SECT. IV.

_Of Promiscuous Disorders._

Having thus treated on the most material ailments that want immediate

assistance, I shall in this section consider promiscuous disorders, that

have no relation to each other; but set them down as they occur to my

memory.

_Of the Tooth-Ach._

Those who have experienced the tooth-ach, best know how much they have

wished for ease. No man can preserve attention to his affairs, who has

bodily pain; and a severe tooth-ach is enough to disturb both body and

mind.—But what is to be done?

Tooth-achs are of two kinds;—It may either proceed from cold, or from a

decayed tooth, or from both. If the tooth is decayed, the sooner you

have it out the better; but if your tooth is sound, then it is as

unreasonable to draw it, as it would be to sling you over board, because

you feel the pain. In regard to drawing the tooth, take this direction.

_To draw a Tooth._

Observe first, what tooth it is; and shift the hook on the key

instrument accordingly. Ordinarily the hook is to be inside, and the

comb outside. When this is adjusted, wrap a little rag on the comb of

the key, so that it may bear a little softly on the gums.—Then seat the

patient steady on a chair or chest, (and if he is a coward, let somebody

hold his hands, but a man of spirit will not want this officiousness)

place yourself right before him—then fix the instrument on the tooth,

the hook inwards, and the comb outwards; the hook on the tooth close to

the gum, pushed a little towards the jaw bone, and be careful that you

have hold but of one tooth, and the right one.

When your instrument is fixed as gentle as possible, without giving

pain, (for if you fumble too long, and give pain, you intimidate the

patient) I say then, when you have fixed your instrument properly on all

sides, so that you have the condemned tooth, and no more; then shift

your hand so, that you may have a good and firm hold, allowing for the

turning of your hand.—Thus being ready, give your hand a gradual, and

steadfast turn, and wrench the tooth out of its socket. In this you must

be calmly resolute, neither spare your strength if requisite, nor let an

untimely compassion get the better of your duty; but keep your hold till

you have performed the operation. When the tooth is out of its socket,

it will sometimes hang a little by the gum; introduce your fingers, and

they may nimbly perform the rest if requisite.—It will sometimes happen,

especially by the grinders, that a little of the jaw bone follows,

sticking to the tooth;—let this not frighten you, it is sometimes

impossible to avoid it; but not to frighten the patient with it, pick it

off before he perceives it.

The moment the tooth is out, introduce your thumb and fore finger, and

compress the socket of the drawn tooth; by which you replace every thing

in order again; and after which, one dram of good old stingo, for

washing the mouth, and another for comforting the heart, will make the

patient forget all the pain he felt in the operation.

This method is certainly the most substantial for the tooth-ach. But

sometimes this is not practicable, either because that the stump is so

rotted as not to suffer a hold; or that none on board are intrepid or

capable enough to perform the operation; in this case a Palliative will

be very acceptable.—_Turlington’s Balsam_ (W), upon a little lint put

into the hollow tooth will frequently give ease, a _little Spirits of

Wine and Camphor_ (A), or if very raging, a _little Liquid Laudanum_

(T). But as I have said, they are only palliatives; and neither spirits,

or any thing else can be depended upon for a certainty. Sometimes

stopping up the hollow tooth with wax, with lead, or sometimes putting

in a little saltpetre will give ease—each method may do, and each method

may fail: so that sometimes if the tooth is not extracted, all powerful

_Patience_ at last must step in and prove the best doctor, till nature

recovers, and comforts the patient with the balm of Ease.

Very frequently a cold occasions this troublesome pain; in which case

the head should be well muffled up, in order to bring on a perspiration,

and a blister behind the ear also of singular service—rubbing the face

also with some _spirits of wine and camphor_ is of great benefit, and

attention should be had, if there be any fever in the system.

_Of sore Eyes_.

Bad weather sometimes will effect the eyes, whence they will become raw

and blood shot; which ought to be remedied in time, in order to prevent

further inflammation. In this case make the following eye water.

The Seaman's Medical Instructor In a Course of Lectures on Accidents and Diseases Incident to Seamen · 第 115 / 175 题