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with meal of pomegranate-feeds; of which let him drink, before he returns to the use of barley-water. And if, this notwithstanding, the looseness, still increases, mix gum-arabic and bambu-lugar in his drink in this manner.
Take of gum-arabic two drachms ; of bambu-sugar one drachm : reduce them to the consistence of a collyrium : then on four ounces of the barley-gruel pour fome of the medicine which I am going to describe ; let it stand for an hour, and give it to the patient to drink.
The description of the medicine.
Take of red roses ground fine, bambu-sugar ; forrel-feed, sumack, and barberries, of each equal parts; also gum-arabic, sealed earth, poppy-rinds, balaustines, or pomegranate-flowers, of each half the quantity: let the patient drink three drachms of these, with one ounce of the juice of acid pomegraDates.
But, if the looseness still continues, and has weakened the patient, give him draughts of al-râib, that is, four skimmed milk, with the best fort of biscuit, and a little gum-arabic.
Finally, whenever a dyfentery appears, the method of cure must be taken from the place where we have treated of that subject.
Now, it remains, that we speak of those who recover, and of those who die of the small-pox and measles.
CHAP CH A P.
Of the curable and incurable small-pox and measles.
HE small-pox and measles are of the number of
hot difcafes, and therefore have many things in common with them. Now, the chief prognostic signs in those who recover, are, a freedom of respiration, a thorough foundness of mind, and an appetite for food, an agility to motion, a right state of the pulse, the patient's good opinion of his disease, a convenient posture in bed, and bụt little tosling about and inquietude of body.
Hence, a judgment may be formed of bad figns, the greatest part of which we have related in the book, entitled, Almansori *.
These things following particularly regard the small-pox and mealles,
When the pustules of the small-pox are white, large, separate, few in number, easy and speedy in coming out, and the fever not violent or burning, nor attended with much inquietude of body or concern of mind; and are fo qualified, that the heat, concern, and inquietude diminish upon their cruption, and entirely cease, when the eruption is completed : that fort is curable, and threatens little or no danger. To these the next in goodness are, white large pustules, though very numerous and coherent; if they come out eafily, and their total eruption eases the patient of his uneasiness and excessive heat, as we have already mentioned.
* There is a MS. copy of this book in the Bodleian library, Narciss. Marsh, NO 376.
But when their eruption is performed with difficulty, and the patient does not grow better upon their coming out, they are a bad fort : although there is not so much reason to be afraid, if he should be ill while they are coming out, as if he continues fo after the eruption.
But there is a bad, and even a fatal sort of white large pustules, to wit, those which run together, and spread so, that many of them unite, and occupy large spaces of the body; or become like broad circles, and in colour resemble fat.
As tu those pustules which are white, 'very small, coalescing, hard, warty, and contain no fluid ; they are of a bad kind : and their badness is in proportion to the degree of difficulty in their ripening, and to the continuance of the symptoms on their eruption. But if the fymptoms are not abated, after the eruption is finilhed, it is a mortal fign.
Those pustules also are all bad, which turn green, purple, or black. But if, besides, a swooning and palpitation of the heart come on ; this is the worst sign of all, nay a sign of certain death.
And when the fever increases after the eruption of the small-pox, it is a bad sign. But if the fever ceases at the time of the eruption, it is a good sign. Doubled pustules indicate a great quantity of the matter of the disease : and if they are of the curable kind, they portend recovery ; but if of the mortal kind, death.
Those measles are the safest, which have not too much redness : but if they turn pale, it is a bad fign; the green and purple forts are both mortal. When either the small-pox or measles sink in suddenly, after C C2
they began to shoot out; and then the patient is feized with inquietude and anxiety, and a swooning comes on ; it is a sign of speedy death; unless they push out again, after they have fubfided.
If the pustules appear on the first day of the fever, they will hasten their progress, and be of quicker motion : if the eruption is protracted to the third day, it will advance moderately ; but if the first appearance passes the fourth day, the eruption will be completed dully and slowly.
When the appearance begins on the good critical days, it is a falutary sign, especially if the patient finds himself better at the end of the eruption ; and fo on the contrary. But when the pustules begin to run into one another, and to spread ; and at the same time the inquietude increafes considerably, and the belly swells or is bloated; then death is near at hand. When the smaller fort of pustules, which contain no fluid, grow hard ; and a delirium comes on at the fome time; the patient is near his end. When it happens that the small-pox and measles appear and disappear alternately, and are attended with anxiety and a delirium; this is a sign of death, of what colour soever the pustules are : but it is seldom the case of white pustules, or of those which ripen quick. When towards the end of the small-pox there is a great perturbation of the humours, and the patient is seized with a very violent pain in a leg, hand, or any other limb; or the pustules are speedily converted into a green or red colour; and thereupon he grows weaker than he was before, and the weakness still increases by the quick returns of the pain, and the limb contracts various colours; thefe are figns of death,
But if nevertheless the patient grows stronger, he will recover, and that limb will be cured.
Now, if you scarify that limb the very moment when the pain begins to seize it, you will render great service to the patient, if he grows stronger after the incision ; and the limb will also be preserved from mortification.
But, in this dangerous case, nothing cooling must be applied to the limb, upon any account whatsoever : but either scarify it, or plunge it into hot water, if you see that the patient can bear it.
Wherefore, as we have run over all the articles, which we proposed to ourselves; and have amply enough treated, both of this disease, and the method of prefervation from it; we here break off the thread of our discourse.
To the bestower of strength to finish this work, be
praise without end, as he is worthy of being celebrated and praised.