Diseases > Domestic medicine

DOMESTIC MEDICINE. 260
There is often a slight degree of delirium, and the
face frequently appears bloated, and the inside of the
nostrils red and inflamed. The patient complains of
a disagreeable putrid smell, and his breath is very
offensive.
The putrid, ulcerous sore throat may be distinguished
from the inflammatory by the vomiting and looseness
with which it is generally ushered in ; the foul
ulcers in the throat, covered with a white or livid
coat; and by the excessive weakness of the patient,
with other symptoms of a putrid fever.
Unfavourable symptoms are, an obstinate purging,
extreme weakness, dimness of the sight, a livid or
black colour of the spots, and frequent shiverings,
with a weak, fluttering pulse. If the eruption upon
the skin suddenly diappears, or becomes of a livid
colour, with a discharge of blood from the nose or
mouth, the danger is very great.
If a gentle sweat break out about the third or
fourth day, and continue with a slow, firm, and
equal pulse ; if the sloughs cast off in a kindly
manner, and appear clean and florid at the bottom ,
and if the breathing is soft and free, with a lively
colour of the eyes, there is reason to hope for a
! salutary crisis.
Regimen.—The patient must be kept quiet, and
for the most part in bed, as he will be apt to faint
when taken out of it. His food must be nourishing
and restorative ; as sago-gruel with red wine, jellies,
strong broths, &c. His drink ought to be generous,
and of an antiseptic quality ; as red-wine negus, white
wine-whey, and such like.
Medicine.—The medicine in this kind of quinsey
is entirely different from that which is proper in the
inflammatory. All evacuations, as bleeding, purging,
&c. which weaken the patient, must be avoided.