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The Cherokee Physician - Section 2-A
PART TWO.
CONTAINING A DESCRIPTION OF THE SYMPTOMS
OF DISEASE, AND THE METHOD OF TREATMENT.
I will not trouble the reader here with a long treatise on the
doctrines, or what is called the pathology of diseases, which would prove
both tedious and tiresome, without imparting the least benefit to those
for whom this work is especially intended. But in giving the symptoms of
disease, or the various aspects under which it makes its appearance, I
will endeavor to do it in both a concise and comprehensive manner,
confining myself, principally, to
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those diseases which are most common in our country, and peculiar to our
climate. It is very necessary that the head of every family should be
instructed, to some extent, in the method of curing their own maladies;
simple remedies, and such as are at hand in most families, will, if taken
in due time, often throw off diseases which might have baffled the skill
of the most experienced physicians if it had been let to run on without
remedy for a length of time. A full conviction of this fact will induce me
to simplify the HEALING ART, so that any family, possessing an ordinary
share of common sense, may become their own physician in most cases of
disease, without the hazard of increasing the hold of disease or weakning
the power of life. The Indian system of practice may appear simple to many
persons who are not acquainted with their success in treating diseases,
but I flatter myself that a fair trial of their method of treating
diseases as is herein laid down, will almost invariably be crowned with
success, and many painful and truly distressing complaints which have
hitherto been considered by the whites, as incurable, will be found to
yield speedily to simple remedies.
Believing that colds are directly or indirectly the cause of most
diseases by checking perspiration, obstructing the general or natural
circulation of all the fluids, and there-by producing a marked action, or
in other words, a diseased condition of the whole system--I will first
begin with colds.
CATARRH OR COLD--(Oo-hur-tlah.)
Colds are so common in every country, and their modes of treatment so
generally known, that the reader will doubtless conclude that little or
nothing need be written on a subject which is already so familiar. But
when we reflect that it is often the forerunner and not unfrequently the
foundation of other diseases which are difficult to remove, and in many
instances highly dangerous, and even fatal, in despite of medical aid--the
subject does not appear so trivial as on first thought; but is one which
certainly demands the serious attention of all those who wish to enjoy a
reasonable portion of health.
Persons of delicate constitutions are most liable to take cold--and
from the great carelessness of such persons in neglecting to avoid
exposure--and to remove cold in its
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earliest stages, originates most of the consumptions in this, as well as
other countries. It is often the foundation of a host of other diseases,
such as pleurisy, liver complaints, fevers, asthmas, &c. I therefore feel
it my duty to impress it on the mind of the reader, that cold, however
simple it may at first appear, should be taken in its earliest stage, at
which time it is easily thrown off and by very simple means.
SYMPTOMS.--A dull heaviness in the head, frequent sneezing, a discharge
of watery mucous from the nose or eyes, or both, a stoppage in the nose
and head--it is frequently attended with chillness, succeeded by flushes
of heat, a very disagreeable fullness is felt about the eyes. Cold is
often attended with soreness of the throat, cough and pain in the chest.
Here I repeat that most of the consumptions of this country are occasioned
by neglected colds, brought on by exposure to night air, by changing warm
clothing for thin, by sudden check of perspiration, by damp feet, &c.
TREATMENT.--Cold in its first stage may be thrown off very easily, and
by very simple means, such as a free use of sage, mint, ground ivy, balm,
pennyroyal; pepper or ginger teas, or any sweating tea that the patient
may prefer, to which may be added a portion of the diaphoretic drops. If
the violence of the attack requires it, bathe the feet in warm water
fifteen or twenty minutes, then wipe them dry and draw on warm stockings.
If the head should be much stopped up with cold, sweat it by covering it
over with flannel or other covering, and place a hot rock on the hearth,
then sprinkle water and vinegar on the rock, at the same time holding the
head over it. After steaming the head in the above manner, care must be
taken to avoid exposure to a free current of cold or damp air, which would
check the perspiration suddenly, and in all probability do much more harm
than the steaming had done good. If the symptoms are inflammatory, give
cooling purges, such as cream of tartar, salts, castor oil, rheubarb, or
any cooling cathartic. If the throat is sore, apply the red pepper
poultice, or a poultice of onions or garlic, either of these poultices
will give relief to the breast if applied to that part, in case of
oppression from cold. If the patient is troubled with a cough, look under
that head for a remedy; by turning to the index you will be referred to
numerous valuable articles for coughs, some of which can be easily
procured in all cases, I presume, with but very
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little trouble or expense. The onion, garlic or pepper poultice, applied
to the feet will also aid in produing a free perspiration. The following
remedy, says Dr. Gunn, "has frequently afforded relief in cases where
colds had nearly settled down into confirmed consumptions--take one tea
spoonful of flaxseed, half an ounce of liquorice, and a quarter of a pound
of raisons, put them into two quarts of rain water, and simmer the whole
over a slow fire until you reduce the quantity to one quart; then prepare
some candy made from brown sugar, and dissolve it in the quart of liquor.
A half pint of this syrup is to be taken every night on going to bed,
mixed with a little good vinegar to give it a slightly acid taste. This
will certainly relieve a cold in a few days." The vinegar stew is also
very good for colds, and should be prepared in the following manner: If
the vinegar be very strong, add a little water, then put it on the fire
until it becomes hot, then add a little butter and sweeten it well with
honey This stew or syrup is good to relieve soreness in the breast, it is
also good to check the cough arising from cold. A tea spoonful of
paragoric or half that quantity of Bateman's drops may be added to the
tea, which is to be drank for cold to great advantage.
INFLUENZA OR MALIGNANT SORE THROAT.
(Oh-ch-tlah-tsu-ni-sik-wah-his-lee.
This dangerous disease is sometimes called putrid or ulcerous sore
throat. The symptoms are, soreness of the throat, attended with fever. The
swallowing becomes more and more difficult, the skin burning and
disagreeably hot without the least moisture, the pulse very quick and
irregular, it is also attended with nausea and sometimes vomiting,
restlessness, great debility, the face becomes flushed, the eyes inflamed,
and the neck stiff, the mouth and throat assumes a fiery red color, and
the palate and glands of the throat become much swelled as the disease
advances, the whole internal surface of the mouth and throat will become
interspersed with brown or ash colored spots, which soon become so many
ulcers discharging an acid matter; a similar matter runs from the nose,
and escapes at the mouth, this matter soon affects the lips and
neighboring parts, and in some instances the brown spots extend over the
whole body, the tongue becomes covered with a thick brown fur and the
breath very offensive; there
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is generally a purging, and in many cases, a frequent dischatge of
excoriating matter or fluid from the fundament. If the disease is not
checked, the ulceration corrodes deeper and deeper extending down the
alimentary canal, and if still suffered to proceed, they become
gangrenous; a severe purging ensues, and death closes the painful scene.
The following symptoms are unfavorable and denote a fatal termination; the
feet and hands become cold, the eruptions suddenly disappear, or become of
a dark livid color, the inside of the mouth and throat assume a dark hue,
purging a black matter of a very offensive smell, the pulse becoming
small, quick and fluttering, hurried breathing with frequent sighing; and
a cold clamy sweat. On the contrary, the symptoms are favorable when the
fever in some degree abates and the skin becomes gradually soft and moist,
the breathing becomes more free and natural, the eyes assume a natural and
lively appearance, the eruptions on the skin become of a reddish color
over the whole body, and the parts which separate from the ulcers fall off
easily, and leave the sores of a clean and reddish color, the tongue
gradually becomes clean and clear of the dark fur with which it is
covered. These are favorable symptoms and denotes the recovery of the
patient.
Putrid sore throat, is an infectious or catching disease; and hence it
sometimes prevails as an epidemic, and generally makes its appearance in
the fall or early part of the winter seasons, especially when preceded by
a dry, hot summer. Children and persons of delicate constitutions are most
liable to be the victims of this dangerous disease. Neglect of
cleanliness, eating damaged provisions, breathing impure air, or whatever
tends to produce putrid fevers, will predispose to an attack of this
complaint. When relief is not had, this disease generally terminates
fatally between the fourth and seventh day.
TREATMENT.--This disease generally makes its appearance at the close of
sultry seasons, when the system is much weakened by protracted exposure to
intense heat and when people have been for some time exposed to breathing
the putrid atmosphere arising from stagnant waters and decaying
vegetables. This fact will at once show the impropriety of administering
sever purges or drawing blood. The stomach must be cleansed by an emetic
of gulver and Indian physic, and the bowels relieved
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of their putrid contents by injections, of thin gruel or soap-suds, to
which may be added hogs lard and a little gulver syrup; no cathartic
stronger than castor oil or rheubarb should be taken into the stomach.
Well prepared charcoal, taken twice or three times a day, will be of great
benefit. The mouth and throat must be washed and gargled with a
preparation made as follows: Take of cayenne pepper in powder, two table
spoonfuls, a small quantity of catnip and half a spoonful of common salt:
pour on them one pint of boiling water, let them stand a half hour and
strain off the liquor and add to it a half a pint of good vinegar--the
patient should also swallow a table spoonful of this preparation every
fifteen minutes. If the patient should become very weak, bathe him well in
a strong decoction of red-oak bark, in which may be put one-fourth
whiskey. If the weakness be very considerable, give wine or toddy made
with spirits and sweetened with sugar to strengthen and support the
system. For an external application to the throat, use a poultice made by
thickening rye-meal or wheat-brand in red pepper tea.-- After the stomach
is cleansed, give Virginia snake root tea, (commonly called black snake-
root,) or seneka snake-root tea freely. The bowels must be kept regular
through the whole course by the use of injections. If the first emetic
should fail to subdue the disease it should be repeated in moderation on
the day following. By properly attending to the emetic, the acid matter
may be thrown off, which would otherwise produce injury by descending into
the bowels. The strength of the patient must be supported by a generous,
nourishing and easily digested diet, comprising but little if any animal
food.
PLEURISY.--Oh-ne-squah-ga-ni-tsu-na-his-na.
SYMPTOMS.--An accute pain in the side, extending to the back, breast
and shoulder, when the breath is drawn:--The pain is much increased by a
short dry cough which generally attends it. Great difficulty is
experienced in lying on the affected side. It is also attended with chills
and fevers, great thirst and restlessness as in the inflamatory fever. The
tongue is covered with a thick whitish fur. The urine is high colored, the
face flushed, and the skin dry and hot; sometimes the cough increases, and
a tough phlegm is spit up. The blood when drawn from the
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arm and admitted to cool in the vessel, is covered with a scum or coat of
a buffly color, which always denotes inflamation.
The causes which predispose to an attack of this disease, are cold,
lying on damp beds, exposure to free currents of damp air, wearing wet or
damp clothes, sudden changes from heat to cold, sudden check of
perspiration, suppression of periodical evacuations, or by the repulsion
of eruptions. It may also arise from intemperance, great exertion in
singing, speaking or playing on wind instruments
TREATMENT.--It is an inflammatory disease, and therefore requires the
immediate reduction of the inflammatory symptoms; for this purpose bleed
freely according to the strength and constitution of the patient. If the
pulse should remain full and hard after the first bleeding, and the pain
be relieved for a short time and then return, you must bleed a second,
third, and even the fourth time, where the inflammatory symptoms require
it. After the first bleeding, apply cloths, wet with hot water to the
pained part, as warm as can be borne, and bathe the feet in warm water. At
the same time give a purge of epsom salts or gulver pills, and let the
patient drink freely of a tea made of one-third of silk-weed root to two-
thirds pleurisy root. If this tea should increase the fever to any
considerable extent, it may be used in smaller quantities and the lancet
again resorted to. For a description of the above roots, look under their
different heads You will also see the mode of preparing the black or
gulver pill under its proper head.-- After the inflammatory action is in a
considerable degree overcome, seneka snake-root should be combined with
the silk-weed root and pleurisy root. A full description of these roots
may be seen under their proper heads. After the abatement of the fever, if
the pulse should sink and the patient become very weak, you should
stimulate him with warm toddy or wine, mixed with warm water and sugar.
This must be done with the greatest caution, taking great care not to
stimulate so as to produce a return of the fever. If the extremities
should become cold, apply plasters of ground mustard-seed wet with vinegar
to the wrists, ankles and feet. These plasters will aid greatly in raising
the pulse, and is not so apt to produce a return of the inflammatory
symptoms as a too free use of spirits. The bowels must be kept open
through the whole course by cooling
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purges; such as salts, castor oil, cream of tartar, or gulver pills. The
cathartics should be aided by mild and cooling injections, such as thin
gruel, well strained new milk and water, &c.
For further information on this subject examine under the head of
"Clystering Diets." The strictest abstinence from all kinds of animal
food, must be observed in this disease. The diets and drinks must be such
as will have a tendency to keep down fever, and such as the stomach will
most easily digest. The drinks should consist of flaxseed tea, slippery-
elm tea, toast-water, &c. They should be taken warm, a little gruel,
panada, or milk and water with mush, may be taken for nourishment.
When recovering from this disease, great care must be taken to avoid
sudden changes, dampness, cold, and very particularly avoid exposure to
night air, excessive use of ardent spirits, violent exercise, &c. As the
reverse of the above precautions generally produce dangerous relapses.
Flannel, or some warm dress should be worn next the skin.
DROPSY--Tsa-no-tis-scoh.
Dropsy is a disease of the whole system, arising from debility or
weakness. This opinion is sustained by many of the most distinguished
physicians in the United States. Dr. Rush was of opinion, that dropsy was
caused by a morbid action of the arteries, and an increased action of the
exhalents; or in other words, by an inactive state of the arteries and an
active condition of the vessels which throw off the sweat from the body.
Dr. Shelton's opinion is the very reverse, he says: "Notwithstanding the
great popularity of this opinion and the high regard I have for Dr. Rush,
yet I cannot concur with him. I believe the cause to be an increased
action of the arteries and a decreased action of the exhalents. For we
generally find in a Dropsy a quick pulse, which certainly indicates an
increased action of the arteries; from the great fullness and distention
of the exhalents, we might reasonably suppose they were too much relaxed,
or too inactive to throw out the fluids as fast as they were forced into
them by the active motion of the arteries." I have given the opinions of
the above writers for the reflection and entertainment of the reader. The
opinion of Dr. Shelton, however, accords nearest with my own.
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SYMPTOMS.--Dropsy may easily be distinguished from other diseases, by
the collection of water in some part of the body, and by the feet and
ancles swelling, the flesh will have lost its elasticity, or in other
words, when pressed upon by the finger the mark or impression will remain
for some time after the finger is removed, the place where the impression
was made being much paler than any other part. Among physicians, it is
called by different names, according with the different parts of the
system in which the water is deposited. When the water is seated in the
cavities of the head or brain, the disease is called by physicians,
Hydrocephalus. When seated in the cavity of the chest, it is called
Hydrothorax; when in that of the belly, Ascites; when seated in the
scrotum or bag of the privates, it is called Hydrocele; and when the water
collects in the cellular membrane, which is situated between the flesh and
skin, it is called Hydrocele. These different locations of Dropsy are
manifested by somewhat different symptoms.
Anasarea or Dropsy of the celular membrane, first gives symptoms of its
approach by swelling of the feet and ankles; this swelling may be
distinguished from other swellings in the manner above stated. The
swelling extends by degrees to the thighs, trunk of the body, and finally
to the head and face. The breathing becomes difficult, particularly when
the patient lies down. A cough soon follows, and a watery mucous is spit
up, the urine is high colored, and is voided in very small quantities, and
when suffered to remain in the urinal or pot it deposites a reddish
sediment; the bowels are costive, and the thirst great. These symptoms are
suceeded by a dull torpor and slow fever.
Ascites, or Abdominal Dropsy, is generally preceded by a loss of
appetite, sluggishness, dryness of the skin, thirst, oppression of the
chest, cough, decrease of urine, a swelling of the abdomen takes place,
which increases gradually, as the disease advances. As the water
accumulates, the breathing becomes more difficult, the countenance pallid
and bloated, the thirst immoderate; the urine scanty, high colored; and
deposites a brick colored sediment.
Hydrothorax, or Dropsy of the Chest, generally comes on with a sense of
uneasiness at the lower end of the breast bone, and difficulty of
breathing, which is much increased
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by exertion, or by lying down. It is attended with a cough. at first dry,
but afterwards a thin mucous is spit up; as the disease advances, the
thirst increases; the complexion becomes sallow; the feet and legs swell;
the urine is voided in small quantities, high colored, and deposites a red
sediment. The face and extremities become cold, the pulse feeble, and
irregular; the sleep is much disturbed, frequent palpitations of the
heart; a numbness extends from the heart towards one, and sometimes, both
shoulders; the difficulty of breathing continues to increase until death
ends the patient's sufferings. Hydrocephalus, or Dropsy of the Brain, is a
disease common to children, and will be spoken of under the proper head.
TREATMENT.--Cleanse the bowels with anti-billious pills, or some other
purge. After the bowels are well cleansed, the patient should take the
diuretic pill night and morning, three for a dose, or more if the
constitution of the patient requires it; also drink bitters by putting a
table spoonful of steeldust, and about four ounces of vervine root, into a
half gallon of good spirits; of these bitters the patient should drink
three or four times a day what the stomach will bear.
ANOTHER REMEDY.--After the bowels have been cleansed as above directed,
let the patient drink freely of cold water off of the root of Ah-squah-na-
ta-quah. This herb is fully described in materia medica, and is an
infallible remedy for Dropsy; the root should be bruized before it is put
into the water, about a half ounce of the root to a quart. the water may
be renewed until the strength is all extracted. There are no disagreeable
consequences whatever produced by the use of this root.
The Chalybeat pill, taken night and morning after the bowels have been
cleansed, will effect a cure in most casses. A Dose in this case is one
pill about the size of a summer grape.
Diets must in all cases of Dropsy be of the lightest and simplest kind.
When the patient begins to recover from Dropsy, the appetite in most cases
becomes voracious and almost insupportable, and if the patient is
permitted to indulge it, to effect a cure will be found impossible. Water
gruel, rye mush and butter milk or something of the kind is the safest
nourishment I have ever tried in cases of this kind.
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After the patient is freed from the water, extreme debility usually
takes place. At this stage of the disease, the patient should continue
whichever of the above treatments may have been adopted, and additionally
use wine and a decoction of wild cherry-tree bark, or a decoction of
Columbo root, or any other stimulant or tonic that may be most convenient.
Dr. Gunn believes Dropsy to be an inflammatory disease and recommends
bleeding freely, but goes on to speak highly of the advantages that have
been derived from herbs of our own country, in this as well as other
diseases. I quote the following from this author: "The following cures,
which I shall notice, in the words of an experienced and distinguished
physician, give evidence of the correctness of some of my introductory
remarks, among which are the following: The discoveries of each succeeding
day convinces, that the Almighty has graciously furnished man with the
means of curing his own diseases, and there is scarcely a day, month or
year which does not exhibit to us the surprising cures made by roots,
herbs and simples, found in our own vegetable kingdom, when all foreign
articles have utterly failed. The truth is, that the wise and beneficent
Creator of the Universe, has made nothing in vain; and the time will come,
when the apparently most useless and noxious plants, will be found
eminently useful in the cure of diseases, which have hitherto baffled the
profound skill, and most powerful energies of genius."--The following are
the words of the author just alluded to: "I am knowing to two extremely
distressing cases of Dropsy entirely relieved by means of the bark of
common Elder. One a woman advanced in age, in the last stages of this
disease, who lost a brother some short time previous, by the same
complaint. The other a young woman, who had been for eighteen months
confined to her bed, during four of which she was unable to lie down, and
who is now wholy free from Dropsy, and recovering strength in a most
surprising and unexpected manner. This young lady used the elder-barked-
wine, at the instance of one of the most distinguished physicians of
Boston, who had previously tried every known prescription without success,
and the use of the elder bark entirely cured her. A great many other
cases, less aggravated, have been cured by this bark. I have used it
myself with unusual success,
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and its immediate adoption by the afflicted, is truly important and
deserving attention. The receipt is as follows: Take two handfuls of the
green or inner bark of the white common elder, steep it in two quarts of
Lisbon wine twenty-four hours--if this wine cannot be had, Teneriff or
Maderia, will answer; take a gill every morning, fasting, or more if it
can be borne on the stomach."
We have never tried the above preparation of elder bark in wine, but
having witnessed similar effects produced by the free use of the tea and
decoction of this bark, we are bound to place full confidence in the above
statements, and earnestly recommend its use to those who may be afflicted
with this truly distressing complaint.
Diets should consist of gruel, a little milk and mush, or something of
a similar nature.
DYSPEPSY, OR INDIGESTION.
(Oh-ne-na-tse-tsunah-li-stoo-na.)
SYMPTOMS--Are flatulency, defective appetite, palpitations of the
heart, painful distention of the stomach and bowels. The last named
symptoms greatly increased by eating a hearty meal or drinking spirituous
liquors. This disease also extends its pernicious influence to the mind,
which often becomes desponding and irritable, and the poor sufferer
exhibits a peculiar anxiety of countenance. The sleep becomes disturbed
and the urine high colored.
CAUSES.--This disease originates in a great variety of causes. It
arises in a great many instances, from a diseased state of the Liver as
may be fully seen under that head. This lingering and painfully
distressing malady is seldom to be met with among the Indians, owing, we
suppose to the great simplicity of their diet, and the liberal exercise
which they so generally take in the hunt, the chase, &c.; and the little
use made by them of mercury in any form, or of strong minerals of any
kind. This disease, on the contrary, appears to increase yearly among the
whites. It seems to be a scourge upon the more refined portion of the
human species, and one which refinement with all its charms, utterly fails
to render agreeable, or in any respect desirable. It is to be found among
all ranks and sexes; but when we meet with an individual who is afflicted
with this torturing malady, and examine into his or her past life, the
cause is generally obvious. An excessive use of
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spirituous liquors of any kind, of tobacco, mercurial preparations, and
other poisonous mineral substances used for medicines--improper diet,
whether in kind or quality, inactivity of body, intense study, uneasiness,
anxiety or grief, are all calculated in their nature to produce this
painful disease. Dr. Carter, when speaking of the stomach, says. "It may
be considered the great labratory or chemical workshop of the living
power--where chemical operations upon our food and drink, are regularly
performed, without effort, toil or study."
Dr. Carter's statement respecting the stomach, shows at once the great
necessity of regulating the food and drink according to the strength of
this "chemical workshop."--The usual practice of over loading the stomach
with high-seasoned, indigestible food, and a too free use of ardent
spirits, injures its tone, and renders it incapable of performing its
functions in a healthy manner. If Indigestion arises from a diseased state
of the liver, there will also be felt a dead, heavy pain in the right
side, also in the shoulder, and back of the neck. The urine on being
deposited in a urinal or pot, will have in the bottom when cool, a reddish
colored seddiment. The complection will become of a tawny or yellowish
hue. The feet and hands, when held in one position, for a short time will
become asleep for want of a free circulation of the blood. Great
uneasiness will be felt throughout the whole system, and it is sometimes
attended with vomiting. When these last named symptoms occur, you must
refer to the proper treatment of the disease of the liver, &c.
TREATMENT.--For common Dyspepsy, the patient must first sum up all the
resolution which it is in his power to command, in order to regulate his
diet with that rigidness. which is indispensably necessary, where a cure
is to be sought for in this disease--the diet must be simple, such as
gruel, a little rice prepared in clear water, and salted just sufficient
to make it palatable, a cracker with a glass of spring water, or some
similar food. It must be taken frequently and in small quantities, as
fasting too long does great injury in Dyspepsy, which injury is much
increased by the common practice of over-loading the stomach after long
fasting. The use of animal food must be entirely abandoned if the sufferer
wishes to obtain relief. To be
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alternately loading the stomach with purges, animal food, and spirituous
liquors, is only adding fuel to fire, and will ultimately end in the death
of the patient if persisted in. The patient should first take a purge,
anti-billious pills will be most suitable. These should be taken on going
to bed--the number for a dose refer to that head--if they should not
operate by morning they should be aided by half a dose of the same pills
or by castor oil. After the bowels have been cleansed in the above manner,
take a portion of the anti-dyspeptic syrup or hepatic pills morning and
night. For directions how to prepare either of the above named medicines
look under their different heads. While using the anti-dyspeptic syrup or
hepatic pill, you should also use a mixture or syrup made by taking a
strong decoction of the inside bark of white hickory, one pint well
strained, to which add an equal quantity of soot, a pint or more of honey,
of this mixture take a tea spoonful morning and night. A free use of
charcoal, taken in water or otherwise, will be found of great benefit. For
directions for preparing charcoal refer to that head. During the above
course, the patient should take moderate exercise in the open air, if the
strength will allow, and be very careful to avoid any thing either in
eating or drinking, that will produce aggravation of the symptoms. The
bowels, if they become costive, (which however is not apt to be the case
while using the anti-dyspeptic syrup or hepatic pills,) must be regulated
by the use of mild and cooling clysters. When the stomach and bowels have
been kept free from irritation for a length of time by the above
treatment; when the sleep becomes tranquil: the spirits revived, and the
tongue assumes a clear and healthy appearance, a little mutton or beef
soup may be taken. or chicken well boiled and the soup thickened with a
little flour. If this diet should produce an uneasiness in the stomach or
bowels, the quantity taken should be diminished, and if it still
aggravates the symptoms, its use must be entirely discontinued, and
recourse must again be had to the former simple dish--gruels, &c. But if
the stomach will bear light meals of the above soups, the quantity may be
gradually increased. but it must be done with great caution.
I have known several persons relieved of this distressing complaint by
the following simple remedy, after other
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remedies had been tried and had failed: Take of cob ashes, steel dust, and
common salts, of each a table spoonful, mix them well together, and add a
sufficient quantity of honey to wet it or stick it together. Take of this
mixture what will make three common sized pills morning and night, and
noon if the stomach will bear it. At the same time take charcoal in water,
prepared as directed under that head, and regulate the diet as before
directed. I have known this to cure two cases of dyspepsy after the
prescriptions of a physician in high standing had been tried and failed.
FLUX OR DYSENTARY.
(Gee-guh-tsi-too-nuh-goo-skah.)
SYMPTOMS.--A constant desire to go to stool without being able to pass
much of any thing from the bowels, except a bloody kind of mucous. These
desires to go to stool are usually accompanied with severe griping, and
also with some fever; as this disease advances, the stools will consist of
pure blood and matter mixed; and from severe straining to evacuate, part
of the bowels will frequently protrude or come out, which soon becomes a
source of great suffering, it is also attended in many instances with
chillness, loss of strength, a quick pulse, great thirst, and an
inclination to vomit.
CAUSES.--Dysentary or Flux is generally most prevalent in the latter
part of Summer and in the Fall, though it frequently occurs in other
seasons of the year. A long drought followed by cold rains is apt to
predispose the system to an attack of this disease. It is also produced by
sudden suppression or stoppage of perspiration, which determine the fluids
to the intestines; by eating unripe fruits; unwholesome, putrid food; and
by breathing noxious vapors. Some writers say it is a contagious or
catching disease, while others say it is not; be this as it may, it often
attacks whole neighborhoods or towns at the same time; but it looks
reasonable that the same general causes which produce it in a town,
neighborhood or section of country, render all, whose modes of life and
systems are in similar conditions, subject to it. This disease is more
common in warm climates than in cold ones, and in rainy seasons than in
dry ones. When it attacks persons of feeble constitutions or those
laboring under scurvy, consumption &c.
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it generally proves fatal. Grert debility, voilent fever, cold clammy
sweats, hickups, dark colored spots on the skin, coldness of the
extremities, and a feeble irregular pulse, are symptoms of a fatal
termination. This disease should be taken in its earliest stages, at which
time it is easy to be subdued by the use of the proper remedies, but if
suffered to run on it is sometimes extremely difficult to overcome.
TREATTMENT.--Take a handful of each of the following barks, red-bud
horn-beam, (commonly called iron wood,) red-elm, sweet-gum and black-gum;
also, a handful of yellow root and iron-weed root, make a strong decoction
of these articles, and let the patient drink of it freely, a purge of the
anti-billious pills should be taken to work off the acrid contents of the
bowels. Another very valuable drink for this disease, may be made from the
inside bark of swamp white-oak--take one pound of this bark, pound it well
and put it into a half gallon of cold water. This is an excellent drink to
cool and heal the bowels. If the belly be hard and sore to the touch,
grease it well with any kind of oil or lard, or apply poultices of catnip
to it. Injections of peach-tree gum or cherry-tree gum, made by dissolving
the gum in water until it forms a mucilage to which may be added forty or
fifty drops of laudanum for grown persons, and less for children, will aid
in allaying the irritation of the bowels--the injections should be used
cold. Castor oil combined with Bateman's drops, paragoric or laudanum may
be used to advantage in this complaint--for a dose refer to the table of
medicines; for a full description of all the above barks and roots refer
to their different heads. The drinks during this complaint must be of the
mildest kind, such as slippery--elm tea, flaxseed tea, &c., and diet of
the lightest kind, such as light soups, jellies, new milk thickened with
flour, all kinds of fruit must be avoided.
I have known many cases of this disorder, among children, cured by the
free use of a tea of vervine root, which grows in such abundance about our
yards. On recovering from an attack of this disease, great care should be
taken to avoid exposure, for fear of a relapse, which is generally very
easy brought on by exposure, violent exercise or improper food.
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DIARRHOE OR LAX.--(Tsu-ne-squah-lah-tee)
This disease is characterized by frequent and copious discharges from
the bowels, unattended with fever, and has not the appearance of a
contagious or catching disease as is the case with flux. It generally
prevails among persons of weekly constitutions; persons advanced in years
and those who have lived intemperately. Many are subject to its attacks
from the slightest cold or exposure, which at all affects the bowels; and
others are naturally and constitutionally of this habit of body. The
appearance of the stools in this disease are very different at different
times, depending in a great measure on the food and the manner in which it
agrees or disagrees with the stomach and bowels. This disease is very
often produced by worms.
TREATMENT.--When this disease has been brought on by colds, or sudden
stoppage of perspiration or sweat, use the warm bath and drink freely of
some diaphoretic tea, to produce a determination to the surface, (or
gentle moisture of the skin,) paragoric or Bateman's drops may be used
with the tea--for a dose see table of medicines. Where this disease is
constitutional it frequently continues through life, if not relieved by
medicines. Such persons should be particular as to what kind of diet they
eat, and strictly avoid everything that disagrees with their stomach or
bowels; they should guard against damp feet, damp ground, &c., they should
make daily use of bitters, composed of swamp white-oak inner bark, red dog-
wood inner bark, sweet-gum and cinnamon bark digested in old French
brandy; in violent attacks the decoction recommended for flux should be
taken until the violence of the symptoms abates. Slippery-elm bark or the
root of common comfrey forms an excellent drink in this complaint.
Injections of the same are also good. Where this disease is lingering and
is attended with great debility, a raw egg taken of a morning on a fasting
stomach will be found of great benefit. It should be taken in fresh spring
water. In many instances a tea of flaxseed, slippery-elm, comfrey or
vervine will entirely relieve it in a short time. When worms are supposed
to be the cause of this disease in which case the breath will have a very
foetid or offensive smell, treat the complaint for worms--see under that
head.
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HEMORRHOIDS OR PILES.
[Tsu-nah-tee-kah-stee-tsi-kah-nu-go-gah.]
This complaint is sometimes hereditary, that is, it runs in families,
and all ages and sexes are liable to it. There are two kinds of Piles
originating from the same causes, and are distinguished as the bloody and
blind Piles. The Piles are small swelled tumors, usually situated on the
edge of the fundament; where these tumors break and discharge blood, the
disease is called bloody Piles; but when the tumors discharge no blood,
they are called blind Piles. There is usually a sense of weight in the
back and lower part of the belly, giddiness in the head, sickness of the
stomach, flatulency in the bowels and generally fever. Severe pain is
experienced on going to stool, and small tumors may be felt projecting
beyond the verge of the fundament; when these tumors break and discharge
blood, the sufferer experiences intervals of ease; but when they do not
break great agony is experienced during every motion, and great
inconvenience is experienced in sitting down on a hard seat. In some
cases, the lower end of the gut protrudes, (which means to come down) the
length of two or three inches every time the patient goes to stool, and
looks very raw and tender; this last case mostly occurs in children of
weakly habits.
CAUSES.--Piles may be occasioned by continued or habitual costiveness,
by frequent drastic purges of aloes, by riding a great deal on horse-back
in hot weather, by excessive drinking, exposure to cold, suppression of
some accustomed evacuation, and by the pressure of the womb on the rectum,
when in a state of pregnancy.
TREATMENT.--Cold water is certainly one of the best applications that
can be made either for a preventative or cure for this complaint. I do not
believe that any person will be afflicted much with either bloody or blind
Piles, who will bathe the fundament daily in cold water, say twice a day.
I have known several persons relieve themselves of this painful disorder
by this simple application. But I will proceed to give other remedies for
the benefit of those who may prefer a cure not quite so simple, and one
that will require rather more trouble than the former. Let the patient
drink freely of a strong tea of yellow root. For a description of this
root, look under that head. For an ointment, take mullen leaves, pound
them fine and stew
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or fry them in fresh butter until the strength is extracted, then strain
it through a cloth; with this ointment annoint the rectum or gut when it
protrudes or makes its appearance. Persons who are much afflicted with
Piles of either kind, will derive much benefit from sitting on a stool or
bench of green white-oak, a portion of each day; it should be made as warm
as can be borne previous to each time of being used. Many persons are
troubled with violent and sudden attacks of this disease, having at times
but a very few minutes warning, until the pain is almost insupportable. In
this case, the patient may obtain immediate relief by applying cloths
wrung out of water or vinegar as hot as can be borne to the fundament;
flannel cloths would be preferred, they should be changed every few
minutes, keeping a fresh or warm one to the parts until relief is
obtained. A salve made from the leaves, seeds or roots of the Jimson or
Jamestown weed, and applied as an ointment, is a speedy and certain
remedy. The mode of preparing it is as follows: Take the leaves, seeds or
roots of this plant, bruise them well and stew them in fresh butter until
the strength is extracted, then strain and cool for use, with this salve
annoint the fundament frequently. A decoction of any part of this plant is
also valuable when applied to the fundament by means of woolen cloths. I
have known several children severely afflicted with this painful
complaint, which was produced by extreme weakness; in this case I use
tonic medicines, such as wild cherry-tree syrup or dog-wood or poplar bark
syrup, and bathe the child once or twice a day in a strong decoction of
dog-wood and red-oak bark. After each stool the fundament should be
anointed with the Jamestown weed (Jimson) ointment or clean hogs lard. In
all cases of Piles, the bowels should be kept open by the use of very mild
cathartics. I prefer the use of equal quantities of cream of tartar and
finely powdered sulphur, taken in sufficient quantity to keep the bowels
gently open. All persons that are addicted to Piles, should live on light
and cooling diets, take moderate exercise, and bathe the fundament
frequently in cold water as above directed.
CHOLERA MORBUS, OR PUKING AND PURGING.
(Tah-to-ne-tse-luh-ne-gah-slee.)
This disease usually attacks with sickness at the stomach,
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pain, flatulence, and severe pain or griping in the bowels. These symptoms
are soon succeeded by heat, thirst, quickness of breathing, with a quick
fluttering pulse and violent puking and purging. When the extremities
become cold, the perspiration or sweat cold and clammy, the pulse
irregular and changing, accompanied with cramp and hickuping, the case may
be considered very dangerous and will soon terminate in death if relief is
not obtained. It is generally too late at this stage to apply for medical
aid.
This disease may be produced by an excess of bile--by the food becoming
rancid or acid on the stomach--by sudden check of perspiration, or by a
sudden stoppage of the menstrual discharge. It is produced in some
instances by breathing damp air; by being exposed to inclement weather; by
getting the feet wet, &c.; but in most instances it is occasioned by
eating such food as disagrees with the stomach and bowels. Many very
different modes of treatment are on record among the whites for this
distressing complaint--some recommends a puke, others a purge, blistering,
&c.; and some have even recommended scalding the stomach, where death is
so near as not to allow time to draw a blister with Spanish flies in the
common way. "I have," says Dr. Foreman, "although an Indian, been a
personal observer of their different modes of treatment, and the little
success which generally attended it, I have never experienced any
difficulty of consequence in arresting this disease, when called upon in
any reasonable time, and that too with very simple means. Instead of
punishing the stomach, which is already tortured with agitation, by giving
an emetic, my first step is to tranquilize or quiet it."
TREATMENT.--First give a tea of the Cholera Robus root, which will soon
stop the puking. This root or plant is called by the Indians or Natives,
Sah-ko-ne-ga-tre-kee, "but I have," says Dr. Foreman, "always called it by
the name of Cholera Morbus root, when speaking of it to the whites, as
this name came nearest conveying a correct idea of its medical qualities.
I have never seen the whites use it except when directed to do so by the
natives, and if they have any other name for it I do not know it." A full
description of this plant may be seen under its proper head. When the
violence of the puking has measurably subsided
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from the use of the above named tea, it will be necessary to clense the
stomach and bowels. For this purpose take a purge of anti-billious or
gulver pills, or some active cathartic. For the mode of preparing these
pills, refer to their different heads. If the extremities become cold,
bathe the feet in warm water, and apply plasters of ground mustard seed to
the feet, ankles and wrists. After the puking and purging has abated, if
the patient should become very weak, stimulate him with weak toddy, give
nourishing diet and such as the stomach will easily digest. The rapidity
with which this disease proceeds, requires the remedies to be promptly
applied, for the disease is, generally speaking, highly dangerous, and
soon terminates fatally, unless relief is speedily obtained. In cold
climates this disease is most prevalent in the latter part of summer and
beginning of fall, when there are sudden transitions from heat to cold;
but in warm climates it occurs at all seasons. Persons who are subject to
this sudden and dangerous complaint, should be very cautious as to what
kind of food they indulge in; and should be very particular in avoiding
the causes which produce it--for, by indulging the appetite and by
exposure to the causes which produce it, the disease may return with
redoubled violence and danger.
SCROFULA OR KINGS-EVIL.--(Oo-niller-oo-tah-ner.)
SYMPTOMS.--Small tumors appear behind the ears; under the chin they
also make their appearance, in some instances about the joints of the
elbows, ankles, fingers and toes; rarely on other parts of the body. As
these tumors grow larger, the skin which covers them, becomes of a purple
or livid hue, with inflammatory symptoms; at length they break and become
ulcers, from which is discharged a white matter some what resembling
curdled milk. Young persons are most liable to become the victims of this
disease. It is said by some writers, that "true scrofula never makes its
appearance after the age of thirty, unless it has shown it self in some
shape before." It is caused by a taint or constitutional weakness in
parents; or from cold, strains, bruises, &c. Children of lax fibers, with
smooth soft skin, fair hair and delicate complexion, are more liable to
attacks of this complaint than those of a different character.
TREATMENT.--The existence of this complaint in any person, is a plain
indication of a corrupt, morbid state of the
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fluids of the body. It must therefore be obvious, that the proper mode of
treatment will be, first to correct and purify the fluids, this will
prevent in a great degree the formation of other tumors, and aid external
remedies in effecting a cure of those already formed. No strong active
medicines of any kind should be used in this disease. The bowels should be
kept regulated by the use of mild cathartics, such as rhubarb and sulphur,
equal quantities combined, taken daily in a sufficient quantity to produce
from two to three stools a day. Dr. Wright recommends a tea spoonful of
common salt taken in water every morning for this purpose. It the disease
is attended with great debility, a chalybeate pill may be taken night and
morning--or take a decoction of burdock-root, sarsaparilla and wild
cucumber once or twice a day, say a gill twice a day for an adult; by
these means the morbid matter may be thrown off, the fluids corrected and
a healthy and vigorous action imparted to the system. Wash the tumors with
casteel soapsuds, and then anoint them with cedar oil, then apply the
powders of ever-green plantain. When the ulcer is deep, you should use
some stimulating wash after the soapsuds--such as a decoction of bayberry,
wild lettuce, dewberry, brier-root, witch hazle, beach-bark or leaves, or
spice-wood, after which apply the oil and powders.--The tumors should be
dressed in the above manner every twelve hours. When the inflammation
ceases, the use of the powders may be discontinued and healing salve
applied in its stead. Before the tumor breaks, an ointment made by stewing
together two-thirds fresh butter to one-third cedar oil will answer much
better than cedar oil used alone. The diet and drink should be of a light
and cooling nature, such as good light bread with tea, coffee or milk,
soup of the flesh of young animals well prepared, with an occasional glass
of wine. Moderate exercise should be regularly taken. Cold and damp should
be particularly guarded against. This disease often afflicts persons for
years, the ulcers extend to the bone, and a very offensive matter is
discharged. For ulcers of this last kind, in addition to the above
treatment, look under the following head--Ulcers--for additional remedies.
ULCERS.--(Yah-nah-wa-skur.)
By Ulcers, is commonly understood an old running sore,
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and it is in this sense that we here use this term. Sometimes caused by
slight wounds or bruises. At other times they appear to be constitutional
or a hereditary disease in connexion with a scrofulous habit. These latter
are generally tedious and slow to heal.
TREATMENT.--The ulcer should first be well washed with casteel soap
suds, next bathe the part in a strong decoction of beach bark or leaves,
after the part is well bathed, dry it perfectly dry and anoint it with
cedar oil, and apply a poultice made by thickening rye meal or wheat bran
in a strong decoction of black-oak bark, the face of the poultice should
be smeared with a little cream or lard to prevent it from sticking. If
this treatment should not allay the fever and reduce the swelling in a few
days, apply a poultice of polk-root and may-apple root, boiled to a strong
decoction, thickened and applied as above; this last poultice is to draw
out any offensive matter that may be lurking at the bone, and must be
continued until the inflammation subsides--after the fever a bates, the
black-oak poultice may be re-applied during the whole time, the wound must
be regularly washed, bathed and anointed as above directed, every twelve
hours. The patient should occasionally cleanse the bowels with anti-
billious pills, or some other cathartic, and make a constant use of a
decoction of white sarsaparilla and wild mercury to cleanse and purify the
blood. The sarsparilla and wild mercury may be taken in powders or pills
if prepared. The diet should be light and nourishing, every thing of a
stimulating or heating nature must be avoided, particularly ardent
spirits. Charcoal applied by sprinkling it on the poultice, will cleanse
or purify the sores and prevent them from having a disagreeable smell. A
salve made of Jamestown weed (Jimson) is very good for tedious ulcers, as
is also a salve of alder-bark.
CANCER.--[Oh-tah-yeh-sku.]
The term Cancer had been applied indiscriminately to all eating,
spreading ulcers; of a virulent kind. Of the cancerous ulcer, there
appears to be several kinds; but the medical profession have reserved the
term cancer for the most malignant and incurable kind. The appearance of
the real Cancer is as follows: It commences with a small inflamed pimple
or lump of a bluish color, which
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becomes a sore with hard rising edges of a ragged appearance. On close
examination of the sore, you will discover two whitish lines, crossing
from the centre to the edge of the sore. At first a burning sensation is
felt in the sore, which is accompanied as the disease advances with sharp,
shooting pains. After some time these pains subside and the cancer
discharges a very offensive matter; this discharge gradually increases and
the matter communicating to the adjoining parts, finally forms a large
offensive sore or ulcer, of a most dreadful and exhausting nature, always
terminating (unless cured) in a lingering, painful and horrible death.
Cancers are usually seated in some gland, but are sometimes seated in
some other part. They generally make their appearance about the lips, the
nose and breasts, but sometimes on other parts of the body. Those who are
advanced in life, are much more subject to cancerous affections than young
persons, particularly if they have scrofulous constitutions, which have
descended to them from their parents.
TREATMENT.--First wash the cancer with casteel soapsuds, next bathe it
well with a strong decoction of red-root, then apply a salve made as
follows: Take of heart-leaf-root well pulverized, sheep suet and pine
rozin, equal quantities and a smaller quantity of beeswax, stew them over
a slow fire until the strength of the heart-leaf-root is extracted, then
strain for use. The cancer should be washed bathed and dressed in the
above manner every twelve hours; but some attention should be paid to the
general health of the patient, or all the external applications may fail
to effect a cure. The bowels should be kept regular by the use of the anti-
billious pills, or some other cathartic. The patient should drink bitters
to cleanse and purify the blood, such as sarsaparilla, wild mercury, or
some similar bitters, and make a free and general use of sassafras tea.
The diet must be light, such as rice, chicken, squirrel or venison, cooked
in their own oil alone, and salted just enough to make them palatable;
strong diet of all kinds should be avoided. This disease requires time and
perseverance, but I have never known the above course fail to effect a
cure, when properly attended to, says Dr. Foreman.
ANOTHER MODE OF TREATMENT.--Take the green switch of
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yellow-root, and the moss out of the river, burn them into ashes, then
take hogs lard, or mutton tallow, and mix with the ashes and apply it in
the form of a plaster to the cancer. In the first stage of this disease,
narrow-doc-root bruized and steeped in vinegar, is a good application.
SORE LEGS--(Oh-nuh-sco-hah.)
Sore Legs frequently arise from neglected bruises, cuts, &c. It
sometimes runs in families for several generations. When it runs in
families, it is generally such families as are addicted to scrofula,
scurvy and similar diseases.-- This disease bears so close a resemblance
to scrofula, and the treatment for it is so near the same as the treatment
for that disease and ulcers, that it would be useless to write much on the
subject. But as I am personally acquainted with several persons, who have
been afflicted with sore legs for a number of years, I think it probable
that they will more readily find and understand the mode of treatment if
laid down under its proper head.
TREATMENT.--Where sore legs are of long standing, the general health of
the patient must be attended to. First, give a dose of antibillious pills
to cleanse the stomach and bowels and next let the patient make a constant
and free use of a decoction of sarsaparilla and wild mercury, or some
other articles to cleanse and purify the blood and increase the general
tone and strength of the system. Wash the leg well with casteel soap, and
bathe it in a strong decoction of beach-bark or leaves, next anoint it
with cedar oil, as directed for Ulcer. It should be poulticed as directed
for ulcer; if the smell be very offensive sprinkle charcoal over the
poultice. The leg should be dressed in the above manner every twelve
hours. The patient should take moderate exercise, but spend the greater
portion of his time lying, as this will give the affected part greater
case. A salve of the root of swamp-doc forms an excellent application to
old ulcers, and a strong decoction of the same forms a good wash for
tedious ulcers. Diets must be light, such as are recommended for scrofula
and ulcers. The use of ardent spirits must not be indulged in, if the
patient wishes his limb restored to health, for all remedies will fail
where this poison is taken even in moderate quantities.
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WHITE SWELLING.--(Colah-te-coh-nu-go-gee.)
Different writers give various and even contradictory accounts of this
most painful disease. They attempt entertaining the reader with accounts
of several kinds of White Swelling, which are distinguished according to
the seat of the disorder. All this I believe to be unnecessary in this
work, as I offer but one remedy. I therefore make but two directions in
White Swelling, viz: The inflammatory or first stage and the chronic or
second or last stage. There is no disease to which the human family is
liable, that has hitherto inflicted more severe and lasting misery, than
White Swelling. It has baffled the skill of the most eminent physicians,
and rendered hundreds of children of the finest constitutions and greatest
activity cripples for life. Dr. Wright, a physician, who has been
successful in treating this disease, speaks of it in the following words:
"If the patient survives the severity of the first assault, he may for
many years drag out a painful and miserable existence, his masecrated body
filled with sores from the crown of the head to the sole of the feet, and
his sufferings so protracted, violent and agonizing, that when he dies, as
he will of a hectic fever, his friends and relations, and even parents,
feel comfort in the thought that death has relieved him from his miseries,
and willingly consign to the tomb the mortal remains of the unhappy
victim."
Male children of the most active life and best health, from three or
four to fifteen or twenty years of age, are most subject to White
Swellings, but both sexes may be afflicted with it from a few months old
to twenty-five years old; after which age, I have never known a case to
occur. Some physicians believe that all White Swellings are caused by
cold. I am of the opinion that very many causes of this disease are
occasioned by cold, but I think that the number occasioned by bruises are
equally great.
It generally makes its attack after being overheated by violent
exercise and cooling suddenly. This disease is seated on the surface of
the bone, and in the periorteum or membrane which covers the bone.
Although this painful disease has baffled the skill of the most eminent
physicians for centuries past, unless taken at the very commencement of
the disease before it could be fully known whether it was White Swelling
or not, yet a simple, easy, and certain remedy abounds in our own native
forest. For the
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discovery of this remedy we are indebted to the Cherokee Indians. It has
already relieved hundreds of this torturing and painful disease, and
restored them to a state of health and activity. It has never failed in
their (the Cherokees) hands to give general relief in a short time.--It
has been tried by myself in cases where the regular and botanic physician
had each a fair trial and had failed.--Cherokee remedies had the desired
effect. And I feel no hesitation in saying from personal experience, that
their mode of treatment will relieve White Swelling at any stage, if
perseveringly attended to.
SYMPTOMS.--Sometimes the first symptom is a violent pain in the part
affected, the pain continues for several days before the patient has signs
of fever, the pain increases, in some instances it is of a whitish and in
others of a reddish or flesh color--as the disease increases the patient
becomes feverish with loss of appetite, great thirst, and flushed face--at
other times it makes its attacks with more violence, (immediately after
being over-heated, and cooling suddenly) with the appearance of
inflammatory fever, which if left to itself, in a few days settles on some
part of the limb; the part swells rapidly, with violent pain, and in this
case it frequently has a high red color, although it is called white
swelling.
TREATMENT.--First steam the affected part well with spice-wood, this
should be done as follows: Boil the twigs of spice-wood to a strong
decoction, and place the vessel under the afflicted part, covering the
limb at the same time to prevent the steam from escaping, let it remain
until it is properly steamed; next anoint it with cedar oil and bathe it
in with a hot iron or shovel. If it is in the first or forming stage,
after it is steamed and anointed, apply a poultice made of pole-cat or cat-
paw bark, this bark is to be boiled to a strong decoction, and the
decoction thickened with rye meal or wheat bran. This poultice is to
scatter or drive back the disease, which it will do in a few days if
matter is not already formed at the bone; where matter has formed at the
bone the disease must come to a head--in this case steam and anoint it as
above directed, and apply a poultice made of one-third poke-root to two-
thirds buckeye-root, (the bark off the roots is the part used) they are to
be boiled, thickened and applied, as directed for the cat-paw or pole cat
poultice. When it is sufficiently
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ripe, lance it deep and continue the poke and buckeye poultice until a
copious discharge is produced; if this poultice should give much pain it
may be changed for one made by boiling the root of highland fern and
thickening it as directed for the above poultices; but whenever the
inflammation increases, and the part swells, the poke and buckeye poultice
must be applied for a time. After the inflammation has subsided the cat-
paw poultice may be applied. The affected part must be regularly steamed,
anointed and pulticed every twelve hours. Cases of long standing will
require more time to effect a cure than those of short duration: but the
above treatment will cure, let the case be of as long standing as it may,
if properly and perseveringly attended to.
FELON OR WHITLOW--(Oo-ne-scoh-hupee.)
Felon is an inflammation of the finger or thumb, and generally confines
itself to the first joint. This disease bears so strong a likeness to
white swelling that I am constrained to believe that it is one and the
same disease, for Fellon like white swelling, evidently has its seat on
the surface of the bone, or in the periosteum which covers the bone, it is
attended with the most exquisite pain; this pain continues, in some
instances, for several days before the color or appearance of the affected
thumb or finger is materially changed--but if the disease is not checked,
the affected part will put on a glossy or shiny appearance. I have known
this torturing malady to prevent the sufferer from sleeping, for one, two
and even three weeks in succession, during which time the part was
regularly attended to in the usual manner with warm poultices, &c.
TREATMENT.--On the first appearance of the Felon, the circulation
should be prevented in the affected part by means of tape or similar
binding; the affected thumb or finger should be pressed gently between the
thumb and fore finger, then wind the tape tightly around it commencing at
the extremity and winding upwards towards the hand. This bandage should
remain until a cure is affected. If the bandage should increase the pain
so that it cannot be born, it should be gradually loosened until it can be
borne; but as immediate case is a blessing which the great Author of our
being seems to have denied in this torturing little plague, it is hoped
that some patience will be
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exercised with regard to the bandage, it may be taken off once in twenty-
four hours to examine the part, but must be replaced immediately. If the
Felon is so far advanced as to have formed matter, next the bone, an
incision should be made with a needle or lancet to the bone, and the
bandage again applied moderately tight, and a poultice of bitter herbs
applied to the incision. Some physicians recommend the insertion of
vegetable caustic to the bottom of the incision. It is likely the caustic
would render the cure more speedy but it would be a very severe
application. Where the patient will not submit to the above treatment look
under the head of white swelling for another mode. I have used the black
poultice with much success in driving back risings of other descriptions,
and when they were too far advanced to be driven back, it causes them to
come to a head sooner and with much less pain than they would otherwise
do. I have often thought that this poultice might prove beneficial in case
of Felon, but have never tried it. But cedar oil is the "sovereign balm"
in all diseases of the bone and the membrane which covers it.
PHTHISIC OR ASTHMA.--(Tse-nah-wah-ste-skow.)
This distressing complaint has long been numbered with those that could
only be mitigated, and not cured; but the Cherokees profess to be master
of this disease with all its wheezing terrors. It is a spasmodic affection
of the lungs, which mostly comes on by paroxysms or fits. From infancy to
old age, all sexes are subject to this complaint. Many children that have
been afflicted with it from a very early age appear to outgrow it about
the time they arrive at the age of puberty. Also at this age many persons
become afflicted with it who have never before had it.--Where it is not
hereditary, it leaves persons at or a little after middle age, say 40 or
50. But if it be hereditary, and does not go off at the time he or she
arrives at the age of man or woman, it is apt to become more aggravated in
the decline of life.
Causes which excite, or bring on a spell or fit, are often owing to the
peculiar states of the atmosphere. It may be too hot or too cold, too dry
or too damp, it may contain too much or too little electricity, for the
nature of the disease
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in different persons. When the body is warm and sweating, sudden cold is
sure to produce it; sudden changes from dry hot to damp cool weather
almost invariably produce a paroxysm of this disease on those who are
addicted to it.
SYMPTOMS.--For several hours, and in some instances days, before the
fit comes on, you feel a slight difficulty of breathing, a weight and
fullness in the breast and stomach, bad appetite and sometimes a great
craving for food; headache, depression of spirits amounting to melancholy,
restless feelings accompanied with drowsiness; the fit or paroxysm usually
comes on of an evening or night, with great difficulty in breathing,
attended almost to suffocation, a wheezing noise is made in breathing,
attended by a hard dry cough at first, which gradually diminishes in
toughness until a white, stringy, tough mucous is discharged from the
throat and mouth, accompanied by a gentle moisture of the skin, and in
some instances it amounts to copious sweating, severe palpitation of the
heart, fever and sometimes vomiting attend it.
TREATMENT.--Take a half pound of garlic, three or four pods of red
pepper and a table spoonful of common salt, pulverize and mix them well
together, and take what will make two pills morning and night, and a
greater quantity if the urgency of the case requires it; but this amount
should be regularly taken when the patient is apparently free from the
disease. Secondly, boil sour-wood bark or leaves to a strong decoction,
then strain the decoction and boil it down to the consistency of molasses,
then take common brown sugar and heat it in an oven over a slow fire until
it melts and again becomes dry and lumpy, then add them together--
proportions, four table spoonfuls of the molasses to one pound of sugar,
to which add three table spoonfuls of sweet or British oil, put it again
over a slow fire and mix it well together, and bottle for use. Give a tea
spoonful of this syrup or mixture morning and evening. This last
preparation of itself often effects an entire cure, but I prefer using
them together as above directed.--They should be taken regular even when
the patient appears to be entirely free from Phthisic. Lobelia is also
very good for this complaint, either the green or dry herb digested in
spirits long enough to extract the strength; take of this tincture just
enough to produce slight nausea, say
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three times a day, this must be continued for a length of time after all
symptoms of the disease have disappeared. Smoking the root or seeds of the
Jamestown (Jimson) weed is also very good for Asthma. Persons afflicted
with this disease suffers very much from extreme weakness and palpitation
of the heart, particularly of a morning--to relieve this, swallow a raw
egg every morning with a few swallows of fresh spring water for several
mornings, say ten or twelve, then omit a few and again use the egg. The
Asthmatic should rise early, take moderate exercise in the open air, but
should avoid wet and damp. The diet should be light, nourishing and
frequent. In cases where the difficulty of breathing is extremely great,
temporary relief may be had by stewing together equal quantities of sage
and honey, and letting the patient swallow it in tea spoonful doses. I
believe bleeding to be very injurious in this disease, although it is
recommended in the writings of several eminent physicians.
FEVERS.
GENERAL REMARKS.
Fever shows itself in so many ways and forms, that it is almost
impossible to describe it correctly. To judge of its presence with any
degree of correctness, we will have to pay particular attention to the
following appearances and indications. The state of the pulse, the skin,
the stomach and bowels, the breathing, the appetite, the color of the
face, the change of feature, the tongue, eyes, &c.--There is generally
soreness over the whole body, as if with fatigue after a hard day's labor,
great thirst, violent pain in the head or back, or both, sometimes there
is a constant desire to sleep, and sometimes great restlessness, sometimes
the strength is greatly in creased by Fever.
From an early period, down to the present day, Fever and febrile
diseases, have been the fruitful theme of speculation. The most
distinguished medical men have differed in opinion as to the cause of
Fevers. Theory has been piled upon theory, and the subject yet appears
much in the dark. The opinion that most diseases originate from the
stomach, appears to be supported by as sound reasoning,
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and good judgment, as any other theory that has yet been advanced. The
first impression is made on the stomach by medicine, which acts
immediately by sympathy. It is the general reservoir which receives those
medical remedies by which the disease is to be subdued: The effects
produced on the system by remedies taken into the stomach, show at once
the great sympathy between the stomach and the whole system, and also the
many evil consequences that must evidently follow a derangement of this
reservoir or work-shop.
The principal secret of medicine is to discover the first cause of
disease, and in the next place to apply suitable remedies in a proper way,
and at a proper time. There is not so much difficulty in the science and
practice of medicine as a great many persons imagine, if you will but
attend to the causes of diseases, and watch the effects of the remedies.
The fact is that any person possessing common sense and judgment, who will
take their seat at the bed-side of the sick, ascertain how and when he was
taken sick, and all the particulars as to the pains first complained of,
and be minute in examining into the habits of the patient, will in nine
cases out of ten succeed in relieving the patient, when mere theorists who
prescribe for the names of diseases, without a due portion of sound
judgment and practical knowledge will fail. The inhabitants of very few
countries are entirely exempt from the attacks of Fever. I will therefore
describe plainly the symptoms of such Fevers as are most common amongst
us, so that with a little care and common judgment, the reader will be
enabled to distinguish between Fevers and other diseases, and also to
ascertain the exciting cause, which knowledge will enable him at once to
strike at the root of the disease.
AGUE AND FEVER, OR INTERMTTENT FEVER.
(Oo-nah-wah-stee-skee.)
This disease generally makes its attack in the fall season of the year,
and those who live on water courses, or on low marshy countries or
situations are most subject to its attacks.
Agues are generally distinguished by names expressive of the periods of
intermission or lapse of time between the fits.
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That returning every twenty-four hours, is called by Doctors, Quotidian.
That which returns every forty-eight hours, or every other day is
called Tertians.
And that returning every third day is called Quartans.
The above divisions are given in order to describe the disease more
plainly, for the treatment is the same, differing only in the mildness or
severity of the attack; if very severe the remedies employed should be
active and powerful, on the contrary if the attack be mild and gentle,
remedies less active and powerful will answer. Each paroxism or fit of
this fever, is divided into three different stages: the cold, the hot, and
the sweating stage. The cold stage commonly commences with a feeling of
Ianguor, debility or weakness, and an aversion to motion.--Frequent
stretching and yawning; the feet and hands become cold, the skin looks
shriveled, and a numbness or want of feeling is experienced over the whole
body, and finally a chill comes on accompanied by a shivering or shaking,
which lasts fifteen or twenty minutes and sometimes a much longer time.
The pulse is small and frequent, and often irregular. As the chill or
first stage goes off, the second or hot stage comes on, with a sense of
heat over the whole body; the face becomes red, the skin dry and hot,
increased thirst, pain in the back and head, throbbing in the temples,
accompanied with great anxiety and restlessness; the respiration becomes
fuller and freer but is still frequent; the pulse becomes more regular,
hard and full; the tongue furred. If the attack be severe and the blood
determines to the head, delirium often takes place for a time. In the
commencement of the third and last stage, the intense heat begins to
subside, moisture begins to break out on the forehead and generally
extends itself over the whole body, the thirst diminishes, breathing
becomes more free and full, and most of the functionaries resume their
ordinary state and operation, but the patient is left in a state of
extreme weakness.
TREATMENT.--First give an emetic to cleanse the stomach, see emetics in
the Dispensatory, next give a purge, antibilious pills or some other
cathartic. After the stomach and bowels have been well cleansed, give a
sweat of seneka snake-root, black snake-root or burnt whiskey and red
pepper, as either will answer. The sweat should be
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given about an hour and a half before the expected return of the chill.
The bowels should be kept regulated by the use of cathartics, the above
pill is preferable to any cathartic in my knowledge for this purpose.
After the sweat has been given the patient should drink daily of the tonic
bitters. See Dispensatory.
If this bitter cannot be conveniently had, the patient may take a
strong decoction made of equal quantities of wild-cherry tree bark, the
bark of the root of red dog-wood, and the bark of the root of the yellow
or swamp poplar.--A table spoonful of this decoction should be taken
regularly every hour when there is no fever, but when there is fever, it
should be omitted. The Ague pill is also a valuable remedy for Ague and
Fever. For the mode of preparing and administering these pills, refer to
the Dispensatory.
BILIOUS FEVER--(Remittent Fever.)
Bilious Fever is Ague and Fever just described, under something of a
different modification. In Ague and Fever there is an entire intermission
or stoppage of the disease, whereas, in Bilious or Remittent Fever, there
is nothing more than an abatement of the fever for a time. It has received
the popular name of Bilious Fever because in most cases there appears to
be an increased secretion of bile. Bilious attacks are most frequent in
the latter part of summer and in the fall. It is most commonly met with
along streams, in the vicinity of marshes and near stagnant waters. In
warm climates, where great heat and heavy rains rapidly succeed each
other, Remittent Fevers of a very malignant character sometimes prevail as
an epidemic.
The symptoms, are a sense of heaviness and languor, pain in the head
and back; in most cases the patient is taken with a chill, which is
succeeded by intense heat over the whole body--the pulse is more tense and
full than in Ague and Fever. If the attack of Bilious Fever be severe, the
eyes and skin often appear yellow, the tongue is covered with a brownish
fur, the bowels are generally costive and the urine high colored.
TREATMENT.--In mild attacks of this disease, if taken at the
commencement, it may be thrown off by cleansing the bowels with
antibilious pills or some other cathartic, and
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drinking freely of some sweating tea. But if the attack be violent, more
active means must be employed. Give an emetic of gulver and ipecac or
Indian physic to cleanse the stomach and render its operation fully
effective by giving warm water or chamomile tea freely; when the stomach
is well cleansed give water gruel to determine it to the bowels. It the
emetic is taken in the morning, the patient should take a dose of
antibilious pills at night, say from eight to ten hours after the emetic.
After the stomach and bowels have been cleansed in the above manner, give
a sweat of Seneka or black snake-root; a tea of rag-weed will answer
admirably and will produce copious sweating, in many instances, where
nothing else will. If the fever should rise very high and produce
delirium, put the hands in cold water, or rub the hands and wrists with
cloths wet with cold water and vinegar, and apply cloths wet with cold
water and vinegar to the forehead and temples, and bleed freely according
to the strength and constitution of the patient. Care must be taken to
continue the use of purges, until the stools assume a healthy appearance.
Next take three table-spoonfuls of the powders of boneset, and pour on
them a quart of boiling water; of this tea, let the patient drink a half-
pint a day, unless it should produce vomiting, in which case the quantity
must be diminished; this tea is intended to act mildly on the bowels, and
also on the liver. It is one of the best correctors of the bile now known.
After the disease is checked, if the patient suffers from debility, give
tonics, such as dog-wood-bark, columbo-root, wild cherry-tree bark, &c.
See tonics in the Dispensatory, and also in the Materia Medica, at which
places you will find directions for preparing and administering medicines
of this class.
Puking, purging and bleeding, is often followed to such an extent as to
bring the patient to an alarming state of debility as soon as the fever
leaves; in cases of this kind give the chalybeate pill morning, noon and
night. Dose in this case is one pill about the size of a summer grape;
this medicine acts more like a charm in extreme debility than any thing
else.
I omitted stating in the proper place, that plasters of mustard-seeds,
or poke-root poultices, or some other of the articles recommended for that
purpose in Materia Medica,
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should be applied to the feet to produce a revulsion from the head, where
the fever is very high and the determination to the brain very great. This
will greatly aid the bleeding and cold applications to the head and wrists
in giving relief.
NERVOUS FEVER--(Typhus Fever.)
[Gah-lah-a-lee-oo-lee.]
This Fever as its name imports, affects the whole nervous system, and
produces a tremulous motion of the body and limbs, and extreme debility,
which attends it from the very beginning; the system appears to be
sinking, great weariness, loss of appetite, low spirits, frequent sighing,
are among the first symptoms; these are soon followed by dryness of the
mouth, quick low pulse, and sometimes an unnatural perspiration or sweat
breaks out on the skin for a time. The sleep is very much disturbed and
unrefreshing, the countenance sinks, or seems to change from its natural
expression of feature to a ghastly appearance, the tongue, teeth and gums
soon become covered with a dark buff-colored scurf, the sight of food is
unpleasant, and sometimes disgusting, from the extreme debility or
weakness of the stomach. The difficulty of breathing becomes very
considerable, sometimes the hands and feet are glowing with heat, whilst
the forehead is covered with sweat; sometimes it comes very suddenly with
chills and flushes, and at other times it is ten or twelve days, or even
longer, before it shows symptoms of violence, making its advances so
slowly and gradually as to produce no alarm. The following symptoms may be
considered very dangerous: A constant inclination to throw off the cover;
a changing of the voice from its usual tone; great weakness; picking at
the bed-clothing; inability to retain or hold the urine; involuntary
discharge from the bowels; slight aberrations of the mind, muttering as if
speaking to one's self; a wild and fixed look, as if the eyes were riveted
on some particular object. When these last symptoms occur, there is little
to expect but that the case will terminate fatally.
TREATMENT.--Give an emetic to cleanse the stomach.--Ipecac, or Indian
physic, and gulver, (see Dispensatory,) in, ten or twelve hours after the
operation of the emetic, give
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a purge of anti-billious pills, or some other purge. See cathartics in the
Dispensatory.
After the stomach and bowels have been cleansed in the above manner,
give the hepatic pill night and morning; 4 for a dose. A gentle
perspiration should be kept up by the use of snake-root tea. After the
stomach and bowels have been cleansed, as above directed, the patient
should make constant use of bitters of gulver, ipecac or Indian physic and
bone-set, infused in good whiskey or wine.--Where there is trembling of
the limbs and great agitation of the nerves, give nerve powders in the tea
taken by the patient, freely. If the bowels incline to be costive, use
injections of thin gruel made tolerably salt, to which add nerve powders
freely. In the low stage of this disease, use wine freely: if the pulse is
low, and the extremities cold, apply mustard seed plasters to the feet,
ankles and wrists; also bathe and rub them well with whiskey and red
pepper.
Diets must be light and nourishing, taken frequently and in small
quantities. Slippery-elm tea or mucilage, is a valuable drink in this
Fever; dried apple or peach syrrup or tea is also very good. All possible
pains should be taken to keep the mind of the patient composed.
Tonics may be used freely in the advanced stages of this disease with
good effects; camphor will have a good effect combined with dog-wood or
wild cherry-tree bark. Wine or French brandy may be taken freely.
Bleeding in Nervous Fever is almost certain death, and should never be
practiced at any stage of the disease.
YELLOW FEVER.
SYMPTOMS.--An attack of Yellow Fever is sometimes preceded by loss of
appetite, disagreeable taste in the mouth, heat in the stomach, pain or
giddiness in the head, costiveness, languor, debility, and dejection of
spirits. At other times it attacks suddenly, with a chill, a pain in the
head and eye-balls, flushing of the face, excessive thirst, and great
prostration of strength; the stomach is very irritable, throwing up
whatever is taken into it; the tongue is covered with a dark colored fur,
the skin dry and hot, pulse small, and quick, and hard, the urine high
colored and voided in small quantities; the eyes, and skin about the face,
neck, and breast, becomes yellow; a dark colored
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matter resembling coffee grounds is at length thrown up from the stomach,
called the black vomit. Sometimes diarrhæa takes place, the stools have a
very offensive smell, and a black or green color; sometimes the victim of
this disease sinks into a sleepy state and dies without a struggle. At
other times putrid symptoms of a very violent character occur, and the
patient dies in convulsions.
TREATMENT.--This Fever requires prompt and efficient treatment at the
very onset. As soon as Yellow Fever is discovered, cleans the stomach, by
giving an emetic; for this purpose the roasted root of prickly-sumac is
probably the best article in my knowledge. Take a double handful of the
roasted root, steep it in water until the strength is extracted, then give
a half pint of the tea or more, and repeat in fifteen minutes if the first
should not operate; give warm water freely to render the operation fully
effective. After the operation of the emetic, give anti-billious pills to
cleans the bowels--for dose see Dispensatory.--Then give a tea of barberry-
root or the root of golden-seal, one or both; this tea is made by putting
one-fourth ounce of the dried root into a quart of boiling water--of this
the patient should drink a pint a day, or more if the stomach will bear
it. The patient should be kept in a gentle perspiration by the use of
seneca or black-snake root tea.--The bowels should be kept regulated
through the whole course by the use of anti-billious pills, taken in small
doses morning and night, just sufficient to produce the desired effect on
the bowels, which must be judged of by he who administers.
SCARLET FEVER.
This disease often prevails as an epidemic, and is most frequent in the
Fall season of the year, though it may occur at any season of the year. It
is most apt to attack children and young persons, yet it sometimes attacks
whole families and persons of all ages.
SYMPTOMS.--This, like other Fevers, commences with languor, lassitude,
chills, heat, dry skin, nausea, and sometimes vomiting. The pulse is quick
though languid, the respiration difficult and hurried, the skin is red
like scarlet, and if the disease is suffered to progress, spots of a vivid
red color make their appearance on the face and
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neck, and gradually extend over the whole body; the throat becomes sore,
the voice hoarse, and the breathing very hurried and difficult; in the
evening the fever is highest and the spots brightest. In the more
malignant form of this disease, all the above symptoms are aggravated,
inflamation and ulceration of the tonsils takes place, the redness or
efflorescence spreads over the whole body, with appearance of swelling,
the tongue, which in the milder form of the disease is covered with a
white thick fur, is in the more malignant form covered with a black or
brownish fur or incrustation. Derangement of the mind is common to each
form of Scarlet Fever. When there is a tendency to putrifaction the pulse
becomes small indistiact and irregular; the sores in the mouth and nose
and throat become very putrid, and a briny substance or matter is often
discharged from the nose, which takes the skin as it passes. This last
stage of the disease is considered very dangerous, and if immediate relief
is not had the system sinks into a state of collapse.
TREATMENT.--First give an emetic or puke to cleanse the stomach. A tea
made of the bark of the shell-bark hickory is the best emetic with which I
am acquainted; for this purpose it should be steeped in water until the
strength is extracted, and the tea administered freely until it operates.
When it is not convenient to give the above emetic, any other good emetic
will answer--see emetics in Dispensatory. The bowels should next be
cleansed by giving a dose of anti-bilious pills or some other cathartic.
After the stomach and bowels have been cleansed as above directed, the
patient should take the hepatic pill every morning on a fasting stomach--
three for a dose for an adult; also give sweating teas freely, such as
black or seneca snake-root; during the whole course must be kept regulated
by the use of anti-bilions pills or some other cathartic, taken in small
portions night and morning.
If the Fever should continue high and the thirst be great, the emetic
should be repeated; if the throat should become very sore, treat it as
directed for Malignant Sore Throat. If the patient should sink into
extreme weakners or debility, give dogwood-root bark in tea or decoction
freely to drink and by injections; also give the chalybeate pills night
and morning. A little sulphur should be
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added to the diaphoretic tea which will prevent heart sickness, and aid in
driving the efflorescence to the surface, which is the principal object in
this disease. Flannel wet with spirits, may be kept to the neck, and the
patient may inhale the steam of vinegar from the spout of a coffee-pot.
The drink should be warm and the diet light.
INFLAMMATION OF THE BRAIN.
SYMPTOMS.--Violent pain in the head, the eyes are red, inflamed, and
unable to bear the light; watchfulness, frightful dreams, great anxiety
and indistinct recollection. The face becomes flushed, the skin dry, the
bowels costive, the urine scant, and there is an extreme susceptibility of
the whole nervous system. The pulse is irregular and tremulous, or strong
and hard; the arteries of the temples and neck usually throb and beat
violently. In the first stages of this disease the patient dislikes to
talk, but as the disease advances, the eyes assume a great brightness, the
patient becomes furious and talks wildly, and generally on subjects which
have left deep impressions on the mind when in health. The tongue becomes
dry and rough and of a black or dark yellow color. Favorable symptoms are
copious perspiration, discharge of blood from the nose, a dysentary and
plentiful evacuation of urine. Unfavorable symptoms, are starting of the
nerves, total deprivation of sleep, retention of urine, continual spitting
and grinding the teeth, and violent fits of delirium.
Inflammation of the brain is sometimes a primary ideophatic disease,
but it is often only symptomatic of some other complaint. Inflammation of
the brain, may at all times be considered an extremely dangerous disease,
and one which must inevitably prove fatal without the immediate use of
active, prompt and efficient remedies.
Causes likely to produce this disease are, excessive use of ardent
spirits, indulgence in violent fits of passion, intense study, excessive
venery, violence about the head, as blows, &c. Sudden cold, long exposure
to the direct rays of the hot sun, fevers, small-pox, mumps, and also by
the sudden suppression of accustomed evacuations, whether natural or
artificial. When the disease is long protracted, it often terminates in
insanity.
TREATMENT.--First take blood from the arm by a large orifice or
opening; wait a little while and again take blood,
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until a gentle sweat is seen, or the patient feels like fainting. Let the
patient be kept in bed, with the head placed on high pillowing and the
body in as upright a posture as possible, so as to lessen as far as
possible the determination or flowing of the blood to the head. Give a
dose of antibilious pills, and aid their operation by the frequent use of
laxative injections. But while the above means are in use for the
evacuation of the contents of the bowels, lose no time in shaving the hair
from the head, and apply cloths wet in the coldest water and vinegar that
can be had constantly over the naked head; if ice can be had, put a
portion with the vinegar and it will be so much the better. If this does
not cause the violence of the symptoms to abate in a short time, and the
strength of the patient will bear it, give an emetic of ipecac and gulver
(see Dispensatory,) or Indian physic, and draw a blister on the back part
of the head and neck, also bathe the feet in warm water and apply plasters
of mustard-seeds to them and the ankles in order to produce a revulsion of
the blood from the head. I neglected to state in the proper place, that
after the bleeding and evacuation of the contents of the bowels, every
means should be used to produce sweating, such as the free use of
diaphoretic teas or powders; for this purpose a tea of seneca snake-root
and black snake-root is preferable, but where neither of these can be had,
other diaphoretics will answer. After the violent symptoms abate, still
keep the bowels open for several days with cream of tartar, salts, senna,
or something that causes copious watery discharges from the bowels. During
the whole time the room of the patient should be kept perfectly cool and
as dark as convenient, nor ought the least noise to be permitted to
disturb the quiet of the patient.--When the fever begins to subside and
the reason to return, these instructions should be particularly attended
to--because the slightest cause will, in many instances, bring on a return
of the disease and with redoubled violence, which will in all probability
prove fatal in a short time. Diets for several days should be of the
lightest kind.
INFLAMMATION OF THE STOMACH.
Inflammation of the Stomach may proceed from obstructed perspiration,
from receiving blows or wounds in the region of the stomach, from severe
and frequent emetics,
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drinking extremely cold water when the body is over heated from corrosive
poisons taken into the stomach; also by the transition of the gout, or
acute rheumatism to the stomach.
SYMPTOMS.--Inflammation of the Stomach can easily be distinguished from
other diseases by its peculiar symptoms, it is therefore impossible to
mistake it for any other disease if proper attention be paid to those
symptoms. It is always attended with a violent pain in the stomach, which
is greatly increased by pressure over the stomach; there is also a burning
heat at the pit of the stomach, frequent retching as if to vomit; when any
thing is taken into the stomach it is immediately vomited up; there is
great loss of strength, excessive thirst and uneasiness, continued moving
of the body from side to side. If the disease be not checked, it rapidly
advances, the hands and feet become cold, the bowels costive, the
countenance haggard and wears an indiscribably anxious aspect, hickups
ensue and the patient soon dies.
TREATMENT.--This is a very dangerous complaint, and may terminate
fatally in twenty-four hours, if not arrested in its progress. First bleed
freely from the arm--the pulse is frequently low, and small, but this
should not deter you from bleeding, the pulse will frequently rise on
bleeding several times. Employ some anti-emetic, to check the vometing,
the contents of the bowels should be evacuated as speedily as possible, by
the use of laxative injections, such as gulver syrup in a strong tea of
catnip. As soon as the inflammatory symptoms have been subdued by frequent
bleeding, and clystering, the patient should be put into the warm bath and
remain there as long as possible; as soon as he is taken from the bath
apply a blister over the region of the stomach, or a large plaster of
ground mustard-seeds wet with strong vinegar will answer. By turning to
Dispensatory you will find directions for preparing several plasters,
which will draw blisters. Small quantities of sweet oil, given
occasionally will aid in allaying the inflammation. The bowels must be
kept open by injections made of flaxseed tea, chicken water, slippery-elm
tea or thin gruel. These injections will also aid in nourishing the
patient, as it will be improper to take nourishment into the stomach. The
patients drink should consist of slippery-elm or flaxseed tea taken a
little
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below blood heat. When the inflammatory symptoms have subsided and the
stomach will bear it, nourishment may be taken, but it must be done with
great caution, and in very small quantities; it should consist of slippery-
elm tea, flax-seed tea, new milk boiled and thickened a little, rice,
light soups, or thin gruel with a little new milk in it; any thing taken
into the stomach should neither be too, warm or too cool, a little below
blood heat is probably the safest temperature. When this disease is
produced by poisons taken into the stomach, the poison must be removed by
an emetic, as directed under that head, and the disease then treated as
above directed. When inflammation of the stomach terminates fatally, it
always ends in mortification. A sudden change from severe misery to
perfect case, is conclusive evidence that mortification has taken place.
Inflammation of the stomach, sometimes occurs in putrid diseases. It is
discovered by inflammatory appearances on the inside of the mouth. When
the face and mouth is so affected in Fevers, it is to be feared that it
reaches the stomach, especially if the stomach shows unusual
susceptability, accompanied with frequent vomiting--in this the progress
of the disease may be arrested by giving a tea-spoonful of the spirits of
turpentine in a little water. This medicine is well calculated to prevent
gangrene and mortification, and must be given more or less frequently,
according to the urgency of the symptoms.
INFLAMMATION OF THE INTESTINES.
In this disease the danger of mortification is great and relief must be
given soon or every effort will be vain.--Symptoms are, severe griping or
pain in the bowels, especially near the naval. It may easily be
distinguished from inflammation of the stomach, by the pain being lower
down, and from cholic, by the smallness and quickness of the pulse, and by
the extreme tenderness of the belly, the pain being increased by pressure
upon it; whilst in cholic it affords relief, it is attended with sickness
at the stomach and vomiting, obstinate costiveness and considerable fever.
Great weakness attends this disease, the urine is high colored and voided
with difficulty.
Inflammation of the Intestines is produced by nearly the same causes as
those which produce inflammation of the stomach. It also arises in some
instances from hard indigestible
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food remaining in the bowels; from severe cholic, blows and wounds about
the region of the bowels--by long and severe dysentery, worms, and in some
instances from hernia or rupture.
TREATMENT.--In the first, stage of this very dangerous disease, it will
be necessary to bleed and repeat as often as the urgency of the case
requires it. A free and thorough discharge should be produced from the
bowels by means of laxative injections repeated at short intervals until
the desired object is obtained. A part of each injection should be
composed of slippery-elm or flaxseed tea and a strong tea of cat-nip. The
whole abdomen should be kept well bathed with a strong tea of catnip, red
pepper and vinegar; the warm bath will be of service, but the temperature
should be very moderate. It the disease should prove obstinate or
unyielding, apply a blister over the belly. Sweet oil may be given in
table-spoonful doses and repeated frequently; after the bowels are
thoroughly cleansed, injections of catnip and slippery-elm tea must be
given frequently for several days, to which may be added laudanum, about
forty or fifty drops for a grown person and less for children. Purgatives
in this complaint only tend to aggravate the symptoms. Your principal
reliance is therefore to be placed on injections and copious bleeding,
especially if the patient is of full habit. Charcoal taken by the mouth
and administered by injection, seldom fails to produce good effects. The
slightest causes are exceedingly apt to produce a relapse of this disease,
for this reason, exposure to cold should be carefully avoided, and
indigestible food should not be used; the bowels should also be kept
regulated by the use of mild and cooling injections. Diet should be very
light and taken in very small quantities, and nothing better than slippery-
elm tea could be recommended for the patient's constant drink.
INFLAMMATION OF THE KIDNEYS.
SYMPTOMS.--A severe pain about the small of the back, some degree of
fever, the pain frequently darting down the thigh or thighs, as the case
may be. The urine voided in small quantities and with difficulty, of a
pale or reddish color. The pain in this disease is seated nearer the back
bone and loins than in cholic. The bowels are costive, the skin is dry and
hot, there is nausea and sometimes
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vomiting. The slightest motion or jolting gives great pain, and even
sitting upright in bed produces restlessness, the patient always
experiencing the greatest ease, when lying on the affected part. Sometimes
one and sometimes both of the testicles are drawn up to the belly, so that
you can scarcely feel them.
The causes most likely to produce this complaint, are wounds or bruises
of the kidneys, calculous concretions lodged in them, the too free use of
active diuretic medicines, great exertions in lifting, violent and sudden
strains, exposure to cold when over heated, and lying on the damp ground.
TREATMENT.--If the patient be stout and full of blood, the lancet
should be used; the bowels must be opened by mild clysters and oil, cream
of tartar or some gentle purge. A mixture of sulphur and cream of tartar
is an excellent preparation for keeping the bowels open in this complaint.
Flannel cloths wrung out of hot catnip tea, or a decoction of red pepper
and vinegar should be applied over the small of the back. After the bowels
have been cleansed as above directed, give the diuretic powders morning
and night a tea spoonful for a dose, at the same time let the patient
drink a tea made of the piny weed root, at least a half pint a day; if the
piny powders cannot be had, a tea of the common rush will answer, but it
is not so good as the piny.
All the drinks should be made warm, and a portion of peach-tree gum
dissolved in them. Slippery-elm or flaxseed tea will answer a good
purpose. A strong decoction of peach-tree leaves, either green or dried,
is a most excellent remedy in this complaint, and has of itself affected
many wonderful cures.
Diets should be light; onions, although not a light diet, will answer
well in this disease, where the stomach will bear it. The patient should
be kept quiet and easy, and free from cold while any appearance of
inflammation continue. When the patient begins to recover, moderate
exercise in the open air will be proper and advantageous.
INFLAMMATION OF THE BLADDER.
SYMPTOMS.--This disease is known by a sharp pain at the bottom of the
belly, immediately above the privates, the pain is much increased by
pressing on the part with
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the fingers; there is sometimes considerable uneasiness in the lower part
of the back. There is a constant desire to make water, which is passed
with much difficulty and in very small quantities, it is high colored, and
not unfrequently tinged with blood. It is also attended with sickness and
vomiting and a constant desire to go to stool; the bowels are bound, the
pulse irregular, and always some fever. Inflammation of the bladder is
produced by obstructions in the urethra, by suppression of urine, by the
formation of calculous concretions, and by costiveness. It may also be
produced by injuries, such as severe blows, falls, kicks, &c., by holding
the urine a great length of time, and by taking the tincture of
cantharides or Spanish flies.
TREATMENT.--In this disease, when the patient is of full habit and
there is much fever, bleed. The bowels must be opened by cooling purges
and injections, after which, the patient should take of the diuretic
powders, as directed for inflammation of the kidneys, and also drink of
the tea of piny powders or rush. The region over the bladder should be
frequently bathed with a strong decoction of red pepper and vinegar, or a
poultice of catnip applied over the part. When this complaint is caused by
the lodgment of a stone in the neck of the bladder, the cause should be
removed as directed under the head of Gravel, at the same time using the
above means to allay the inflammation. A tea of slippery-elm or flax-seed
injected into the bladder, will be found very good. Every time the patient
has to make water he should sit over the steam of pine tops, cedar tops,
or bitter herbs; this will greatly assist the passing off of the urine,
and also in relieving the pain occasioned by voiding it. Diets and drinks
of a heating nature should, by all means, be avoided.
INFLAMMATION OF THE SPLEEN.
SYMPTOMS.--In this disease there is considerable pain in the left side,
just under the ends of the ribs, and round to the back-bone. In severe
cases the pain reaches up to the left arm-pit and into the shoulder; the
skin and eyes are yellow. The pain which extends up the side, may easily
be distinguished from the plurisy, by numbness and deadness about the
shoulder joint, and also by the seat of the pain being below the ends of
the ribs; the symptoms most to be relied on are, puking of blood,
watchfulness,
Page 83
great weakness, and very frequently the mind is much confused: there is
also considerable fever.
TREATMENT.--Purge well with antibilious pills. (See Dispensatory for
dose.) After which, they should be taken in doses sufficiently large,
night and morning, to keep the bowels gently open. These pills are
peculiarly adapted to this disease. The side should be bathed frequently
with a strong decoction of pepper and vinegar or essence of pepper. After
the inflammatory symptoms have in some degree subsided, the patient should
drink bitters, composed of equal quantities of gulver-root and bone-set
leaves, and a much smaller quantity of Indian physic infused in spirits.
If the spirits should disagree with the patient, the hepatic pill or anti-
dispeptic syrup, taken night and morning will answer. In chronic cases,
after bathing the side as above directed, for a few days apply a
strengthening plaster. Diets must be light and nourishing, and the
exercise moderate.
This complaint is brought on by long continued fevers, or by long
continued fever and ague, and by affections of the liver. What are
commonly termed ague cakes, are diseases of the spleen, and sometimes
terminates in Inflammation of the Spleen.
INFLAMMATION OF THE LIVER.
There are two species or forms of this disease, distinguished as acute
and chronic inflammation of the liver.
Symptoms of acute Inflammation of the Liver.--In this form of this
disease, there is a severe pain in the right side, from the ribs to the
hip, accompanied with fever and slight chills; the pain often rises to the
point of the shoulder, and extends to the collar-bone; there is hard
breathing, dry cough, a tightness across the breast, an inclination to lie
on the right side and yet hard pressure on the right side increases the
pain. The bowels are costive, the urine high colored, the pulse frequent
and hard, and the tongue covered with a whitish fur. There is often
sickness and vomiting of a bilious matter. The skin is dry and hot, and if
the disease is still permitted to advance, the skin and whites of the eyes
assume a yellow color.
TREATMENT.--If the inflammation is considerable, and the pain severe,
bleed, and follow the bleeding by cathartics. The anti-billous pill is
probably the most suitable
Page 84
preparation for this purpose. After the inflammatory symptoms have been
subsided by bleeding and purging, give the hepatic pill night and morning--
three for a dose if the stomach will bear them, if it will not, give them
in such doses as the stomach will bear. The bowels must be kept open by
the daily use of the anti-billous pills in small doses, the quantity being
best judged of by the patient. The patient should also drink freely of a
strong tea of liverwort, and use bitters composed of one-third silkweed
root and two-thirds butterfly root. A tea of spicewood forms a valuable
drink in this disease, as it promotes a gentle perspiration. Blistering
the side often gives great relief where the pain is severe.
Chronic is a term applied to diseases which are of long continuance,
and are generally attended with but little fever. Chronic affections of
the liver, is commonly best known by the name of "Fever Complaint" It may
either be a consequence of the above, or it may come on gradually, without
acute inflammation. The chronic form of this complaint is generally
produced by exposure to sudden viscissitudes of heat and cold, by the
intemperate use of spirituous liquors, by long continued attacks of
intermittent and remittent fevers, and by the improper treatment of
measles and other diseases.
SYMPTOMS.--Chronic inflammation of the liver, is frequently so mild at
its commencement, and so very obscure in its attack, as to produce but
little pain, and excite but little uneasiness, until the disease is firmly
seated, at which stage it is tedious to cure, and if cured, requires a
persevering use of the remedies, with the most scrupulous attention to
regimen and diet. It is attended with general weakness and dislike to
motion, indigestion, flatulency or frequent belching of wind from the
stomach, a short dry cough, and occasionally, difficulty in breathing. The
bottoms of the hands and feet are generally dry and hot, tho' sometimes
moist and cold. A dull pain or misery is felt between the ribs and right
hip, extending at times to the right shoulder. The bowels are mostly
bound, but sometimes become very laxative for a few days--the stools are
generally of a clay color, and occasionally particles of blood are seen
among them. Whatever is taken into the stomach as food, frequently sours,
and produces pains in the stomach, and an acid taste in the mouth and
throat.--
Page 85
There is often a burning at the stomach, somewhat different from heart-
burn, and an unpleasant headache, with frequent giddiness or swimming. The
urine is high colored and usually scant, the complexion and countenance
assumes a sallow or diseased appearance, and the whole system is oppressed
with an unusual sense of fullness.
TREATMENT.--First purge with anti-billous pills, butternut syrrup, or
black-root pills or syrrup, then give the hepatic pill, three every
morning, if the stomach will bear them, and two, if three cannot be
retained without producing great nausea. A chalybeate pill should be taken
every night about the size of a pea or summer grape.--The patient should
also drink freely of the tea of liverwort, and bitters, as directed for
Acute Inflammation of the Liver. During the whole course, the bowels must
be kept open by the use of cathartics. The Dispensatory shows several
valuable preparations for this purpose. Bathing the feet in warm water
frequently, will be found of service, or if convenient, the warm bath is
much better.
The diets must be light and taken in small quantities, moderate
exercise on horseback or otherwise, will be necessary. But all cold,
immoderate exercise and exposure of every kind must be avoided, if a cure
is desired.
CONSUMPTION.
(Oo-coh-yoh-ter-tsu-ne-si-wah-skan.)
This complaint is marked by a general wasting of the body; great
weakness is felt on the slightest bodily exertion; the pulse is quicker
than natural, small and irregular; a short dry cough which becomes more
troublesome at night; a white frothy mucous is spit up. As the disease
advances, a pain, and sensation of heat and oppression is felt through the
breast, extending up to the points of the shoulders, the spitting becomes
more copious and frequent, and is sometimes streaked with blood--sometimes
it is dark, and at other times it is of a yellow or green color, having a
remarkably unpleasant smell; when put into pure water it sinks to the
bottom, while common mucous floats on the surface of the water; the urine
is high colored, and deposits a muddy sediment, the cheek or cheeks
frequently flush with hectic fever, which lasts one or two hours, and then
gradually goes off; the palms of the hands and the soles of the feet are
mostly hot; the pulse gradually
Page 86
grows quick and hard--these symptoms are soon followed by profuse night
sweats. In the last stage of Consumption the countenance assumes a
ghastly, unnatural appearance; the voice becomes hoarse, hollow and
unnatural; the white part of the eyes have a shiny or pearly appearance,
while the eye itself beams with uncommon lustre; the nails are of a purple
color; there is frequent purging, and great difficulty in breathing,
amounting at times, almost to suffocation. When these last symptoms occur,
the case may be considered desperate.
Obstructions from cold in some way or other, is the common cause of
Consumptions. It is most apt to attack persons between the age of twelve
and thirty; but it sometimes attacks persons at the age of fifty. In youth
when a change of voice takes place and the lad enters the incipient stage
of manhood, there is considerable debility experienced, and not
unfrequently accompanied with a short dry cough. This is a critical
period, and a little carelessness or neglect may end in an incurable
attack of Consumption. Such persons as have been raised tenderly, without
due exercise or fresh air, will be much more liable to an attack of this
ever-to-be-dreaded disease, than those who have been accustomed to daily
labor or exercise. Damp air, damp beds, damp clothes, is often the cause
of Consumption; it is also caused by inflammation of the lungs,
suppression of the menses in females; tight lacing; diseases at the liver
and stomach. It is hereditary and often takes whole families as fast as
they approach man or womanhood.
TREATMENT.--The patient should commence by taking a tea spoonful of the
mixture or syrup for Consumption night and morning; it is made as follows:
Take a table spoonful of tar, the same quantity of honey and the yolk
of an egg, mix these articles well together; the tar should be a little
warm, that they may the more easily mix. A large quantity may be prepared
observing the same proportions. If the patient is very weak and the above
dose operates too severe, give a smaller portion, he who administers will
be best able to determine as to this. It will be three or four days before
this medicine gets into full operation, and when it is taking hold of the
disease to advantage, it causes the patient to expectorate or spit up
mucous from the lungs with great rapidity; while taking
Page 87
the above, the patient should also take the inner bark of the yellow pine,
and spikenard root, of each one pound, keep it constantly by the fire that
it be warm, and use it as a constant drink. I have used the chalybeate
pill night and morning, in connexion with the above remedies with the
happiest effects. Where the patient is laboring under great debility it is
without doubt one of the best stimulating and tonic medicines in the world.
Diets should be light; all kinds of rich and oily food should be
avoided; buttermilk and corn or rye mush is very good, as is also rice,
half cooked eggs, and milk drank warm from the cow morning and evening.
Squirrel or chicken may be eaten by some, but others cannot use either
without injury; the patient or administering physician will have to
exercise some judgment on this subject. Wet and damp of every kind must be
avoided, regular but moderate exercise taken, the mind should be kept
cheerful; long journeys are spoken of by some physicians as being
advantageous, but I cannot agree with them in this particular. They
unavoidably produce irregular habits in eating, drinking, sleeping, using
medicine and often keep the mind in a high state of anxiety about things
left behind, &c., all of which produce injury rather than benefit.
Regularity of habits is indispensably necessary in the cure of
Consumption, I would therefore advise persons afflicted with this disease
to remain at home with their friends, for I can assert that the kindness
of friends in connexion with neighborhood exercise and amusements, will
greatly aid in restoring health, where long journeys would only fatigue
the patient and aid the disease in wearing out and extinguishing the
little remaining spark of animal life.
Bleeding in Consumption is a most pernicious practice and the sooner it
is abandoned the better it will be for those who are afflicted with this
alarming and too often fatal disease. Yet it is recommended by a majority
of the most eminent physicians of our age. Dr. Wright, however, is an
exception, he disapproves bleeding in this disease in the strongest terms.
He says, "The disease itself proceeds from debility, which produces
obstructed perspiration, and nature not being able to relieve the lungs
from the matter thrown upon them, acts as an irritant and occasions
coughing and diarrhæ, and in proportion to the
Page 88
vital fluid you abstract, you impair the strength of the patient, and open
a road for the incursions of the enemy." Dr. Wright has been more
successful in the treatment of Consumption, than any physician among the
whites, with whom I have ever had an acquaintance, he in many instances
restored persons to health after they had tried such remedies as are
usually prescribed for Consumption, and had been given over as incurable,
his treatment is simple, and consists of remedies that may be procured by
any person. I give it in full that those who wish to try it may have it in
their power to do so.
DR. WRIGHT'S TREATMENT FOR CONSUMPTION.
Take his chalybeate pill night and morning, and through the day drink
from a pint to a pint and a half of Dr. Wright's beer for Consumption.
This course should be pursued with regularity.
Diet should be light and nourishing, such as butter-milk and rye mush,
half done eggs and the like, he also recommends new milk of a morning.
The success of Dr. Wright in the treatment of this disease, is
acknowledged by all those who were acquainted with his practice.
The Cherokee Physician - End of Section 2-A
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