Thomas Chadbourne - Lecture Notes

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Vault Smith /. 25 50 Thomas 75

Notes taken from Dr Smiths lectures. - [1815?]

Diseases are naturally divided into general & local. They are again divided into those affecting the [sanguiferous?], Absorbent, Bron Bronchial, [Chils-portis?], Nervous, Urinary Lymphatic, Cellular, [Loio-motive?] systems; to which may be added the system of bones. - Each of these systems in which the human body is naturally divided is subject to peculiar diseases & require a particular mode of treatment. In administering to the cure of diseases we first try to find the [sort?] of the disease, we examine the state of each of [each?] of the systems in sumission. If we fine a strong, full & regular pulse, the disease is not in the [sanguiferous?] system: Should the powers & facultiies of the mind be unimpaired we are satisifed the nervous system is not affected. should we find the digestive organs in a healthy action, no flatulence nausia

[??], we think the disease is not in the Chylo[portis?] system, should we find any signs of strangury, [where?] high coloured & in small quantity or otherwise deviating from the healthy standard, we suspect the [sort?] of the disease to be in the genital system, & administer [midwine?] having a peculiar action on that system. The Sanguiferous system includes the heart arteries & veins. Inflammation is the most simple affection of this system, & is divided into two kinds, [Emsiphilatous?] & phlegmonous. The former is [sorted?] superficially & attacks the skin, the latter the cellular substance & [dupsiated?] parts. - Emsiphilatous inflammation begins with a slight redness of the part & gradually extends more or less over the surface of the body & is peculiarly liable to terminate in gangrene. All wet appli -cations (except the fermenting poultice) I believe are hurtful in this disease. Dry [?rower?] or any absorbent powder sprinkled on the part, or what perhaps is bitter, [bath?] of wool filled

[...] flower applid to the heart - is all that is need-ful. If the inflammation runs[?] high bleed-ing may be necessary. Should blood spot appear & [?? ????] gangrene we apply the fomenting poultice meds as follows. -

Ry - Any quantity of benly, boil + thicken with flower, then then spread on a cloth about one inch thick, then add quart to the surface of the poultice to pro[duce] fermentation, & apply it about blood [warm?]. -

This should be kept on about on about [12 or 17] hours, during which time on abundance of [carbonie] and gas will be [evolved]. I have an idea that blisters would be an useful application in this course in order to under a new action in the heart.

Phlegmonous inflamation is deeper[] not so apt to [terminate] in gangrene, but usually by [seperation?] or resolution. Sugar of [???] has long been a favourite remdy for inflammation but I think it very seldom does any good, & very often