James Batcheller Medical Notebook - "Extracts from Doct. Mussey's Lectures delivered at Hanover", 1816

(30) "Morbid excitement" "healthy point" an unmeaning terms used by Dr. Rush - mentioned the circumstances noted by Dr. Cullen from which to from our prognosis - 1^st Nature of the Epidimis, 2^nd Nature of the remate cause - 3^rd Season [&amp] climate 4^th Degree of Excitement 5^th period of the disease - (1 age of the p^t - 7^th Diseases ^pt has been subject to - 8^th apprarann of the blood - 9^th Effects of bloodletting that may have been and - General bloodletting is a powerful ereacicant debilitates the system - object of bloodletting shouto be to prevent the determination to particular parts - local bloodletting cup -

(31) ping, leeches on the temples usefull, should be more used, blisters to the ancles or back of the neck - formentations better than than general bleeding in continued fever - Tart. Ant - Gr. 1/24 in 2 hours doubled, dissolved with sugar [&amp] water given for 3 or 4 days- if no benefit then - omit it -

12.. L.. On the use of Blisters -Diversity of opinion - some think irritation on the surface outs as counter irritation, lessening the irritation internally - bad practice, rather increases irritation, [near prove] fatal - Blister on the nape of the ceck or forewardhead good, relieves pain of the head, if the extremities are cold a pair of Blisters to the wrists or ancles - Some think

(32)

Blister on the forehead causes Delirium, they might have been deceived. A P^t delireous was cured by blistering the scalp -- Local tendencies treat may often be obviated by less troublesome remedies, and cold water, fomentations, vol. liniment relieves the pain Mercury less used in con tinued fevers than 10 or 15 yers ago - free use of Calo mel or mecurial friction often produces a worse disease than the one intended to cure Calomel with Rhei a Jalap may be given at the commencement of fever as a cathartic "Soreness of the mouth will save the P^t" was a maxim - but I have found it incorrect - The bad effects of mercury on certain

(33)

constitutions are permanent; its effect on the teeth is known to all - Calomel combined with opium exhausts the P^t - Opium may be and sparingly in latter part of fever, 6 or 8 drops with wine every 2-3 or 4 hours. Drinks cold water if heat, thrist, driness of the mouth and tongue privail - apple water is a pleasant drink - lemon juice and water or Tam., - Barley water, - Carbonate of Potash dissolved in water taking vinegar or lemon juice immediately after it - Soda water relieved thirst - water charged with carbonic acid is slightly febrifuge - Ardent spirits prohibited till fever subsides as wine cider [&amp] -