng h a d t h e e ff e Et o f c a rd i
ac s ; t h e r e f or e Al b e rt i w i fe ly o b fe r v e d t ha t ,

-i n f a i nt i ng fi ts w hi c h f om et i mesoc c u r i n t hi s
,

a na le ti c h a nd ner v ou sm edi c i nesa r e

f e ve r , p
i mpr oper a s long a st he pec c a nt hi li ou sma tt er
r em a i n sw i thi n ;wher ef or e a het t er r em edy
r e a r ed e v en f or t ho a i nt i n s
c a nnot he
p p fi f g ,

t ha n fi z c h a one w hi c h f a c i li t a t es t he r oper
'

p
e v a c u a ti on he hi li ou sm a t t er u t h ot
a

f
o t B .

f pi ri tu o u s a nd i s liq u ors fpe

’

n a v n ou e xa
, y
r at e e v e r y t h in g b y i nc re a fing th e {ti m u lu s
a nd p re v e nt i ng e v a c u at i on sa n d m re
h e at , ,
o

fi rm ly c om pa él i ng t h e m orb i d m atte r a sf u
d o ri fi c k sd o w h i c h is in c o m p re h e n fi b le t o
,

t h e v u lg a i To h a e re c o u rfe i m m e d i a t e ly v

foo n a st h e {tre ng th 1s
.
,

as i m p a i re d t o fl i ,

m u la n t sa n d th o ng a ro m a t i c k fo u ps is a ,

r a ét ic e w h i c h c a n n o t b e t o o m u c h c on
p
d e m ne d I fole m nly p rot e li t h at n ot h i ng
.
,
'

d o e s g re a t e r m i fc h ie f t o p a t i e n t s ;a n d t h is
‘

d e t e l t a b le c u f to m h a s b ro u g h t m a n y t o t h e i r
’ ’

g ra e s w h o w ou l d h av e e fc a pe d f u c h a f at e
v , ,

i f t h e c o m m on p e opl e c ou l d h a v e b e e n p e r
f u a d e d (a n d h ow m a n y a re t h e re w h o j u d g e

z
B ll a E pi d e m
on. . L i b I Op T I p
. . . . . . 6 .

a
Ub i f u pra , 6
7 9 p . .
 [ 2 16
]
l i ke th e g
v u l ar?
) 1 . t h at a m an may li v e
f o r a l ong t i m e p on p u re w a t e r a l one , or
u
t h i n p t i fa n , a n d t h a t n o b o d y d i e s l n a c u t e
d i fte mpe rsf : o m w a nt of f o od : 2 Th a t .

f pirit u o u sa nd n ou ri fh ing t h i ngs , a l way s

i n t h e b egi nni ng o f f e ve rs , a nd of te n at
o t h e r t i m e s w a fi e t h e l t re n th i n c re a fe t h e
’
g ,

f e v e r a nd d e ftroy t he v 1 rt u c s
, of t h e m e d i l -

c i ne s : 3 T. h a t n ot h i ng c a n b e a c a rd i ac ,
t

b u t w h at is opp ofe d t o t h e c au fe of t he d if
e afe : 4 T h at t h e c h oi c e o f re m e d i e s is a
.

m a t t e r o f te n d i ffi c u l t e v e n t o t h e fk ilf u ll,
a n d is f ar ab ov e t h e p rov i nc e o f a w om an

T h a t a m if ta k h e re 1s o f v e ry b ad c on
5 . e

f e q u e nc e , f or wha t i s a c or di a l t o one , ma he
y
oi on t o a nother B o e rh a a v e ha s t a ke n
p / .
.

is
v ery
/ d
el om u nder f l h i
ood : sp u pil f a ys ,
a nd

t ha t no r emedy, howev er i t may ha v e heen ex

t olled, c a n he a h olut ely a nd fi m y c a lled a c a r
j pl
dia c i n f ev er sfi ei ng i tsuj e or a hufie depends
,

t h e re f ore ne v e r
p re fc rib e d any c a rd a c i be
longi ng t o t h a t c lafs e nera ll fo c a ll e d , t ill
'

g y
a f te r e v a c u a ti on s ; S om e ti m e s i f t h e p a t i

W alc are ng h i Me dic in R at i o n p 2 1 9 . . . .

Aph 67 2 C om me nt ih T } p 2 85
. . . . . I . . .
 217

e nt app e ared too we a k a f te r thefe not f or -

f e a r of h i s
,

d yi n g b u t w i t h a Vi e w o f
,
af .

fi ll i ng th e f e c re tions I ord e re d th e m ild e f c

,
’
,
a nd m o lt f re q u e nt ly w i ne
’
w h ic h I h a v e f o
,

o f te n c om m e n d e d or t h e a nody n e
, m i ne
r a l liq u or o f H off m a n n a c i d oi,
l
y ma
i ld , ,

at l e a d for a lh ort ti m e a nd r ai fe a tra nfi ent

,

a nd flig h t d e liru m lik e t h a t

, f ro m d r u nk e n
n e fs .
I h a v e b e f ore fp ok e n a t le ng th of th e
c a rd i a c s u fe d d u ri n g t h e
re c ov e ry .

T H E ph y fic ia ns w h o a t te nd o
, n ly to
f y m p t om s w h e n t h e y o b fe rv e d t
,
he h i h g efi
'

a gi i
t a t on ,h e a d a c h a n d o b f t in a te w
-
, a tc h
’

i ngs w ou l d h a v e ad m inifte re d n arc oti c s

,

w i th a li b e ra l h a n d b u t a r i l
; a t ona h p y
Van Swieten, 64 4 . T II p
. . . 2 24 .
 { 2 18

fi c i an w a sa b folu te ly d e te r d f rom u fing

’

t h e m b ot h b y t h e o ry a nd a u th ori t y , w h i c h
w e re c o rro b orat e d b y e x pe rie n c e Alt houg h .

i t h e a c om m on
p r a fi i c e
i n t hi s
j ev ef t t o m i t i
ozns s
g a te t he jy p
m t hy a nod ne
y y et , a c c or di ng
t o t he vu
fi
lg a r u p t hey s a nd J
are er n c ou i i ,

w ou ld ea r nej ily dif ita de f r om t hem i n oh fl i n a te

w a t c hi ng sa nd a i ns o t he hea d A d
p f n J u n

k e r h as
‘

ob fe rv e d t ha t the u nfi aj h na hle in
,
? o
f
o i a te si s ollow ed w i t h ma n a nd v a r i ou s
p f y
da ng er s No r d id t h e y f u c c e e d b e t te r w it h
u s t h an
, H a ll ;f or w h e n t h e c omm on
at

p eopl e h ara lfe d w i t h w ant o f fle e p had re

c o u rfe t o d i a c od i u m w h o fe v i rtu e s t h e y
,

w e re t au gh t b y t h e pe rn 1c 1ou sc u l t om of
’

g i i
v n g i t t o c h ild re n t h e y d id n ot fl e e p t h e

m ore f or i t ;b u t t h e w e a k n e fs
,

c r u d ity , ,

a n d o t h e r f m t om sw ere a gg ra v a t e d I
y p .

v i fi te d a gi rl o f t w e nt y w h o b e fi d e sfe v e
,

1 a 1 o t h e 1 f y m t o m s l ah ou 1 e d u nd e i f o
p ,

v i ol e n t a c o u g h h i c h w as v e ry a n c o m
(w ,

m on } t h at {h e fw allo w e d w i t h g re at d iffi
c u lt a nd w h a t eve r w e n t d o w n w a s r e
y , p
f e n t ly t e t u rn e d b y v o m i ti ng C ly fte t s a nd .

e pi t h e m s b e i ng o f n o fe rvi c e I c o u l d n ot ,

c b
Al e rti , p 7 6 9 , 7 70
. .

f Ub i f u pra, p 5 1 7 . .

t h nk i
'
 l
i
t h nk o f a ny ot h e r m ed i c i ne b ut a n a rc o

tick ,
to re m o v e t h e f y m p a th y , t he c a u fe

o f t he c ou S oo n a f te r {h e h ad t h ro w n
gh g
.

t h e h rl t d o fe of d i a c o d i u m o rd e re d
’
U
p I ,

a fe c on d w h i c h i n d e e d a ppe a fe d t h e c o u g h
, ,

b u t t h e re re m a i ne d fo g re a t d e b ili t y w i t h »

ou t a ny fle e p, t h at {h e u n d e rw e nt a c on

t in u e d f u c c e fl i on of f a i n tin g fi ts l
c ot h s
d ip t in w i n e ,
ppli e d t o t h e ab d o m e n
a ,

d ri n ki ng l e m on a d e w i t h w i ne a n d t h e ,

a n o d y n e m i n e ra l li u o r re v i v e d h e r Prre n g t h
q ,

a n d t h e c ou g h b e i n g a b at e d I w as ab l e t o ,

gi e a v om i t w h i c h e nt i re ly f u b d u e d it I
v ,
.

a t t e n d e d a n o b l e p e rfo n t o w h om n ea r ,
,

t h e e n d of t h e d i fe a fe ,
h e r w h e n it o r ra t

w a so v e rc om e , I a ll ow e d t h ro u g h c o m
'

ai fa nc e fi v e d rops o f Sy d e n h a m s l a u d a
’

p l
n u m i n a fi o m a c h ic k d ra u g h t ;h e f u fi e re d
’

f ro m i t a f e v e re c olic k a d ifo rd e r t o w h i c h
’
,

h e was a n u t t e r fi ra n e r
g T h e e x p e ri m e nt .

8 T h a t th i sr ou g h
g
f ro m fy m p at h y n o o dy
a ro fe b
w il l , c
d o u b t w h o i sa q u a i n te d w th t h e a ws , i
c a u fe s
,
l
a n d e ff e é t so f f m a t h ;n o w t h e re isa d o u b e c o n l
’

y p y
n e ét io n b e t w e e n t h e b re a lc a nd fi o m a c h , t h a t i s
’
by t he
c i i
o nt n u t
y o f m e m b ra ne s and t h e c o m m u n t
y o f n e rv e s i .

W hy i t w a sfi ro ng e r i n t h sg r t h a n in a ll t he re fl i s
i il
c
t o b e a c o u n t e d fo r b y t he p i l
a rt c u a r t e t u re o f t h e x
ci
m e m b ra n e s b y t h e a r m o ny an d fi t u a tio n o f t h e m o r
ic c l i i
b l d m a t te r, w h h o u d rr tat e f om e tim e so ne a nd
fom e tim e s a noth er e us pl x .
 [ 2 20
]
b e i ng m ade a fe c ond t i m e p rodu c e d t he
f a m e b a d c onfe q u e nc e w h i c h p rov e d t h a t ,

t h e la u d an u m h a d b e e n t he c a u fe of t he
p a i n ;f or h e h ad fe v eral t i m e s t a k e n w i th
a g o od e ff e é c t h e f a m e d ra u g h t w i t h ou t t h e
’

o p i a te a n d h e h a d n o t c om m i tt e d t h e le a fl:
,

e rror i n h is di et Na rc ot ic k sfu éc e e d e d n o
.

b e t t e r w i t h t h a t p at i e n t w h o h a d b e e n
f e i z e d w i t h a c ou g h a f t e r b l e e d in g In .

g e ne ral I av o i de d t h e m e nti re ly , n or d o I
r e m e m b e r t o h av e gi v e n t h e m a b o v e fi v e

t i m e s , a nd a lw a ys i n a v e r y f m all d ofe .

w
E v e 1 y b od y ill e a fily fe e w h y fo m u c h
m ifc h ie f is o c c a fion e d i n p u t ri d d il t e m pe rs
’

b y t h is re m e d y w h i c h e lfe w h e re is of a ll
,

o th e rs t h e m olt n ob l e : f or i t i n c rea f e s the

r e l ax a t i on , a n d b y t h a t m e a n s t he fl a t u

le n c y a n d p u t re f a étion a n d p re v e n t s t h e

i nte ftina l d ifc h arg e s , u n le f s t h e y b e fup

h O pi um 1 nc re a fe d the pu t re f aé’
ci
in ou r f e v e r
o n
fe v e ra l w ay s , I b y
. re a n
g tl xi
h e fi re s ; 2 bb y re v e nt. p
c i p i
i ng t h e e v a u a t on o f th e u t r d m atte r;3 b y o b fi ru ét .

i ng t h e a fi io n o f t h e n e rv e s : f o r t h e i ll u ftrio u s a e r H ll
h as ro v e d by e e r m e n ts
p xp i , t h at a p u tre f a é t io n 13 q u
’
ick
b
l y g e ne rate d ot h in th e fi o m ac h a nd e lfe w h e re , f rom
a n 1 nt e r r u pt io r1 1v e n t o t h e a éi ion o f t h e ne rv e s S e c
g .

Me m fu r l irritab e x p 1 8 2, 1 8 3, 1 8 5 b u t o u m i s
.
’
. . . pi
i
n ot e ndo we d w th a n fe pti c q u a ty ,
y li
ro e r
y p p l
(0 a ed , c ll
w i t ne fs r ng e 3 e x e r m e ntso n fe pt ic and a nt ife pt i c
Pi l p i
’

f ub fta n c es i sa fo i l
d

,
e x p 1
. 0 w h e.re 11 5 e m olh e nt v rt ue

i c
e v n ed .
 re lfe d f ro m rigi d i t y o r a fpaf m W h at
p u

m ifc h ie f sfl ow f rom t h e fe is a l re a d y a pp a
re nt ; a nd t h is o b fe rv at io n gi v e s f re lh
w e ig h t t o t h e fa yi n g o f B oe rh a a v e ;t ha t
t her e i s no one t hi ng w hi c h i sa lw ay sg ood
, ,

hu t on t he c ontr a ry , w ha t i n one c ondi t i on ha s

heenj iz lu ta ry , upon a c ha ng e o c ir c u m la nc es
f j
i sof t en f ou nd t o he per ni c i ou s .

The P r ev enti v e Met hod .

TH E p roph y lac t ic k p art of ph y fic k i s

n ot f u ffi c ie nt ly c u lt i v a t e d ; t h e re a re m a n y

d if te m p e rsw h i c h b y a n a tt e nt i v e ob fe r v e r
’
,

m ay b e f ore fe e n f e v e ra l d ays b e f ore th e y

fi rft a t t ac k , a n d I a m pe rfu a d e d t h a t a d if
t e m p e r w h i c h is f ore fe e n m a y b e e i t h e r e n
t i re ly p re v e nte d or a t l e ali re nd e re d
,

m il d e r . I a t t e nd e d a y o u ng m a n, w ho w a s
f e i z e d w i t h a b ili o u s f e v er a t a t i m e w h e n
I w a se n d e a v ou ri ng b y m e d i c i n e s t o fu b
d u e a b ili o u s c a c oc h y m y , u nd e r w h i c h h e
l a b o u re d , a nd wh ofe t u m u l t s I w asa f ra i d
of ;t h e d il t e m p
’
e r w a sfe v e re , a nd I c an

h a rd ly b e li e v e , t h a t h e w o u l d h a v e f u rv iv e d
i t , i f t h e m orbi fi c m a tt e r h a d n ot b e e n
re nd e red m il d e r, a n d i t s q u ant i ty d im inifh
e d ;i t l
w ou d b e f ore ig n t o m y p u rpofe t o

g 1 ve
 i
az 2 ] ,

g i ve m ore in ftan c e s i s W ho
a nd c au t o n :

e v e r is follic it ou sa b ou t t h e p re v e n t i o n o f

o u r d if t e m e r c a n n ot b e b e t te r i n f orm e d
’
p ,

than in t h e w ord so f B o1 e lli . Tha t I m ay

l om ed w a v l
f f , I t a he dr a ug ht
cu
/ o i e a
f
o

w a t er ev er
y m or ni n
g f a li
/ g n , an d in t he ev en

i ng m i x li tt le fibi r i t f fi lphu r j h me her

g
a o r or
‘

a ci d w i t h the w a ter . For t he re

—

/l I li v e c ea r

f u l, an d holdly ploy m
y w hole t i me i n
em
phi lo

fophiz i ng
‘

. Thr ee day sag o I f ou nd a v ery

hi tter /le in m
ta y m ou t h, w hi c h I endea v bu r ed

c or r eél h t a ki n t w o ou nc es i
to y g f aj
o c a w hi c h ,

o ened
p my hoa y , d appea rst o ha v e ha d t he
an ,

Fou r i nd ic at ic ms oc c u r
i
defi r ed f e/
’

l
ucc i .

h ere , 1 . t h at t h e u f ua l q u a n t i t y o f f oo d
t hr o u gh the d ay b e f o m e w h at d i m in i lh e d
f or
'

n o th n i g c on d u c e s m ore t o t h e g ra d u a l
r e m ov a l o f i n f a rét ion si n the b o w e ls a nd ,

to e m T h at t h e f ood he of
pt y t h e m . 2 .

f u c h a n a t u re a sw ill n ot p ro m o te t h e d if
, _

o rd e r ;f u c h is m e nt i o ne d i n t h e a rt i c le
u p on d i e t : t h e d ri n k fpring w a t e r a l on e -
,

o r m i x e d w i t h w i ne 01 m a d e g ra te f u lly

a c id T h a t a n a ir t oo h o t b e a v oi d e d
3 . .

t h at t h e b o d y b e pu t i n m ot i o n ; a nd th e ,

i
Malpi g h i Op er .
po fth um x p . 2 8, 29 .
 223

b e lly k e p t O p e n ;w h i c h p u rpofe , b e li de s
b e i n g p ro m ot e d b y t h e d i e t b e f or e m e n
‘

t ion e d , is e xc e ll e n tly a n fw e re d b y a d r a c h m
o f c re a m o f t a1 t ar i n a c u p of w a t e 1 t a

k e n f a fi i ng .
4 . T o b e
p a rt i c ul a 1 l
y m i n d
f u l of t h e I ta li a n ph ilofop h e r sa d v i c e t o
’

li v e c he a rf u lly : I h av e 1 e c it e d t he f ad e f
f e Etso f g ri e f , a nd h a v e o b fe rv e d , t h at al
m olt a ll d i e d w h o we 1 e t ak e n ill a f te r fu c h
a Ra te o f m ind, e ven gh t he d ifte m
t h ou

e r a t fi rfl: fi g h t d id n ot a pp e a r v e ry v i o
p
l e nt ;e i th e r f ro m t h e c a c oc h y m y f oll o w in g ,

o r f ro m t h e l o fs o f fi re ng t h w hi c h w as

d e fi roy e d b y t h e a nx i e t y ;f or w h e n t h at
f a ils n o m a l ad y c a n b e c u re d .

TH E i d e a o f a p utri d f e v e r is t h is E .

v e ry p u t r i d h u m o u r i sa c ri m on i ou s a nd

t h u s {t im u lat e st h e f e n fi b le a n d i rri t a b l e
'

p a rt s ;f ro m h e n c e t h e re i sa t w o f ol d c a u fe -

f o r m orb i d m ot i on s a m o ng w h i c h a
,

f e e r is t o b e p la c e d
v Th e pu tre f a ét i on
.

a n d f e v e r re l a x t h e f olid s w h i c h p rod u c e s
,
.

a n e w c a u fe of d iford e rs A p u t ri d h u
'

m ou r is u nfi t f o r n u t ri t i on a nd t h is is a
,

t h i rd fo u rc e o f d ife afe s ;
D E AT H
 1 22 4 1
D E A T H f oll ows l n t h e fe d if t e m pers’
;if
th e f e v er a rri v e s at t h at pi t c h wh i c h 1 3 in
c o m at i b l e i h l i f e ;i f t h e f
p w t p u tr e a ét io n

inf e é t s t he m a f s o f b l ood t o f u c h a d e g re e ,
’

t h at a n e nt i re Prop is p u t t o n u t ri t i on ,
w h il e t h e 1 e 1 sa c ont i n u e d w a fti ng ;if a ny
v it a l f u nét i on 18 t ot ally i n t e rru p te d ;i f a

a n g re n e fe i z e st h e i nt e rn a l p art s , f
g or

f rom a g a ng re ne f ollows d e b i li t y a nd
d e at h ;

P U T R I D d ife afe sare i

e th e r u niv er a l, f if
th e pu tre f a ét i on h ase q u a lly i nf e éte d a1
'

molt a ll th e h u m ou rs , a nd th e fe are c alle d

m alig na nt ;or t h e y a re a fi ric , if t he m or
g
b i h e m at te r is p1 inc ipally fi t u ate d i n t h e
a b d om en . T h ere a re fe v e ral h u m ou rs i n
‘

t h e a b d o m e n f u fc e ptible of p u t re f a étion ,

n or is t h e c o rm t io n of t h e m a ll e q u a lly
p
p e rn i c i ou s a nd f or t h at re afon all p u tri d
,

g a fi r i c f e v e 1 s a re n o t a lik e v i o l e n t ;n o c or

r u p t i on is w orfe t h a n t h a t of t h e b il e , a n d

t h e f e v e rs g e ne ra t e d b y it a re t h e worf c of
’

t he m a ll .

TH E fa m e m e th od of c u re is re q u i re d
i n a ll o f t h e m , a n d t h e re f ore h e w h o

k no ws h ow to c u re t h e b ili ou sf e v e r w ill
t re at
 ] [ 225

t re at a ll th e oth e rs v e ry p rop e rly . O u r

fi rlt fpe c ie s a sI f ai d b e f ore c a n h a rd ly
, ,

b e re c k on e d a m ong t h e b ili o u s a n d a ff ord s ,

f om e a pp e ara n c e of v ari ati on i n th e m e

“

t hod of c u re .

GA S T R I C f ev ersare eithe r fimply pu J -

i
t r d, or at t h e f am e t i me i nfl am m at ory .

I n t h e l at te r, b l e e d i ng is fom e t i m e sne c e f

f a ry , a nd t h e e v a cu at i ons a re t o b e p ott
'

on e d t ill t h e i nfl am m at ion is re m ove d

p .

IN p u tri d f ev e rs wh e re th ere i sno i n;

fl a m m at ion , a sw ell t he u n iv e rfal a st he
a ftri c , p h l e b otom y is h u rtf u l , a s l fo a ll
g a

o ily f u b f ra nc e s e v e n e m u lfi on s a ll r e l a x
’
, ,

i ng , fe ptic a c ri m on i ou s a nd n arc otic k m e

d ic in e s n ou rifh ing a nd fu c c u le nt f ood s
, .

D i u re tic k sa re h u rtf u l i n p u t ri d g aftric di f

o rd e rs , f or t h e y i n c re afe t h e f e v e r ;i nte r
ru p t t h e i n t e ftin a l d i fc h ar e s b ri n g
g , on a

d e li ri u m g e n e ra l p u tre f aét ion , m alig n i ty ,

,

p u rpl e fp ots ,
’

a n d a f t e r t h e fe d e a t h .

TH E d i e t ou gh t b e m ore or le fs
to t h i n,
i g
a c c or d n to t h e d e g re e o f t h e d i fe a fe a nd

t o c onfift a l ways ge tab l e s

o f a c e fc e nt ve ,

f ari na c eou s f u b ftan c e s g ree ns or f ru i t s

, .
of i
c h c ke ns g h e ns »
'

ou n
or
y

L E T t h e fi rft Pre p b e i i g and p u rg

v om t n

i ng ;t he c u re w ill b e c om pl e a te d b an
y
t ife pt ic k d r i n k a n d p u rgi n g re p e at e d c i
,

h
t e r n ow an d t he n , or
i

le t
t h at p rom ote d g e ntl
be cc

fc e nt l a xat i ve s or th e e met ic k t artar d i

,

l u te d pl e nt i f u lly in an aq ueo u s v e h ic le .

At t im e s it is e x p e d i ent t o p u rge a li ttl e

m ore fi rong ly , i f t he fy m ptom s fb e wt h at
s
t h e h u m ou 1 a re m ore v i fc id an d c o n c oét
ed i
w th d ifii c ulty ;b u t wh e r e t h e i1 t e n
d e nc y to m ot i on i s g re ate1 , d aily b u t m il d
p gi ng
ur is b e tte r, lef t b y de l ay t he m alig
n it y f th e h u m o u r b e i n m e afe d , 01
o i t
be a b forb e d .

C L Y ST E R S are n o t o f fo mu ch u fe h e re
a sm i nfl a m m at or y c afe s , w h e re t he m ore
f re q u éntly t h e y a re g i v e n , f o m u c h th e
b e t te r ;b u t 111 b ili ou s d ife a fe st h e re p e ate d
u fe of e m olli e nt s w ou l d d o h a r m , a nd
'

I h a rd l y e v e r o rd e re d a ny b u t fu c h as
'

w e re p u rg i n g p art i c ul a rly w i th c a th oli c on

“

.
,

O f te n i n t h e b e gi nn i ng t he y d id li tt l e g ood ;
t o w ard s t h e e nd t he y f u c c e ed e d a dm i ra b ly
b y b ringi ng away c opi ou s fi ools .
 W HO E VE R wou l d at te m p t to c u re the
f ym ptom s an
y ot h e rwi fe t h a n b
y t h e
g e

n e ra l m e t h od w ou l d ru i n a ll
, .

TH E i n fi rm it iesp rod u c e d b y d e b ilit y

a re c u re d b y fe le ét m e d i c i ne s gi v e n

l arly i n t h e i r p rop e r t i m e, e x e rc ife a nd ,

c o u nt ry a ir Th e re m e d i e s w h ofe n a tu re
.

w e h av e e xpl a i ne d are fe ld omre q u iftt e .

R E M A I NI NG ob ftru ét ionso f the ifc e ra,

v

p arti c u l arly th e li v e r a re , r e mo v e d b
y ve

g e t ab l e foap s; f u c h are f u c c ory g rafs

, ,

h one y m ilk wh e y a nd b u tte r m ilk

,
-
, The y .

g row w orfe if re c o u rfe is h ad too foo n t o

o p e n i n g a c ri m on i o u s a nd fti m u la t in m
, , g e

d ic i n e s A
. l c a li ne foap si m p rop e rly gi v e n
- ,

b ri ng o n a p u tr i d c ac oc h y m y : y e t I h a v e
f om e t im e su fe d w i t h f u c c e fst h e a l c a li ne
m i n e ra l w ate r s in a f m a ll d o fe f o r f ou r o r
fi v e d ays W h en t h e ob ftru ét ions a re
.

r e m ov ed a , re lap fe is p re v e nte d b y
fi re ng th ners .

AL L th e d i ff e re n c e s b e twe e n c ou nt r e is
p rod u c e no d i ff e re n c e in t h e m e th od o f c u re ,

w h a te v e r ig nora nt m e n m a k e (m
n oife

t h at a rt i c le From t h e fe v a ri e t i e s it h a p
.

e n s t h at fom e d ifl e m e rsa re m ore f r e

p p
q u e nt
 [ 22 8 ]
q u e n t 1 11 one , an d fom e 1 11 ;
a noth er;b u t

whe re v e r f a m e d ife afe oc c u 1 s

t he , t h e

f a m e m e th od of c u re is n e c e
c ou n t ri e s The m e th od b y w h i c h Hipp o
.

c rat e s C11 1 e d b ili ou s f e v e r s I S t h e f am e w i t h

t h at u fe d 1n E ng l a nd and G e rm an y , W a l
c a 1 e ng h i e m pl oy e d t h e f a m e a t C re m on a ,

Me rc atu s , H e r e d i a a n d Z a c u t u ,s, 1 1
1 Sp a i n

an d P ortu g a l ;t he f a m e h a s f u c c e e de d w i th
an d w ill f u c c e e d a lw ays, i n a ll ag e s

E R T A .

P ag e 1
4 . N
ote s l i ne
,
2. W e lea r n, dele
/
c a né .

1 f or w her e , re ad I n w him /y
3 .

1 2 f or hu m ou r s
. , rea d t u mours
'
.

5g . f or c om moti ons , re ad m ot i ons .