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For Lord Errols Children

The chincough appears very differently in children even of the same
family & according to the different circumstances, our practice is different.

When the disease comes on with violence, in children of a full habit
a bleeding may be useful; & is absolutely necessary in case of fever.
but large & repeated ones I have found generally hurtful, even
the fever continues & it is rather difficult of breathing the mere
fever, that leads me to repeat bleedings

The most useful in chincough is vomiting gentle but frequently
repeated. Ipecacuan the most proper. I repeat them every 3 or 4
days till a spontaneous vomiting at the end of coughing comes out &
then I think the disease is in a safe way & I avoid troubling the
children farther with vomits. The vomits will generally keep the
belly regular but if not, employ a gentle laxative.

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When the heart is much opressed, blistering the back necessary .
but blistering does not serve to interrupt the course of the disease,
therefore do not without necessity employ it.

No internal medicines of much service. No benefit from
Squills to compensate the sickness they occasiond and they
sometimes hurt by taking away the appetite.

The sweet, mucilaginous & oily Pectorals of no service, and
clog the stomach --

When the cough is frequent during the night & prevents sleep, if
at the same time there is little fever, great benefit to be
got from an Opiate at bedtime, especially after a
vomit in the Evening.

This disease takes its course in spite of all attempts
to shorten it, therefore except in unusual or violent
symptoms, should do little & in grown up children, is
is generally a safe disease & must be allowed to take its course.

One remedy I have after employed with advantage, that
is Bark. When the disease is attended long with fever &
that periodical, come on at night, & remitting in the morning, I give them
with bark I can get them to take, morning & forenoon. When
the disease lingers long, without fever but seems to waste
the childs flesh & strength, the Bark in due quantity will put
an end to the disease. ----------------------