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Show 706 Of an Empyema orflCo/[effion of Adattcr, &c. Booiiii. lent Matter, Vellicates the neighbouring Membranous parts, accompanied with a dull pain, arifing from the weight of the corrupt Matter (aflliéling the Lungs in their Dial'tole) dcprefftng the Diaphragm, and hmdrmgrts relaxation, in order to a farther motion made by Contratftion ; hence enlueth a '1' he fign of a long Enema. difficulty of Refpitation, flowing from a quantity of Pirrulenp Matter l‘tuang the Cavity of the Breaf't, giving a check to the free play 01 the Lungs and Diaphragm. ‘ . 1 The fign of a long continued Empycma, .15' That the i‘ ever growe‘th more mild upon the great partof the Fur tranlmitted out or the body of the parts aflhéted, into the empty fpace of the Thorax 3 So that the fever is rendrcd parrly Putrid and partly Heftick, always infefting the Patient, and is more gentle in the Day, and receiveth the beginning of an Exacerbation about the 1Even.ing, and is more hightened about the middle of the Night. This Dileafe is allociatedwitha perpetual Cough, fometimes throwing up Purulent Matter, whereupon arifeth a great Anxiety, and deyedlion of ftrength, proceeding from free Sweats in the Night; whence follow the hollownefs of the Eyes, and rednefs of Cheeks, and at lall: a lwelling of the Legs, producing a Lenmpblcgmaria flowing from a grofs and difpirited mals of Blood, Ragnating in the fu‘oftance of the parts affected. The Pregnafllcli‘ of an lmnnnz. The Prognoflicksof this Difeafe are hopeful, if when the Abfcefs is bro- ltcn, the Fever groweth gentle, attended with an eafie Expefioration of Purnlcnt Matter, or rather of a PM that is fmnoth, vrhite, and equal, and with afree Refpiration, which flieweth the Thorax not to be overcharged with a quantity of PM. Il/JJHOHIPG' nicrl uith .1 Violent Fever, is dangerous. But on the other fide the Progrioflicks imply imminent danger, when the Eruption of the (Pm is accompanied with a violent Fever, frequent Trem- blings, or Rigor-s, which are Convulfivc Motions, proceeding from ill-conditioned Purulent Matter, highly irritating the Nervous parts. A great Cough ( accompanied with a difficulty of breathing ) is very dangerous, by which a thick, yellow, green, black, or factide, corrupt Matter, of an unequal confiflence is thrown up, cfpecially in an (ht/30121747, wherein the whole Breaft is lifted up; whereupon inof't commonly enfueth a Sutfocation, proceeding from an Exuberance of Purulen t Matter, lodged in the Cavity of the Breaft, and intercepting the motion of the Intercoftal Mufcles, Diaphragm and I tings. It alfo foretelleth great danger, if a filver Probe be put into the wound of an opened Thorax for an Emmema, and groweth hued with the colour of Gold or Copper, which is canfed by the exalted Sulphureous Particles of the Hyhomels Of an Empyema or Collegian of [Warren &c. Medicines made into Pills with C/Jio Turpentine, Iris Root powdered, and Syrup of Ground-Ivy, which may be rowled in Powder of Liquorice, and giVen Morning and Evening with a Vulnerary Decoétion made of the Roots or Sarflz Parilla , and China, Hartlhorn Shavings, Prunell, Bugles, Sanicle, Moufe-Ear the Great, Ground-Ivy, boiled in three parts Water, and one part \Vhite-VVine, to which, being {trained , Honey may be added. Thefe Medicines do fatisfie all the Indications of an Ulcer as they cleanfe, dry, and Conlblidate. As to an Empycma flowing from an Ulcer of the Mufcles of the Larynx, Lungs, flaunt, and Medicine, the 7)»: or Purulent Matter cannot be vacuared if it be lodged in a very great prOportion in the empty fpace of the Thomx, unle s a wound be made in the Intercoftal Mufcles, as near to the Mid- Sometimes the Surat: Nutricinr of the Blood (being lodged in a great quantity in the fubftance of the Bronchia, and Membranous Cells, their Ap~ pendants ) is turned into a‘Pm, making firl't an Apofteme, and afterward an Ulcer, through which fome Corrupt Matter is received into the @mflfbid, and Expectorated, and fome of the other part of the 'Pm was lodged in the Cavity of the Thorax, and other parts may be evacuated downward by Stool, and upward by Vomiting, as all?) by Urine, by reafon Nature is very folliciOf this admirable cafe I {hall take the boldnefs to give an Itiflance, in Mr. Ec/Jim, a Gentleman of Nari/Jamptorz-flxire, (related to a Perfon of Honour, Colonel Stroadc, Governor of Dower-Caflle) who was oppreffed with a great Cough, a high difficulty of Breathing, accompanied with a (low pu- trid Fever, and many other Diagnoflicks, which follow an Ulcer of the Lungs and an Empycmzz, flowing from a fource of Pumlent Matter (entertained from the confines of the Lungs into the capacity of the Breaft) falling down upon the Diaphragm. Inordcr to evacuate the Matter of this Difeafe, and to relieve the aggrieved Lungs, and Midriff, an Apertion was made in the Intercof'tal Mufcles between the Ribs, by Mr. @ierre, a Skilful Chyrurgeon, relating to the Hofpital of St. Thor/ms ; whereupon the Thorax being opened, a quantity of Sanious and Purulent Matter was difcharged through the wound; and he alfo freely Excerned it by Coughing, Vomiting, by Stool, and by Urine; All thefe Evacuations were plain to fenfe, but the great difficulty remaineth , inwardly and outwardly, that promote Suppuration. In reference to a Cough derived from grofs, lentous, vifcide I‘darter, Hydromcls are very proper, made tip of the five opening Roots, the Leaves of Ground-Ivy, Coltsfoot, Horehound, Scabious, Maiden-Hair, and Raifins of the Sun floned, boiled in VVater, to which \Vhitc-\Vine may be added at the latter-end of-the Detection, Medicines Empjema. Sumetime: the stisflii'r charged by Cough, Vomiting, Stool, and by the wound made in the Aper[ion of the Breath tous by all ways poflible to preferve it felf by various Evacuations of ill Matter. rbia and Shaw ( only Apoficmated and not Ulcered) into the Extremiti es of of the Pulmonary Veins, and carried through the left Ventricle of the Heart ( caufmg great firinrnefs and dejeétion of Spirit, attended with a Fever ) and Defcendent Trunk of the Aorta, into the Cxliack Artery, and its Termina» tions into the Cavity of the Stomach, whence it was expelled by Vomiting, and afterward fome part of the @u: was conveyed farther by the Defcende nt Trunk, into the B c'tl'i‘S and Extremities of the upper and lower Mefcntc~ rick Arteries, into the Cavity of the Intefiines, and thrown ofl‘ by Stool; and when it isf'trained, fome Honeymav be I ofthe Timex may be made in a defperat: Matter may be the better expelled through the Aperture of the Breaft, which is fometimes made between the fourth and fifth, and other times between the fixth and feventh Rib. how Nature could expel the Peccant Matter by thefe feveral ways; which I gently boned in it. An Apertion riff as may be (with great regard of its prefervation) that the Purulent Purulent Nlatter, difeolouring the Silver. But it is more fafe, if the Patient grow Ptrong, as having a good Pnlfe, and free Refpirarion, upon the Apertion of the Thorax ; whereupon floweth a white well Concoéted Matter, fpealting an Alleviation of the Fever and all the fymptoms of the Difeafe. In cafe an Ulcer of the Larynx, Lungs, or (Plcllhl, cannot be prevented by Bleeding , Expeétorarion, Diureéticks, and Diaphoretiets , gentle Medicmes may be adiriled both are proper in h pic- Book II. humbly conceive. may be accomplifhed after this manner; Some part of the @114 was tranfmirted into the Bronthia, and thrown up by Coughing, and fome other portieiiof it was entertained out of the fubfl'ance of the Bron- and the reliques of the Pu. ulent Excrements not carried off by the Caeliac't and hr‘lt‘fen‘ An Inflance of this cafe in Mr. Erbiui. a Gentleman of Nm-t/umpwn; jlvirc. |