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you dip a linen cloth, and apply it to the part affected. The fame method may be used with warm red wine, vulnerary water, or camphorated aqua vita; or make a liniment of equal parts of wax, oil, and venice turpentine; or, make it of bay-oil, honey, and turpentine, which is an excellent ointment for Chilblains. If the inflammation be more confiderable, put fome oil of roses into a large raddish, bake it under the afhes, and apply this pulpous matter afterwards to the If the part be ulcerated, apply the preceding remedies to the circumference of the ulcer, and the plaifter of ointment of tutty, the plaifter of cerufs, the mucilage plaifter, or that of diapalma to the ulcer, Let the patient walk little or none, wear no fhoes, and let him, as we have abovementioned, induftriously avoid the cold.

tumour.

CHAP. VIII.

Of the TUMIFIED GLANDS of CHIldren.

CHILDREN are fubject to tumours of the conglobate lymphatic glands of the groins; but especially of the neck, &c. fo

that

that the obftructed glands of the groin frequently hinder them from walking, or render it very painful; and the obstruction of the axillary glands impedes very much the motion of their arms.

The common people, nay fome furgeons, are fo prejudiced, that they erroneously attribute these tumours to the infant's growth, of which they affirm these obstructions to be ufual figns. But if this was true, these glands would augment and decrease according to the different ftages of growth; the infants alfo would grow whilft they are fubject to them, and they would have no other bad confequences. On the contrary, fuch children frequently remain dwarfs all the days of their life, or their bulk and stature is at least diminished, while they have fuch tumours; nay, the glands are fometimes obftructed to fuch a degree, as to become phlegmonous. Wherefore, the most genuine cause of this evil is the fpiffitude of the lymph, which fo obftructs and diftends these glands, as to make them comprefs the capillory arteries, and by that means induce inflamation. The great cold, to which the feet are more particularly expofed, infpiffates the afcending lymph, and difpofes it to obftruct

the

the glands of the groin; the fame thing may be faid of the lymph of the head, &c. when the lymphatic glands of the neck, or axillary glands, are obftructed. That this fentiment is juft, appears manifeftly from the numerous obstructions of glands in the winter, especially if it be intenfely cold, as was the last in 1740. Supperated Chilblains likewise infpiffate the lymph, and render it more acrimonious by the mixture of the purulent matter which is abforbed. The purulent disorders of the head, for the fame reasons, give rise to the obftructions of the glands of the neck, &c. Too much exercise, particularly hard walking, through the continual expreffion and rapidity of the circulation of the lymph, fo fills the glands, as to obftruct them, and for this reafon, we obferve, that children who over-walk themfelves, have the glands of the groin very much fwelled the day following.

Nothing confiderable is to be remarked in the fymptoms, diagnoftics, and prognoftics of this disorder.

CURE. These glands are easily diffipated by fufficient reft and tranquility. If this proves unsuccessful, let them be rubbed

with oil of chamomile, and kept warm;

or let the patient receive on the affected parts the fume of rosemary, amber, or cotton perfumed with the fame things. Let him drink plentifully of the infufion of tea, or vulneray plants, in order to dilute his lymph. If the evil be too obftinate and confiderable to yield to these methods, employ bleeding, the mucilage plaifter, or one prepared of the crumbs of bread. But these remedies are not commonly neceffary.

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CHA P. IX.

Of the EXCORIATIONS of INFANTS.

TH

HE two preceding diforders are incident to children from four to fourteen years of age; but the prefent only while they are in their fwadling cloths. Thefe excoriations are moft frequently obferved about the pofterior parts of the infant's ears, &c. an acrid thin humour firft flows from the

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excoriation. This gives room to Rhagades in the fame place; from thefe flows a corrofive purulent fanies. more fubject to this evil,

This part is the because it is fur

nished

nifhed with a great number of febaceous glands, which emit fo much humour, that it forms a cruft thereon, ftops perfpiration, and renders the humours more corrofive. The evil is promoted the more, because the infant cannot move his head, being obliged to keep it in the fame attitude by the feveral bandages and other things used in dreffing him.

CURE. Slight excoriations of this kind hardly deferve to have their cure attempted, on the contrary, they should be encouraged to give free iffue to the infant's acrid and fuperfluous humours. But if they be confiderably inflamed, and the patient restless, &c. foment them with the waters of balm and marsh-mallows. If thefe are ineffectual, add powder of tutty, or lytharge; or make an ointment of one or other of these Powders, with oil of sweet almonds. If the cavity of the ear be attacked with a burning heat from the quantity and acrimony of the Cerumen, rub it off, and wash the part with the above waters. But if this be neglected, and the partis excoriated, through thefe faults of the Cerumen, employ: fome anodyne remedies, as oil of fweet almonds,

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