This section is from the book "The London Medical Dictionary", by Bartholomew Parr. Also available from Amazon: London Medical Dictionary.
cording to Mr. White, in the first or inflammatory stage, antiphlogistics are necessary, in the degree which the patient's strength will permit. The bowels should be kept lax. the pains alleviated by opiates internally, by anodyne fomentations,and by the warm and vapour bath; blisters on the upper part of the thigh, and emollient injections into the vagina, have been found useful; anti-monials, the saline draughts given in the act of effervescence, cool acidulated liquors, and cool air, are supposed useful in relieving fever. In the second stage, when the pain abates, the swelling and tension of the parts lessen, though the quickness of the pulse and some degree of fever remain, the patient may be allowed a little wine and a fuller diet. A dose or two of calomel, of two grains each, given at proper intervals, have seemed useful in this stage. Fifteen grains of myrrh two or three times a-day, in a neutral draught in the act of effervescence, may be taken; or to a saline draught, with myrrh, two grains of the ferrum ammoniacale may be added. The limb may be chafed with warm oil, and bathed at first in water of 82 degrees of Fahrenheit, and afterwards of 76. In the third stage, when no complaint remains, except the swelling of the limb, and perhaps a general relaxation, the bark, with or without steel, will be necessary, dipping the limb in cold water, or embrocating it with spirit of wine and camphor. A circular calico bandage applied to the limb will also assist in the recovery; and if the swelling is confined to the small of the leg, the bandage may be changed for a straight or laced stocking, or for a half boot. Exercise on horseback, and gentle friction, will be of advantage; but walking, or whatever promotes a greater secretion of lymph, will be injurious in every stage of the disease.
Mr. Trye endeavours at first to relieve the fever by evacuants, and then, according to his doctrine, attempts to relax the inflamed vessels by fomentations, leeches, and blisters; to promote absorption by emetics, and in the latter stage by friction with mercurial ointment. Dr. Ferriar applies leeches, with cooling remedies; and Dr. Hull, like Mr. White, treats the complaint at first as inflammatory, and at last as asthenic. In our hands it has appeared an intractable disease, though relieved at last by the efforts of nature. If the patient is truly such, and the practitioner so unprincipled as to continue medicines which he must know will have little effect, he will at last gain the credit of the cure which nature effects. In our hands the fever has yielded to emetics, evacuants, and opiates. The deposition, which soon assumes a chronic form, scarcely yields to any remedies. The Dover's powder, at night, with occasional laxatives, and at last the bark and the squills, have appeared as serviceable as any of the boasted remedies.
See Mauriceau's Traite des Maladies des Fenimes Grosses. etc. edit. 5, 4to.; Puzos' Memoire sur les Depots Laiteux, appelles communement Lait Repandu; Levret's Art daccouchement, ch. iii. sect. 7; Van Swieten's Commentary on Boerhaave's Aphorism, 1329; M. Raulin's Traite des Maladies des Femmes, en Cou-che; White's Inquiry into the Nature and Cause of that Swelling, in one or both of the lower Extremities, which sometimes happens to lying-in Women: Trye's Essay on the Swelling of the Extremities of Puerperal Women; Ferriar's Medical Histories, vol. iii.; Hull on the Phlegmatia Dolens; and White's Inquiry, part 2.
Lymphatic glands are those bodies through which the lymphatics pass. Their structure has never been de-monstrated; for while some anatomists suppose them to be cellular, others contend that they are merely masses of convoluted vessels. As we know nothing of the change which the lymph undergoes in these glands, we cannot assist demonstration by theoretical induction. We perceive only that nature anxiously delays the passage of the lymph into the blood; as, previous to their entering the gland, the lymphatic vessels are divided into minute branches. This purpose might perhaps be equally answered by convoluted vessels, as by stagnation in cells, since we find the semen elaborated in the lengthened tubes of which the testis consists. Ye* the force of the argument, that some secretion takes place in the cells to animalize this new fluid, is not inconsiderable. Since the end is undisputed, we need not contend for the means. Let us, however, only add, that in either case, if the contents are viscid, or the irritability of the vessels preternaturally lessened, stagnation must be the unavoidable consequence.
 
Continue to: