afterwards on the neck, breast, and body. The pustules gradually enlarge, and proceed to maturation which is completed about the eleventh day after their first appearance, when the in- flammation and swelling abate, the eruption beginning to dry and scale off, and about the fifteenth day it en- tirely disappears. The confluent sort is attended with more violent symp- toms than the distinct, but observes the same period of termination. Dr. Beach says, “The effluvia is very offensive; and I have seen worms, or maggots crawling in the flesh ; and yet the pa- tient has recovered." This disease generally terminates favourably under judicious treatment, unless the subject of it is intemperate, in which case it proves very dangerous, or fatal. Treatment. — The great object is to assist nature to expel the morbific or poisonous matter from the system. If the patient has much vomiting, give 10 or 12 grains of bicarbonate of potash in balm tea twice or thrice a day. The bowels must be opened by gentle aperients, (page 21,) attention must be given to the skin, and medicine given to produce a gentle determina- tion to the surface. Take an infusion of saffron and catnep, or balm and hyssop, with xo drops of elixir of vitriol ; this will aid nature to drive out the eruption, by producing a moisture of the skin. It should be repeated several times. Bathe the feet twice a day in warm ley water, and wash the body with the same liquid warm ; do not neglect this if the fever is high. If there is pain in the head apply a mustard poultice to the soles of the feet in addition to bathing the feet and legs in warm water. Apply to the head cloths dipped in vinegar and water, or whiskey and warm water. Let the room of the patient be well ventilated, and often sprinkle it with vinegar and water ; do not cover him up close. Give warm diluents, as balm, spearmint, pennyroyal, catnep, &c. ; any of these will do. If the throat be sore, administer the remedies under Sore Throat. Sage tea, a little vinegar, and a little borax, form a good gargle. The Expectorant Tincture is very useful. If the debilitv is great, and the strength gradually sinking, give tooicR, SMA 364 SMA as quinine dissolved In elixir of vitriol ; 10 or x.s drops in balm tea three or four times a day. If there is consider- able irritation, give 8 or 10 drops of laudanum in the Saline Draught , page 345. Or, give from 5 to 10 grains of the Diaphoretic Powder, page 160. Sudorifics are also very serviceable, especially when the pustules are flabby, and not well filled. If the symptoms become unfavour- able, as the striking in of the eruption, great fever, and delirium, black tongue, &c., the danger is very great. In such case, give immediately the vapour bath of bitter decoction, and an emetic ; then give a decoction of saffron and Virginia snakeroot with a teaspoonful or two of sweet spirit of nitre. Give also the Sudorific Powder, and at intervals the Seidlitz Powder. Sponge the surface of the body with warm water. If there is any tendency to putrescency in the fluids, give a wineglassful of yeast several times a day. Dr. Anthony Thompson says, “The sulphuric acid combined with wine is the only remedy on which we can rely in the confluent small pox, when the pustules are filled with a bloody sanies, and the urine is coloured by broken- down particles of blood.” Camphor is valuable in this disease.

AI-modernized reading of the original text

afterwards on the neck, breast, and body. The pustules gradually enlarge, and proceed to maturation which is completed about the eleventh day after their first appearance, when the inflammation and swelling abate, the eruption beginning to dry and scale off, and about the fifteenth day it entirely disappears. The confluent sort is attended with more violent symptoms than the distinct, but observes the same period of termination. Dr. Beach says, “The effluvia is very offensive; and I have seen worms, or maggots crawling in the flesh ; and yet the patient has recovered." This disease generally terminates favourably under judicious treatment, unless the subject of it is intemperate, in which case it proves very dangerous, or fatal. Treatment. — The great object is to assist nature to expel the morbific or poisonous matter from the system. If the patient has much vomiting, give 10 or 12 grains of bicarbonate of potash in balm tea twice or thrice a day. The bowels must be opened by gentle aperients, (page 21,) attention must be given to the skin, and medicine given to produce a gentle determination to the surface. Take an infusion of saffron and catnep, or balm and hyssop, with xo drops of elixir of vitriol ; this will aid nature to drive out the eruption, by producing a moisture of the skin. It should be repeated several times. Bathe the feet twice a day in warm ley water, and wash the body with the same liquid warm ; do not neglect this if the fever is high. If there is pain in the head apply a mustard poultice to the soles of the feet in addition to bathing the feet and legs in warm water. Apply to the head cloths dipped in vinegar and water, or whiskey and warm water. Let the room of the patient be well ventilated, and often sprinkle it with vinegar and water ; do not cover him up close. Give warm diluents, as balm, spearmint, pennyroyal, catnep, &c. ; any of these will do. If the throat be sore, administer the remedies under Sore Throat. Sage tea, a little vinegar, and a little borax, form a good gargle. The Expectorant Tincture is very useful. If the debilitv is great, and the strength gradually sinking, give tonic, SMA SMA as quinine dissolved In elixir of vitriol ; 10 or x.s drops in balm tea three or four times a day. If there is considerable irritation, give 8 or 10 drops of laudanum in the Saline Draught , page 345. Or, give from 5 to 10 grains of the Diaphoretic Powder, page 160. Sudorifics are also very serviceable, especially when the pustules are flabby, and not well filled. If the symptoms become unfavourable, as the striking in of the eruption, great fever, and delirium, black tongue, &c., the danger is very great. In such case, give immediately the vapour bath of bitter decoction, and an emetic ; then give a decoction of saffron and Virginia snakeroot with a teaspoonful or two of sweet spirit of nitre. Give also the Sudorific Powder, and at intervals the Seidlitz Powder. Sponge the surface of the body with warm water. If there is any tendency to putrescency in the fluids, give a wineglassful of yeast several times a day. Dr. Anthony Thompson says, “The sulphuric acid combined with wine is the only remedy on which we can rely in the confluent small pox, when the pustules are filled with a bloody sanies, and the urine is coloured by brokendown particles of blood.” Camphor is valuable in this disease.

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