Advice to the people in general, with regard to their health

by S. A. D. Tissot

There was a very late and terrible Example of this, in the Case of an Inhabitant at Cossonay, who had both his Hands frozen. Some greasy Ointments were applied hot to them, the Consequence of which was, the Necessity of cutting off six of his Fingers.

§ 458. In short, there is but one certain Remedy in such Cases, and this is to convey the Person affected into some Place where it does not freeze, but where, however, it is but very moderately hot, and there continually to apply, to the frozen Parts, Snow, if it be at hand; and if not, to keep washing them incessantly, but very gently (since all Friction would at this Juncture prove dangerous) in Ice-water, as the Ice thaws in the Chamber. By this Application the Patients will be sensible of their Feeling's returning very gradually to the Part, and that they begin to recover their Motion. In this State they may Safely be moved into a Place a little warmer, and drink some Cups of the Potion [Nº. 13], or of another of the like Quality.

§ 459. Every Person may be a competent judge of the manifest Danger of attempting to relieve such Parts by heating them, and of the Use of Ice-water, by a common, a daily Experience. Frozen Pears, Apples, and Radishes, being put into Water just about to freeze, recover their former State, and prove quickly eatable. But if they are put into warm Water, or into a hot Place, Rottenness, which is one Sort of Gangrene, is the immediate Effect. The following Case will make this right Method of treating them still more intelligible, and demonstrate its Efficacy.

A Man was travelling to the Distance of six Leagues in very cold Weather; the Road being covered with Snow and Ice. His Shoes, not being very good, failed him on his March, so that he walked the three last Leagues bare-footed; and felt, immediately after the first Half League, sharp Pains in his Legs and Feet, which increased as he proceeded. He arrived at his Journey's End in a Manner nearly deprived of his lower Extremities. They set him before a great Fire, heated a Bed well, and put him into it. His Pains immediately became intolerable: he was incessantly in the most violent Agitations, and cried out in the most piercing and affecting Manner. A Physician, being sent for in the Night, found his Toes of a blackish Colour, and beginning to lose their Feeling. His Legs and the upper Part of his Feet, which were excessively swelled, of a purplish Red, and varied with Spots of a violet Colour, were still sensible of the most excruciating Pains. The Physician ordered in a Pail of Water from the adjoining River, adding more to it, and some Ice withal. In this he obliged the Patient to plunge his Legs; they were kept in near an Hour, and within that Time, the Pains became less violent. After another Hour he ordered a second cold Bath, from which the Patient perceiving still further Relief, prolonged it to the Extent of two Hours. During that Time, some Water was taken out of the Pail, and some Ice and Snow were put into it. Now his Toes, which had been black, grew red; the violet Spots in his Legs disappeared; the Swelling abated; the Pains became moderate, and intermitted. The Bath was nevertheless repeated six times; after which there remained no other Complaint, but that of a great Tenderness or extraordinary Sensibility in the Soles of his Feet, which hindered him from walking. The Parts were afterwards bathed with some aromatic Fomentations; and he drank a Ptisan of Sarsaparilla [one of Elder Flowers would have answered the same Purpose, and have been less expensive.] On the eighth Day from his Seizure he was perfectly recovered, and returned home on Foot on the fifteenth.

§ 460. When cold Weather is extremely severe, and a Person is exposed to it for a long Time at once, it proves mortal, in Consequence of its congealing the Blood, and because it forces too great a Proportion of Blood up to the Brain; so that the Patient dies of a Kind of Apoplexy, which is preceded by a Sleepiness. In this Circumstance the Traveller, who finds himself drowsy, should redouble his Efforts to extricate himself from the eminent Danger he is exposed to. This Sleep, which he might consider as some Alleviation of his Sufferings, if indulged, would prove his last.

§ 461. The Remedies in such Cases are the same with those directed in frozen Limbs. The Patient must be conducted to an Apartment rather cold than hot, and be rubbed with Snow or with Ice-water. There have been many well attested Instances of this Method; and as such Cases are still more frequent in more northern Climates, a Bath of the very coldest Water has been found the surest Remedy.

Since it is known that many People have been revived, who had remained in the Snow, or had been exposed to the freezing Air during five, or even six successive Days, and who had discovered no one Mark of Life for several Hours, the utmost Endeavours should be used for the Recovery of Persons in the like Circumstances and Situation.

Of Kibes, or Chilblains.

§ 462. These troublesome and smarting Complaints attack the Hands, Feet, Heels, Ears, Nose and Lips, those of Children especially, and mostly in Winter; when these Extremities are exposed to the sudden Changes from hot to cold, and from cold to hot Weather. They begin with an Inflation or kind of Swelling, which, at first, occasions but little Heat, Pain or Itching. Sometimes they do not exceed this first State, and go off spontaneously without any Application: But at other Times (which may be termed the second Degree of the Disorder, whether it happens from their being neglected, or improperly treated) their Heat, Redness, Itching and Pain increase considerably; so that the Patient is often deprived of the free Use of his Fingers by the Pain, Swelling and Numbness: in which Case the Malady is still aggravated, if effectual Means are not used.

Whenever the Inflammation mounts to a still higher Degree, small Vesications or Blisters are formed, which are not long without bursting; when they leave a slight Excoriation, or Rawness, as it were, which speedily ulcerates, and frequently proves a very deep and obstinate Ulcer, discharging a sharp and ill-conditioned Matter.