The enquirer. [volume] (Richmond, Va.) 1804-1815, 1809-10-13

Oh the first approach of fever, tense hard
pulse, or pain of any part of the chest, i'm.
mediately To have recourse to the lancet with
the b!istering plasters and Cupping glasses.
AS had anticipated, in 4 few dayS all the
symptoms OF his disease ret1roed with two
fold violence, accompanied with a painful
periodical sffection'of t.e bowe,s, coming on
Chiefly OF an evening, and causing very sc
we're distress aad uneasiness: he ms antlv
resorted to the lancet, &c. as advised. On
the 10Th visited him, aud fptr.d him as
above stated with an, increased violence in
the sick hts, at the stomach, but not so,of
ten repeated. he was more conStipatcd than
usual. and with some symptoms of Dyspep-
s'a ordered bleeding. then an Emetic
OF Ipecacuaaha, with blister to the pit of
the stomach, the frrquen, use of strong
Infusion SIENNA in the form of injection, and
the use ot the carb magnesir as an absor.
bent, with the frequent bathing the feet and
legs In warm water to induce, aud keep up
"a determination TO the surface of the body.
On the Oath visited him, and found little
alteration except An abatement of fever, an
increase OF costiveness. and of the painful
affection OF the bowels, with the disappear
ance OF the dyspeptic symptoms.
Directed a perseverance in blood letting,
and OF the injections, with the occagional use
OF subiimed sulph,r. and castor oil, with the
antimonal. Dict, &c, As before.
On the 2eth visited him. ton,d his pulse
still hard and tense in a remarkable desree,
the sickness at the stomach much modera-
ted, but the affection of the bowels scarcely
to be borne With {: aud little .everi.h heat of
the body, a metastasis of the inflammation
now took place. and the head, which had
heretofore remained free from disease, was
now remarkably hot to the feel and dull
heavy pain OF thevtprehead complained ct
with considerable throbbing of the Tempo
rial arteries Ordered blood letting as be-
fore mentioned. with the daily application Of
Leeches or Cupping Glasses to the Temples;
and the use of blistering plasters to the fore
head. and back of the neck, together with
the Cupping the tops of the Shoulders; the
use of two Pills at bedtime, consisting each
of one grain Gamboge. one of Caiomel and
two OF ). Alloes, the injections of SIENNA
! proving totallv insufficient in obtaining -
and OF the above Pills, he took eight ut
time previous to their producing any effect
at all, and they were at last assisted by a
very strong decoction of Scana in the form
OF Glyster. - then passed off in tine
form OF Scybaloe. Hearing on the I'd July
tse was no better, sent over MIR. Chambers
| Ca Gentleman reading Physic with me) to
visit him, and If there was still a tense and
hard pulse, with pain of the head, to bleed
OF the neck, and to advise the daily applica
ton of fise or six Leeches to the Temples.
and the shaving the head, and the keeping
1t constantly wetted with vinegar and water
cold. These directions were complied with.
On the l2tb hearing there was lite altera-
tion, wrote him to observe strictly the di
rections last given, and particularly to encou-
rage the discharge from the Seaton.
| On the 18th visited him. and found his
body cool. great heat of the head, and pain
as sensbly felt as heretofore, with now and
then remarkable cool feel on one side of the
Nose, which lasted for several weeks. On
drawing the Seaton in the back of the neck
the most excruciating pains of the bowels
were prodnccdl ever witnessed, with very
anu. lal sensation of the head complained of
at the same time. Bowels much more laxa
tive and thc periodical pains before spoke
OF, had now LETT him, sleep toierably enjoy
ed, appetite tolerably good. ! now bled him
the forty second time since the 28th NAV,
and took Twenty ounces blood before the
tension or hardness of the pulse aba.ed or
| dered an observance Of the former prescrip-
ton, with solution i'm water of the Sal
hmmoniac To be kept to his head as cold as
| II could be had, and an abstinence from all
kinds ut food. except bread, nlush Siom;ny,
and molasses, this was complied with till
the 18TH, when hearing that he was no better,
but much weaker, sent Mr.. Whitlow Trea-
ding with me to visit him with directions
| still to bleed, 4 his pulse, &c. justified il this
he did. taking in half an hour at two bleed
| ings thirty ounces blood, all OF which shewed
| the buffy coat very strongly being more than
| usually feverish, he was directed to use the
| antlmonial as before, and attend to the sea
ton, Lceches, &c. On the 2Sd, / was nfor-
med that the only alteration consisted in his
| being weakened, and that there was some
swelling about the eyes, with less fever and
| PAIN of the head, / was now apprehensive OF
a Dropsy coming on, and desired Mr. Gar
| land [readihg Physic with mel to visit him,
and 1t there were threateniugs OF a DApsy,
| to desist from farther depletion, and to direct
| ten drops OF the Saturated Tincture Digita
lis to be begun with Sttaken three times daily,
and the quantity to be diminished or increa
sed as occasion should require. On the 3Oth
| visited him, and found him clearer of fever,
pain of the head or bowels, but a Slight de-
| gree OF tension and hardness of the pulse
still remaining, which now for the first
time beat go strokes in the minute, the Di-
gitalis having no effect in lessening its
| frequency but apparently increased it,
On the I'd OF August | sent him some new
ly made Tinct. Digitalis, with directions to
commence with 10 drops for dose. and 20
| increase each dose by four drops till the de
sired effect was prednCed. and that the dose :
we're to be repeated every three hours. On
the 9Th visited him, and found a feverish heat.
| which he attributed to the spirit in the L.
| Dlgtaiis, sc drops Of which he had taken
for the tWD Last IDsPs ,uit IN ,rs auy ,Ii,,;