This section is from the book "The Lady's Assistant: Family Physician", by P. Davey and B. Law.
The chief signs of this ulcer is the flowing out of a purulent matter from this part, and the greater the quantity, the prosounder is the ulcer. When the flux is yellow, viscid, sanious or mixt with blood, it is a sign the substance of the womb is vitiated. It is hard to be distin-guished from the whites, and therefore observe, that a fixt pain always attends an ulcer, and the matter is always more compact and fetid. The best diet is that of milk, which may be riced or mixt with an egg for variety fake : the drink should be a small decoction of China root, and six drops of balsam of Capivi should be mixt in every draught, with a little of the pectoral syrup: or, "Take ground ivy and plantane, of each "half an ounce; of spring-water, three pints, and then add an "ounce of white sugar." The dose is a pint in a day. Balsamic injections should likewise be used, such as the following;
The Family Physician: "Take of balsam of Capivi, half an ounce; mix it intimate-"ly with the yolk of an egg; then add six ounces of diluted "honey of roses; mix them all together." When the ulcer is fetid and foul, add a little of the Egyptian ointment. Sometimes manna or rhubarb may be taken to divert the humours from the womb. When the pain is great, an ounce of diacodium or twenty drops of liquid laudanum may be taken at night. If either of these is not sufficient, increase the dose.
Vomits, or Emetics, are of two kinds, the mild and the strong. The mild are plenty of warm water alone, or warm water and oil, or a decoction of carduus benedictus, or a decoction of the feeds of horse-raddish. The strong are all purgatives taken in large doses, ippecacuanha, gumboge, the leaves of asarabacca, the juice of the middle bark of elder, white vitriol, and tartar emetic.
The action of mild emetics does not extend beyond the stomach, and brings away slimy, crude and bilious humours, which are collected therein for want of a good digestion. Strong e-metics in small doses vellicate the stomach, and the coats of the intestines; in large doses they penetrate into the biliary duels, the glands of the intestines, mesentery, pancreas, and even into the liver, and expell the various humours contained in those parts. But if they affect the whole nervous system, they then become prejudicial, and may produce very grievous symptoms.
The best and safest of all these is ipecacuanha given to half a dram, and is of great use in a looseness and the bloody flux. The root of asarabacca given in powder to half a dram and upwards, is a good vomit in an obstinate quartan ague, the dropsy, and jaundice. Three or four grains of emetic tartar may be properly added to the ippecacuanha to quicken its effects : and if you would have a vomit and a purge at the same time, mix three or four grains of this tartar with a solu-tion of manna.
In case of poisons, especially those of the narcotic kind, and of fallowing the infectious particles in malignant diseases; as also when corrupt humours lodge in the stomach and intestines, and stagnating there lay a foundation for flow fevers, quotidian and quartan agues, chronic coughs, diseases of the head, melancholy, the head ach, falling sickness, or apoplexy; then strong vomits become necessary.
In diseases which arise from a thick bile, plugging up. the biliary ducts, in the yellow and black jaundice, and the cachexy, vomits will often cure, when other things have been tried in vain. In the dropsy, anasarca, cedematous tumour of the parts, the dropsy ascites when curable, emetics should be given in a larger dose than ordinary, and then they will evacuate water from the ducts and glands of the intestines, mesentery, pancreas, and liver, and carry it downwards.
Vomits are not to be given in the fit of an ague, an inflammation of the stomach, in violent pains of the stomach, in hysteric or hypochondriac fits, or where there is a disposition to spitting of blood, or to too great a flux of the menses or the bleeding piles; or when diseases arise from too great a con-gestion of humours in the head, such as the apoplexy, palsey, vertigo, the loss of fight or hearing; nor yet in violent pains, nor when the patient;s too full of blood and humours, before bleeding; nor lastly, when there is a costivenefs, and the intestines fluffed with excrements.
During the operation of a vomit, the patient must always drink a sufficient quantity of warm liquors, such as water-gruel, carduus tea, etc. When the operation is over, the patient must avoid cold liquor, the cold air, all hot stimulating medicines, and flesh-meats: he must rather use those that are soft, that yield good juices, and are easy of digestion.