¥24 CULPEPER’s ENGLISH PHYSICIAN, 
are only the ftruggles of Nature to overcome the difeafe, in which the ought to be 
affifted by plenty of diluting drink, which is then peculiarly neceffary. If the pa- 
tient’s ftrength however be much exhaufted by. the difeafe, it will be neceffary:at 
this time to fupport him with {mall draughts of white-wine whey, negus, or the like. 
When the pain and fever are gone, it will be proper, after the patient has recover- 
ed fufficient ftrength, to give him fome gentle purges. He ought likewife to ufea 
light diet of eafy digeftion, and his drink fhould be of a cleanfing nature. 
The parapbrentis, or inflammation of the diaphragm, is fo nearly connected with, 
the pleurify, and’ refembles it fo much in the manner of treatment, that it is fcarce 
neceflary to confider i itas a feparate difeafe. It is attended with a very acute fever, 
and an extreme pain of the part affected, which is generally augmented by coughing, 
- fheezing, ‘drawing i in the breath, taking food, going to ftool, making water, &e. 
Hence the patient breathes quick, and draws in his bowels to prevent the motion of 
the diaphragm; is reftlefs, anxious, has a dry cough, a hiccup, and often a delirium. 
Every method fhould be taken to prevent a fuppuration, as it is impoffible to fave 
the patient’s life when this happens. The regimen and medicine are in all refpetts 
the fame as in the pleurify. We fhall only add, that in this difeafe emollient clyfters 
are peculiarly ufeful, as they relax the bowels, and by that means make a deriva: 
tion from the part affected. 
OF INFLAMMATIONS or tHe LUNGS. 
_ THIS difeafe is generally fatal to thofe who have a flat breaft, or narrow chett, 
and to fuch as are affliéted with an afthma, ‘efpecially in the decline of life. Some- 
times the inflammation reaches to one lobe of the lungs only, at other times the 
whole organ is affected ;-in which cafe the difeafe can hardly fail to prove fatal. An 
| Eafarnination of the lungs is fometimes a primary difeafe, and fometimes. itis the | 
fequence of other difeafes, as a quinfey, a pleurify, &c. Mot of the fymptomi 
tee 
ct 
of Fa pleut likewife attend an inflammation of the lungs ; only in the latter the . 
Pua is more foft, and the pain jef$ acute; but the difficulty of breathing, | and op- 
of the breaft, are generally greater. 
---Bleeding and purging are generally proper at the behinning of this dit. 
the patient *sfpittle is pretty thick, as well as concoéted, neither of them 
At will be fufficient to affift the expectoration by fome of the’ fharp 
ecoms nd ed for that purpofe in the pleurify ; blifters ought to be ap- 
plied pretty early, If the Patient does not fpit, he muft be bled according as his 
ftrength will permit, and have a gentle purge adminiftered. Afterwards his body 
may be kept open by clyfters, and the expectoration promoted, by taking every, four 
hours two table-fpoonfuls of the folution of gum ammoniac, with oxym | of 
2 (quills, 
