4 «= CULPEPER’s ENGLISH PHYSICIAN, 
baum-tea, barley-water, clear whey, gruels, 8c. Much mifchief is done at, this 
period by confining the patient to his bed, and plying him with.warm cordials or. 
fudorific medicines. Every thing that heats and inflames the blood increafes the 
fever, and pufhes out the puftules:prematurely. ‘This has)numberlefs ill effeéts, 
It not only increafes the number of puftules, but likewife tends to make them run 
into one another; and, when they have been pufhed out with too great violence, 
they generally fall in before they come to maturity. The food ought to be very 
light, and of a cooling nature, as panada, or bread boiled with equal quantities of 
milk and water, good apples roafted or boiled with milk, and {weetened with. a little 
fugar or fuch like. The moft dangerous period of this difeafe is what we. call 
the fecondary fever. This generally comes on when the pock begins to: blacken 
or turn on the face, and moft of thofe who die of the fmall-pox are carried off 
by this fever. Nature generally attempts, at the turn of the fmall-pox, to relieve 
the patient by loofe ftools. Her endeavours this way are by no means to be 
counteracted, but promoted ; and the patient at the fame time fupported by food _ 
and drink of a nourifhing and cordial nature. If, at the approach of the fecondary 
fever, the pulfe be very quick, hard, and ftrong, the heat intenfe, and the breathing 
laborious, with other fymptoms of an inflammation of the breaft, the patient muft 
immediately be bled, The quantity of blood to be let muft be regulated by the 
patient’s ftrength, age, and urgency of the fymptoms. But, in the fecondary 
fever, if the patient | be faintith, the puftules. become fuddenly pale, and if there be. 
great, coldnefs of the extremities, blifters. muft be applied, and the patient muft be 
with generous cordials, Wine and even fpirits have fometimes been. 
given in fuch cafes with amazing fuceefs. It is generally neceflary, after the fmall- 
pox is gone off, to purge the patient. 1f however the body has been open through 
the whole courfe of the diieafe, or if butter-milk and other things of an opening na- 
ture have been drunk freely after the height of the fmall-pox, purging becomes 
lefs neceffary ; but it ought never wholly to be negleéted. For very young. ' chil- 
dre en, an infufion of inne and prunes, with a little rhubarb, may be fweetened with 
7 coarfe fugar, and given in {mall quantities till it operates. “Those who are farther 
ivan ed muft take medicines of a fharper nature. For example, a child of five - 
fix years of age may take eight or ten grains of. fine rhubarb in powder over 
nt, and the fame quantity of jalap in powder next morning. This may be 
th fre h broth or water gruel, and may be repeated three or four 
r fixdays - intervening betwixt each dofe. ‘For children further ad- 
vanced, and adults, the dofe muft be increafed i in proportion to the age and contti- 
tution. When acougl “i difficulty of breathing, or other fymptoms of a con- 
fumption, fucceed to the fmall-pox, the patient mutt be fent toa place where the air 
‘is 
