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KINGS  COLLEGE  LONDON 


ESSAY 


ON  THE  MSR£  COMMON 


WEST- INDIA  DISEASES. 


AN 

ESSAY 

ON  THE  MORE  COMMON 

tTEST-INDIA  DISEASES i 

AND  THE 

REMEDIES  WHICH  THAT  COUNTRY  ITSELF 

PRODUCES : 

TO  WHICH  ARE  ADDED, 

SOME  HINTS 

ON  THE 

MANAGEMENT^  ^c.  OF  NEGROES. 


By  JAMES  GRAINGER,  M.  Di 


THE  SECOND  EDITION; 

WITH  PRACTICAL  NOTES,  AND  A  LINNiEAN 

INDEX, 

Bt  WILLIAM  WRIGHT,  M.  D.  F.  R.  S. 

PHYSICIAN  TO  HIS  MAJESTy's  FORCES. 


Nulla  in  re,  proprius  accedunt  homines  ad  Deos,  quim  falutem  ho- 
minibus  dando.  Cicero. 


EDINBURGH  : 

PRINTED  FOR  MUNDELL  &  SON,  AND  LONGMAN  &  REES,  LON0O«. 

1802. 


ADVERTISEMENT. 


Xhe  firfl  edition  of  the  following  EfTay  wa^ 
printed  in  London,  for  Becket  and  De 
Hondt,  bookfellers  in  the  Strand,  in  8vo, 
1764,  without  the  author's  name;  but  it  is 
well  known  to  be  the  produdion  of  Dr. 
James  Grainger,  the  celebrated  author  of 
THE  Sugar  Cane,  and  other  ingenious  per- 
formances, who  fettled  as  a  phyfician  in  the 
ifland  of  St.  Chriftopher's  in  1759,  where  he 
acquired  great  reputation  in  his  profeflion, 
and  died,  univerfally  regretted,  in  1767. 

Much  praife  is  due  to  Dr.  Grainger  for 
the  liberal  pains  he  has  taken  in  the  Notes 
to  his  admirable  Weft-India  Georgic,  to  en- 
large the  knowledge  of  the  medicinal  vir- 
tues of  the  indigenous  plants  of  the  Weft- 


t    vi  ] 

•Indies.  The  fame  commendable  proofs 
of  his  fkill  and  judgment  in  his  profef- 
fion  appear  ^i^  this  fhort  EfTay,  which, 
though  written  in  a  plain  and  popular 
ftyle,  has  been  defer vedly  very  highly  e- 
fteemed,  both  in  England,  where  it  was 
printed,  and,  as  might  be  expeded,  mote 
particularly  in  the  Weft-Indies.  Although 
it  Was  principally  intended  for  the  ufe  of  the 
owners  and  managers  of  flaves  in  the  Sugar 
Iflands,  yet  I  know  the  phyficians  and  fur- 
geons  in  that  country,  have  profited  much 
by  it,  both  in  the  knowledge  of  the  difeafes 
of  the  Negroes,  and  of  the  indigenous  re- 
medies ;  in  which  refpeds  it  is,  in  my  opi^ 
nion,  an  excellent  model  for  a  more  fcienti- 
fic  and  general  treatife  on  tropical  difeafes, 
efpecially  among  the  Blacks. 

The  firft  edition  of  this  humane  and  fen- 
fible  Trad  having  been  long  out  of  print, 
and  a  new  edition  being  much  wanted,  it 
was  recommended  by  Dr.  Percy,  the  pre- 


r  vii,  ] 

fent  refpedable  Bifliop  of  Dromore,  an  in- 
timate friend  of  Dr.  Grainger's,  to  be  in^- 
ferted  in  the  colleded  edition  of  his  poetical 
v/orks,  now  printing  here  in  two  volumes 
fmall  8vo,  under  the  fuperintendence  of  Dr. 
Robert  Anderfon,  as  a  valuable  Appendix  to 
THE  Sugar  Cane.    In  this  recommendation, 
General  Melville,  another  refpeclable  friend 
of  Dr.  Grainger's,  concurred;  but  Dr.  An- 
derfon hefitated  concerning  the  propriety  of 
affociating  a  medical  treatife,  of  a  popular 
nature,  with  his  poems  j  and,  thinking  it 
would  be  more  extenfively  ufeful  as  a  fepa- 
rate  publication,  devolved  upon  me  the  tafk 
of  fuperintending  the  prefent  edition,  which 
I  very  willingly  and  difintereftedly  under- 
took, from  a  delire  to  oblige  Dr.  Grainger's 
friends,  and  to  co-operate,  however  Httle, 
with  my  learned  and  ingenious  countryman, 
in  promoting  the  knowledge  of  the  difeafes 
of  the  Negroes,  and  the  virtues  of  the  indi-r 
genous  plants  of  the  Weft-Indies. 


[    viii  ] 

For  that  purpofe,  and  with  a  view  to  cor- 
red:  feme  incidental  miftakes,  and  to  fur- 
nifh  fuch  additional  information  as  my  local 
knowledge  and  experience  may  have  enabled 
me  to  fupply,  I  have  fubjoined  to  the  fcveral 
fedions  of  the  Eflay  a  few  Pradical  Notes  and 
Obfervations,  and  added  a  Linnsean  Index  of 
the  plants,  animals,  and  infeds  mentioned 
in  it,  which  I  hope  will  be  acceptable  to  the 
Public  at  large,  and  particularly  to  gende- 
men  refiding  in  the  Weft-Indies,  whether 
planters  or  phyficians. 

William  Wright. 

Edinburgh,? 


to 

IDANIEL  MATHEW,  Esq, 


The  following  Eflay,  which  is  written  oii  a 
fubjed  of  the  utmoft  importance  to  the  Weft- 
Indies,  I  beg  leave,  Sir,  to  addrefs  to  you ; 
both  as  it  affords  me  a  pleafing  opportunity 
of  recommending  to  others  that  diftinguifli- 
ed  humanity  wherewith  your  Negroes  have 
ever  been  treated,  and,  in  particular,  of  ex- 
prefling  the  high  regard  with  which  I  am, 

Sir, 

Your  moft  obliged, 

and  very  humble  feryant, 
THE  AUTHOR, 


CONTENTS, 


Page 

Preface,  -  -  -  i. 


PART  I, 

Of  the  Choice  of  Negroes,  -             "  7 

PART  II. 

Of  the  Treatment  of  Infants,  -  IS 

Of  Chigres  or  Chigoes,  -              -             a  I 

Of  the  Itch,                -  -              -  22 

Of  Coughs,              '  ^             '  2^ 

Of  Worms,            -  -  25 

Of  Fevers,             •             -  -  39 

Fluxes,              -           -  "  33 

Of  the  Lax  or  Diarrhoea,  -             -  40 

Dry  Belly- Ach,              -  -              -  41 

Tetanus,              -             -  -            -  44 

Of  the  Dropfy,             -  "             -  45 

Cholera  Morbus,          -  -  48 

Vomiting,               -              -  50 

Malignant  Sore  Throat,  r             -  51 

Of  the  Liver  and  Spleen  preternaturally  fwelled,  53 

Pain  in  the  Stomach,              -  "55 

Gout,  Gravel  and  Diabetes,  -            -  56 

Fluor  Albus,             -  -             -  59 

Rheumatiffn  and  Sciatic,         -  -1  6p 


[  ^ii  1 

Heart-Burn,  -  -  -  6a 

Ringworm,  -  .  , 

Of  Coftivenefs,  -  -  « 

PART  III. 

Leprofy,  .  -  -         -  68 

The  Joint-Evil,  -  .  _  . 

Elephantiafis,  .  -  - 

Yaws,  -  -  -  ,  ibid. 

Of  the  Ny£lalopia,  -  -  - 

Of  the  Guinea  Worm,  •-  . 

Ruptures,  -  -  -  -  8o 

Of  Burns,  &c.  -         -  -  -  8^ 

Of  Ulcers  about  the  Ankles,  -  -  84 

PART  IV. 

Of  Sick  Houfes,         -         -         -  . 
Conclufion,  -  -  -  - 


ERRATA. 

21.  1. 1,  in  Note.  For  Pulex  minimus,  read  Pulex  p 

22.  1.  Jl.  For  Roucon,  rf^i/ Rocou. 


PREFACE. 


It  has  often  been  matter  of  aftonifhment  to 
me,  that  among  the  many  valuable  medical 
tradls  which  of  late  years  have  been  offered 
to  the  pubUc,  no  one  has  been  purpofely 
written  on  the  method  of  feafoning  new  Ne- 
groes, and  the  treatment  of  Negroes  when 
lick ;  and  yet  the  importance,  if  not  the  dig- 
nity of  fuch  a  work,  muft  appear  obvious  to 
all  who  are  in  the  lead  acquainted  with  the 
Weft  Indies  :  For  it  is  a  melancholy  truth, 
that  hundreds  of  thefe  ufeful  people  are  year- 
ly facrificed  to  miftakes  in  thefe  two  capital 
points.    To  fupply  this  defedt,  as  far  as  in 
me  lies,  and  to  enable  thofe  who  are  intruft- 
ed  with  the  management  of  Negroes,  to  treat 
them  in  a  more  fcientifical  manner  than  has 
hitherto  been  generally  pradtifed,  is  the  prin- 
cipal delign  of  the  prefent  EfTay.  It  is  there- 
fore wholly  diverted  of  the  parade  of  learn- 
ing, being  purpofely  written  with  as  much 
fhortnefs  as  was  confiftent  with  perfpicuity., 

A— 


[    ii  ] 

The  more  efFedually  to  attain  thefe  ends^ 
I  have  divided  the  performance  into  Four 
Parts. 

In  the  First,  after  giving  fome  hints  on 
the  choice  of  new,  or  falt-water  Negroes  as 
they  are  called,  I  briefly  expofe  the  prepof- 
terous  methods  made  ufe  of  by  fome  in  fea- 
foning  them  ;  and  recommend  fuch  other 
methods  as  experience  has  taught  me  will 
moft  commonly  not  difappoint  the  planter. 

The  Second  Part  treats  of  thofe  difeafes 
whereunto  the  Blacks  are  moft  expofed  in 
the  iflands  ;  and  points  out  fuch  medicines 
as  the  country  affords  for  their  removal.  As 
this  is  of  the  lafl  importance  to  the  owners 
of  Slaves,  plantations  being  often  far  remov- 
ed from  medical  afliflance,  I  have  attempted 
to  make  the  directions  in  this  Part  fo  ex^ 
plicit,  that  a  common  capacity,  with  proper 
attention,  will  be  thereby  enabled  to  fave 
many  valuable  lives ;  a  circumftance  not  lefs 
profitable  to  the  owner,  than  pleafing  to  hu- 
manity. This,  therefore,  if  tolerably  exe- 
cuted, camiot  fail  of  being  eminently  ufeful 


dt  this  time,  when  the  demand  for  Negroes, 
on  account  of  our  new  acquifitions  in  Ame- 
rica, mull  become  annually  greater.  Slaves 
from  Africa  already  fetch  an  exorbitant 
price  ;  but  more  purchafers  mufl  neceffarily 
inhance  their  value  :  of  courfe,  upon  a  prin- 
ciple of  profit,  they  deferve  the  utmoft  at- 
tention of  the  mafter  ;  and,  on  motives  of 
honefty,  that  of  the  manager  or  overfeer. 

> 

In  the  Third  Part,  fuch  diflempers  as 
^Tiore  peculiarly  afFed  the  Negroes  are  takeil 
notice  of.  Among  thefe,  the  leprofy  is  the 
moft  dreadful,  for  which  no  remedy  has 
hitherto  been  difcovered,  and  which  con- 
tinues to  fpread  its  ravages  daily,  to  th^  dif- 
grace  of  art,  and  detriment  of  the  planter. 
I  am,  however,  ftill  of  opinion,  that  the  Al- 
mighty has  not  left  us  without  a  cure  for 
this  difeafe,  and  perfuade  myfelf  it  is  to  be 
found  among  the  vegetables  of  the  torrid 
zone.  Indeed,  too  little  attention  has  been 
hitherto  paid  to  this  important  branch  of 
tnedical  hiftory.  The  iilands  contain  innu- 
merable m^edicines  of  high  efficacy,  not 
knowii  in  Europe  j  and  doubtlefs  a  much 

A  2 


t  ^v  I 


greater  number  ftill  remain  to  be  inveftigat- 
ed  by  future  inquiry*.  Such  difcoveries, 
however,  are  not  to  be  expelled  from  the 
gentlemen  of  the  faculty.  Their  time  muft 
neceflarily  be  devoted  to  the  calls  of  their 
profeffion,  as  few  of  independent  fortunes 
go  to  pradlife  in  the  Weft  Indies ;  and  yet 
phyficians  are  the  only  perfons  who  are  qua- 
lified for  this  momentous  employment  It 
would  therefore,  perhaps,  well  become  the 
wifdom  of  the  legiflature,  to  enable  thofe 
gentlemen  to  devote  a  part  of  their  time  to 
thefe  ftudies ;  as  whatever  means  tend  to  al- 
leviate the  maladies  of  human  nature,  can- 
not  be  too  commonly  known,  or  rendered 
too  numerous.  Premiums  are  daily  beftow- 
ed  for  improvements  in  agriculture,  &c.  but 
no  rewards  have  ever  been  offered  for  difco- 
veries in  the  Materia  Medica ;  as  if  every 


*  The  Writer  of  the  Notes  on  this  Eflay  has  explored 
almoft  the  whole  Ifland  of  Jamaica,  at  his  own  expence, 
and  has  made  many  important  difcoveries  amongft  the 
plants.  Such  as,  the  Cinchona  Carrib?ea,  or  Jefuits  bark  of 
Jamaica — Croton  Eleutheria,  or  true  Cafcarilla  bark  tree — 
Cabbage  bark  tree — Quaflia  excelfa  (QualTia  of  the  (hops) 
— Quaflia  Simaruba,  &c. 


[     V    ]  . 

art  was  more  necefTary  than  phyfic,  and 
every  objed  more  confiderable  than  the 
health  of  the  community.  And  yet  fuch 
difcoveries  would  not,  like  many  others,  be 
confined  in  their  influence  to  one  nation 
only  :  The  world  would  reap  the  advantage 
of  them,  for  the  world  is  interefted  in  the 
improvement  of  medicine;  and  the  palms 
which  might  be  gathered  by  Britons  in  fuch 
purfuits,  would  be  more  lailingly  honoura- 
ble than  the  laurels  of  their  conquefls. 

In  the  Fourth  and  laft  Division,  I  make 
fome  obfervations  on  the  food  and  clothing 
of  Negroes ;  the  fick  houfes  where  they  are 
confined  ;  and  mention  a  few  important  me- 
dicines, for  which  fuccedaneums  are  not  to 
be  found  in  the  iflands,  and  which  no  plan- 
tations ought  ever  to  be  without. 

Upon  the  whole,  I  flatter  myfelf,  thisfmall 
trad  will  be  of  real  fervice  to  the  Weft  In- 
dia practitioners,  as  well  as  to  the  owners 
and  managers  of  Negroes,  fince  I  have  re- 
commended no  means,  whofe  efiicacy  I  have 
not  experienced.    Let  it  not,  however,  be 

A3 


[    vi  ] 

imagined,  that  the  precepts  contained  there- 
in, will  qualify  unmedical  readers  to  cure 
their  fick  Negroes  without  proper  medical 
s^ffiftance.  Such  pretenfions,  in  any  writer, 
would  be  the  height  of  empiricifm.  All 
that  I  mean  is,  that  thofe  who  have  the  ma- 
nagement of  flaves,  and  will  give  themfelves 
the  trouble  to  confult  this  EfTay,  will  not 
henceforth  be  fo  much  at  a  lofs  how  to  treat 
the  difeafed,  till  proper  advice  can  be  called 
in,  as  they  have  hitherto  been.  Yet  for- 
want  of  this  knowledge  in  managers,  I  have 
often  obferved  the  moil  fatal  confequences 
enfue. 

To  conclude,  if  this  performance  fliall  pro- 
duce the  faliitary  effeds  for  which  only  it 
vyas  written,  I  fhall  think  my  leifure  well 
employed  ;  for  though  the  difeafes  of  Blacks 
are  its  primary  objed,  Ho?no  fum  et  humani 
nihil  a  me  alicnum  puto. 


AN 


ESSAY 

ON  THE 

MANAGEMENT  AND  DISEASES 

0  F 

N  E  Q  R  0  E  S. 


PART  I, 

Of  the  Choice  of  Negroes, 

The  different  nations  of  Guinea  are  not  only 
very  different  in  their  manners  and  paffions,  but 
from  the  conftitution  of  their  native  cHmates,  are 
fubje6t  to  a  variety  of  different  diforders.  Thus 
the  Gorman  tees,  who  are  a  brave  and  free  people 
at  home,  cannot  fubmit  to  the  unavoidable  feve- 
lities  of  bondage  ;  while  the  Minnahs  are  too  apt 
to  deflroy  themfelves  upon  the  leaft,  and  even 
without  any  provocation.  Again,  the  Negroes 
from  Mundingo  have  worms,  almoft  all  of  them  ; 
■yvhile  thofc  from  Congo  are  very  liable  to  drop.- 

A4 


r  8  ] 


iical  indifpolitions.  For  thefe  reafons,  one  fliould 
be  cautious  not  to  purchafe  the  natives  of  thofe 
countries ;  or  if  planters  are  under  a  neceflity  of 
buying  fuch,  the  young  only  fhould  be  purchaf- 
ed. 

In  the  Ibbo  country,  the  women  chiefly  work  ; 
they  therefore  are  to  be  preferred  to  the~men  of 
the  fame  country  at  a  Negroe  fale  :  and  yet  there 
is  a  great  rifk  in  buying  women ;  for,  from 
their  fcantinefs  of  clothing  in  their  own  coun- 
try, not  to  mention  other  reafons,  they  often  la- 
bour under  incurable  obftru6tions  of  the  menfes, 
whence  proceed  barrennefs,  and  many  diforders. 

It  is  fcarce  necelTary  to  obferve,  that  the  heal- 
thy only  fhould  be  chofen.  The  marks  of  health 
are  a  glofly  fleeknefs  of  the  Ikin,  unfpotted  and 
without  breakings  out ;  their  eyes  fliould  be 
clear,  tongue  red,  chelt  open,  and  belly  fmall. 
They  fliould  have  the  free  ufe  of  all  their  limbs  ; 
and  if  not  much  paft  fifteen,  fo  much  the  better 
for  boys ;  but  girls  Ihould  only  be  twelve  years 
old,  or  younger. 

When  brought  to  the  plantation,  the  new 
■^egroes  fliould  forthwith  be  clothed,  and  put 
under  the  care  of  fome  fober  elderly  perfon, 
if  poflible,  from  their  own  country,  who  mufl: 
be  anfwerable  for  their  having  their  food  regu- 
larly given  them.  Their  food  fliould  be  as  little 
different  from  what  they  eat  at  home  as  may 


L   9  ] 

be;  and  this  muft  be  learnt  from  their  coun- 
try folks. 

In  general,  it  is  not  amifs  to  have  new  Negroes 
blooded ;  but  the  quantity  fliould  never  exceed 
fix  ounces,  even  from  the  ftouteft.  Vomits  of 
thiftle-feed,  or  rather  caftor  oil  purges  are  more 
extenfively  ufeful ;  but  above  all,  a  decodion  of 
worm-grafs,  clarified  with  lemon  juice,  or  cow- 
itch  fheathed  with  melafles,  fhould  be  adminifter- 
ed,  and  repeated  twice  a  week,  for  the  firft  fix 
weeks.  The  dofe  of  the  worm-grafs  decodion 
ought  at  firff  to  be  fmall.  Half  an  ounce  of  that 
plant,  if  frefti,  and  fix  drachms,  if  dried,  will  im- 
pregnate a  quart  of  water  with  its  virtues ;  and 
of  this  a  gill  is  a  fufficient  quantity,  at  firfl:,  for  a 
grown  Negroe.  The  fame  attention  is  not  re- 
quired in  dofing  the  cow- itch  ;  I  never  knew  it 
produce  any  untoward  fymptoms. 

Some  planters  give  fweet  mercury,  in  order  to 
kill  worms :  but  as  new  Negroes  cannot  well  be 
reftrained  from  drinking  cold  water,  that  prac- 
tice is  dangerous.  Block  tin  (not  pewter)  in 
powder,  is  given  for  the  fame  difeafe :  it  is  in- 
deed not  noxious,  but  then  it  feldom  anfwers  the 
prefcriber's  intention.  Scrapings  of  tin  are  ufe- 
ful. 

The  other  remedies  for  worms  will  be  more 
fully  treated  of  in  the  fequel. 

If  the  Negroes  have  brought  with  them  any 


[  ] 

palm  oil,  they  fliould  be  permitted  to  anoint  their 
bodies  therewith,  after  waQiing  them  clean  in 
fomc  running  water. 

I  am  perfuaded,  that  anointing  and  bathing,  if. 
more  common,  would  not  only  render  Negroes 
more  fturdy,  but  preferve  them  from  colds,  and 
many  other  infirmities. 

This  falutary  pra($tice  prevailed  among  the  Ro- 
mans. Many  nations  in  the  eaft  ufe"  it  at  this 
day  5  as  do  mofl:  of  the  Negroes  on  the  coaft  of 
Africa. 

No  doubt,  fweating  is  a  highly  healthful  eva- 
cuation in  warm  climates,  by  preferving  the 
juices  from  putrefa6lion,  &c.  &c.  but  perfpira- 
tion  there  is  often  too  profufe,  and  of  courfe  mull 
weaken  the  conftitution.  Anointing  would  lef, 
fen  that  wafte. 

New  Negroes  fhould  have  a  comfortable  blan- 
ket, or  bamboo  as  it  is  called,  given  them  to  fleep 
in ;  and  they  fhould  never  be  permitted  to  fleep 
on  the  ground  without  a  mat  under  them.  The 
not  attending  to  thefe  minute  circumftances  ha^ 
proved  fatal  to  many  Negroes. 

The  Negroes  bought  in  crop-time  are  much 
more  likely  to  do  well  than  thofe  who  are  pur- 
chafed  in  the  rainy  months ;  for  Negroes  fhould 
not  only  be  allowed  to  drink  what  quantity  of 
the  cane  juice  they  think  proper,  but  even  obji^ 
ged  to  drink  it. 

'2 


[  II  ] 

In  cafe  you  are  under  a  neceflity  of  purchaf- 
ing  Negroes  in  the  wet  months,  great  care  fhould 
be  taken  to  reftrain  them  from  unripe  yams  and 
Guinea  corn ;  thefe  will  infallibly  produce  the 
Lax,  a  ferious  diforder,  to  which  falt-water  Ne- 
groes are  but  too  fubjed:. 

There  is  feldom  much  neceflity  for  bleeding, 
vomiting,  or  purging  new  Negroes  in  North  Ame- 
rica ;  but  then  their  appetite  fliould  be  moderat- 
ed :  they  love  animal  food,  and  too  great  an  in- 
dulgence therein  will  certainly  do  them  mif- 
chief. 

Negroes  at  no  time  fhould  be  treated  with,  ri- 
gour; but  new  Negroes,  in  particular,  muft  be 
managed  with  the  utmoft  humanity. 

To  put  a  hoe  in  the  hands  of  a  new  Negroe,  and 
to  oblige  him  to  work  with  a  feafoned  gang,  is  to 
murder  that  Negroe.  The  African  muft  be  fa- 
miliarifed  to  labour  by  gentle  degrees.  This 
precept  refpeds  not  only  the  aged,  but  even  the 
young. 

No  Negroe  can  be  faid  to  be  feafoned  to  a 
Weft  India  chmate,  till  he  has  refided  therein  for 
at  leaft  a  twelvemonth  :  and  thofe  who  are  ac- 
cuftomed  to  one  ifland,  run  no  fmall  rilk  of  their 
lives  when  tranfported  to  another,  perhaps  equal- 
ly healthy  ;  unlefs,  in  their  new  fettlement,  they 
are  indulged  with  every  conveniency  they  enjoy- 
ed in  their  old. 


[  12  ] 


In  clearing  the  iflands  which  of  late  have 
been  ceded  to  us,  many  Negroes  will  inevita- 
bly perifli  :  a  mournful  confideration,  efpecially 
where  the  land  thus  to  be  cleared,  is  to  be  pur- 
chafed  of  the  government  for  money.  It  is,  how- 
ever, in  the  power  of  medical  fcience  to  diminifh, 
and  greatly  too,  the  number  of  thofe  who  muft 
otherwife  be  facrificed  to  the  purfuit  of  riches. 

In  order  to  efFedl  this  valuable  purpofe,  the 
owner  of  an  eftate  in  woods,  is  firit  of  all  to  per- 
mit his  Negroes  to  clear  away  as  much  ground  as 
is  requifite  for  building  their  huts,  and  planting 
Indian  provifions. 

They  fhould  be  expofed  to  the  wet  as  little  as 
poffible  ;  and  if  they  choofe  to  fmoke  tobacco,  a 
pipe  fhould  not  be  refufed  them. 

They  fhould  wear  Edinburghs  in  the  field;  but 
when  they  come  home,  they  fhould  have  a  warm 
Bamboo  to  put  on,  in  cafe  their  coarfe  linen  is 
wetted. 

Negroes  employed  to  clear  grounds,  fhould 
never  begin  their  labour  with  an  empty  flomach  : 
and  perhaps  that  mafter  would  be  rewarded  for 
his  expence,  who  fhould  indulge  his  field  Ne- 
groes every  morning  with  a  glafs  of  the  medicine 
recommended  in  the  chapter  on  the  pain  of  the 
flomach. 

Befides  Indian  provifions,  Negroes  fhould  have 
a  weekly  allowance  of  flour,  rice,  or  fpht  Englifh 


t   13  3 

beans,  with  herrings,  or  other  fait  meat :  or  if 
thofe  things  were  to  be  had  at  market,  perhaps 
that  mafter  would  do  better  who  fliould  give  his 
Negroes  a  pecuniary  conlideration  in  lieu  of 
them. 

A  gang  of  Creole  Negroes,  being  tranfported 
from  the  place  of  their  birth  to  another  ifland, 
moft  commonly  undergo  a  feafonihg  :  nay,  it 
has  often  been  obferved,  that  Haves  carried  from 
one  plantation  to  another,  though  on  the  fame 
ifland,  are  apt  for  fome  time  to  droop  and  be  fick- 
ly.  Wholly  to  prevent  this  is  impoflTible  :  but  it 
is  within  the  limits  of  art,  to  render  thofe  confe- 
quent  difeafes  both  lefs  fatal  and  lefs  frequent. 
This  wilt  be  effected,  if  to  the  method  above  re- 
commended, you  encourage  and  treat  them  with 
the  utmoit  humanity. 

Many  caufes  may  be  afligned,  why  Negroes 
purchafed  in  crop-time  are  more  likely  to  get 
over  the  difeafes  of  feafoning,  than  fuch  as  are 
bought  in  the  rainy  months.  They  are  then  lefs 
apt  to  catch  cold ;  the  Indian  provifions  they 
then  eat  are  lefs  crude ;  and  above  all,  the  cane 
juice  (of  which  they  fliould  be  permitted  to  drink 
as  much  as  they  pleafe)  is  highly  nutrimental  and 
falutary. 

N  ew  Negroes  fhould  never  be  fent  to  moun- 
tain plantations  ;  for  there  they  are  very  liable 
to  catch  cold,  or  fall  into  fluxes,  which  always 

I 


[    14  ] 

prove  troublefome  to  remove,  and  fometinies  fa- 
tal. • 

This  precept,  in  a  more  particular  manner,  re- 
fpedts  the  rainy  months  :  the  reafon  is  obvious^ 
from  what  has  already  been  faid  on  the  fubjecti 


AN 

ESSAY 

ON  THB 

IVIANAGEMENT  AND  DISEASES 

NEGROES. 


PART  II. 

Of  the  Treatment  of  Infants. 

Although  Creole  Negroes  do  in  fad:  cofi:  more 
money  to  their  owners  than  falt-water  Negroes, 
yet  as  they  are  more  healthy,  and  better  for  all 
the  purpofes  of  a  plantation  than  thefe,  fo  too 
great  care  cannot  be  taken  either  of  the  Ne- 
greffes  when  pregnant,  arid  in  the  month,  or  of 
their  infants  when  born. 

Black  women  are  not  fo  prolific  as  the  white 
inhabitants,  becaufe  they  are  lefs  chafte,  and 
more  liable  to  uncurable  obftrud:ions  of  the 
monthly  difcharge  j  their  children  too  more  fre- 


[    i6  ] 

quently  periOi,  within  ten  days  or  a  fortnight  af- 
ter their  birth,  than  thofe  of  the  white  people. 
The  difeafe  which  at  that  time  proves  fatal  to 
them,  is  the  locked  jaw,  or,  as  it  is  called  by  the 
Weft  Indians,  the  jaw-faUing. 

This  proceeds  from  the  infants  not  being  kept 
fufficiently  warm,  from  the  adminiftration  of  new 
fpirits,  crude  aliment,  but  above  all,  from  their 
not  being  thoroughly  freed  from  the  meconium, 
or  black  difcharge,  after  their  birth. 

The  remedies  of  the  three  firft  caufes  are  ap- 
parent ;  but  how  to  bring  away  the  meconium 
deferves  particular  attention. 

(i)  Caftor  oil,  and  a  peiTary  of  the  ftalk  of  the 


(i)  Caftor  OiL — Take  of  the  dried  feeds  of  Palma  Chrifti, 
freed  from  the  hulks,  any  quantity  you  pleafe  ;  beat  them 
in  a  deep  wooden  mortar,  with  a  wooden  peftle,  into  a  mafs  j 
which  throw  into  a  large  iron  pot,  or  copper,  with  water. 

Boil  them  over  a  flow  fire  for  three  hours,  ftirring  them 
frequently  with  a  large  wooden  fpatula,  and  now  and  then 
adding  a  little  boiling  water,  as  the  liquor  evaporates. 

Continue  the  procefs  till  the  oil  feparates  and  fwims  on 
the  furface.  Let  this  with  the  froth  be  fkimmed  off,  and 
clarified  in  a  fmall  iron  pot,  over  a  gentle  fire.  Laftly, 
ftrain  the  oil  through  a  piece  of  ftrong  linen  cloth. 

The  nuts  fliouid  not  be  parched,  as  this  gives  the  oil  an 
empyreumatic  fmell  and  tafte. 

The  oil  will  feparate  fooner,  if  towards  the  end  of  boil- 
ing, a  handful  of  fea  fait  is  thrown  into  the  cauldron. 


[    17  ] 

common  phyfic  nut  are  the  means  commonly 
made  ufe  of;  but  the  latter  is  not  always  capa- 
ble of  procuring  fuch  ftools  as  are  wanted  ;  and 
the  oil,  efpecially  that  obtained  by  coclion,  is  of- 
ten too  rugged  in  its  paffage  through  their  ten- 
der bowels.  (2) 

The  following  medicine  is  liable  to  neither  of 
thefe  objeclions :  Mix  ten  grains  of  the  beft  rhu- 
barb in  a  fine  powder,  with  four  ounces  of  water ; 
add  ten  grains  of  magnefia  alba,  a  common  fpoon- 
ful  of  peppermint  water,  a  tea  fpbonful  of  fpirit 
of  lavender,  and  as  much  fyrup  of  vervain,  or 
rofes,  as  will  make  it  palatable.  Half  a  fpoonful 
of  this  mixture,  well  fhook,  fhould  be  given  every 
two  hours,  till  ftools  are  procured ;  and  the 
child's  belly  Ihould  be  frequently  rubbed  with  a 
warm  hand  before  the  fire.  This  medicine  ought 
to  be  continued,  but  in  a  fmaller  quantity,  for  at 
leaft  a  fortnight ;  I  never  knew  any  die  of  the 
locked  jaw,  (3)  or  chohc,  who  took  it  in  the  man- 
ner prefcribed. 

(2)  See  the  article  Ricinus,  in  the  prefent  Writer's  ac- 
count of  the  Medicinal  Plants  of  Jamaica,  London  Medical 
Journal,  Vol.  8.  Part  III. 

(3)  The  Trifmus  Infantum,  or  Locked  Jaw,  is  frequetit 
and  fatal  in  the  Weft-Indies.  It  may  be  occafioned  by  a 
too  long  retention  of  the  meconium,  but  chiefly  by  keeping 
the  mother  and  infant  too  warm,  in  a  fmall,  clofe  and  con- 
fined chamber. 

Early  purging  with  caftor  oil  is  proper;  fay,  a  fmall 

B 


[    18  ]■ 

New-born  Negroes  fhould  be  forthwith  waftied 
in  warm  fpirits,  and  clothed  in  warm  flannel,  8cc. 

The  mother  fhould  be  well  fupported  with 
warm  nourifhing  flops,  and  the  child  fliould  fuck 
her  as  foon  as  her  milk  is  ready.  The  mother's 
milk  is  the  infant's  belt  food ;  it  is  gently  ape- 
rient, and  well  fuited  to  its  tender  digeftive  or- 
gans. 

Every  Negrefs  fhould  fuckle  her  own  child  ; 
and  indeed  they  are,  in  general,  abundantly  fup- 
plied  with  milk  to  do  it. 

Fewer  NegrefTes  die  in  child-bed,  (4)  or  of 
its  confequences,  (not  one  in  three  hundred)  than 
white  women  ;  but  the  children  of  the  latter  are 
lefs  liable  to  perifh  within  the  month  than  thofe 
of  the  I^lacks. 

Black  children  fhould  at  leaft  be  fix  weeks  old, 
before  they  are  fufFered  to  tafte  any  other  food 
than  the  milk  of  the  mother. 


tea  fpoonful  for  a  dofc.  Where  there  are  fufpicions  of 
locked  jaw,  a  fingle  grain  of  calomel  may  be  given,  and  re- 
peated, if  need  be,  at  the  diftance  of  three  hours. 

(4)  Lying-in  women  ought  to  be  brought  to  a  wcll-aired 
room,  in  the  great  houfe,  or  to  a  lying-in  ward  built  on 
purpofe,  where  fuitable  bedding  is  provided,  and  no  fires 
near  them. — By  this  means,  fuch  women  efcape  the  puer- 
peral fever,  and  the  children  the  locked  jaw. 


[    19  ] 

tew  Negroe  children  are  born  defonned;  (^) 
not  one  in  ten  thoufand. 

After  the  month,  the  difeafes  which  chiefly  af- 
fe6t  infants,  proceed  from  an  acid  in  their  bowels, 
and  from  teething. 

(6)  A  fournefs  in  the  inteftines  is  always  dif- 
covered  by  green  watery  ftools ;  but  f welled 
gums,  a  hot  mouth,  frequent  flavering,  and  thruft- 
ing  its  little  fingers  into  its  mouth,  indicate  teeth- 
ing. 

As  far  as  I  have  been  able  to  remark,  the  black 
children  cut  their  teeth  more  eafily  than  the 
white  children ;  but  when  the  above  mentioned 
fymptoms  are  obferved,  their  gums  fliould  be 
forthwith  opened  with  a  lancet. 


(5)  Deformity  in  children  would  feem  to  be  owing  to 
fwathing  the  infants  too  tight,  and  by  the  prepofterous 
uVe  of  days,  and  ftrait  clothing. — Negroe  children  are  not 
thus  encumbered  j  and  never  are  deformed  except  by  acci- 
dcflts,  as  falls,  &c. 

(6)  Many  of  the  difeafes  of  Negroe  children,  are  owing 
to  the  ignorance  or  careleffliefs  of  the  mothers.  The  chil- 
dren ought  to  be  early  taught  to  feed,  and  weaned  at  mV/^ 
months. 

On  all  well-regulated  eftates,  a  mefs  of  good  foup  is 
prepared  daily  at  the  overfeer's  houfe^  for  Negroe  children  ; 
it  is  compofed  of  farinaceous  roots,  a  little  Okra  pods,  and 
a  piece  of  flefh  meat ;  this  is  fliared  ampngfl;  them,  an^ 
eaten  in  the  Piazza. 

B  2 


[     20  ] 

The  green  ftools  are  to  be  removed  by  the  rhu- 
barb medicine  recommended  before,  by  broths 
made  of  animal  food,  by  crabs  eyes,  or  by  fpirit 
of  hartfliorn. 

If  the  child  is  feverely  griped,  a  fmall  quantity 
of  the  vinous  tindure  of  ipecacuan  (7)  Qiould  be 
adminiftered,  and  eight  or  ten  drops  of  laudanum 
at  bed-time.  (8) 

The  mother  {hould  abftain  from  four  fruits 
and  vegetables. 

The  propereft  time  to  inoculate  Negroe  chil- 
dren, is  either  before  their  teething  commences, 
or  after  their  teeth  are  complete. 

They  fhould  be  prepared  ;  and  medicines  that 
deftroy  worms,  are  thofe  vi^hich  ought  chiefly  to 
be  depended  upon. 

Negroe  children  fhould  not  be  permitted  to 
fuck  their  mothers  longer  than  twelve  or  four- 
teen months  :  long  nurfing  diminilhes  a  woman's 
fecundity. 

When  the  young  Negroes  can  run  about  (g}, 

(7)  Antimonial  wine  is  preferable  to  ipecacuan,  in  dofes 
from  ten  to  twenty  drops,  or  fo  much  as  to  puke  gently. 

(8)  One  drop  of  laudanum  is  fufficient  for  a  new-born 
infant  for  a  dofe,  which  may  be  repeated  in  three  hours 
if  necelTary. 

(9)  A  tent  is  generally  eredled  near  the  field  where  the 
Negroes  are  at  work,  and  all  the  young  children  are  put 
there,  under  the  care  of  a  dry  nurfe. 


[     21  ] 

they  fhould  not  be  allowed  to  be  carried  to  the 
field  with  their  mothers,  but  fliould  be  intriifted 
to  the  management  of  fome  ancient  and  fenfible 
Negrefs,  who  will  take  care  to  have  them  proper- 
]y  fed. 

At  eight  years  of  age,  they  are  made  to  pick 
grafs,  carry  a  fmall  baflcet  with  dung,  and  under 
the  diredtion  of  thofe  of  riper  years,  to  pull  up 
'  weeds  in  the  cane-piece. 

Of  Chigres  or  Chigoes.  ( i  o) 

It  is  faid  there  are  two  kinds  of  chigres,  one 
common,  and  the  other  poifonous.  ^y  opinion 
is,  that  none  ever  are  troubled  with  the  latter  in- 
fedl,  but  fuch  as  are  in  a  bad  habit  of  body. 

All  the  young,  as  well  as  the  new  Negroes, 
fliould  have  their  feet  and  hands  examined  re- 


(lo)  The  Chigre  Pulex  Minimus  of  Linnxus,  is  a  fpecies 
of  flea,  bred  in  alhes,  or  in  places  where  quick-lime  has 
been  laid.  It  burrows  under  the  Ikin,  and  occafions  an  into- 
lerable itching,  and  fmall  hard  tumour  on  the  part.  Every 
perfon,  of  whatever  habit,  is  liable  to  have  chigres.  In  a 
day  or  two  the  chigre  becomes  as  large  as  duck-fhot,  and 
of  a  yellowifli  white  colour.  It  is  the  abdomen  of  the  in- 
fe£l  that  is  diftended  with  the  ova,  which,  if  fuffered  to 
burft  of  itfelf,  the  young  ones  infeft  the  neighbouring 
parts,  and  the  dead  infe6t  occafions  a  troublefome  fore, 

B3 


[     22  3 

gularJy  once  a  week  :  For  want  of  tliis  pre. 
caution,  Negroes  often  lofe  many  a  joint  of  their 
toes,  &c.  and  fo  become  lefs  ufeful  upon  a  plan- 
tation. 

A  little  fnufF,  mixed  with  a  fmall  quantity  of 
verdigreafe,  is  the  bcft  powder  that  can  be  put 
into  the  hole  from  whence  a  chigre  has  been  ex- 
traded,  (ii) 

The  Indians  preferve  themfelyes  from  thefe, 
and  other  troublefome  infeds,  by  anointing  thei;-  ' 
feet,  &c.  with  a  palle  made  of  Roucon  and  oil. 

Of  the  Itch, 

♦ 

Negroes  of  every  age  and  fex  are  apt  to  catch 
the  itch.  (12)  This  difeafe  requires  no  defcrip- 
tion. 

Sulphur  made  into  an  ointment,  with  fait  but- 
ter and  green  pepper,  will  cure  it ;  A  no  lefs  ef- 
fectual remedy  is  tobacco  fleeped  in  urine,  and 
bathing  in  the  fea. 


(11)  Negroe  women  are  very  dexterous  in  picking  out 
chigres  with  a  pointed  knife,  and  turn  out  the  infe<Sl  whole. 
Tobacco  aflies  are  generally  put  into  the  hole,  to  prevent 
feftering. 

(12)  In  all  cafes  of  true  Pfora,  or  Itch,  the  cure  is  beft 
cffeded  by  fulphureous  medicine^.  While  the  ointment  i$ 
rubbed  externally,  a  fmall  quantity  of  flour  of  brimftone 
muft  be  given  inwardly,  in  fyrup  cr  melaffes. 


[   23    1  ' 

There  is  a  fpecies  of  itch  which  Negroes  from 
Guinea  often  bring  with  them  to  the  Weft  In- 
dies. This  they  call  the  Crakras ;  (i  3)  it  chief- 
ly infefts  the  ankles,  and  often,  if  fcratched  or 
negleded,  produces  inveterate  ulcers.  m 

This  diforder  is  not  to  be  cured  by  external 
means  only  ;  it  requires  fmart  purging  with  fait 
water,  and  bathing  therein.  If  thefe  do  not 
remove  the  eruption,  the  patient  fliould  be  dofed 
every  third  day,  with  pills  made  of  the  juice  of 
Semprevive  and  Chonch-ihells  finely  pounded, 
with  about  one  grain  of  fweet  mercury  (14)  to 
each  half  drachm  of  the  compofition. 

The  beft  external  apphcation  is  weak  mercu- 
rial ointment,  with  a  mixture  of  fulphur. 

Of  Coughs. 

Coughs  are  common  in  the  Weft  Indies,  from 
the  latter  end  of  Odober  (15)  to  the  latter  end 
of  February. 


(13)  The  Crakras  is  not  the  itch,  but  the  confequence  of 
the  yaws,  of  which  hereafter. 

(14)  Sulphur  and  mercury  deftroy  each  other's  a6tion, 
as  is  evident  in  the  ^thlops  mineral ;  therefore  they  (hould 
never  be  ufed  in  conjundlion,  externally  or  internally. 

(15)  About  the  latter  end  of  Oftober,  and  all  the  month 
of  November,  the  wind  fliifts  to  the  north,  and  is  aqcon^- 

B4 


[    24  ] 


(i6)  They  are  feldom  attended  with  a  fever, 
but  often  with  lofs  of  appetite. 

A  vomit  of  thiftle-feed  fhould  therefore  always 
begin  the  cure,  which  a  fyrup  made  with  garden 
balfam,  fugar  and  rum,  will  foon  remove. 

A  fweat,  with  an  infulion  of  wild  fage,  is  alfo 
efficacious ;  but  the  medicine  moft  to  be  depended 
upon,  is  half  an  ounce  of  gum  elemi,  diffolved  in 
four  pints  of  good  rum.  Of  this  a  large  fpoonful 
Ihould  be  given  three  times  a  day  to  adults,  and 
fo  in  proportion. 

I  have  alfo  known  troublefome  coughs  re- 
moved by  drinking  a  warm  infufion  of  wild  liquo-. 
rice.  (17) 

The  Hooping-Cough  is  not  frequent  in  the 
Weft-Indies:  (18)  1  do  not  remember  to  have 
feen  it  there  above  once  or  twice ;  and  then  the 
lungs  feemed  to  be  touched  with  a  flight  degree 
of  inflammation. 


panied  by  cold  and  wet  weather,  and  thick  atmofphere. 
This  occafions  colds,  coughs,  and  catarrhal  fevers. 

(16)  Thefe  diforders  are  no  way  different  from  the  com- 
mon catarrhs  in  Britain,  and  require  the  fame  manage- 

r 

merit. 

(T7)  Wild  Liquorice.— leaves  are  ufed  in  peaoral 
decoaions,  with  honey  or  fugar,  and  gendy  acidulated 

with  lime-juice. 

(18)  The  Hooping-Cough  is  frequent  in  all  the  iflands, 

and  at  times  epidemic  in  Jamaica. 


[     2.5  ] 

In  that  cafe  bleeding,  but  in  fmall  quantities, 
is  indifpenlibly  requifite ;  but  then  emetics  muft 
not  be  adminirtered. 

In  the  cure  of  a  Hooping- Cough,  I  have  always 
found  change  of  air  as  necelTary  as  phyfic. 

Of  Worms. 

Worms  are  fcarce  more  fatal  to  the  young, 
than  they  are  to  thofe  who  have  attained  to  man- 
hood in  the  Weft-Indies.  Worms  therefore  na- 
turally prefent  themfelves  to  be  treated  of  in  this 
place. 

As  in  Europe,  when  uncommon  fymptoms  af- 
flidt  a  patient,  the  venereal  difeafe  may  be  conli- 
dered  as  the  caufe  ;  fo  in  the  Weft-Indies,  worms 
may  always  be  fufped:ed  as  the  parent  of  every 
untoward  morbid  appearance. 

The  truth  is,  there  is  fcarce  one  fymptom  with 
which  the  animal  economy  may  be  affedted, 
which  worms  are  not  capable  of  exciting. 

The  worms  common  in  the  Weft-Indies,  (19) 


(19)  Taenia,  or  Tapeworm,  is  very  common  amongft  the 
Negroes,  and  fometimes  white  people  are  afflidled  with 
them,  producing  the  moft  acute  and  violent  fymptoms,  at 
other  times  a  ftate  of  ill  health  j  nor  is  the  caufe  of  thofe 
diforders  known,  until  fome  portions  of  Tsenia  are  voided 
by  ftool. 


[     26  ] 

are  the  fame  with  thofe  which  are  common 
in  Europe;  only  the  folitary,  tape,  or  jointed 
worm,  as  it  is  called,  is  oftener  feen  there  than 
in  Britain  ;  and  fome  Creoles  are  much  afflided 
with  a  kind  of  fmall  worms  (20)  in  the  llomach, 
which  I  do  not  remember  to  have  obferved  in 
Europe. 

Worms  kill  more  people  in  the  Weft-Indies 
than  all  other  difeafes,  the  flux  only  excepted. 

Both  the  dd  and  new  world  boaft  of  remedies 
to  kill  worms ;  but  as  this  fatal  malady  is  more 
common  in  the  torrid  zone  than  in  Europe,  fo  the 
tropical  remedies  are  more  fpecifical  in  this  com- 
plaint, than  the  European. 

I  have  tried  almoft  an  infinite  variety  of  medi- 
cines againft  worms :  but  the  mofl;  efficacious  a- 


The  cure  may  be  begun,  by  giving  a  gentle  dofe  of  caf- 
tor  oil  early  in  the  morning  then  the  following,  which  is 
nearly  a  fpecific : 

Take  of  Gum  Gamboge,  and  Cream  of  Tartar,  each  fix 
grains  ;  rub  them  in  a  ftone  mortar,  into  a  fine  powder, 
which  divide  into  twelve  dofes.  In  acute  cafes,  a  powder 
may  be  given  every  fix  hours  in  a  little  fyrup  j  but  in  chro- 
yiic  cafes,  two  powders  a  day  is  fufficient. 

(20)  A  courfe  of  lime-water  is  excellent  for  the  cure  of 
Afcarides  j  half  a  pint,  with  an  equal  part  of  fweet  milk 
twice  a  day.  Sea  fait  may  be  ufed  plentifully  j  afterward^s 
thQ  bark  to  ftrengthen  the  fyftem. 


[   27  ] 

mong  them  have  often  proved  lefs  fuccefsfol  than 
1  could  have  wiftied.  (21) 

Purgatives  are  undoubtedly  ufeful  in  the  ex- 
puUion  of  worms,  and  among  thefe  the  juice  of 
the  aloes  (22)  juftly  claims  the  pre-eminence. 

An  infufion  of  the  roots  of  the  ftinking  weed 
in  water,  is  often  a  good  vermifuge,  efpecially  if' 
juice  of  tanfy  be  added  thereto,  v^^ith  a  fmall 
quantity  of  garlic. 

Many  commend  the  juice  of  the  wild  ipecacuan 
(23)  as  an  antidote  to  worms.  It  operates  with 
violence,  both  up  and  down,  and  I  have  known  it 
fometimes  do  wonders. 

But  cowitch  (24)  with  jnclafles,  and  the  clari-- 


(ai)  It  is  very  difficult  to  diftinguifh  worm  fevers  from 
the  ordinary  fevers  of  children  ;  hence  the  failure  of  aij- 
thelmintics,  when  given  promlfcuoufly.  The  moft  certain 
fymptoms  of  worms,  are  fwelled  bellies,  foetid  breath ;  a 
fwclllng  of  the  upper  Hp,  and  a  thicknefs  of  the  Alae  na- 
rium. 

{22)  A  tea  fpoonful  of  the  juice  of  the  frefh  leaves  of 
the  common  aloes  is  very  good  j  but  as  oil  is  poifonous  to 
all  infe£ls,  efpecially  to  Luml>ricaks,  or  Earth  worm,  the 
caftor  oil  is  to  be  preferred. 

(23)  Wi/d  Ipecacuati. — The  juice  of  the  leaves  and  ten- 
der ftalks,  from  one  to  thr.ee  tea  fpoonfuls  for  a  dofe. 

(24)  Cow-itch. — Dip  the  ripe  pods  in  fyrup,  fcrapc  o£F 
t\itfetay  or  briftles,  till  the  fyrup  is  as  thick  as  honey  ;  from 
one  to  three  tea  fpoonful  for  a  dofe  in  the  morning.  It 
a6ts  mechanically  in  killing  worms. 


[    28  ] 


fied  juice  of  worm-grafs,  (25)  are  more  to  be  de- 
pended upon.  I  have  alfo  known  good  efFedts 
arife  from  oil  and  lemon  juice. 

Sugar  (26)  is  commonly  fuppofed  to  favour 
worms.  This  however  I  know  from  repeated 
experiment  to  be  a  vulgar  error  ;  for  perhaps  no 
one  thing  in  the  Materia  Medica  is  more  deadly 
to  worms  than  cane  liquor,  unlefs  we  except 
Mufcovado  mixed  with  an  equal  proportion  of 
fweet  oil,,efpecially  that  made  by  expreffion  from 
the  coco  nut,  or  cocoa. 

The  inner  bark  of  the  mountain  cabbage  tree, 
(27).  Indian  pink,  and  the  milk  of  the  wild  fig. 


(25)  Worm-grafs, — Take  a  handful  of  the  worm-grafs, 
root  and  all,  wafh  it  clean,  and  boil  it  in  two  pounds  of 
water  over  a  flow  fire,  to  one  pound  •,  drain  the  decoftion, 
fweeten  with  fugar,  and  add  to  it  a  fpoonful  of  lime 
juice. 

Four  ounces  to  be  taken  for  four  mornings,  then  a  dofc 
of  caftor  oil. 

(26)  In  crop-time,  weakly  Negroes  and  children  have 
hot  liquor  from  the  coppers,  when  the  fugar  is  boiling  ; 
this  makes  them  fat  and  healthy,  and  not  only  deftroys, 
but  prevents  the  breeding  of  worms 

Mufcovado  fugar  is  of  the  fame  nature,  and  when  mixed 
with  oil,  deftroys  worms,  by  flopping  the  fpiraculae  of  the 
worms. 

(27)  Mountain  Cabbage  2V^^.— Decoaion  of  cabbage 
bark. 


[    29  ] 

al-e  praifed  by  fome  for  removing  this  diforder. 
I  have  not  fufficiently  experienced  their  efficacy. 

The  remote  caufes  of  the  frequency  gf  worms 
in  the  Weft-Indies  are,  i.  The  warmth  of  the 
climate  ;  2.  The  great  ufe  of  vegetable  food ; 
and  laftly,  Humidity.  Its  immediate  caufe  is  re- 
laxation. 

Of  Fevers, 

Although  worms  are  more  fatal  in  the  torrid 
zone  than  fevers,  yet  thefe  too  prove  often  more 
deadly  there  than  in  Europe. 

Inflammatory  fevers,  as  well  as  local  inflam- 
mations, e.  g.  pleurifies,  Sec.  are  not  common  in 
the  Weft-Indies  :  Indeed  I  do  not  remember  to 
have  feen  buffy  blood  above  twice  in  that  cli- 
mate, and  then  the  blood  was  extradled  from  a 
new  comer,  young  and  plethoric. 

The  reafon  of  this  extraordinary  exemption 
from  inflammatory  difeafes  is,  i.  The  warmth 


Take  two  ounces  of  dried  cabbage  bark,  boil  it  from 
three  pints  of  water  to  two  pints,  ftrain  it,  and  fwecten 
with  fugar. 

Two  table  fpoonfuls  for  a  dofe,  every  morning  for  a 
week,  then  a  dofe  of  caftor  oil. 

The  prefent  Writer  has  defcribed  this  tree,  in  the  67th 
volume  of  the  Philofophical  Tranfa^tions,  with  a  plate. 


r  3^  ] 

and  moifture  of  the  climate  ;  2.  Copious  pcrfpi- 
ration  ;  3.  Acidulated  drinks  ;  4.  Impaired  ap- 
petite ;  and  laftly,  La^-inefs. 

Excefs  in  eating,  drinking,  and  exercife,  be- 
tween the  tropics,  neither  corroborate  the  folids, 
nor  increafe  the  denfity  of  the  blood.  Thefc 
errors  in  the  non-naturals  may  render  Well-India 
blood  acrid  ;  but  they  certainly  do  render  the. 
bile  peccant,  both  in  quantity  and  quality. 

This  is  the  pafTport  to  almoft  all  the  fevers  in 
the  Weft-Indict  ;  (^S)  for  it  may  well  be  doubt- 
ed whether  ever  the  blood  is  the  primary  feat  of 
a  fever,  unlefs  in  new  comers  to  the  torrid -zone. 

Of  courfe,  the  impropriety  of  frequent  bleed- 
ings, as  always  pradiifed  by  the  French,  and  too 
often  by  us,  muft  be  glaring  ;  and  the  neceffity 
of  carrying  off  the  peccant  matter  by  vomit  and 
&00I  no  iefs  apparent. 

Fevers  in  the  Wefl-Indtes  feldom  put  on  the 
appearance   of  inflammation  beyond  the  firft 


(28)  White  people  in  the  Weft-Indics  are  liable  to  re- 
mitting fevzTs.  The  fever  of  Negroes  is  inflammatory. 
Bleeding  ia  the  firft  is  improper,  but  iae<;ei3ary  in  the  fever* 
of  Blacks. 

Jn  all feverSi  let  the  patients  lie  in  frefli  air,  and  be  in- 
dulged with  cool  drinks.  Siinple  remitting  fevei-s  require 
the  alimentary  canal  to  be  cleanfed  with  gentle  laxatives ; 
then  titf  hark,  tahm  in  j>owder  or  decodion. 


[    31  ] 


twenty-four  hours ;  after  that  they  become  pu- 
trid, or  maUgnant,  or  nervous. 

In  the  firft  ftage  of  the  difeafe,  blood  may  be 
let,  but  it  fliould  be  in  a  fmall  quantity. 

Vomits  (pretty  ftrong  in  their  kind,  e.  g.  tartar 
emetic)  and  acidulated  purgatives  ftould  then 
be  adminiftered,  or  rather  thefe  jfhould  be  com- 
bined, and  repeated  till  the  febrile  fymptoms  di- 
minifh. 

When  the  bilious  (29)  matter  has  once  en- 
tered the  blood,  which  it  will  foon  do,  if  fweats 
are  uncautioully  ufed  at  firft,  vomits  and  acid 


(29)  Bilious  Remittents. — No  emetics  can  be  ufed  with 
fafety. — Gentle  laxatives,  as  manna,  and  crem- tartar — caf- 
tor  oil  may  be  tried.  If  the  vomiting  continues,  repeated 
fmall  dofes  of  jalap  and  calomel,  or  of  calomel  alone,  may 
be  given  at  proper  intervals,  till  ftools  are  procured. 

In  acute  fevers  of  the  Negroes,  bleed  to  eight  or  ten 
ounces  *,  purge  gently  with  falts,  then  give  fmall  dofes  of 
the  antimonial  powder,  every  three  hours,  till  a  free  and 
copious  perforation  comes  on. 

In  all  inflammatory  fevers,  antlmonlals  arc  indicated  after 
other  proper  evacuations  ;  fuch  as  antimonial  wine,  or  the 
antimonial  powder  of  the  (hops,  or  Dr.  Jameses  powder. 
Tlie  following  will  anfwer  in  febrile  cafes. 

Take  of  calcined  hartfhorn  nine  parts,  emetic  tartar  one 
part  •,  grind  them  together  in  a  ftone  mortar,  info  a  fine 
powder  ;  twenty  grains  of  this  powder  to  be  divided  into 
lix  equal  parts ;  a  dofe  to  be  given  every  two,  four,  or 
fix  hours. — In  all  obftinate  fevers,  calomel  may  be  added. 


[    32  ] 

purges  become  then  lefs  ufeful,  and  the  morbid 
matter  muft  be  thrown  .out  on  the  fkin,  by  means 
of  wild  fage  tea,  filk  cotton  tea,  avocato  pear 
tea,  or  what  I  prefer  to  all  of  -them,  fourilh  weak 
punch. 

In  this  diforder  it  often  happens  that  a  weak 
purgative  or  emetic  will  produce  uncommon  eva- 
cuations :  This  (hould  not  alarm  the  prefcriber, 
but  fliould  make  him  fupport  the  patient  well 
with  madeira  whey,  or  well  made  punch. 

This  fever  often  fubfides  into  a  remittent,  (30) 
and  then  into  an  intermittent  fever. 

A  ftrong  infufion  of  the  halbert-weed  leaves, 
or  the  Spanifli  carnation,  drank  conftantly,  will 
bring  back  the  bile  to  its  natural  ftate,  that  is, 
will  remove  the  fever. 

But  for  this  important  purpofe,  the  bark  (31) 
unqueftionably  merits  the  palm.  Nor  does  it 
only  produce  a  wholefome  bile ;  it  invigorates 
the  whole  animal  economy. 

In  malignant  fevers,  neither  vomits  nor  purges 


(30)  It  is  probable  that  remittents,  efpecially  intermit- 
tents,  are  caufed  by  marfli  miafma  ;  and  before  the  cure  is 
attempted,  the  fick  muft  be  removed  from  the  vicinity  of 
fwamps,  to  a  dry  and  airy  fituation. 

(31)  The  firft  paflages  being  cleared,  the  bark  may  then 
be  given  with  fafety  and  efFedl:.  In  obftinate  intermittents, 
calomel  becomes  neccffary,  which  prevents  or  removes  ob- 
ftru£lions. 

I 


[   33  ] 

are  eiTentialiy  indicated,  but  medicines  that  ope- 
rate by  the  fkin  ftiould  be  adminiftered  ;  and  as 
this  fever  is  contagious,  (the  mafs  of  blood  being 
diflblved  and  become  putrid)  recourfe  fhould  be 
had  to  ftronger  fweats  than  thofe  lately  recom- 
mended. Among  thefe,  mufk,  camphire  and 
caftor,  are  the  mod  to  be  depended  upon.  Then 
blifters  become  advifeable  ;  but  to  apply  them 
when  the  difeafe  is  in  the  firft  paflages,  is  only  to 
torture  the  patient*  AVine  is  eminently  fervice- 
able  in  the  malignant  fever,  as  alfo  in  the  ner- 
vous, where  the  fame  medicines  will  fave  the  pa- 
tient.   Only  blifters  are  feldom  neceffary. 

In  cafe  the  lungs  are  affected,  which  often  hap- 
pens, in  any  of  the  above  mentioned  fevers,  a 
fmall  quantity  of  blood  may  be  extraded,  even 
though  the  pulfe  is  not  ftrong ;  but  then  I  would 
prefer  cupping,  or  rather  epifpaltics. 


Fluxes,  (32) 

This  diforder  naturally  follows  the  former,  for 
it  is  often  produced  by  the  fame  caufes,  corrupt- 
ed bile. 


(32)  Diarrhoea  and  dyfentery  are  rife,  and  often  fatal 
amongft  Negroes.  The  avocado  pear,  before  it  is  ripe,  will 
occaflon  dyfentery. 

The  early  ufe  of  emetics,  and  purges  of  the  neutral  falts, 

C 


[    34  ] 

It  alfo  arifes  from  fuddenly  fupprelTed  perfpira* 
tion,  and  a  too  great  indulgence  in  eating  of  wa- 
tery crude  vegetables. 

Of  courfe  the  flux  prevails  moft  either  in  the 
rainy  months,  or  in  autumn.  It  fometimes  is  ac- 
companied with  a  fever,  and  fometimes  not. 

When  attended  with  a  fever,  bleeding  may  be 
performed,  but  a  profufe  difcharge  of  blood  by 
flool  is  no  indication  for  drawing  blood. 

The  flux  in  the  Weft-Indies  is  either  watery 
with  blood,  or  bihous  witli  blood,  and  excrement. 

Both  thefe  dyfenteries  are  equally  difficult  to 
cure,  and  equally  dangerous,  unlefs  medicines  are 
early  apphed. 

The  intentions  then  to  be  purfued,  are,  firft  to 
expel  the  peccant  humours,  to  foften  their  acri- 
mony, and  by  that  means  abate  the  gripes ;  and 
laftly,  to  ftrengthen  the  tone  of  the  inteftines. 


with  deco6lion  of  tamarinds,  are  proper.  If  the  diforder 
does  not  yield  to  thefe,  give  five  grains  of  calomel  at  bed- 
time, with  an  opiate,  and  a  dofe  of  caftor  oil  next  morning. 
In  fluxes,  with  fever  and  fymptoms  of  inflammation,  bleed 
to  eight  ounces. 

Where  there  is  little  or  no  fever,  the  following  mixture 
has  done  much  good  : 

Take  lime  iuice  three  ounces — as  much  fea  fait  as  the 
acid  will  take  up-»-water  twelve  ounces — fugar  two  ounces 
— rum  one  ounce. 

Two  table  fpoonfuls  for  a  dofe,  every  three  or  four 
hours,  as  the  cafe  may  require. 


[   35  3 

To  perform  the  firft  intention,  vomits  and 
purges  are  requifite  (33)  ;  but  then  all  vomits 
and  all  purgatives  are  not  equally  eligible.  The 
clafs  of  irritating  and  heating  mud  always  be  dif- 
carded. 

Where  ipecacuan  is  not  at  hand,  the  follow- 
ing emetic  may  be  depended  on  :  Bruife  two 
drachms  of  yellow  thiftle  feed,  and  infufe  it  in 
half  a  gill  of  boihng  water ;  let  it  ftand  till  it 
Gools,  then  ftrain  and  fweeten  it  to  the  palate. 
This  is  a  fufficient  dofe  for  a  grown  up  Negroe. 

The  yellow  thiftle  feed  is  not  only  a  fafe  emetic, 
but  like  the  ipecacuan  is  a  ftrengthener  of  the 
inteftines. 

Some  ufe  the  juice  of  the  wild  ipecacuan,  but 
it  is  too  rough  and  irritating. 

The  pods  of  the  lignum  vitJE  are  alfo  adminif- 
tered  by  fome  as  a  vomit,  but  they  alfo  are  like* 
wife  too  furly. 

At  night  j  twenty  drops  of  laudanum  fliould  be 
mixed  with  half  a  pint  of  wild  fage  tea  to  pro- 


(33)  Where  lime  juice  is  not  at  hand,  vinegar  with  fait 
does  as  well. 

Dyfcntery  requires  purging,  as  in  moft  cafes  nothing  Is 
voided  but  blood  and  mucus  ;  and  this  may  be  done,  as  a- 
bove,  by  calomel,  the  neutral  falts,  or  caftor  oil. 

Chronic  dyfenteries  may  be  cured  by  calomel  purges 
twice  a  weckj  and  an  Q,piate  every  night  at  bed-time. 

C  2 


[   36  ] 

mote  perfpiration,  and  prevent  the  Tick  perfon^s 
getting  up  in  the  night  ;  they  fhould  alfo  be  co- 
vered with  a  good  warm  blanket,  and  not  allow- 
ed to  lie  on  the  bare  floor. 

On  the  following  morning,  a  fufFicient  quanti- 
ty of  caflor  oil  fhould  be  given ;  and  to  prevent  its 
griping,  twenty  drops  of  fal  volatile  may  be  add- 
ed thereto  ;  by  which  it  will  become  mifciblc 
with  peppermint  water. 

The  caflor  oil  may  be  wrought  off  by  warm 
water  gruel,  or  what  the  Negroes  call  hot  water. 

Their  food  fhould  be  faloop,  with  a  glafs  of  red 
port  or  madeira  wine  in  it ;  they  may  alfo  be  in- 
dulged in  pepper  pot,  made  chiefly  of  Ochra  and 
Angola  peas,  with  little  or  no  fait,  but  feafoned 
with  green  pepper ;  if  at  any  time  faint,  a  fre- 
quent fymptom  in  this  diforder,  a  fmall  quantity 
of  re-d  wine  diluted  with  water,  in  which  heated 
iron  hath  been  extinguifhed,  and  made  more 
grateful  by  a  little  grated  nutmeg  or  cinnamon, 
fhould  be  allowed  them. 

One  fhould  imagine  it  would  hardly  be  necef- 
fary  to  advife  to  cover  the  bellies  of  the  difeafed 
with  warm  blankets  ;  and  yet,  for  want  of  this 
fimple  precaution,  I  have  known  many  Negroes 
loft. 

The  vomit  and  purgative  fhould  be  repeated 
ac  leaft  twice  each,  at  the  interval  of  a  day ;  and 


[    37  ] 

the  opiate  formerly  recommended  lliould  be  given 
every  evening. 

By  this  means,  both  the  numbers  of  ftools  will 
be  diminifhed,  and  their  quality  amended ;  and 
then  recourfe  may  be  had  with  fafety  to  lubri- 
cating, and  fubaftringent  medicines. 

Of  thefe,  many  valuable  ones  are  to  be  found 
in  the  Weft-Indies ;  the  principal  are  the  rinds 
of  both  kinds  of  pomegranate  ;  the  bark  (34)  and 
gum  of  the  acajou ;  the  feeds  of  the  fea-fide 
grape  ;  the  Guava  bark,  and  Guava  jelly ;  and 
the  logwood. 

Thefe,  either  by  themfelves  or  combined  toge- 
ther, and  made  into  tea  or  boiled,  vail  feldom  dif- 
appoint  the  prefcriber. 

But  if  any  preference  can  be  given  to  the  a- 
bove  remedies,  that  preference  is  due  to  the  log- 
wood in  decodion  :  yet  will  its  virtues  even  then 
be  improved,  by  adding  a  gill  of  red  port  with 
grated  cinnamon,  or  the  Canella  of  the  Weft-ln- 
dies,  to  every  quart  of  the  medicine. 

The  dofe  to  a  full  grown  perfon,  is  a  gill  three 
times  a  day. 

Glyfters  made  of  the  ingredients  above  men- 
tioned, are  alfo  excellent  auxiharies  in  the  flux, 


(34)  In  diarrhoeas  from  mere  relaxation,  the  aftringent 
barks  here  recommended  may  fucceed  j  but  in  all  dyfenteric 
cafes,  there  is  danger  of  their  doing  mifchief. 

c  3 


[   3S  ] 

(35)  if  thrown  np  often  in  fmall  quantities,  and 
not  hot ;  but  efpecially  if  a  Uttle  good  fuet,  ftarch, 
or  the"  white  of  an  egg,  be  added  thereto. 

A  ferviceable  glyfter  may  be  alfo  compounded 
of  lime-water,  the  yolk  of  an  egg,  a  Httle  ftarch 
made  of  CafTada,  and  a  fpoonful  of  old  rum. 

At  this  time,  pills  made  of  equal  parts  of  wax, 
and  the  cafhew-tree  gum,  and  given  to  the  quan- 
tity of  a  drachm  a  day,  often  effectuate  a  cure. 

If  the  inteftines  are  ulcered,  which  may  be 
known  by  the  foetidnefs  of  the  difcharge,  and  ob- 
llinacy  of  the  diforder,  recourfe  fliould  be  had  to 
lime-water,  milk,  and  the  whites  of  eggs.  And 
if  this  prefcription  fails,  turpentine  fhould  be  ren- 
dered mifcible  with  forge-water,  by  means  of  the 
yolk  of  an  egg,  and  given  to  the  quantity  of  two 
drachms  a  day ;  opiates  will  keep  it  from  run- 
ning off  too  fpeedily, 

•  In  the  autumnal  putrid  flux,  (36)  after  pro- 
per evacuations,  I  have  known  oranges,  lemons, 
and  even  limes  produce  lingular  advantages. 

(35)  When  fluxes  have  continued  long,  the  mucus  from 
the  inteftines  is  abraded,  and  a  tenefmus  harafles  the  pa- 
tient conftantly. 

Glyfters  of  Indian  arrow  root  ftarch,  with  laudanum, 
Ihould  be  given  frequently,  and  retained  as  long  as  poffiblc. 

(36)  All  ripe  fruits  are  ferviceable  in  fluxes,  efpecially 
oranges ;  and  the  fick  may  be  allowed  to  eat  of  them  at 
plcafurc. 


I 


[    39  ] 

They  are  analogous  in  their  operation  to  tlie 
elixir  of  vitriol. 

I  have  feldom  known  any  recover  of  a  flux 
who  had  the  thrufh  in  the  mouth,  and  through 
the  whole  tract  of  their  inteftin^s. 

The  Blacks  are  lefs  fubjed  to  aphtha,  than  the 

white  people. 

If  any  thing  can  be  ferviceable  here,  it  muft 
be  change  of  air,  riding,  faiHng,  &c.  for  I  never 
faw  any  advantage  from  medicine,s  in  the  dyfen- 
teric  thrufh,  no  not  from  the  bark. 

I  do  not  approve  of  flour  dumplings,  unlefs  the 
flour  is  fermented,  and  then  the  addition  of  frefh 
fuet  will  make  it  not  only  nutritive,  but  medical 
in  the  flux. 

Negroes  who  have  recovered  of  a  flux,  fhould 
never  be  put  too  foon  to  hard  labour ;  relapfes 
are  almoft  always  dangerous. 

To  ftrengthen  them,  the  bitter  infufion  (37} 
Ihould  be  given  for  a  week  or  two ;  to  which  fome 
toafl:ed  rhubarb  may  be  added. 

An  infufion  of  the  bark  in  forge  water  is  alfo 
an  excellent  reftorative. 

Where  worms  crawl  out  of  themfelves  from  the 


(37)  Bitter  Infiifton. — Take  two  drachms  lignum  quaffise 
-^orange  peel,  one  drachm — boiling  water,  a  pint — Infufe 
for  two  hours,  then  ftrain  it,  and  add  two  fpoonfuls  Oild 
r^m.    Give  a  large  wine  glafsful  three  times  a  day. 

C4 


[    40  ] 

mouth  or  nofe  of  dyfenteric  patients,  luch  feldom 
recover  ;  and  as  worms  are  to  be  found  in  all 
Negroes,  it  is  often  abfolutely  neceffary  to  com- 
bine worm  medicines  with  the  remedies  recom- 
mended in  this  chapter. 

Of  the  Lax  or  Diarrhoea.  (38) 

This  is  a  common  complaint  in  the  Weft-In- 
dies ;  here  figured  ftools  are  feldomer  feen  than 
in  Europe. 

It  is  never  attended  with  a  fever,  and  fcarce 
ever  accompanied  with  gripes ;  it  often  arifes 
from  obftruded  perfpiration,  and  often  from  crude 
raw  vegetables.    Acids  will  alfo  produce  it. 

Where  it  is  habitual,  and  upon  the  flighteft 
error  in  the  articles  of  food  or  exercife  is  apt 
to  grow  worfe,  the  moft  exquifite  diet  is  necefla- 
ry  ;  but  change  of  air  bids  faireft  for  removing  it. 

One  half  drachm  of  toafted  rhubarb  will  gene- 
rally remove  it ;  'if  one  dofe  is  infufficient,  two  or 
three  moft  commonly  efFeduate  a  cure.  An  0- 
piate  ftiould  be  given  every  night. 

Purflaine  fried  with  oil  or  lard,  and  roafted  Ba- 
nanas are  ufeful  in  this  diforder.  Simarouba  tea 
is  likewife  good. 


(38)  Diarrhoea  and  dyfentery  are  modifications  of  the 
fame  diforder.  The  medicines  in  the  preceding  chapter 
may  apply  here. 


[    41  ] 


Dry  Belly  Ach. 

Though  fluxes  are  more  common  in  the  Weft- 
Indies  than  the  dry  belly  ach  (39),  yet  that  dif- 
order  too  often  occurs,  and  is  frequently  fatal. 

It  requires  no  defcription ;  its  caufe  in  general 
is  cold ;  fometiraes  improper  food  and  drink. 

From  whatever  origin  it  proceeds,  the  poor 
wretch  who  labours  under  it,  fuffers  the  fharpeft 
torture,  and  when  at  worft,  the  mufcles  of  the 
belly,  and  even  the  inteftines  themfelves,  are 
fpafmodically  contradled.  This,  if  not  fpeedily 
removed,  foon  terminates  either  in  a  palfy,  or 
gangrene  of  the  bowels. 

The  indications  of  cure  are  firft,  to  alleviate 
the  pain,  and  laflly,  to  procure  a  free  paflage 
through  the  inteftinal  canal. 

Opiates  repeated  every  hour,  and  adminiftered 
in  large  quantities,  are  the  only  anodynes  I  know 
in  nature,  and  the  beft  medicine  to  flop  the  vo- 
miting, which  too  frequently  attends  this  melan- 
choly diforder. 

Warm  bathing  and  oils  rubbed  into  the  belly, 
fcarce  procure  any  eafe  ;  but  bleeding  in  a  fmall 


(39)  The  fpafmodic  belly  ach  is  the  fame  as  the  coli- 
ca  poiftou :  It  is  feldom  fcen  now-a-days  in  the  Weft-In- 
dies. The  inhabitants  live  more  regular,  eat  frefli  animal 
food,  and  drink  good  liquors. 


[     42  ] 

quantity  at  the  arm,  or  rather  cupping  the  abdo- 
men, and  fcarifying,  often  alleviate,  and  fome- 
times  even  remove  the  fpafmodic  ftridlure.  Yet 
opiates  are  chiefly  to  be  rehed  on. 

They  even  facilitate  the  operation  of  purga- 
tives, however  oppofite  that  may  appear  to  theo- 
ry ;  and  therefore  they  fhould  always  be  combin- 
ed with  the  oily  cathartic  formerly  recommend- 
ed, and  with  the  oily  or  balfaniic  glyfters. 

Strong  purges  do  not  fucceed  even  after  ano- 
dynes have  opened  the  palTage ;  they  excite 
fpafms ;  and  yet  tobacco  glyfters  often  produqe 
the  moft  falutary  effecls.  (40) 

When  you  have  reafon  to  fufpect  the  pafl^age 
blocked  up  by  curdled  milk,  Sec.  crude  mercury 
with  anodynes  muft  be  had  recourfe  to. 

The  beft  glyfters  are  made  of  a  decoction  (41) 
of  French  and  common  phyfic  nut,  with  ftinking 


(40)  In  new  rum  diftilled  through  leaden  worms,  there 
is  probably  part  of  that  metal  corroded  by  and  diflblved  in 
the  fpirit. 

Calomel,  in  large  dofes,  is  an  antidote  to  the  polfon  of 
lead  in  all  cafes.  In  obftinate  conftipations,  give  five 
grains  of  calomel  in  the  evening,  and  as  much  more  in  four 
hours  thereafter  ;  next  morning  a  dofe  of  caftor  oil. 

(41)  Slight  deco£lions  of  the  leaves  of  Englifli  phyfic 
nut,  or  of  the  belly  ach  bufli,  may  be  ufed  for  common 
drink.  Nothing  fits  eafier  on  the  ftomach,  and  vomitings 
siyc  foo»  appeafed. 

2 


[   43  ] 

weed,  of  each  half  a  handful,  to  be  boiled  in  a 
quart  of  water  to  a  pint ;  add  thereto  a  fpoonful 
of  the  juice  of  the  aloes,  a  gill  of  oil,  the  yolk  of 
an  egg,  and  a  table  fpoonful  of  laudanum,  or  two 
drachms  of  diafcordium,  or  rather  theriac. 

The  glyfters  fliould  be  in  fmall  quantities,  and 
often  injeded.  The  warm  bath  alTifts  their  ope- 
ration ;  and  candle-greafe  with  fpirits  may  be 
chafed  into  the  belly. 

But  while  injedlions  are  attempting  to  clear 
the  bowels  below,  purgatives  fliould  be  taken  by 
the  mouth,  and  co-operate  with  them. 

A  fudden  ceafing  of  the  pain,  with  a  finking 
pulfe,  foetid  breath,  &c.  are  infallible  fymptoms 
of  death,  unlefs  blifters  applied  to  the  belly,  and 
the  bark  with  elixir  of  vitriol  remove  thofe  ap- 
pearances. 

This  diforder  leaves  a  great  forenefs  behind  it, 
and  like  other  inteftinal  ailments  produces  flatu- 
lent fymptoms,  which  bitters  and  exercife,  with 
bathing  in  the  fea,  are  the  likelieft  means  of  re- 
moving. 

The  Blacks  are  oftener  tormented  with  the  dry 
belly  ach  than  the  Whites ;  and  among  thefe, 
luch  are  ofteneft  the  fubjed:  of  its  torture,  who 
indulge  in  new  fiery  fpirits,  with  little  water,  and 
jnuch  fouring, 


[    44  3 


T€tanus. 

The  dry  belly  ach  often  caufes  the  tetanus, 
and  all  its  fymptoms.  This  is  a  dreadful  difeafe, 
becaufe  too  commonly  fatal.  (42) 

The  fpeedieft  affiftance  is  here  neceflary,  and 
yet  Avith  the  fpeedieft  help  the  phyfician  is  often 
miferably  difappointed  in  his  expedlations. 

Here  opiates  again  are  what  are  chiefly  to  be 
depended  on  ;  but  warm  bathing,  bliftering  the 
wrifts,  the  back-bone,  the  ftomach,  the  nape  of 
the  neck,  fhould  alfo  be  ufed. 

I  have  rubbed  in  blue  ointment  into  the  belly, 


(42)  Patients  labouring  under  the  locked  jaw,  are  ftrip- 
ped  naked  and  laid  on  the  ground,  and  in  the  height  of  the 
fpafmy  a  large  bucket  of  cold  water  is  fuddenly  daflied  on 
the  body.  The  fpafms  are  inftantly  removed  ;  the  jaws  are 
relaxed  and  opened,  and  the  ufe  of  the  limbs  reftoved. 

The  patient  is  dried,  fhifted  and  put  to  bed,  and  fome 
nourifhing  food  and  drink  provided  for  him.  At  bed-time 
an  opiate,  and  lefs  or  more  of  wine. 
.  Some  cures  are  faid  to  have  been  made  by  eleftiicity ; 
and  Dr.  Currie  orders  a  liberal  ufe  of  wine,  with  the  cold 
affufion. 

See  the  prefent  Writer's  paper  on  Tetanus,  publiflied  in 
the  6th  volume  of  London  Medical  Obfervations  and  Inqui- 
ries, 1784.  Since  which  time,  the  nature  and  cure  of  the 
locked  jaw  is  better  underftood,  and  more  fuccefsfully  treat- 
ed, in  various  quarters  of  the  globe. 

I  . 


[    45  ] 


Sec.  but  never  faw  any  good  from  it.  I  have  fu- 
migated the  locked  jaw  thrice  a  day,  v^^ithout 
doing  either  good  or  harm ;  I  have  cupped  and 
fcarified  the  parts  affected,  but  all  to  no  purpofe ; 
I  have  given  antimonial  pills,  (Ward's)  which 
have  fometimes  fucceeded  with  me  in  the  dry 
belly  ach,  but  here  they  proved  inefFe<flual. 

I  have  feen  the  fpafms  mitigated,  by  tying  the 
poor  wretch  down  upon  a  board,  and  rubbing  in- 
to the  members  contradted,  fweet  oil  fix  parts, 
fpirits  of  turpentine  two,  laudanum  one.  Britifh 
oil  has  likewife  done  good. 

Mufk,  afafoetida,  and  alkaline  falts,  I  have  ad- 
miniftered  in  great  quantities,  but  I  cannot  fay 
they  ever  did  much  fervice.  Nothing,  however, 
fhould  be  negleded  which  has  the  leaft  chance 
of  recovering  the  patient,  for  with  every  affiftance 
he  too  often  periflies. 

I  have  combined  cinnabar  with  mulk,  and 
given  them  in  great  quantities,  in  this  difeafe, 
but  all  to  no  manner  of  purpofe. 

Opium  then  is  what  is  chiefly  to  be  relied  on, 
and  it  is  aftoniftiing  what  quantities  of  it  may  be 
fwallowed,  without  either  procuring  fleep  or  af- 
feding  the  brain. 

OftbeDropfy. 

Tms  difeafe,  in  all  its  appearances,  is  common 
in  the  Weft-Indies. 


[    4^  ] 

Heat  and  moilture  debilitate  the  folids,  and 
break  the  tone  of  the  blood  in  thofe  climates. 

Hence  all  ages  and  all  fexes  are  there  liable  to 
watery  complaints. 

In  children  the  watery  tumour  is  mofl:  com- 
monly occafioned  by  worms;  expel  thefe,  and 
you  cure  the  patient. 

Obftrudions  of  the  menftrual  courfes  will  often 
caufe  a  dropfy  of  the  legs,  &c.  in  young  women ; 
make  their  menfes  flow,  and  you  reduce  their 
legs,  &c.  to  their  healthy  ftandard. 

I  have  known  water  produced  in  the  belly, 
by  a  Negroe's  drinking  too  plentifully  of  cold 
water,  when  he  was  running  down  with  fweat. 
.  If  the  Negroe  was  otherwife  healthy,  medi- 
cines that  operate  by  fweat  will  carry  off  the 
fwelling.  (43) 

Where  the  difeafe  is  the  refult  of  profufe  bleed- 
ings, from  whatever  caufe,  or  over-purgation, 
generous  diet  and  ftrengtheners  are  the  iikelieft 
to  remove  it. 


(43)  Small  and  repeated  dofes  of  calomel  will  effedtu- 
ally  obviate  the  evil  efFedls  of  this  imprudence,  and  prevent 
the  impenjding  mifchief  here,  as  well  as  in  improper  bath- 
ing. 

The  writer  fpeaks  with  confidence,  and  from  fuccefs  in 
many  fuch  accidents.  Where  the  cafe  was  urgent,  he  gave 
two  grains  of  calomel  every  three  hours,  till  twenty  grains 
had  been  taken. 


C   47  ] 

A  fowl  fluffed  with  cow-itch,  and  made  into 
broth,  has  fometimes  carried  off  this  diforder  by 
ftool  and  urine.  (44) 

If  the  fwelhng  is  confiderable,  and  the  bowels 
are  found,  the  Negroe  fhould  be  tapped,  and  the 
future  accumulation  of  water  prevented  hy  aloetic 
purges  and  bitters. 

This  difeafe  has  fometimes  been  cured  by  gun- 
powder taken  inwardly  with  cow-pifs. 

I  have  feen  lingular  good  effeds  from  the  fol- 
lowing medicine :  I*ut  into  a  tin  boiler  with  a 
cover,  an  ounce  of  cinnamon,  half  an  ounce  of 
nutmeg,  two  drachms  of  fait  of  fteel,  or  even  fteel 
fihng,  a  pound  and  a  half  of  lime-juice,  and  as 
much  good  old  rum,  and  place  it  in  a  veffel  with 
boiling  water  for  an  hour,  then  ftrain  it,  and  give 
near  a  gill  of  it  morning  and  evening  ;  it  operates 
chiefly  by  urine.  A  handful  of  fcraped  horfe* 
raddifli  may  be  occafionally  added.  (45) 


(44)  Boiling  deftroys  the  fpiculje  of  cow-itch,  and  ren- 
ders it  inert. 

(45)  Preparations  of  fleel  are  ufeful  only  in  dropfies 
from  relaxation  and  debility,  but  where  there  are  vifceral 
obfl:ru£lion,  they  do  harm.  The  following  ele6luary  is  ex- 
cellent here,  as  well  as  in  chlorofis  : 

Take  conferve  of  oranges,  an  ounce  and  half — prepared 
fleel,  two  drachms — aromatic  fpices,  one  and  half  drachm — ■ 
fyrup  of  oranges,  enough  to  make  an  eledluary — the  bulk 
of  a  nutmeg  twice  a  day. 


I  48  ] 

The  liver  is  commonly  afFcded  in  this  difeafe 
in  the  Weft-Indies,  and  therefore  deobftruents 
are  properly  mixed  with  cathartics  in  dropfical 
cafes.  (46) 

In  the  dropfy  of  the  fkin,  fcarifications  and  bu- 
rying in  the  hot  fand  at  noon,  are  a  remedy 
which  may  be  depended  on,  provided  regular  ex- 
ercife  and  orange  bitters  lend  their  afTiftance. 

Cholera  Morbus, 

This  diforder  is  not  fo  common  here  as  in  Eu- 
rope, but  when  it  makes  an  attack,  its  effeds  are, 
in  general,  more  deadly,  unlefs  remedies  are 
fpeedily  applied. 

The  cholera  morbus,  in  this  country,  feldom 
proceeds  from  the  too  free  ufe  of  fruits,  as  in 
England  ;  with  us  it  arifes  more  commonly  from 
poifoned  crabs,  and  poifonous  fifti. 

Fifh  poifon  (47)  is  peculiar  to  the  Weft-Indies ; 


(46)  Difeafed  livers  and  obftru£lions  are  the  mod  com- 
mon caufes  of  dropfy  in  the  Weft-Indies.  A  prudent  ufe 
of  mercury  in  the  beginning  is  generally  fuccefsfdl. 

Tapping,  if  proper,  fhould  be  done  early,  but  much  cau- 
tion is  neceflary  in  fcarifying  the  legs  of  hydropics,  as  there 
is  danger  of  mortification. 

(47)  There  is  a  variety  of  poifonous  fifh  in  the  Weft- 
Indies.   The  moft  common  is  the  black-backed  fprats  ;  and 


[    49  ] 

and  what  is  remarkable,  the  fame  fiOi  are  ofteft 
falutary  or  otherwife,  in  different  parts  of  the 
fame  ifland. 

This,  though  vulgarly  imputed  to  copperas 
banks,  can  only  with  propriety  be  afcribed  to  the 
fubmarine  vegetables  whereori  they  feed. 

For  all  thefe  poifons,  if  not  immediately  mor- 
tal, the  beft  antidotes  are  teas  of  the  flowers  of 
cedar,  of  the  fenfitive  of  the  chickweed,  and  of 
the  yellow  prickle  wood. 

The  indications  in  the  cure  of  the  cholera  mor- 
bus, are,  firfi,  to  check  the  inordinate  difcharge 
up  and  down ;  fecondly,  to  dilute  and  cotempe- 
rate  the  humours ;  and  laftly,  to  reftore  the  tone 
of  the  inteftines. 

The  remedies  recommended  in  the  flux  will 


yet  if  fuch  fifh  are  laid  one  night  in  a  pickle  of  fait,  they 
may  be  eaten  with  fafety. 

'  In  cafes  of  fifh  poifon,  emetics  muft  be  given  immediate- 
ly, that  as  much  of  the  fifh  may  be  ejected  as  poffible  j  then 
a  dofe  of  caftor  oil. 

The  mixture  recommended  in  note  (32)  mufl  be  given 
freely  ;  it  flops  vomiting,  and  correds  the  contents  of  the 
ftomach  and  firft  paiTages.  It  is  flrenuoufly  recommended  as 
the  mofl  fafe  and  efFedlual  antidote  againfl  fifh  poifon  what- 
ever. When  fuch  accidents  happen  at  fea,  or  where  le- 
mon juice  eannot  be  got,  vinegar  faturated  with  marine 
fait  will  do  equally  well. 

D 


[   50  ] 

check  the  difcharge  (48)  ;  water  gruel,  fage  tea, 
and  hot  water,  will  render  the  humours  lefs  acrid ; 
and  exercife,  bathing  in  the  fea,  bitters,  and  the 
bark,  will  invigorate  the  inteftines. 

Much  might  be  added  on  the  article  of  fifli 
poifon.  (40)  It  is  a  new  and  curious  fubjed,  but 
this  IS  not  a  proper:  place  for  an  ample  difquifi- 
tion. 


Vomiting.  • 

A  CONSTANT  rejection  of  whatever  is  taken  int© 
the  ftomach,  is  a  more  common  difeafe  than  the 
former,  and  often  as  deadly.  (50) 

It  always  proceeds  from  fome  peccant  humour 
irritating  the  ftomach. 

Salt  of  wormwood  mixed  with  lemon  juice,  and 
fwall  nved  in  the  ad  of  eftervefcence,  will  fome- 
times  ftop  it. 


(48)  The  elixir  of  vitriol  is  excellent  in  cholera  morbus. 
Thiity  drops  may  be  taken  in  vv-iter  and  fugar  every  three 
hours,  till  the  diforder  abates  ;  alfo  the  remedy  in  note  (32). 

(49)  No  frtisfadory  i^ccount  has  yet  been  given,  why 
Certain  hih  arc  poifonous  at  times,  and  not  at  other  times. 
It  is  curious  however,  that  putting  fifh  for  a  few  hours  in 
fait,  prevents  all  accidents,  and  deprives  them  of  their  poi- 
fonous quality. 

(50)  What  has  been  faid  under  cholera  will  equally  ap- 
ply here. 


[   51  ] 


Opiates  have  alfo,  not  unfrequently,  produced 
the  fame  efFect. 

Warm  water  poured  on  toafted  caflada,  or  oat- 
meal made  brown,  will  often  flop  a  vomiting. 

But  mint  juice  mixed  with  fugar,  and  warm 
goats  milk,  will  generally  fucceed,  where  the 
former  have  failed. 

Purgative  glyfters  Ihould  be  adminiftered* 

Malignant  Sore  Throat.  (51) 

This  diforder  is  a  malignant  fever,  principally 
affedling  the  throat,  &c.  How  then  can  mercu- 
rials be  ferviceable  in  this  cafe  ?  They  relax  the 
folids,  and  deftroy  the  tone  of  the  blood. 


(5 1 )  Tliere  are  three  kinds  of  fore  throats  common  in 
the  Weft-Indies,  which  require  different  treatment : 

1.  The  cynanche  inflammatoria  in  Negroes  5  bleeding  is 
neceffary,  gentle  laxatives,  mild  antimonials,  and  emollient 
gargles. 

2.  Cynanche  ulcerofa,  with  fcarlet  efflorefcences  round 
the  floughs  J  three  grains  of  the  antimonial  powder  re- 
commended in  note  (29)  and  one  grain  of  calomel  every 
three  hours,  till  a  perfpiration  takes  place,  then  to  be  left  off. 

3.  Cynanche  maligna,  or  cynanche  putrida. 

The  putrid  fore-throat  is  fometimes  epidemic,  and  al- 
ways attended  with  typhoid  fever  ;  after  gentle  laxatives, 
bark  and  wine  are  the  moft  efFedual.  A  gargle  made  of 
^turated  lemon  juice,  or  vinegar  and  fea  fait,  is  excellent. 
The  writer  of  thefe  notes  feldom  gave  any  other  medicine. 

D  2 


[     52  ] 

How  then  can  purgatives  be  ufeful?  They 
Weaken  the  habit,  and  fink  the  pulfe,  which  is 
already  naturally  too  low. 

Nor  is  bleeding,  in  this  difeafe,  more  to  be  re- 
commended than  cathartics  and  mercury ;  it 
thins  the  blood,  and  weakens  more  than  either. 

What  then  is  to  be  depended  on  ? 

Gentle  diaphoretics ;  tea  made  of  devil's  bit, 
wild  fage  tea,  weak  fout  punch,  madeira  fangree 
mixed  withfeville  orange ;  a  mouth-water  or  gar- 
gle made  of  canker- berry,  privet,  alum,  honey, 
&.C.  is  alfo  ufeful.  Steaming  the  throat  with 
warm  vinegar  does  good. 

For  want  of  attending  to  thefe  rules,  more  Ne- 
groes for  fome  years  paft  have  perifhed  by  fore 
throats,  than  by  any  other  difeafe. 

Elixir  of  vitriol,  tin(5ture  of  the  bark,  and  tinc- 
ture of  rofes,  fometimes  remove  the  malignant  an- 
gina. 

I  never  faw  above  two  inflammatory  fore  throats 
in  the  Weft-Indies.  Their  coming  to  matter 
ought  to  be  prevented  by  coohng  purges ;  but 
ftiould  a  fuppuration  enfue,  the  tumour  muft  be 
forthwith  opened. 

A  fmall  quantity  of  nitre  fwallowed  leifurely 
twice  or  thrice  a-day,  will  often  prevent  the  fup- 
puration of  the  almonds  of  the  ear,  &c. 

Negroes,  as  well  as  white  people,  are  very  fub- 


[   53  ] 

jed'to  the  tooth- ach,  and  an  external  fwelling 
of  the  glands  of  the  neck,  8tc.  called  the  mumps. 

Thefe  proceed  from  their  lying  with  their 
heads,  &-c.  too  flightly  covered,  or  from  thei^^ 
walking  to  vilit  their  wives,  8cc.  in  the  night- 
time. 

.  If  the  tooth  is  hollow,  it  Ihould  forthwith  be- 
cxtradled  ;  at  this  the  Negroes  are  fufficiently  ex- 
pert. 

The  mumps  is  to  be  removed  by  warmth,  fric- 
tion, and  fweet  oil ;  if  inflamed,  caftor  oil  may  be 
given. 

Of  the  Liver  and  Spleen preternatur ally  fwelled,  (52) 

Those  diforders  which  were  known  to  the  an- 
cients, but  which  are  now  unfrequent  in  Europe, 
are  common  in  the  Weft-Indies,  both  among  the 
white  people  and  Blacks. 


(52)  There  are  no  diforders  fo  frequent  in  the  Weft- 
Indies  as  thofe  of  the  liver  and  fpleen.  Every  acute  dif- 
eafe,  and  chronic  complaints,  occafion  vifceral  obftruflions, 
and  efpecially  in  the  liver.  The  patients  complain  of  a 
pain  in  the  pit  of  the  ftomach,  and  of  breathleflnefs  when 
walking  up  an  afcent  j  (if  a  Negroe,  his  colour  is  pale ;)  the 
appetite  is  bad,  and  the  belly  irregular  j  lefs  or  more  fe- 
ver attends,  and  the  patient's  ftrength  is  wafted  daily. 
Jaundice  and  dropfy  are  the  fure  confequences,  if  not 
fpeedily  remedied. 

B3 


[   54  ] 

Though  at  firft  they  are  fcarce  to  be  diftiiv 
guifhed,  in  procefs  of  time  the  fweUing  may  be 
felt,  and  at  laft  becomes  vifible.  It  is  fcarce  ever 
attended  with  pain  or  feverilhnefs,  but  always 
with  lofs  of  appetite,  and  commonly  with  adhe- 
sion to  the  furrounding  membrane. 

The  Negroes  do  certainly  remove  this  adhe^ 
lion,  by  frequent  fridion  with  their  fingers,  by 
laying  the  difeafed  acrofs  a  hogfhead ;  in  fhort, 
by  putting  the  body  in  fuch  an  attitude,  as  to 
enable  them  to  infert  their  fingers  below  the  fmall 
ribs. 

I  do  not  remember  to  have  feen  any  patient 
with  either  or  both  of  the  above  diforders,  who 
laboured  under  a  jaundice.  (53) 

The  lime  juice  medicine,  recommended  in  the 
chapter  on  the  dropfy,  is  'alfo  fovereign  in  thefe 
ailments,  which  are  always  tedious,  but  feldom 
kill. 


(53)  In  acute  hepatitis,  where  the  habit  is  full,  bleed- 
ing to  eight  or  ten  ounces  is  neceflary ;  then  fmall  dofes  of 
the  antimonial  powder  recommended  in  note  (29)  every 
three  hours,  till  the  pores  of  the  fkin  are  opened  fhould 
this  not  be  fufficient,  add  one  grain  of  calomel  to  two  grains 
of  the  antimonial  powder,  and  continue  the  fame  till  a  re- 
folution  of  the  diforder  is  brought  about. 

In  chronic  cafes,  a  fingle  grain  of  calomel  may  be  given 
at  bed-time  for  a  week,  then  ftop  for  a  few  days,  and  go 
pn  as  before. 


[   55  1 

The  mercurial  pilf  of  the  Edinburgh  Difpenfa- 
tory,  combined  with  fteel  filings,  has  fometimes 
been  tried  with  fuccefs. 

If  purgatives  are  ever  thought  advifeable  in 
thefe  obftrudions,  they  fiiould  be  compofed  of 
gum  guajac,  calomel,  and  foap  of  tartar, 
i  Soap  medicines  with  hog-lice  have  alfo  done 
fervice. 

When  the  tumour  points  externally,  and  there 
is  reafon  to  apprehend,  from  preceding  fymptoms, 
that  matter  is  formed,  it  fliould  be  let  out  by  a 
cauftic  and  lancet ;  as  fome  have  recovered  af- 
ter this  operation. 

Pai?i  in  the  Stomach.  (54) 

Negroes  often  complain  of  a  pain  in  the  fto- 
mach.    This,  when  it  does  not  arife  from  worms, 


(54)  A  pain  in  the  ftomach,  is  a  name  for  any  diforder 
of  Negroes,  and  much  caution  is  neceflary  to  diftinguiflj 
real  from  pretended  complaints.  Where  the  cafe  is  doubt- 
ful, we  fliould  err  on  the  fafe  fide,  and  let  the  Negroe  reft  a 
day  or  two  in  the  infirmary. 

A  pain  in  the  ftomach  often  turns  out  to  be  hepatitis, 
or  dlfeafed  liver,  as  we  ftated  at  note  (5'i),  and  may  be  fuc- 
cefsfully  treated  by  very  fmall  dofes  of  calomel. 

If  it  is  merely  dyfpeptic,  aloetics,  bitters  and  chalybeates, 
are  proper. 

If  from  dirt-eating,  mild  treatment,  warm  clothing,  ge- 

D  4 


[    5^  ] 

is  always  to  be  remedied  by  the  following  pre- 
fcription  : 

Mix  an  ounce  of  foot,  half  an  ounce  of  ftinking 
weed  roots,  velvet  roots  as  much,  fix  drachms  of 
orange,  or  lhaddoc  rind,  and  three  or  four  cloves 
of  garhc,  with  three  pints  of  rum ;  let  the  mix- 
ture ftand  in  the  fun  a  few  days,  then  ftrain  it 
and  keep  it  well  corked  for  ufe. 
Half  a  fmall  wine  glafsful  is  a  dofe. 
A  fpoonful  of  the  juice  of  femprevive  will  al- 
fo  remove  it ;  but  the  elixir  proprietatis  is  a  more 
elegant  remedy. 

This  difeafe  proceeds,  in  general,  either  from 
indigeftion  or  worms. 

The  roots  of  wild  indigo,  of  cow-itch,  and  of 
lemon,  infufed  in  water,  and  fweetened  with  me- 
l^fles,  have  often  done  fervice,  if  French  authors 
may  be  credited. 

Goutf  Gravel  and  Diabetes.  (55) 

I  NEVER  faw  a  Negroe  wath  the  gout  or  ftone 
in  the  urinary  palTages  and  bladder ;  the  truth 


nerous  diet,  wine  and  other  fermented  liquors,  cane  juice, 
or  hot  liquor  from  the  boilers ;  thefe  will  induce  Negroes 
to  defifl;  from  fuch  pernicious  pra£lice. 

(55)  Free  people  about  the  towns  in  the  Weft- Indies, 
who  indulge  themfelves  in  the  delicacies  of  the  table,  and 
in  liquors,  have  their  regular  fits  of  gout. 


[   57  ] 

is,  the  white  people  are  lefs  frequently  tormented 
with  thefe  excruciating  ailments  in  the  torrid 
zone,  than  in  Europe. 

Warmth  and  moifture  would  therefore  appear 
to  be  enemies  to  the  produdion  of  either  of  them. 

••Where  the  foil  is  of  a  clayey  nature,  and  retains 
humidity  fo  long  as  to  render  it  putrid,  there  the 
gout  may  rage  ;  (56)  though  even  in  fuch  foil  it 
is  lefs  painful,  and  the  fits  not  fo  lafting  as  in  Eu- 
rope, efpecially  if  proper  perfpiration  is  encoura- 
ged. 

But  if  the  Creoles  are  lefs  afflided  with  thefe 
maladies,  I  have  feen  many  wafting  away  with  a 
continual  difcharge  of  colourlefs,  and  almoft  infi- 
pid  urine. 

This  preternatural  difcharge  is  by  fome  writers 
of  eminence  afcribed  to  a  diforder  in  the  liver; 
but  I  Ihould  rather  impute  it  to  a  watery  poverty 


Gravel  never  happens  in  the  Weft-Indies  ;  diforders  in 
the  urethra  from  venereal  afFedions  are  frequent  enough. 

(56)  Gout  may  be  hereditary,  or  brought  on  by  intemr 
perance  :  It  may  alfo  be  palliated,  and  even  cured,  by  a 
rigid  adherence  to  diet  and  exercife.  Animal  food,  fpirits, 
and  ftrong  fermented  liquors  muft  be  avoided.  Much  be- 
nefit has  been  experienced  from  the  daily  ufe  of  ginger 
boiled  with  fweet  milk. 

When  gout  is  attended  with  inflammation  and  fever,  it 
will  give  way  to  the  means  propofed  in  note  (53),  or  to 
Dr.  James's  powder. 


[    58  ] 

of  blood,  and  a  morbid  relaxation  of  the  urinary 
vifcera. 

This  theory  of  the  diabetes  (57)  feems  alfo  to 
be  confirmed  by  the  remedies  which  cure  it. 
Thefe  are  all  of  the  aftringent  kind,  and  may  be 
found  in  the  chapter  on  fluxes. 

-  Diaphoretics,  or  fuch  medicines  as  operate  by 
fweat,  are  alfo  ufeful.  But.  neither  thefe  nor 
aftringents  will  thoroughly  corroborate  the  parts 
without  cold  bathing,  and  alum  whey. 

Alum  and  bole  may  alfo  be  made  into  a  plaf- 
ter,  with  the  white  of  an  egg  and  turpentine, 
and  applied  to  the  region  of  the  loins. 

The  Canada  baifam,  &c.  either  dropped  on  fu- 
gar,  or  mixed  with  the  yolk  of  an  egg,  ftrcngthens 
the  urinary  palTages. 

But  no  remedy  I  know  in  nature  is  fo  effica- 
cious, in  this  and  the  follov\ang  diforder,  as  pills 
made  of  the  gum  elemi  and  pounded  niccars.  (58) 


(57)  Diabetes. — This  diforder  has  been  ably  treated  of 
by  Dr.  Rollo,  and  the  reader  is  referred  to  his  work.  A 
diet  of  animal  food  alone  is  ftri£lly  enjoined,  and  hepar  ful- 
phur  internally  is  recommended. 

Diabetes  fometimes  attends  remitting  fevers,  and  weakly 
children  are  very  fubjcft  to  it.    The  prefcnt  "Writer  has 
cured  a  number  of  recent  cafes,  with  the  mixture  of  vege- 
table acid  and  marine  fait.  (Vide  American  Philofophical 
TranfatSlions,  volume  II.)  The  formula  is  in  note  (32). 

(58)  The  infufion  of  quaflia  in  note  (37),  drank  daily,  is 


[   59  i 

Patients  labouring  under  a  diabetes  are  al- 
ways thirfty ;  but  they  muft  couiiteraft  their  ap- 
petite to  drink,  and  rather  than  Iwallow  large  a- 
queous  draughts,  only  moiften  their  mouths  with 
tamarind-beverage,  or  orange  juice. 

Lime-water  with  milk  may  be  ufed,  as  alfo  the 
waters  of  the  hot-bath  at  Nevis,  which  is  more 
powerful  in  all  cafes  of  relaxation  than  that  of 
Briftol. 

Where  the  Nevis  water  cannot  be  had,  impreg- 
nate good  foft  water  with  a  red  hot  iron. 

Fluor  Albus.  (59) 

The  Blacks  are  lefs  fubjecl  to  this  difeafe  than 
the  white  inhabitants ;  among  whom  I  have 
known  infants,  not  three  years  old,  and  women 
of  fixty,  wafting  away  with  it. 

This  diftemper  is  not  eafily  cured  in  Europe, 
and  to  tell  the  truth,  European  remedies  feldom 
cure  it  in  the  Weft-Indies. 

Aftringent  injedions  are  the  moft  likely  to  fuc- 
ceed  in  the  fluor  albus ;  but  the  beft  injedions 
do  not  always  radically  remove  the  difeafe. 


extremely  ufeful  in  diabetes,  as  it  prevents  the  formation 
of  fugar  in  the  ftomach  and  inteftines,  from  vegetable  food. 

(59)  There  is  much  difficulty  in  cliftinguifhing  leucor- 
rhcea  in  Negroe  women,  from  venereal  gonorrhoea. 


[   60  ] 

'  The  injection  raoft  to  be  depended  on,  is  a 
firong  decodlion  of  the  pomegranate  bark,  old 
rum,  and  elixir  of  vitriol. 

This,  mixed  with  an  equal  proportion  of  lime 
or  Nevis-water,  fhould  be  thrown  up,  thrice  a-day, 
to  the  quantity  of  half  a  gill  at  a  time. 

Fomentations  of  balauilines,  guava  bark,  and 
fea-fide  grape  bark  in  rum,  are  alfo  ufeful. 

The  medicine  to  be  relied  upon  in  the  fluor  al- 
bus,  is  the  following  : 

Mix  four  parts  of  gum  elemi,  with  two  parts  of 
cafliew-tree  gum ;  add  one  part  of  fait  of  fteel, 
and  as  much  good  turpentine ;  make  them  into 
pills  of  fix  grains. 

Give  three  of  thefe  pills  three  times  a-day  in 
half  a  gill  of  pomegranate  tea. 

Cold-bathing,  bark,  and  ehxir  of  vitriol,  or  tinc- 
ture of  rofes,  accelerate  the  cure,  (60) 

Rheumatifm  and  Sciatic, 

These  difeafes  are  even  more  common  in  the 
torrid  zone  than  at  home  ;  but  they  are  feldom 
acute.  (61) 


(60)  Large  dofes  of  prepared  chalk  or  crabs  eyes,  cure 
this  diforder. 

(61)  Acute  rheumatifms  arc  frequent  in  the  Weft-In- 
dies, and  may  be  treated  aa  other  inflammatory  difeafeg. 


[    61  ] 

Of  courfe  bleeding  and  purging  (evacuation^ 
too  frequently  ufed  to  remove  them)  are  almoft 
always  improper  in  this  climate. 

The  difcharge  by  urine  is  with  difficulty  ex- 
cited in  this  country,  and  could  it  be  promoted 
with  certainty,  would  not  carry  off  the  rheuma- 
tifm.  Warmth,  fridion,  bathing,  and  oil,  are  ufe-^ 
ful  in  thefe  difeafes. 

But  external  remedies  will  not  cure  them,  if 
they  have  taken  any  root  in  the  conftitution. 

Dr.  James's  powder,  when  it  operates  by  fweat, 
is  fometimes  ferviceable  in  the  rheumatifm  and 
fciatica. 

Dover's  powder  is  more  generally  ufeful.  (62) 
Tindure  of  ipecacuan,  fal  volatile,  and  lauda- 
num, in  equal  proportions,  have  alfo  been  of  fer- 
vice. 

But  the  following  preparation  is  the  only  one 
to  be  depended  upon  : 

Mix  equal  parts  of  gum  guajac,  nitre,  and  fo- 
liated earth  of  tartar  ;  add  one  third  of  cinnabar, 


After  the  neceffary  evacuations  have  been  made,  mild  anti- 
monials,  and  fmall  and  repeated  dofes  of  calomel,  may  be 
given. 

(62)  Chronic  rheumatlfms  generally  yield  to  fmall  dofes 
of  Dover's  powder  at  bed-time,  with  one  grain  of  calomel 
for  a  few  nights.  Sciatica  is  probably  a  rheumatifm  of  the 
nerve  in  the  hip-joint.  No  medicine  is  fo  eflFe<^luaI  as  Do- 
ver's powder  and  calomel,  juft  mentioned. 

a 


r  62  ] 

and  make  them  into  pills  of  fix  grains,  with  me- 
lalTes. 

Of  thefe  pills  give  three  thrice  a  day. 

No  curable  rheumatifm  ever  refilled  this  reme* 
dy,  continued  for  three  weeks. 

Ward's  pills  have  been  adminiftered  in  thefe 
ailments,  but  I  never  knew  them  produce  any 
lignal  fervice. 

Experience  has  taught  me  to  think  better  of 
the  infufion  of  glafs  of  antimony  in  madeira.  (63) 

That  tindture  poiTelfes  many  virtues. 

Heart-Burn.  (64) 

This  is  a  very  common,  and  though  not  a  dead- 
ly, is  yet  a  troublefome  difeafe. 

It  arifes  from  the  too  free  ufe  of  vegetables,  a 
weak  ftomach,  and  inert  bile. 


(63)  This  is  no  other  than  the  antimonial  wine  of  un- 
certain ftrengtli.  The  vinum  antimoniale  of  the  (hops  is 
more  ehgible,  as  the  dofe  can  be  determined  accurately. 

(64)  The  heart-burn  is  occafioned  by  the  acetous  acid  be- 
ing formed  in  the  ftomach.  Bitters,  chalybeates,  and  cal- 
careous fubftances,  are  generally  prefcribed.  Magnefia  is 
the  fafeft  of  thefe,  but  it  neutralizes  only  that  portion  of 
acid  it  meets  with  in  the  ftomach. 

The  fulphurcous  acid  deftroys  the  principle  of  the  ace- 
tous and  vinous  ferment.  Elixir  of  vitriol,  in  dofes  of  thir- 
ty drops  in  water,  removes  heart-burn  like  a  charm. 

1 


[   63  ] 


Chalk,  crabs  eyes,  or  lime-water,  will  always 
give  eafe  in  this  diftemper  ;  but  elTence  of  pepper- 
mmt,  fpirits  of  hartfliorn,  or  fait  of  wormwood, 
are  more  to  be  depended  on. 

Vomits  are  always  necelTary,  but  the  muftard 
vomit  deferves  the  preference. 

The  Negroes  are  not  fo  fubjed:  to  this  dif- 
order  as  the  white  people,  and  yet  they  live  more 
upon  vegetables  than  their  mafters  ;  but  then 
their  greens,  8tc.  are  always  well  feafoned  with 
fait,  and  green  pepper,  and  they  drink  little  punch 
and  no  wine. 

I  have  ,known  old  rum  mixed  with  water  and 
fprinkled  with  nutmeg,  periifted  in  as  a  common 
drink  at  meals,  remove  the  heart-burn  when  all 
other  remedies  have  proved  ineffectual. 

I  know  a  gentleman  who  is  much  fubjedt  to  the 
heart-burn,  and  whofe  only  relief  is  a  large 
draught  of  warm  milk. 

In  this  perfon  the  heart-burn  probably  pro- 
ceeds from  a  putrid  acrimony. 

Ringworm, 

This  difeafe  is  almoft  as  common  as  the  itch, 
but  is  not  fo  eafily  removed. 

It  affedls  every  part  of  the  body,  but  efpecially 
the  joints. 


t  64  ] 

It  is  always  attended  with  a  violent  itching, 
and  is  highly  infeftious. 

Many  remedies  are  ufed  by  the  Weft-Indians 
for  the  cure.  The  chief  of  thefe  are  what  follow  : 
Rub  the  parts  with  a  coarfe  cloth  till  they  be- 
gin to  bleed,  and  then  fqueeze  into  them  the  zeft 
of  a  feville  orange. 

Mix  two  drachms  of  gunpowder,  with  as  much 
lime  juice  as  will  bring  it  to  the  conliftence  of  a 
thin  liniment ;  this  rubbed  in  morning  and  even- 
ing, after  hard  fridion,  often  proves  effedual. 

When  the  ringw^orms  are  not  numerous,  an  ap- 
plication of  fait  water  and  urine  will  cure  them. 

Bathing  the  parts  with  warm  fait  water  and 
firft  runnings  is  always  of  fervice. 

But  the  moft  certain  remedy  which  the  Weft- 
Indies  afford  for  the  cure  of  ringworms,  is  an  epi- 
them  made  of  the  flowers  of  brimftone,  and  the 
juice  of  the  ringv\4orm  flirub.  (65) 

This  vegetable  is  common  in  the  iflands,  and 
needs  no  defcription.  Dr.  Hillary  has  defcribed 
it  in  fuch  a  manner  as  an  European  botanift  may 
clafs  it. 


(65)  In  old  and  inveterate  cafes  of  ringworm  and  her- 
petic fores,  a  fulphureous  plafter  worn  conftantly  ver  the 
parts,  will  at  length  cure  the  complaint,  efpecially  if  a  de- 
coction of  farfaparilla  and  guiacura  is  given  at  the  fame 
time. 


[  6s  3 

But  though  thefe  appHcations  will  remove  this 
ailment,  yet  the  remedies  which  Europe  affords 
are  both  more  certain  and  more  fpeedy. 

Among  thefe  a  ftrong  folution  of  blue-flone  in 
hme-water,  or  corrofive  fubhmate  in  the  fame 
menftruum,  deferve  the  preference. 

Purgatives  are  fcarce  ever  neceffary  in  this  dif- 
order ;  but  fweating,  efpecially  in  a  warm  bath, 
is  highly  expedient  at  the  clofe  of  the  diftemper. 

Of  Cojlivenefs. 

This  is  a  common,  and  though  not  fatal,  is  yet 
a  troublefome  diforder. 

The  white  inhabitants  are  more  fubjetSl  to  it 
than  the  Blacks,  and  the  women  more  than  the 
men. 

It  generally  proceeds  from  inert  bile,  and  re- 
laxation ;  of  courfe,  warm  bathing,  which  is  fome- 
times  prefcribed  for  it,  is  improper  ;  and  immer- 
iion  in  cold  water  will  do  fervjce,  though  gene- 
rally thought  hurtful. 

But  cold  bathing  alone  will  not  do  ;  mild  pur- 
gatives joined  to  bitters  muft  be  given  internally. 

For  this  purpofe  a  handful  of  the  wild  fenna, 
infufed  in  half  a  pint  of  water,  and  quickened 
with  a  fpoonful  of  the  juice  of  femprevive,  may 
be  given. 

Or  vervain  may  be  drank  every  morning  as 

E 


[   66  ] 

tea,  with  fome  of  the  halbert-weed  flowers  or 
thofe  of  chamomile. 

Or  caftor  oil,  fharpened  with  an  infufion  of 
Itinking-weed,  or  velvet-root,  may  be  ufed. 

The  following  pills  are  alfo  ferviceable ;  grind 
up  equal  parts  of  jalap,  French  phyfic  nut,  caftile 
foap,  and  juice  of  aloes,  and  make  them  into  pills 
of  fix  grains.  Two  taken  every  night  will  gene- 
rally procure  a  flool  the  next  day. 

I  have  alfo  known  half  a  pint  of  fea  water, 
with  twenty  or  thirty  drops  of  the  elTence  of  an- 
timony, drank  in  a  morning,  produce  falutary  ef- 
fe6ts. 

Sometimes  I  have  combined  the  bark  with  pur- 
gatives, and  have  thus  generally  fucceeded  in 
curing  an  habitual  coftivenefs. 

Moderate  exercife,' efpecially  on  horfeback,  is 
abfolutely  neceflary. 

A  large  fponge  wetted  in  fea  water,  and  ap- 
plied fuddenly  to  "the  belly,  will  fometimes  do 
fcrvice,  and  may  be  ufed,  when  riding  is  inconve- 
nient. 

All  ftrong  purgatives,  efpecially  thofe  that  are 
endued  with  reftringent  properties,  are  improper ; 
at  leaft  till  the  bile  is  become  healthfully  acrid. 

I  am  of  opinion  that  the  Senega  rattle-fnake 
root,  mixed  with  nitre  and  the  juice  of  the  aloes, 
would  do  good  in  this  difeafe  ;  for  though  coni- 
bined  with  an  opiate,  which  effedually  hinders  it 


[   67  ] 

Trom  exciting  a  naufea,  it  generally  produces  a 
copious  difcharge  by  ftool. 

Half  a  drachm  of  gum  guajac  diflblved  in  the 
yolk  of  an  egg,  and  mixed  with  vervain  tea,  is  a 
good  purgative. 

Tvjo  or  three  guajac  pods  infufed  in  warm 
water  will  often  give  a  ftool ;  a  larger  number  of 
them  in  the  fame  way,  adl  as  an  emetic. 

Chocolate  is  a  proper  breakfaft  and  fupper  to 
fuch  as  are  habitually  coftive,  and  purgatives 
may  be  blended  therewith,  fo  as  totally  to  dif- 
guife  their  bad  tafte. 

In  that  cafe  the  cathartic  fhould  be  reduced  to 
the  fineft  powder  imaginable ;  and  if  the  choco- 
late is  mixed  with  water,  by  means  of  the  yolk  of 
an  egg,  the  tafte  will  more  efFedually  be  fheath- 
ed. 

To  fome  people  ftrong  coffee  is  a  purgative. 


E  2 


AN 

ESSAY 

ON  THE 

MANAGEMENT  AND  DISEASES 

O  F 

NEGROES. 


PART  III. 

Leprofy,  (66) 

A  LTHOUGH  the  white  people  in  the  Weft-Indies 
are  not  exempted  from  this  dreadful  calamity, 
yet  as  the  Negroes  are  moft  fubjedl  thereto,  I 
ehoofe  to  begin  the  third  divifion  with  it. 


(66)  In  leprofy,  it  generally  happens  that  the  children 
efcape,  but  the  grand-children  are  certain  of  the  difeafc 
breaking  out  fooner  or  later  in  their  lives. 

The  children  of  white  people,  who  have  been  fuckled  by 
Negrefles,  and  who  have  this  taint  in  their  conftitution,  arc 
fometimes  afFedted  with  leprofy* 


[   69  ] 

I  could  write  a  great  deal  upon  this  diforder, 
and  but  little  to  the  purpofe ,  like  the  gout,  it  is 
the  difgrace  of  art. 

I  am  doubtful  whether  it  be  infedious  or  not. 
The  children  of  infeded  parents  are  not  always 
feized  with  the  leprofy,  and  I  have  known  the 
wives  of  the  leprous  remain  free  from  it  for  years. 

It  is  however  the  part  of  prudence  to  remove 
the  diftempered  from  the  found. 

This  diforder  frequently  arifes  from  being  over- 
heated, and  getting  too  fuddenly  cool.  It  how- 
ever ofteneft  breaks  out  without  any  vifiblc 
caufe.  (67) 

Mercurials  and  antimonials  irritate  the  difeafe  ; 
neither  is  any  good  done  with  farfa,  falTafras,  lig- 
num-vitas,  or  China  root. 

I  am,  notwithftanding,  perfuaded,  that  the  an- 
tidote of  the  leprofy  is  to  be  found  in  the  Weft- 
Indies.  What  profit,  what  pleafure  would  accrue 
to  the  happy  difcoverer  ? 

I  once  faw  a  Negroe  man  whofe  wool  grew 
whitifh,  and  whofe  Ikin  put  on  a  farinaceous  ap- 
pearance. He  was  a  hideous  fpedacle.  His  ap- 
petite was  good. 


(67)  Nothing  will  produce  the  leprofy  or  the  joint-evil, 
but  being  born  of  leprous  parents,  or  by  unclean  nurfes. 

E3 


[    70  ] 


Tlje  Joint^Evil.  {6%) 

This  is  too  frequent  a  complaint,  but  as  far  as 
I  know,  it  is  confined  to  the  Blacks. 

It  commonly  attacks  the  toes;  the  joints  of 
which  fucceflively  drop  off  almoft  without  pain, 
and  always  without  a  fever. 

It  ftops  when  it  reaches  the  foot ;  and  fome- 
times  the  laft  joint  of  the  great  toe  prevents  its 
progrefs. 

The  patients  are  in  all  other  refpeds  healthy, 
and  produce  healthy,  nay  fine  children. 

I  do  not  remember  to  have  feen  this  unac- 
countable  diforder  demolifh  the  fingers. 

I  can  fay  nothing  pofitive  with  regard  to  the 
cure  of  the  joint-e  vil ;  phyficians  are  feldom  con- 
fulted  for  it. 

As  it  appears  to  be  a  topical  diforder,  might 


(68)  The  joint-cvil  is  another  fpecics  of  leprofy  ;  like  it, 
it  is  hereditary  and  incurable. 

There  was  a  Maroon  Negroe  in  Jamaica,  who  cured  fe- 
veral  leprous  Negroes  by  vegetables,  but  he  would  not  dif- 
cover  the  fecret  of  his  art. 

In  the  inflammatory  ftate,  bleeding,  cooling  laxatives, 
and  a  courfe  of  antimonial  wine,  have  been  of  ufe. 

■^hen  this  evil  has  eaten  off  the  fingers,  the  toes,  and 
even  the  broad  of  the  feet,  it  generally  ftops,  and  the  mu- 
tilated being  enjoys  good  health  for  many  years. 


[   71  ] 

not  warm  bathing  and  the  bark  fupprefs  it  in  its 
rife?  And  might  not  amputation  check  it  in  its 
increment?  When  it  is  at  the  worft,  I  believe, 
it  mull:  take  its  courfe. 

Elephantiqfis,  (69) 

Some  pretend  that  this  enormous  fwelling  of 
the  lower  extremities  is  curable  when  taken  in 
time. 

Experience  has  wofuUy  taught  me  the  contrary. 
But  though  it  refills  all  the  efforts  of  art,  this 

diforder  gives  rather  inconvenience  than  pain, 

and  is  no  ways  infectious. 
It  is  luckily,  however,  not  very  common  in  the 

illands. 

Taws.  (70) 

It  is  lucky  this  difeafe  attacks  the  Negroes 
but  once  ;  for  it  is  both  tedious  and  difficult  to 
cure. 


(69)  This  is  an  African  difeafe,  and  fcems  to  be  heredita- 
ry. No  remedy  has  as  yet  been  difcovered  for  it ;  but  when 
the  diforder  is  confined  entirely  to  one  leg,  and  the  Ncgroc 
otherwiic  in  good  health,  amputating  the  difeafed  limb  is 
advifeable. 

(70)  Dr.  CuUen,  and  other  nofologiftsj  have  claffcd  the 

E4 


[   72  ] 

It  breaks  out  in  every  part  of  the  body,  but 
chiefly  about  the  hips  and  privities. 

The  eruption  caufes  little  or  no  pain,  and 
fcarce  yields  any  ichor.  It  occafions  no  wafting 
of  the  flefh,  becaufe  their  appetite  keeps  good. 

The  yaws  however,  when  repelled,  infalUbly 
ruin  the  conftitution.  This  is  frequently  prac- 
tifed  by  furgeons  on  board  the  flave  ftiips. 

The  repellents  ufed  for  this  purpofe,  are  a  mix- 
ture of  iron  ruft  with  gunpowder  and  lime  juice. 
Sea  water  is  alfo  an  affiftant. 

This  pernicious  fraud  is  with  difficulty  perceiv- 
able by  the  purchafer  ;  and  yet  it  is  of  confe- 
quence  that  he  fhould  deted;  it. 

When  there  is  a  glolTy  fmoothnefs  of  the  fkin, 
in  thofe  parts  where  the  yaws  commonly  break 
out,  you  may  almoft  be  certain  that  repellents 
have  been  ufed. 

But  in  cafe  the  Negroe  has  been  purchafed  be- 
fore fuch  difcovery,  the  fooner  the  difeafe  is  again 


yaws  amongft  the  Cachexia^  whereas  it  ought  to  be  amongft 
the  Exanthemata^  immediately  after  fmall-pox.  Our  author 
is  the  firft  who  viewed  it  in  its  proper  light ;  as  he  fays, 
**  it  attacks  the  Negroe  but  once." 

As  the  yaws  are  highly  infectious,  a  houfe  fliould  be 
provided  for  the  difeafed,  a  good  careful  nurfe  to  attend 
them  and  keep  them  clean.  Warm  clothing  muft  be  al- 
lowed them,  and  a  generous  diet  given  them  5  they  fliould 
do  fome  eafy  work  the  whole  time. 


[   73  ] 


thrown  upon  the  furface,  the  better  chance  has 
the  Negroe  to  regain  his  wonted  health. 

The  beft  method  of  efFedually  expelling  the 
yaws  from  the  blood,  is  by  giving  half  a  drachm 
of  fulphur  every  night,  in  a  pint  of  hot  fage  tea. 

Burnt  niccars  are  alfo  good  for  the  fame  pur- 
pofe. 

Venice  treacle  is  equally  ufeful. 

But  with  all  thefe,  good  ftrengthening  food  is 
indifpenfibly  requifite. 

A  fortnight's  ufe  of  thefe  means  commonly 
throws  out  all  the  yawey  matter  upon  the  Ikin. 

A  variety  of  external  applications  are  then  re- 
commended by  the  old  Negroes ;  but  if  aught  is 
applied  to  the  eruptions,  it  muft  not  be  of  a  re- 
pellent  nature. 

Keep  the  fores  clean,  by  frequently  walhing 
them  with  warm  water,  or  greafy  dilh  wafh- 
ings.  (71) 

You  are  never  to  open  a  yaw  with  a  lancet, 
fay  the  French  ;  indeed  it  feldom  is  neceffary  to 
perform  that  operation ;  but  fhould  it  be  requi- 
lite,  I  can  fee  no  danger  from  the  ufe  of  Ifeel. 

There  is  generally  one  yaw  much  larger  than 
the  reft ;  this  the  Negroes  call  the  mailer  yaw. 
When  that  begins  to  dry  away,  and  no  frelh  mat- 


(71)  Yawey  fores  fhould  be  gently  walhed  with  cold  tua- 
tery  but  not  fretted  by  wiping  them  with  a  rag  or  tow. 


[   74  ] 

ter  has  been  for  fome  time  cad  out  upon  the  fur- 
face,  the  expelling  medicines  may  then  with  fafe- 
ty  be  left  off,  and  recourfe  had  to  fuch  as  will 
\  iTioll  effeaually  fecure  the  habit  from  any  latent 
taint. 

This  purpofe  is  bell  anfwered  by  a  gentle  fah- 
vation,  (72)  continued  for  fix  weeks  or  two 
months. 

The  quantity  fpit  in  the  twenty-four  hours 
fhould  never  exceed  a  quart,  and  the  patient 
fliould  be  made  to  drink  abundance  of  warm 
flops,  fage  tea,  water  gruel,  milk  and  water,  &c. 
6tc.  during  the  falivation. 

I  have  tried  almoft  all  the  preparations  of  mer- 
cury  in  the  cure  of  the  yaws,  and  have  found 
.  them  all  to  fucceed ;  but  that  which  I  have  moft 
dependence  on,  is  the  mercury  feven  times  fu- 
blimed. 

I  have  alfo  great  reUance  on  Plummer's  pill, 
efpecially  if  camphire  be  added  thereto. 

The  common  mercurial  pill  of  the  London  Dif- 
penfatory  will  cure  the  yaws ;  but  then  it  muft 
be  prevented  from  running  off  by  ftool,  by  the  ad- 
dition of  opiates. 


(72)  When  the  diforder  is  on  the  decline,  ihen  and  then 
only,  mercurial  alteratives  are  fafe  and  ufeful ;  but  never  to 
raife  a  falivation  on  any  account. 

In  good  habits,  the  eruption  v/ill  go  off  by  itfclf,  without 
any  medicine. 


r  75  ] 


The  Baron  Van  Swieten's  folution  of  the  cor- 
rolive  fublimate,has  been  long  known  to  the  Well- 
India  planters  as  a  remedy  for  the  yaws.  (73) 

Undion  may  repel  the  yawey  matter  into  the 
habit ;  and  therefore  quickfilver  fhould  not  be 
ufed  in  that  form,  to  produce  a  falivation. 

But  by  whatever  preparation  of  mercury  a  fpit- 
ting  is  excited,  the  patient  mufl;  be  well  fupport* 
ed  by  warm  and  nourifliing  drinks. 

A  decodion  of  lignum- vitoe,  and  of  turpentine, 
Ihould  alfo  be  drank ;  and  if  it  operate  gently  by 
the  Ikin,  fo  much  the  better. 

By  thefe  methods  a  relapfe  is  moft  readily  pre- 


(73)  Where  the  yaws  have  been  mifmanaged,  many  evil 
confequences  enfue,  as  bone-achs,  nocturnal  pains,  invete- 
rate ulcers  with  caries,  ulcerated  throat,  and  erofions  of 
the  cartilages  of  the  nofe.  Happily,  however,  thefe  are 
curable  by  mercurial  alteratives,  diaphoretic  deco(Sl:ions,  and 
milk  diet. 

The  following  mjercurial  tlndure  feems  to  be  the  beft, 
jind  has  been  ufed  with  fuccefs : 

Take  of  gum  gulacum  ten  drachms — Virginia  fnake-root 
three  drachms — pimento  two  drachms — crude  opium  one 
drachm — corrofive  fublimate  thirty  grains — proof  fpirits 
two  pounds. 

Digeft  the  whole  for  three  days,  and  ftraln  j  give  the 
Negroc  two  tea  fpoonfuls  of  this  tlndure  in  half  a  pint  of 
farfaparilla. — Decodlion  twice  a-day. 

Vide  London  Medical  Journal,  volume  VIII.  page  260. 


[   76  ] 

vented,  which  is  always  more  difficult  to  remove 
than  the  firft  difeafe ;  and  which,  if  it  have  cor- 
roded the  bones,  is  fometimes  not  to  be  cured. 

When  the  Ikin  is  fufficiently  cleared  of  the  e- 
ruption,  and  one  or  two  large  yaws  remain,  the 
fpitting  may  be  gradually  diminifhed ;  and  thofe 
mafter  yaws,  as  they  are  called,  fhould  be  de- 
ftroyed  by  gentle  efcharotics,  fuch  as  blue-ftone, 
verdigreafe,  corrofive  fublimate  diffolved  in  lime 
water,  or  burnt  alum  mixed  with  lemon  juice. 

When  thefe  are  thus  deftroyed,  the  lignum-vi- 
tae  decoction,  formerly  recommended,  fhould  ftill 
be  perfifted  in  for  two  or  three  weeks ;  and  now 
twenty  or  thirty  drops  of  antimonial  wine  fhould 
be  added  to  the  evening  potion. 

A  decodlion  of  the  China-root  may  now  alfo 
be  ufed. 

(74)  When  by  bad  management  the  natural 
progrefs  of  the  difeafe  has  been  interrupted,  and 
either  ugly  ulcers  enfue,  or  the  bones  become 
difeafed,  thefe  mufl  be  drefTed  with  red  precipi- 
tate mixed  with  yellow  bafiHcon,  or  with  the 
green  balfam  of  the  Edinburgh  Difpenfatory. 

Antimonials  and  camphire  fhould  then  alfo  be 
added  to  the  calomel ;  httle  or  no  fpitting  fliould 
be  excited ;  but  the  medicines  fliould  be  permit- 
ted to  alter  the  habit  by  gentle  degrees. 


(74)  Sec  the  preceding  note  (73). 


[  77  3 

In  that  cafe  alfo  I  would  recommend  the  con- 
tinued ufe  of  Plummer's  pill. 

When  the  yaws  are  not  able  to  open  a  paflage 
through  the  callous  foles  of  a  Negroe's  foot,  the 
patient  can  neither  walk,  nor  even  ftand  without 
exceffive  pain,  and  his  feet  fwell  more  and  more 
daily. 

This  troublefome  fymptom  the  Englifti  call  the 
Tubbas,  and  the  French  Les  Crapes. 

The  remedy  for  the  Tubbas,  is  to  bathe  the 
parts  affected  in  a  decodlion  of  the  leaves  of  the 
caftor  bufh,  and  to  pare  the  callus  to  the  quick  ; 
the  puftules  will  then  make  their  way  through 
the  fole,  efpecially  if  affifted  by  any  emollient 
poultice  or  warm  cow-dung  ;  and  may  be  de- 
Itroyed  by  the  efcharotics  formerly  fpoken  of. 

No  part  of  the  puftule  muft  be  left  behind, 
otherwife  it  will  certainly  regenerate,  and  by  that 
means  render  the  Negroe  ufelefs,  at  leaft  for  a 
time. 

Of  the  Nydalopia, 

I  NEVER  faw  the  Hemeralopia  in  the  Weft- In- 
dies ;  but  the  night-blindnefs  I  have  feen  there. 

That  however  is  not  common  in  the  Leeward- 
Ifland  government ;  and  all  thofe  I  ever  knew 
aflfeded  with  this  extraordinary  malady,  were  not 
Creole  Negroes,  but  thofe  brought  from  Africa. 


[   7S  ] 

The  eye,  to  all  appearance,  is  perfeaiy  found, 
even  when  it  does  not  tranfmit  one  luminous  rav 
to  the  retina. 

Neither  do  any  of  the  Nydalopes  complain  of 
head-achs.  They  generally  too  have  a  good  ap- 
petite* 

At  fun-fet  their  fight  becomes  dim  ;  and  as 
foon  as  night  prevails,  they  become  abfolutely 
bhnd :  in  which  unhappy  fituation  they  remain 
till  day-light,  when  they  recover  the  faculty  of 
feeing. 

Some  writers  have  confidered  the  night-blind- 
nefs  as  a  kind  of  ague  in  the  eye  ;  but  then  it 
would  excite  pain,  and  be  attended  with  fome 
degree  of  fever. 

My  own  opinion  is,  that  it  is  a  periodical  palfy 
of  the  proper  organ  of  vifion ;  from  whatever 
caufe  that  palfy  may  be  fuppofed  to  arife. 

But  waving  theory,  it  is  a  happinefs  the  difeafe 
may  be  cured,  and  more  fpeedily  than  one  could 
imagine. 

To  effedtuate  this,  I  generally  begin  by  giving 
a  vomit ;  and  if  the  patient  is  coftive,  a  caftor 
oil  purge  may  be  alfo  premifed. 

I  then  order  a  feton  to  be  put  in  the  neck, 
and  as  foon  as  the  difcharge  is  eftablifhed,  I  have 
recourfe  to  the  bark  prepared  in  water,  and  made 
more  palatable  with  orange-peel  and  a  little  old 
run). 


[  79  1 

Two  ounces  of  bark  generally  reftore  the  pa- 
tient to  vifion. 

At  firft,  I  combined  fnake-root  and  valerian 
with  the  cortex  ;  but  I  have  lince  found  that  the 
bark  will  do  unaflifted,  even  without  the  feton. 

All  thofe  to  whom  I  have  given  this  fpecific 
have  been  wrought,  either  up  or  down,  pretty 
fmartly,  by  its  firft  adminiftration. 

The  eyes  Ihould  be  frequently  bathed  with 
rum  and  water,  or  hungary  water  and  that  of 
rofes,  or  camphorated  fpirits,  for  fome  weeks  af- 
ter the  difeafe  is  removed. 

They  fliould  alfo  wear  a  (hade  over  their  eyes 
in  the  day  time. 

Of  the  Guinea  Worm,  (75) 

This  extraordinary  worm,  which  choofes  the 
cellular  membrane  of  the  human  body  for  its  ha- 
bitation, was  firft  taken  notice  of  by  Galen,  but 
is  beft  defcribed  by  the  Arabian  phyficians. 

It  is  a  native  of  Arabia,  Perfia,  and  of  Negroe- 
land ;  and  white  people  who  bathe  in  certain 
waters,  in  thofe  countries,  are  equally  liable  to  it 
with  the  blacks  of  Africa. 


(75)  The  gordius,  or  Guinea  worm,  is  frequent  amongft 
the  Negroes  in  the  Weft-Indies,  whether  new  Negroes  or 
thofe  born  in  the  iflands. 

2 


[    8o  ] 

I  fancy  it  is  not  a  difeafe  of  the  Weft-Indies ; 
for  all  thofe  I  ever  faw  afflidled  therewith  had 
brought  it  with  them  to  the  new  world  from 
Guinea. 

It  is  a  tedious,  but  not  a  dangerous  difeafe, 
efpecially  if  permitted  to  break  through  the  fkin 
itfelf ;  and  no  harfti  means  are  ufed  to  efFed  its 
removal. 

I  can  fee  no  ufe  of  internal  medicines  to  make 
it  fooner  quit  its  nidus ;  becaufe  I  am  not  con- 
vinced it  ever  gets  into  the  human  body  by  drink- 
ing water.  (76) 

Yet  fulphur,  garlic  and  pepper,  are  recom- 
mended to  be  given  inwardly ;  perhaps  aloes 
Ihould  be  combined  with  them. 

As  it  is  roundifti,  like  a  nerve,  the  bell  way  is 
gently  to  wind  it  round  a  fmall  cylinder,  every 
day,  till  the  whole  is  extracted.  It  feldom  exceeds 
two  feet  in  length. 

If  it  breaks,  violent  inflammations  and  finufes 
'  enfue,  which  patience  and  the  knife  muft  remove. 

Ruptures. 

Although  the  white  inhabitants  are  more  fub- 
jedt  to  ruptures  of  every  kind  here  than  in  Eu- 


(76)  Bathing  in  ponds  and  ftagnant  waters,  and  drinking 
impure  waters,  are  fufpeaed  juftly  of  caufing  this  malady. 

I 


[    8i  ,3 

rope  ;  yet  as  the  Negroes  are  moft  afHided  with 
them,  I  choofe  to  treat  of  them  in  this  divifion. 

Ruptures  in  the  groin,  next  to  thofe  of  the  na- 
vel, are  moft  commonly  to  be  met  with  in  the 
Weft-indies. 

They, generally  fpeaking,  arife  fromfome  fprain 
or  over-exercife  ;  though  fometimes  the  abdomi- 
nal contents  will  fall  down,  without  any  other 
vilible  caufe  than  relaxation. 

No  time  ftiould  be  loft  in  reducing  them  into 
the  belly  by  manual  afliftance,  and  of  fecuring 
them,  when  there,  by  a  proper  bandage  :  For 
this  purpofe,  every  plantation  ought  to  be  furnifti- 
ed  with  fteel  trufies  from  England.  (77) 

But  in  cafe  the  rupture  cannot  be  reduced  in 
the  common  way,  fome  blood  ftiould  be  taken 
away  ;  for  by  this  evacuation,  both  the  fpafm  and 


(77)  Steel  trufles  fliould  be  made  ftrong  and  elaftic. 
The  plantation  furgeon  fliould  take  pains  in  fliowing  the 
ruptured  Negroc  the  right  mode  of  applying  them ;  and 
that  at  any  time  when  the  omentum,  &c.  comes  down,  to 
remove  the  trufs  till  the  rupture  is  reduced,  a  careful 
attention  to  confining  the  parts  within  the  abdomen,  the 
life  of  the  ruptured  Negroe  is  made  comfortable,  and  he 
himfelf  ufeful  in  fociety. 

Trufles  need  only  in  the  day  time  be  worn.  They  may 
be  had  at  Edinburgh  of  the  beft  quality,  at  five  {hillings  and 
threepence  each. 


[     82  ] 


inflammation,  which  ufually  attend  an  incarce- 
rated rupture,  will  be  removed. 

But  fhould  phlebotomy  fail,  a  fmart  purgative 
Ihould  then  be  adminiftered ;  which,  with  a  little 
afliftance  from  the  hand,  will  often  remove  the 
ftrangulation. 

Good  efFedls  have  alfo  arifen,  in  this  cafe,  from 
brifk  injeftions,  efpecially  fuch  as  are  compound* 
ed  of  tobacco  and  French  phyfic-nut  leaves. 

Smoke-gl'yfters  of  tobacco  are  no  lefs  ufeful ; 
efpecially  if  adminiftered,  fo  as  to  quicken  the 
operation  of  a  purgative  taken  by  the  mouth. 

But  if  all  thefe  means  ftill  prove  ineffedtual, 
and  the  inflammation  rather  increafe,  with  vomit- 
ing, &c,  recourfe  muft  then  be  had  to  the  knife  ; 
for  if  the  gut  once  mortify,  part  of  the  foecal  dif- 
charge  muft  for  ever  be  voided  by  this  fmus,  and 
the  patient  runs  an  imminent  rifk  of  his  life. 

This  operation  requires  a  fteady  hand  and  dex- 
terity in  cutting ;  and  therefore  I  would  never 
advife  it,  could  the  rupture  be  reduced  by  any 
other  means. 

I  know  a  Negroe  with  a  very  large  fcrotal 
hernia,  which  increafes  every  full  moon,  and  then 
becomes  uncommonly  painful  for  fome  days, 
efpecially  if  he  does  not  live  very  temperate  dur- 
ing that  time,  and  be  not  purged  with  caftor  oil. 

He  can  himfelf  reduce  the  gut,  but  the  omen- 

2 


[    83  ] 

turn  coheres,  fo  that  he  is  never  free  from  an  ex- 
ternal fweUing. 

There  are  fome  aftringent  apphcations,  which 
may  fo  ftrengthen  the  relaxed  parts  in  new  rup- 
tures, as  to  prevent  their  return  ;  but  even  then 
a  trufs  fliould  not  be  neglected. 

A  trufs  fhould  alfo  be  worn  for  years  ^fter  the 
operation.  The  cicatrix  occafioned  by  a  cauftic 
leldom  prevents  a  relapfe  of  the  inteftines. 

of  Burns,  '<Sc.  (78) 

Boilers  are  very  apt  to  get  fcalded,  efpecially 
when  they  are  obliged  to  continue  their  labours 
in  the  night-time. 


(78)  There  is  nodiing  fo  common  as  burns  and  fcaldsj 
and  in  general  fo  ill  treated. 

Immediately  on  fuch  accidents  happening,  let  the  parts 
be  foaked  with  the  coldeft  water.  If  a  fcald,  apply  linen 
cloths  dipped  in  cold  water  and  common  fait,  and  continue 
this  till  the  heat  and  pain  are  no  more  felt. 

Cold  vinegar  may  be  ufed  on  the  fame  principle  as  cold 
water.  By  thefe  means  inflammation  is  prerented,  and  no 
veficles  are  formed. 

Where  the  parts  ate  burned,  the  fame  cold  applications 
are  neceifary  till  the  pain  abates.  Afterwards  the  Carron 
ointment  may  be  applied  daily  till  the  fores  are  well.  This 
•ointment  is  compofed  of  frefli  lintfeed  oU,  and  Hn?e  water. 
The  caftor  oil  will  do  as  well. 

F  2 


[    84  ] 

If  the  fkin  is  raifed  into  blifters,  thefe  fhould 
be  immediately  fnipped,  and  the  water  let  out, 
otherwife  that  will  become  acrid,  and  erode  the 
fubjacent  parts. 

Banana  leaves,  or  thofe  of  the  caftor  bufli,  are 
good  apphcations  againft  burns ;  fo  is  the  fire- 
weed. 

But  fweet  oil  blended  with  vinegar,  or  that 
drawn  from  lintfeed  and  mixed  with  plantane 
water,  are  more  to  be  depended  on. 

White  ointment  and  Turner's  cerate  may  fi- 
nifli  the  cure. 

Thofe  who  feed  the  mill  with  canes,  are  fome- 
times  liable  to  have  their  hands  ground  off  be- 
tween the  rollers,  efpecially  in  the  night-time. 

Wouldfl  thou  prevent  this  horrid  accident? 
leave  off  working  during  the  night : — or  if  that 
cannot  be  done,  at  leaft  change  thofe  who  fupply 
the  mill  every  two  hours ;  by  this  means  their 
growing  fleepy  may  be  prevented. 

Of  Ulcers  about  the  Ankles.  (79) 

I  SHALL  conclude  this  part  with  fome  few  ob- 
fervations  on  fordid  ulcers,  which  too  frequently 


(79)  Of  late  years,  much  improvement  has  been  made 
in  the  cure  of  ulcers. 

If  they  are  owing  to  a  bad  habit  of  body,  or  to  the  yaws, 


I 


[    85  ] 

hifeft  the  ankles  of  Negroes,  efpecially  in  iflands, 
where  the  foil  is  of  a  clayey  nature. 

They  are  difficult  to  be  cured,  for  I  have 
known  a  fix  weeks  falivation  often  ineffedual. 

Runaway  Negroes,  and  thofe  who  are  naftily 
lazy,  or  who  eat  dirt,  a  perverfion  of  appetite  not 
confined  in  the  Weft-Indies  to  the  females,  are 
moft  liable  to  fordid  ulcers :  They  bleed  upon  the 
flighteft  occafion,  and  generally  produce  an  cede- 
matous  fwelling  of  the  member. 

If  the  ulcer  has  arifen  from  any  external  inju- 
ry, and  the  patient  is  otherwife  in  a  good  habit  of 
body,  he  need  only  be  purged  once  a  week  with 


or  venereal  difeafe,  the  means  recommended  at  note  (73) 
muft  be  attended  to,  and  a  generous  diet  of  frefli  animal 
food. 

1.  All  ulcers  (hould  be  wafhed,  by  gently  pouring  cold 
water  on  the  parts,\  but  by  no  means  touch  the  fores  even 
with  a  probe  and  lint. 

2.  To  foul  and  foetid  ulcers,  the  pulp  of  a  feville  orange 
roafted,  and  mixed  with  a  little  fugar  j  this,  in  a  few  days, 
will  correal  the  foetor,  and  difpofe  the  ulcer  to  heal. 

3.  Where  tlie  difcharge  is  large,  fome  dry  vegetable  pow- 
ders are  ufeful  ;  they  may  be  either  of  dried  vervain  leaves, 
or  the  powder  of  the  fpurs  of  the  prickly  yellow  wood. 

4.  Contrading  the  furface  of  the  ulcer,  by  narrow  flips 
of  common  plafter,  made  adhefive  with  a  little  rofui  ;  thin 
circular  roller  bandage,  made  moderately  tight. 

F3 


[    86  ] 

fea  water,  and  bathed  in  the  fame,  in  order  to  be 
cured.  ' 

The  part  afFeded  fliould  be  drefTed  twice  a-day, 
becaufe  matter  foon  becomes  acrid  in  the  Well- 
Indies. 

After  wafliing  the  ulcer  with  vitriol  water,  and 
foaking  up  the  pus  with  fcraped  lint,  French  phy- 
lic-nut  leaves  (hould  be  pounded  and  applied 
frefh  to  the  fore. 

I  have  Icnown  that  application  fucceed,  when 
the  moft  pompous  prefcriptions  of  the  fliops  have 
failed. 

'  Exercife  is  pernicious,  and  yet  if  the  Negroe 
does  not  ftir  a  little,  the  fwelUng  of  his  leg  will 
increafe. 

Thofe  who  have  ulcers  about  their  ankles  and 
toes,  fliould  have  flioes  given  them  to  wear  till 
they  heal,  and  fhould  ufe  a  bandage  a  confider- 
able  time  after  the  part  is  cicatrized. 

Without  this  precaution,  a  return  of  the  fore 
\s  always  to  be  apprehended. 

As  the  white  inhabitants  generally  wear  fhoes 
and  (lockings,  they  are  lefs  fubject  to  thefe  fores 
than  the  Negroes. 

But  when  they  are  afflicted  with  ulcers,  it  is  a 
difficult  matter  to  heal  them,  becaufe  fuch  peo- 
ple are  but  too  much  addicted  to  the  ufe  of  raw, 
new  fpirits,  than  which  nothing  fo  effeaually 
contaminates  the  habit. 


t  87  ] 


In  that  cafe,  recourfe  muft  be  had  to  alterative 
medicines,  efpecially  fuch  as  were  recommended 
to  prevent  a  return  of  the  yaws.  (80) 


(80)  Wliite  people  with  fores  or  fcratches,  fhould  never 
come  near  Negroes  in  the  yaws.  Even  the  fmalleft  fly  from 
a  yawey  ulcer,  and  lighting  on  a  fore  of  a  found  perfon^ 
will  infedt  him  with  the  yaws. 


AN 

ESSAY 

ON  THE 

MANAGEMENT  AND  DISEASES 

OF 

NEGROES. 


PART  IV. 

But  it  is  not  enough  to  take  care  of  Negroes 
when  they  are  fick ;  they  Ihould  alfo  be  well  cloth- 
ed and  regularly  fed. 

The  negledling  either  of  thefe  important  pre- 
cepts is  not  only  highly  inhuman,  but  is  the  worft 
fpecies  of  prodigality. 

One  Negroe  faved  in  this  manner  more  than 
pays  the  additional  expences  which  owners  of 
Haves  by  this  means  incur.  But  fuppoiing  it  did 
not,  it  ought  ferioufly  to  be  conlidered  by  all 
mafters,  that  they  muft  anfwer  before  the  Al- 
mighty for  their  condud  toward  their  Negroes. 


[    89  1 

Where  neither  humanity  nor  felf  intereft  are 
able  to  make  mafters  treat  their  Haves  as  men, 
the  Legiflature  Ihould  oblige  them.  This  the 
French  have  done  much  to  their  honour.  (8i) 

As  Negroes  are  ignorant,  they  muft  be  vicious  ;  . 
this  ought  always  to  be  attended  to  in  their  pu-* 
niftiments. 

Thirty-nine  is  the  laQi  of  the  law ;  half  that 
number  is,  in  my  opinion,  a  fufiicient  punifliment 
for  any  offence  they  can  commit. 

Negroes  muft  be  puniflied  for  their  own  aa 
well  as  their  mafter's  fake  ;  but  lenity  Ihould  al- 
ways temper  juftice. 

A  Negroe  Ihould  never  be  ftruck  with  a  ftick> 
nor  ever  punifhed  in  a  paflion. 

Black  drivers  fhould  never  be  permitted  to  give 
above  one  or  two  ftrokes  of  their  whip  to  any  of 
thofe  who  are  under  their  command,  without  leave 
from  the  manager. 

How  ftiocking  to  philanthropy  is  it,  to  think 
there  are  human  beings  who  are  made  to  a6t  from 
motives  of  fear  only  !  Surely  were  Negroes  in- 
ftruded  in  the  pradical  principles  of  Chriftianity, 
they  would  be  rendered  much  better  fervants, 


(8i)  Provifion  has  been  made  by  the  Britifh  Parliament, 
and  the  confolidated  laws  in  the  colonies,  for  the  proteftion 
of  the  flave  Negroes,  and  for  their  comfort  and  fupport. 

See  Edwards's  Hiftory  of  the  Weft-Indies. 


r  go  ] 

and  would  prevent  much  feverity,  whereto  they 
now  unavoidably  are  expofed. 

Negroes  Jfhould  have  woollen,  as  well  as  hnen 
clothing  given  them  every  year.  I  repeat  it  a- 
gain,  the  health  of  the  gang  Would  fully  repay 
this  expence. 

They  fhould  have  their  allowance  lhared  out 
to  them  every  Tuefday  and  Friday.  Starved 
Negroes  muft  be  runaways^ 

They  fhould  never  be  fed  above  a  month  on 
the  fame  food. 

They  Ihould  have  fome  mountain-ground,  or 
gut-fides  allotted  them,  for  planting  Indian  pro- 
vifions ;  and  Saturday  afternoon  fliould  now  and 
then  be  given  them  to  take  care  of  their  little 
gardens. 

They  fliould  be  allowed  to  rear  fmall  flock ; 
and  fome  of  the  better  fort  of  them  may  be  in-* 
dulged  in  breeding  hogs,  goats,  &c. 

Of  Sick  Houfes, 

Every  plantation  ought  to  have  a  large  lick 
houfe,  and  if  it  were  floored,  fo  much  the  better. 

Every  plantation  fhould  have  a  proper  hut  for 
the  reception  of  yawey  patients  ;  this  ought  to  be 
to  leeward,  and  at  a  diftance  from  the  fick  houfe, 
"which  fhould  be  built  near  the  dwelling  houfe, 
but  to  leeward  of  it.  (82) 

(82)  Sec  note  (70J. 


[   91  ] 

Every  fick  houfe  fhould  have  a  chamber  ven- 
tilator to  vvind\v^rd,  and  fliould  receive  fome  light 
from  the  roof. 

Every  fick  houfe  fliould  have  a  neceflary ; 
which  ought  to  be  cleaned,  at  leaft  twice  a  day. 

It  fliould  alfo  be  furniflied  with  a  hearth  and 
chimney. 

The  nurfes  are  too  commonly  fo  old  that  they 
cannot  take  proper  care  of  the  fick,  let  them 
have  never  fo  good  an  inclination  to  do  their 
duty. 

A  nurfe  fliould  be  fl;rong,  fenfible,  and  fober. 
It  is  a  moft  important  office  in  a  plantation. 

In  every  plantation  fome  fenfible  Negroe 
fliould  be  inftrudled  to  bleed,  give  glyfliers,  drefs 
frefh  wounds,  fpread  plafl:ers,  and  drefs  ulcers. 
This  is  of  great  confequence. 

Were  I  to  give  a  model  for  a  complete  fick 
houfe,  it  fliould  confift  of  four  detached  cham- 
bers in  a  fquare  form  ;  in  the  centre  fliould  be  a 
pump  and  bathing  place  ;  and  the  whole  fliould 
be  furrounded  with  a  ftrong  lemon  or  lime-hedge, 
with  a  gate  to  lock.  Round  the  borders  fuch 
herbs  as  are  more  commonly  ufed  in  pliyfic  fliould 
he  planted  ;  and  there  fliould  be  a  walk  round  the 
fquare  for  the  convalefcents. 

The  chamber  to  leeward  fliould  be  appropriat- 
ed to  fevers,  fmall-pox,  &(^, 


[    92  ] 

That  to  windward  fliould  be  for  chirurgical  and 
common  medical  cafes. 

That  on  the  right  fhould  be  appropriated  for 
boihng  drinks,  viduals,  &c.  of  the  fick,  and  for 
lodging  the  nurfe ;  with  a  little  furgery. 

That  on  the  left  Ihould  be  appointed  for  the 
reception  of  venereal  patients. 

The  windward  ward  Ihould  have  a  piazza,  and 
each  of  them  a  neceflary  and  ventilator,  except 
the  kitchen,  which  fliould  be  cooled  by  a  window. 

This  plan  would  doubtlefs  coft  money ;  but  if 
we  muft  have  flaves,  our  own  intereft  would,  me- 
thinks,  teach  us  to  take  all  imaginable  care  of 
them  when  they  become  fickly. 

Every  eftate  ought  to  be  vilited  once  a  week 
by  fome  phyfical  perfon,  and  oftener,  if  occafion 
require.  (83) 

.  Planters  fliould  remember  the  fixth  command- 
ment. Thofe  who  prefume  to  prefcribe  to  the 
lick,  and  are  not  qualified  by  fl:udy  and  expe- 
rience, muft  be  murderers. 


(83)  No  medical  pra£titioner  can  do  jufticc  to  an  eftate, 
who  does  not  vifit  tlie  fick  twice  a  week,  either  himfelf  ot 
his  affiftant,  or  oftener  if  neceflary. 

'  A  Cafe-book  or  Diary,  in  the  following  form,  fhould  be 
kept  in  every  infirmary.  It  would  be  of  the  moft  ex- 
tenfive  ufe,  as  it  would  refrefti  his  own  memory,  or  fhow  the 
aflTiftant  what  had  been  done.  At  fame  time,  diredl  the 
overfeer  and.  book-keeper  to  obferve  the  directions,  and 
fee  the  medicines,  &c.  given  as  prcfqribed. 


• 

< 

Q 

< 

O 

1^ 

o 


Si 

U 

o 
o 


to 

s 

O 
■»-" 

Oh 

S 

CO 


u 
"a 

,o 


CO 

u 

s 

% 

tn 
U 
O 
>i 

u 
IZi 


CONCLUSION. 


Every  owner  of  an  eftate  ought  to  have  the  fol- 
lowing medicines  fent  him  annually  from  Eng- 
land : 


Spanilh  Flies. 
Caftor. 

Calcined  Hartlhorn. 
Spirit  of  Hartlliorn. 
Sal  Volatile  Drops. 
Cloves. 

Oil  of  Cinnamon. 

Ipecacuan. 

Jalap. 

Opium. 

Nutmegs. 

Rhubarb. 


Spirit  of  Lavender. 
Tinctura  Thebaica. 
Alum. 

Common  Cauftic. 
Crude  Mercury. 
Corrofive  Sublimate. 
Oil  of  Turpentine, 
Plafler,  common. 
Turner's  Cerate. 
Verdigreafe. 
Vitriol,  blue. 
 —  white. 


With  fome  Ikins  of  leather,  fome  rolls  of  tow, 
and  a  little  hnt.  Each  plantation  fhould  alio 
have  a  glyfter-fyringe,  and  a  fmali  one. 

In  the  above  lift  I  have  recommended  no  em- 
pirical compofitions.  Creoles  are  but  too  fond 
of  quackery.    If  any  fuch  are  fent,  the  Britifli 


[   96  ] 


oil,  James*s  powder,  and  Turlington^s  balfam, 
feem  to  deferve  the  preference.  (84) 


(84)  To  this  lift,  the  following  articles  fhould  be  added  : 

Gum  Affafoetida.  *  Lignum  QualTise,  Bittcr- 

*  Guiacum.  wood. 

*  Anacardium,  or  Ca-    •  Vitse,  or  Guia- 


fhew. 
Camphire. 

*  Aloes,  Barbadocs. 

 Succotrinc. 

Bark,  Peruvian, 

*   Caribbsean,  or  Ja- 
maica. 

*   Cabbage,  or  Worm- 
bark. 


cum. 

Sarfaparilla  in  bundles. 

Calomel 

Red  Precipitate. 

Emetic  Tartar. 

Sugar  of  Lead. 

Glauber  Salts. 

Nitre. 

Salt  of  Tartar. 


Thofe  thus  marked  *,  are  produced  in  the  fugar  colo- 
nies. 


LINNiEAN  INDEX. 


Acajou, 
Aloes, 

Angola  Peas, 
Avocato  Pear, 
Balauftine, 
Banana, 

Barbadoes  Pride, 
Canella, 
Canker  Berry, 
Cafhew  Tree, 
Caflada,  bitter, 

'   Sweet, 

  Wild, 

Caftor  Bufli,  7 

CaftorOil,  3 

Cherry  Tree,  (Cafliew), 

Chickweed,  Well-India, 

China-root, 

Cow-itch, 

Flower-fence, 

French  Phyfic-nut, 

Green  Pepper, 

Guava, 

Halbert  Weed, 

Lignum-vitse, 

Logwood, 


Anacardium  Occickntale, 
Aloe  Perfoliata, 
Cytifus  Cajan. 
Laurus  Perfea,  '  - 
Punica  Granatum, 
Mufa  Paradiftacd. 
Poinciana  PulcherAma, 
Canella  Aromatica. 
Solarium  Bahamenfe. 
Anacardimn  Occidentals. 
Jatropha  Manihot, 

 Janipha. 

 —  GoJJypifolia. 

Ricinus  Americanus. 

Anacardium  Occidentale. 
Hollojieum  Cordatum. 
Smilax  China. 
Dolichos  Pruriens. 
Poinciana  Pulcherrima. 
Jatropha  'Multifida. 
Capficum  Baccatum. 
PJidium  Pyriferum. 
Hieracium. 
Gujacum  Officinate. 
Hamatoxylum  Campichenfe. 

G 


[  ! 

Mountain  Cabbage-tree  bark, 

Niccars, 

Ochra, 

Phyfic-nut,  Englifh, 
■  French, 
Plantane,  Englifh, 
Pomegranate, 
Ring-worm  Shrub, 
Senega  Rattlefnake  Weed, 
Sea-fide  Grape, 
Senfitive  Cane-piece,  *i 

 Mimofa,  j" 

Silk  Cotton  Tree, 
Simarouba, 
Spanifh  Carnation, 
Stinking  Weed, 
Thiftle-feed, 
Velvet-root, 
Vervain, 
Wild  Cedar, 

  Cinnamon, 

  Ipecacuan, 

>  Indigo, 
»  Liquorice, 

«   Poppy, 

—  Sage, 

 •  Senna, 

Worm-grafs, 
Tellow-prickle  wood, 


!  ] 

Geoffraa  InermU. 
Guilandina  Bonduc, 
Hibtfcus  Efculentus, 
yatropha  Curcas. 

 Multtfida, 

Plantago  Major. 
Punka  Granata. 
Caffia  Alata. 
Polygala  Senega. 
Coccoloba  Uv  'iferd. 

CaJJla  Chamacrtjla. 

Bmnbax  Ceiba. 
^unjjta  Simaruba. 
Poinciana  Piilclyerrime. 
CaJJia  Occident  alls. 
Argemone  Mexicana, 
Cijfampelos  Pareira. 
Verbena  Jamaicenjts. 
Bignonia  Peniaphylla. 
Canella  Aromatica. 
Afclepias  Curnjfavica. 
Indigofera  Anil. 
Abrus  Precatorius. 
Argemone  Mexicana, 
Lantana  Odorata. 
Cajfta  Senna  Italica. 
Spigelia  Anthelminthica, 
Zanthoxyhwi  Clava  Hercules. 


FINIS. 


BOOKS 

PRINTED  FOR  AND  SOLD  BY 

MUNDELL  ^  SON,  EDINBURGH, 

AND 

LONGMANS  REES,  LONDON. 


I.  AN  OUTLINE  OF  THE  HISTORY  AND  CURE 
OF  FEVER,  Endemic  and  Contagious,  more  exprefsly 
the  Contagious  Fever  of  Jails,  Ships,  Hofpitals,  the  Con- 
centrated Endemic,  vulgarly  the  Yellow  Fever  of  the  Weft- 
Indies  ;  to  vv^hich  is  added,  an  Explanation  of  the  Prin- 
ciples of  Military  Difcipline  and  Economy,  with  a  Scheme 
of  Medical  Arrangements  for  Armies,  by  Robert  Jack- 
fon,  M.  D.  in  one  volume  8vo- — Price  7s.  boards. 

"  Dr.  Jackfon,  it  appears,  has  been  engaged  in  the  medical  department 
of  the  army  ever  fince  the  year  1774,  and  fpent  a  large  portion  of  that 
time  in  the  Weft-Indies  and  in  America.  Fever,  as  the  moft  frequent 
and  moft  fatal  difeafe  in  thofe  countries,  employed  the  greater  part  of  his 
attention.  He  has  been  accuftomed,  he  fays,  to  take  minutes  of  the 
cafes  he  attended,  and  from  time  to  time  to  corredt  and  arrange  them. 
In  the  year  1791,  he  publiflied  the  refult  of  his  obfervations  to  that  time. 
This  work  having  been  well  received  by  his  brethren  of  the  profeffion  of 
phyfic,  he  was  thence  induced  to  continue  his  labours,  in  order  to  make  it 
worthy  of  their  acceptance. 

"  The  author  has  fmce  had  opportunity  of  feeing  and  treating  the  con- 
tagious fever,  as  it  appeared  in  the  Britilh  army  in  England,  Holland,  and 
Ireland,  from  the  year  175)3  to  the  year  1796;  and  the  yellow  fever, 
which  committed  fuch  dreadful  ravages  among  our  ti'oops  in  the  Ifland  of 
St.  Domingo  during  the  years  1796,  1797,  and  part  of  the  year  1798; 
and  it  will  be  found  that  his  induftry  has  equalled  his  opportunities. 

He  has  taken  a  large  and  comprehenfive  view^  of  his  fubjedt,  and, 
introduftory  to  the  parts  we  have  noticed,  has  given  the  hiftqry  of  the 
contagious  and  of  the  concentrated  endemic,  as  they  appeared  in  the 
parts  where  he  principally  refided,  with  humane  aud  judicious  obferva- 


[     ICO  ] 


troo*  °"  °^        ^"^^^^  mortality  attending  them  among  our 

r  ■\  Jh^"^, m'^",  *1  colledlion  of  cafes,  feemingly  impartially  and 

laithtully  detailed,  the  author  giving  thofe  in  which  he  failed  as  w  ell  as 
thofe  m  which  he  was  fuccefsful.  On  the  whole,  we  recommend  this 
work  to  the  ferious  periifal  of  medical  men,  particularly  of  thofe  employ- 
ed m  the  army  and  navy  in  the  Weft-Indies  or  America."— i///////^  Critic 
for  January  i^oo, 

"  The  confcquences  offerer  are  very  accurately  detailed,  and  the  local 
aftion  of  a  febrile  caufe,  either  as  thrown  on  the  inteftines  producing 
diarrhoea  and  dyfentery,  or  on  the  Ikin  occafioning  eruptions  or  ulcers 
carefully  examined.  ' 

On  the  whole,  we  think  this  work  truly  original,  and  that  it  dif- 
plays  much  ufeful  information  ;  and  we  can  recommend  the  author  as  a 
man  of  ability,  judgment,  and  oh{txsaXiov\."— Critical  Rcvienv,  December 
iSoo. 

"  This  work  appears  to  be  the  refult  of  much  careful  obfervation,  and 
to  merit  the  attention  of  prartitioners  who  are  attached  to  the  army. 

"  The  accrtunt  of  difledtions  of  patients  who  died  of  the  yellow  fever 
is  valilable,  becaufe  it  feems  to  be  formed  from  numerous  and  accurate 
obfervations. 

"  The  fubjoined  treatife  on  military  difcipline,  &c.  contains  ufeful  ob- 
fervations, and  fliould  be  perufed  by  military  men." — Monthly  RevieiVf 
November  I'j^ci. 


2.  OBSERVATIONS  on  the  ZOONOMIA  of  ERAS- 
MUS DARWIN,  M.  D.  by  Thomas  Brown,  Efq.  one 
large  vol.  8vo. — Price  8s.  boards. 

"  Mr.  Brown  is  the  firft  formidable  antagonift  whom  the  novelty  of 
Dr.  Darwin's  theories  has  provoked.  He  has  entered  on  his  inveltigation, 
however,  with  all  the  refpedl  due  to  the  great  talents  and  extenfive  know- 
ledge of  the  author  whom  he  criticifes ;  and  whatever  may  have  been 
our  partiality  to  the  beautiful  fabric  which  he  attempts  to  overthrow,  we 
muft  confider  him  as  a  champion  worthy  of  being  admitted  to  the  en- 
counter. 

"  To  conclude,  we  think  that  this  book  is  a  very  refpecflable  fpecimen 
of  the  author's  talents  and  attainments.  With  much  vigour  and  acute 
nefs  of  mind,  it  exhibits  a  liberal  and  truly  philofophical  fpirit;  and 
though  we  have  ventured  in  fome  inftances  to  exprefs  a  difference  of  opi- 
nion with  Mr.  Brown,  we  cannot  take  leave  of  his  performance  without 
intimating  our  hope  that  we  lhall  have  frefh  occaiions  hereafter  of  giving 
our  unbianed  fuffrage  to  his  abilities." — Monthly  Review,  June  and  July 
I79p.  - 

3.  ELEMENTS  OF  CHEMISTRY  AND  NATU- 
RAL HISTORY  ;  to  which  is  prefixed,  the  Philofophy 
of  Chemiftry,  by  A.  F.  Fourcroy,  the  fifth  edition  j  with 


Notes  by  John  Thomfon  Surgeon  in  Edinburgh,  3  vols. 

royal  8vo. — Price  il.  lis.  6d.  in  boards. 

"  This  Edition  has  a  claim  to  our  attention  on  account  of  the  Notes  which 
Jiave  been  added  by  the  Editor,  and  which  we  have  indeed  perufed  with 
much  pleafure.  Mr.  Thomfon  has  not,  like  many  Editors,  contented  him- 
felf  with  giving  the  text  of  his  author  with  only  a  few  fiiperficial  remarks; 
on  the  contrary,  he  has  added  many  copious  and  valuable  Notes  to  each 
chapter,  the  felediion  and  number  of  which  difcover  much  judgment,  and 
confiderablc  extent  of  cliemical  reading.  By  thefe  Notes,  alio,  this  Edition 
has  in  a  great  meafure  been  made  to  keep  pace  with  the  rapid  progrefs  of 
Chemical  Science  fmce  the  publication  of  the  original  work.  The  Notes 
on  the  Animal  Kingdom,  Part  IV.  are  particularly  inllrudlive  and  interefl- 
ing;  the  fame  may  indeed  be  faid  nearly  of  the  whole  :  and  we  have  no 
doubt  that  this  Edition  will  be  found  highly  ufeful  to  chemical  fbudents/* 
Monthly  Revinzu,  Dec.  iSoi. 


4.  ESSAYS  ON  THE  DISEASES  OF  CHILDREN, 

with  Cafes  and  Difleclions.  EfTay  I.  Of  Cynanche  Trache- 
alis,  or  Croup.  By  John  Cheyne,  M.  D.  Fellow  of  the 
Royal  College  of  Surgeons  of  Edinburgh.  In  one  vol.  im- 
perial Oclavo,  illuflrated  with  finely  coloured  DiiTedions. 
— Price  15  s.  in  boards. 

In  the  courfe  of  the  Seafon  nvill  be  piihlijhedy 

ESSAY  II. 
Which  will  comprehend  thofe  Diseases  of  the  Intestines 
to  which  Children  are  more  peculiarly  liable.  The 
Morbid  Appearances,  hitherto  much  negleded,  have 
been  carefully  inveftigated  ;  and  in  the  Engravings  which 
will  accompany  this  Number,  the  moft  interefting  of 
thefe  apearances  will  be  reprefented. 

5.  A  SYSTEM  OF  DISSECTIONS,  explaining  the 
Anatomy  of  the  Human  Body,  the  Manner  of  difplaying 
Its  Parts,  and  their  Varieties  in  Difeafe.  Volume  I.  con- 
taining the  DilTeaions  of  the  Abdomen,  Thorax,  Pelvis, 
Thigh,  and  Leg.  The  fecond  edition.  By  Charles  Bell, 
Fellow  of  the  Royal  College  of  Surgeons.— Price  il.  os.  6d. 
fewed. 

-,  Vol.  II.  Partl.  containing 


the  DifTeaions  of  the  Arm,  of  the  Neck  and  Face,  of  the 
Nervous  Syflem  of  the  Vifcera,  and  of  the  Brain-^with 
rlates,  foho.—Price  6s.  fewed. 


I 


[     102  ] 


7.  ENGRAVINGS  OF  THE  ARTERIES,  illuftratW 
the  Second  Volume  of  the  Anatomy  of  the  Human  Body 
by  J.  Bell,  Surgeon  ;  and  ferving  as  an  Introduclion  to  the 
Surgery  of  the  Arteries.  By  Charles  Bell.— Price  il.  is.  in 
boards. 


8.  THE  ANATOMY  OF  THE  GRAVID  UTERUS, 
with  Praaical  Inferences  relative  to  Pregnancy  and  Labour, 
by  John  Burns,  Surgeon,  Glafgow,  in  one  volume  8vo. — 
Price  5s.  in  boards. 

9.  DISSERTATIONS  ON  INFLAMMATION,  con- 
taining, I  ft,  Preliminary  Diflertation  on  fome  of  the  Laws 
of  the  Animal  Economy — 2d,  On  the  Hiftory,  Caufes,  and 
Confequences  of  Simple  Inflammation — 3d,  On  the  Pha- 
gedenic, and  fome  other  fpecies  of  Inflammation — 4th,  On 
the  Spongoid  Inflammation — 5th,  Oh  the  Scrophulous 
Inflammation — 6th,-  On  the  Cancerous  Inflammation  ;  by 
the  fame  Author,  in  2  vols.  Bvo. — Price  14s.  in  boards. 


io.  THE  WORKS  OF  THE  BRITISH  POETS,  with 
Prefaces  Biographical  and  Critical,  by  Robert  Anderfon, 
M.  D.  13  vols,  royal  Bvo. — Price  9I.  155.  fewed. 

"  From  what  we  have  already  faid  on  the  fubjeft  of  this  Work,  its  ga- 
ner'al  character  may  eafily  be  inferred.  It  appears  to  us  an  ufeful  and  com- 
prehenlive  colle<a:ion  of  Englifh  poetry,  and  the  Editor  has  uniformly  e- 
rinccd  diligence  and  judgment  in  colletSiing  and  arranging  his  materials." 
Mtntbly  Revieiv,  SeJ>t.  1 798. 

**  The  Biographical  and  Critical  Prefaces,  as  they  are  an  original  work» 
require  a  more  diftindt  and  particular  examination.  To  the  executioa  of 
this  plan,  Dr.  Anderlbn  feems  to  have  brought  powers  well  adapted  to  its 
completion.  He  appears  to  poffefs  an  accurate  acquaintance  with  our 
poetry.  His  criticii'ms  evince  a  mind  capable  of  eftimating  the  genuine 
beauties  of  the  Mufe,  and  candour  willing  to  give  praife  in  return  for  the 
pleafure  he  has  received. 

"  We  confider  the  prefent  work  as  a  valuable  acquifition  to  Englifh  li- 
teratilre.  As  a  collection  of  'Britifli  Poetry  and  Biography,  it  confers  ho- 
nour upon  tlie  Editor  for  genius,  tafte,  and  information,  tending  to  pro- 
mote and  perpetuate  the  moft  imperifhable  monument  of  Britain's  glory." 
jBriti/h  Critic,  Fib.  1 796. 

"  To  edit  a  complete  colledlion  of  the  Poets  of  Great  Britain,  was  an 
important  and  ufeful  undertaking ;  and  it  is  from  comprifing  the  early 
writers  that  the  prefent  colledion  derives  its  great  and  ditlinguiflied  value. 
The  admirers  of  Englifli  literature  are  highly  indebted  to  the  publifliers 
arid  the  editor  of  thefe  volumes."— Cr;><Va/ i^fi'/ew,  Jan.  1799. 


I  103  ] 


11.  ANDERSON'S  COLLECTION  OF  POETICAL 
TRANSLATIONS  from  the  Greek  and  Latin  Poets,  (be- 
ing the  12th  and  13  vols,  of  the  above  work)  containing 
thofe  of  Pope,  Weft,  Dryden,  Pitt,  Rowe,  Hoole,  Pye, 
Cooke,  Fawkcs,  Creech,  Grainger,  &c.  2  vols,  royal  8vo. 
Price  ih  I  OS.  fewcd. 

12.  THE  LIFE  OF  SAMUEL  JOHNSON,  L.L.D. 
with  Critical  Obfervations^on  his  Works,  by  Robert  An- 
derfon,  M.D.  one  volume  8vo.    Price  6s.  boards. 

"  Thefe  fafts  and  particulars  are  well  feledled  and  arranged ;  connect- 
ed, alfo,  and  illuftrated  by  reflexions  flowing  from  a  mind  and  a  pen 
which  are  congenial  with  thofc  of  the  hero  of  the  narrative.  He  has  ad- 
mirably emblazoned  Johnfon's  excellencies,  without  concealing  his  defedls : 
And  we  may  Afenture  to  fay,  that  thi«  work,  which  we  have  examined  with 
much  pleafure,  is  written  with  fl.rength,  elegance,  ^ood  tailc,  and  found 
judgment." — Monthly  JReviezo,  May  I796. 

"  The  narrative  part  is  well  digefled  and  neatly  written,  and  may  be 
pronounced  a  very  fair  and  accurate  memoir.  It  perhaps  contains  a  more 
complete  chronological  enumeration  of  the  Dodtor's  writings  than  is  to  be 
met  with  elfewhere.  To  the  narrative  Dr.  Anderfon  has  added  a  general 
critique  on  the  character  of  the  man  and  the  merit  of  the  author  ;  and  this 
part  of  the  work  has  fufficient  originality  to  claim  the  attention  of  the 
Public.  We  think  ourfelves  juftified  in  adding,  as  further  commendation 
of  the  prefent  publication,  that  Dr.  Anderfoii  appreciates  the  fubjecSl:  of 
this  memoir  with  great  impartiality ;  and  that  his  flyle  pofTefles  a  degree 
of  accuracy,  clofenefs,  and  Ilrength,  not  unworthy  the  Johnfonian  School." 
Analytical  Revietu  for  January  1 796. 

"  Dr.  Anderfon,  in  elegance  of  language,  and  acutenefs  of  critical  and 
philofophical  judgment,  has  perhaps  furpaflfed  his  predeceflbrs ;  his  narra- 
tive is  cleaf  and  regular,  his  ftyle  manly,  and  his  decifions  ufually  judici- 
ous :  It  abounds  with  proofs  of  accurate  perception  and  jufl  difcrimina- 
tion. 

"  Dr.  Anderfon  concludes  the  Life  of  Johnfon  with  characters  of  him 
t&ken  from  other  authors,  but  none  of  them  in  accuracy  and  merit  furpaf- 
ling  his  own," — Btitijh  Critic,  January  1 796. 

13.  ANDERSON'S  EDITION  OF  SMOLLETT'S 
MISCELLANEOUS  WORKS  ;  containing  the  Life  of 
the  Author,  with  Critical  Obfervations  on  his  Works — 
Adventures  of  Roderick  Random — The  Adventures  of  Pe- 
regrine Pickle — ^Plays  and  Poems— The  Adventures  of 
Ferdinand  Count  Fathom — An  Account  of  the  Expedition 
againft  Carthagena — The  Adventures  of  Sir  Launcelot 
Greaves — Travels  through  France  aiid  Italy — ^The  Expedi- 
don  of  Humphry  Clinker — And  the  Adventures  of  an 

I  2 


[    IC4  ] 


Atom,  6  vols.  8vo,  printed  on  a  wove  paper,  hot-nreiictl 
nevi^  edition. — Price  2I.  14s.  bound.  ' 

14.  PICTURES  of  POETRY,  Hiftorical,  Blographi- 
f:al,  and  Critical,  by  Alexander  Thomfon,  Efq.  Author  of 
Whift,  and  the  Paradife  of  Taile,  fmall  8 vo.— Price  cs. 
boards. 

"  Mr.  Thomfon  acquired  confiderable  fame  by  the  publication  of  hi«i 
Paradife  of  Tafte,  which  forms  the  inlrodudlion  to  a  poetical  plan  of 
confiderable  extent,  intending  chiefly  to  comprehend  "  a  view  of  the  Pro- 
■  grefs  of  polite  literature,  from  the  earlieft  period  to  the  prefent  time  and 
t)f  which  this  work  forms  about  one  fourth  part.  The  ingenious  author, 
from  this  fpecimen,  appears  to  poITefs  rcfources  adequate  to  the  extent  and' 
importance  of  his  fubjedl." — Monthly  Mirror  for  Augujl  1799. 

*'  To  accompliili  with  fuccefs  a  defign  fuch  as  that  which  Mr.  Thom- 
fon has  conceived,  not  only  confiderable  poetic  talents  are  requifite.  but  a 
fund  of  cli  ffical  learning,  nice  tafte,  and  a  difcriminating  judgment.  We 
tijtnk  thai;,  with  fonie  limitations,  Mr.  Thomlbn  has  manife.ted  valid 
^laims  to  thefe  qualities  ;  and  that,  on  the  whole,  this  portion  of  his  work 
is  executed  with  a  degree  of  ability  which  entitles  it  to  public  patrocage.'' 
Monthly  Re'vieiu,  October  1800. 

1 5.  THE  PLEASURES  OF  HOPE,  with  other  Poems, 
by  Thomas  Campbell,  fmall  8vo. — Price  6s.  boards. 

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17.  THE  WORKS  OF  DON  FRANCISCO  QUEVE- 
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' — Fortune  in  her  Wits — Proclamation  by  Old  Father  Time 
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speedily  icill  be  puhlijhcd^ 
THE 

POETICAL  WORKS 

O  F 

JAMES  GRAINGER,  M.D. 

WITH 

MEMOIRS  OF  HIS  LIFE  AND  WRITINGS, 

BY 

ROBERT  ANDERSON,  M.  D. 

This  edition  of  the  Poetical  Works  of  Dr.  Grainger,  contains  the  SugTur 
Cane,  a  Poem  in  Four  Books,  with  Notes,  reprinted  from  the  4to  edi- 
tion 1764;  with  an  Index  of  the  Linnean  names  of  Plants,  Stc. ;  Ly- 
ric Poems,  Love  Elegies,  and  Mifcellaneous  Pieces,  now  firft  colletfled; 
and  Tranllations  from  Ovid's  Heroic  Epiftles;  and  a  Fragment  of  the 
Fate  of  Capua,  a  Tragedy;  now  firft  printed  from  the  Author's  MSS. 


ALSO, 

Speedily  ivill  be  publijhedy  in  one  Volume,  fmall  Sw, 

VERSES, 

SOCIAL  AND  DOMESTIC, 

BT 

GEORGE  HAT  DRUMMOND,  A.M, 


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