PUTRID ULCEROUS SORE THROAT.
199
Unfavourable symptoms are, an obstinate purging, extremeweakness, dimness of the sight, a livid or black colour of thespots, and frequent shiverings, with a weak, fluttering pulse, ifthe eruption upon the skin suddenly disappears, or becomes of alivid colour, with a discharge of blood from the nose or mouth, thedanger is very great.
If a gentle sweat break out about the third, or fourth dayand continue with a slow, firm, and equal pulse ; if the slouo-lïscast off in a kindly manner, and appear clean and florid at thebottom ; and if the breathing is soft and free, with a lively colourof the eyes, there is reason to hope for a salutary crisis.
• Regimen. — The patient must be kept quiet, and for the mostpart in bed, as he will be apt to be faint when taken out of it. Hisfood must be nourishing and restorative ; as sago-gruel with red-wine, jellies, strong broths, &c. His drink ought to be generous,and of an antiseptic quality ; as red-wine negus, white-wine whey,and such like.
Medicine. — The medicine in this kind of quinsey is entirelydifferent from that which is proper in the inflammatory. All evac-uations, as bleeding, purging, &c. wbicb weaken the patient, mustbe avoided. Cooling medicines, as nitre and cream of tartar, arelikewise hurtful. Strengthening cordials alone can be used withsafety ; and these ought never to be neglected.
If at the beginning there is a great nausea, or inclination tovomit, tbe patient must drink an infusion of green tea, camomileñowers, or carduus benedictus, in order to cleanse the stomach. Ifthese are not sufficient, he may take a few grains of the powderof ipecacuanha, or any other gentle vomit.
If the disease be mild, the throat may be gargled with an infu-sion of sage and rose leaves, to a gill of which may be added aspoonful or two of honey, and as much vinegar as will make itagreeably acid ; but when the symptoms are urgent, tbe sloughslarge and thick, and the breath very offensive, the following orsimilar* gargles may be used :
To six or seven ounces of the pectoral decoction, when boiling,add half an ounce of contraycrva root ; let it boil for some time,and afterwards strain the liquor ; to which add two ounces ofwhite-wine vinegar, an ounce of fine honey, and an ounce of thetincture of myrrh. This ought not only to be used as a gargle,but a little of it should frequently be injected with a syringe toclean the throat, before the patient takes any meat or drink. Thismethod is peculiarly necessary for children, who cannpt use a gar-gle. No degree of force, however, is to be used to effect a separa-tion of the sloughs ; and if, after a continuation of the gargles forsome time, the sloughs should not begin to separate, all that can
•Take Decoction of P. Bark, 6 ounces.Muriatic Acid, 1 drachm.
Compound Tinct. of Cinnamon,k ounce.Tincture of Myrrh, 1 ounce.
Make a gargle ; to be used as above.
Take Honey of Roses, 1 ounce.
Barley Water, 10 ounces.
Tincture of Myrrh, Jounce.
Vinegar, 1 ounce.Mix, and make a gargle.