If the pain is violent, let the patient use the following medicine.
_Take sweet Spirit of Nitre_ (D) _twenty drops; Spirit of Wine and Camphor_ (A) _ten drops; Fever Powder_ (L) _one scruple; mix it up with sugar and water into a draught._
Let the patient take this every six hours; if there is a great nausea at the stomach, a small vomit of twelve grains of _Ipecacuanha_, (S) may be given first, notwithstanding it is great pain to the patient; and I have often known it productive of great good, and laid the first foundation to a successful cure.
If the pain still continues, twelve drops of _liquid laudanum_ (T) may be added to the above draught; No. XLI. If the spirits of the patient is low, give the _essential oil of Peppermint_ (U) to the quantity of three or four, or six drops upon a lump of sugar, either put, into the draught above-mentioned, or give it by itself occasionally.
To the inflamed side, warm cloths may be put wrapt up with a hot made trencher, brick, a bag of sand, or whatever will retain heat; as that will greatly facilitate the internal resolution.
Perspiration is the principal object to be considered in this acute disease, and should therefore be promoted; but every thing forcing that produces profuse sweats should be avoided, as that only encreases the fever.
If the patient is very restless, the fever depressed, and greatly oppressed in respiration, blisters may be applied; but if the patient can do without them, it is much better; as they very often are apt to encrease the inflammation.
Cooling clysters, No. XXXII. which at the same time promote urine, is of singular service; and in every respect methods must be taken, as have been directed in fevers, and the ulcerated sore throat; as all these inflammatory diseases are of one nature, and require almost one method of treatment. For farther particulars on this head, see my treatise on diseases of the lungs.
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_Of Diseases of the Bowels, and the Alimentary Canal_
Diseases of mankind under this head are very numerous indeed; which are for the most part owing to their deviating too much from the common path of nature. But besides all this, seamen are particularly liable; not so much indeed on account of luxury as the confined diet, and the different climates they visit.