BUB 



BUB 



to fuppofe tliere is no malignity arlfiiig^ from the preftncc 

 and attion of any poifonoiis matter cr acrimonious tiu'd in 

 the bubo ; for when that is the cafe, regard nuiil be paid to 

 the cxiiling caufe, and peculiar means rtiould be adopted, 

 with a view to remove the latent vU-us from the fyllem. 



A funple bubo generally terminates, either by refolution 

 or fuppuration. There are circumllances, under \\'hieh no 

 art can prevent a fuppuration ; but, whenever it can be pre- 

 vented, we fhonld endeavour to refolve the tumour, by what 

 are called difcutient or antiphlogillic means. The moll 

 p-^wtrful remedies of this clafs arc, local bleeding bv leeches, 

 cold faturnine applications, perfcdl rell of the member af- 

 fefted, faline purtrative3, and moderate or fpare diet. Pnit, 

 if the inflammation be net confiderable ; if the tumefied 

 gland remain induiated ; and there be no obvious f urcc of 

 topical irritation, which we hope to get rid of by the gland 

 maturating ; we may then, with a defign of refolving the 

 induration, employ lightly (limulating means ; fuch as, dry 

 cupping, eltClrical fparks, volatile liniment, camphorated 

 oil, mercurial fridions, warm farinaceous poultices, and fo- 

 mentations, &c. At the fame time we fliouU! direit the pa- 

 tient to ule rather a generous diet, with warm clotiiing, and 

 moderate exercife. 



Si'pp )fe, however, that the difeafed glar.d goes on to a 

 ftate of fuppuration, which often will happm in fpite of all 

 the efiorts we can employ to obviate it ; a cueliion arifes, 

 when the pus has formed, whether or no the ahlcefs (liould 

 be opened ? Some furgeons advife us, in all caies, to leave 

 buboes to ihemfelves, to let them burft, and never interfere 

 with the natural proccfs. This conducfl, or ratlier negli- 

 gence, we do not wholly approve ; for it often occurs, that 

 the pus infinuates itfelf widely before it finds vent ; and it 

 then, perhaps, only oozes by httle and little, while the ficiii 

 remains loole, flaccid, and ur.healthy. On the other hand, 

 if a fix.ple incifion be made with a lancet through the fiiin, 

 the fore will not always heal readily, and the furgeon incurs 

 blame for not perfcfting what he began. 



The common rule to be adopted, and which we have ob- 

 ferved to be followed with the beit efFefts, is to let the tu- 

 mour break of itfelf, if it be fituated in the face or neck, 

 where we always wilh to avoid a fear ; but in other cafes to 

 open the abfcefs with a canllic, in preference to the knife, 

 lo as to deftroy a fmall circular portion of fcin. If the 

 gland underneath be very much indurated, and the fuppura- 

 tion does not foon come on kindly, nor the healing procefs 

 advance, we apply red-nitrated mercury, cither by itielf, or 

 mixed in fome ointment, every day, until the fore affumes 

 a more healthy afpetl ; Hill continuing the catapiafms, fo 

 long as the morbid hardnefs remain. See Caustic and 

 Absoess. Should the edges become callous and indolent, 

 not bei;.g difpofed to cicatrize, they may be now and then 

 touched with the caviltic, or with an efcharotic lotion. At- 

 tention muil be paid likewife to the patient's ordinary ftate 

 of health, and fuch a plan of condudl purfued, as may be 

 indicated by the exifting circumllances. 



Treatnwnt of the complicated Bubo. 

 A bubo may be dependent on another difeafe; and is 

 then to be confidcred not as a local or primary aljcdlion, but 

 as fymptomatic of the original malady, Buboes are ex- 

 tremely cinnmon, as a fyniptom of the venereal difeafe, 

 f^lague, fcrofula, m.cafles, &e. 



In the lues venerea, indeed, it but felriom (in comparifon 

 with other fymptoms) occurs as a fequel of the general con- 

 tamination, but mollly precedes it. The f) philitic infection 

 very frequently produces buboes in the lirlt iullance, before 

 the whole fyllem has been vitiated ; though, in fome few 

 cafes, thiii order is revtrfed. And, whenever wt LtLeve the 



vffnereal bubo to he r. primary or local diforder, unattended 

 with abforption of the virus, our treatment ftiould be much 

 more lenient and topical than in other cafes, where we fuf- 

 pcdl the contrary. See Lues Venerea, and Syphilis. We 

 arc perfectly conviuced, that great mifchicf has been done 

 by the indifcriminate and free ufe of mercury in venereal 

 buboes, efpecially if they have exillcd only a (hort time. 

 Innumerable fads prove that other means, beiides a courfe 

 of mercury internally, will cure venereal buboes ; and in par- 

 ticular we may appeal to the effeds produced by nitric acid, 

 as recently detailed by Dr. Rollo, Mr. Pearfon, Mr. Piatt, 

 Dr. Beddoes, and Mr. Blair. 



With reference to this fubjefl, and to fliew that a falivati'on 

 has not been univerfally regarded as neccflary for the cure of 

 fyphilitic buboes, we (hall quote the words of the medical 

 gentlemen of St. Thomas's hofpital, who thus txprefs their 

 opinion in a little work printed for the ufe of their pupils, 

 A. D. 1775- — " If the patient has a fuppurating bubo, you 

 (hould not only wait until it be fuppurated and opened, but 

 until it be fo near healing, that you may be furc it will be 

 cicatrized before the falivation be over. From a negleft of 

 this caution, you will Gimetimes have tedious, painful, and' 

 phagedenic fores remaining. Mercury will oftener exafperate 

 than difpofc them to heal." See General Rules in railing a 

 Salivation, &c. p. 4. 



Whatever be the nature of the difeafe which occafions 

 buboes to arife, we fhoiild principally direft our attention 

 to that difeafe, and not to the treatment of the local fymp- 

 toms. Confequently the remarks we have to offer on the 

 management of pellilential buboes, fcrofulous buboes, &c. 

 S:c. mull be rcferved for other articles in the Cyclopa:dia. 

 See Plague, Fever, Scrofula, and Measles. 



BUBON, in Botany, ( Bou/3a;v:o» Hippoc. and Diofcor. 

 from /Si>i;?OT, the gri:in, or a tumour to which that part is 

 liable, and which it was fuppofed to cure). I..in;i.. gen. 

 3-,o. Reich. 3S0. Schreb. 482. Willden. 546. G-^rt. 12. 

 Tab. 23. fig. 2. La Marck, PI. 194. JufT. 221. Ventenat 

 vol. iii. p. 19. Clafs and ordev peatam/ria cl'igynia. Nat. Ord. 

 umbellatit, Linn. umbelUfcrie, JufF. 



Gen. Char. Cal. Umbe! imivn-fal, of about ten rays, the 

 middle ones fliorter; partial, of from fifteen to twenty rays. 

 Involucre univcrj'al, of five leaves or more. Leaves lanceo- 

 late-acuminate, fpreading, equal, much fhorter than the 

 umbel, permanent ; partial with rather more leaves, of the 

 fame fhape, as long as the partial umbel. Perianth proper, 

 fcarccly vilible. Flowers all fertile, forming an uniform 

 umbel.^ Cnr. petals five, lanceolate, inflccled. Stam. fila- 

 ments five, fimple, as long as the petals ; ar.thers fimple. Pill. 

 germ ovate, inferior; (lyles two, briflle-fhapcd, permanent, 

 Icarctly the length of the corol, fpreading and reflefled ; 

 lligmas obtule. Pericarp, none ; fruit dividing into two, 

 crowned. Seeds two, ovate, fiat on one Cde, convex on the 

 other, filiated. 



Efl'. Char. Fruit ovate, ftriated. 



Species, j. B. maccdonicuin, Macedonian parfley. Linn. 

 Hort. Clif. 95. Biackwel, Tab. :;82. G»rt. Iruft. i. ic2. 

 Apium Mactdonicum. Bauh. Pm. i .■;4. Tourn. 305. Ray. 

 hill. 46J. N"" 4. Petrofclinum Macedonicum, Lob. Ic. 708. 

 Dod. Pcmpt. 697. Ger. 864. 2. f. i. cmac. iOl6. f. 2. 

 Park. 924. I. " Leaflets rhomb-ovate, deeply toothed ; 

 teeth acuminate ; umbels very numerous ; feeds rough with- 

 liairs." Biennial in its native climate, but in England it 

 ftldom flowers till the third or fourth year, and then dies. 

 Stent a foot and a half, or two feet high, cylindrical, with 

 numerous pubefcent, whitifh branches. Leaves fmooih, 

 pale green, refembling thofe of parfley, but with pubefcei.t 

 petioles; thofe. froa» the root gfowmg almoft hoiizontally,. 



fpreading 



