Tho’ the principal Design of this Attempt be that of regulating the Manners of Children; yet as Health and Education are of vast Importance in the Government of them, and are closely connected As Health is the reverse of Sickness, my Readers will easily discern that it is not the Business of this Undertaking to invade the Physician’s Province, by entering on the Cure of Diseases; but only to point out such Means as seem to have the most rational tendency to prevent them. First then, I earnestly recommend to both Father and Mother, that their Children suck the Mother’s Breast. But why, you’ll say, take pains to address each Parent distinctly? The reason is obvious. A Man cannot be conversant in Life, and not see that many a sensible Woman, many a tender Providence, we see, without any Expence to us, kindly sends Food into the World along with the Child, by giving to the Mother a Breast flowing with Milk. But to what purpose is this bestow’d? To be neglected and render’d fruitless? No surely; we cannot think thus indignantly of so great a Blessing. But besides this evident Design of Providence, there is another important Consideration; which is, that Mothers by suckling their Children cherish that Tenderness which Nature has implanted in them towards their Offspring. For Experience shews, that the Office of suckling considerably augments in them the Affection from Another Argument for suckling, which is not sufficiently attended to, because not sufficiently known, is, that the Anxiety and Fatigue is perhaps fully compensated by the Pleasure. The provident Author of Nature has order’d in this, as in all, or most other Things, right and natural, that the Inducement shall more than balance the Discouragement. All Mothers who have experienc’d it, whose Minds are temper’d with natural Affection, assure us, that there is an inexpressible Pleasure in giving Suck, which none but Mothers know; for besides that the Sensation itself is said to be mighty pleasing; to behold the Innocence, the Cunning, the Tricks, and the various Whims of a Child; to observe likewise the early Sentiments they discover; must doubtless give a Pleasure which no Words can describe. Now if thus much be granted (and surely no Arguments can reason it away) I cannot help advising in the strongest Terms, that every Father consent, and even promote, that the Child be suckled by it’s The general Good of all being what I aim at, I mean to offer the same Advice to all, as far as it can be practised; and therefore speak according to the Nature of Things. Still I am not insensible how little Probability there is that my Advice herein will be follow’d by Persons in high Life. For what Room is there in general to hope, that a fine Lady will lay herself under any of the necessary Restraints towards acting the Part of a good Nurse, and generously give up some of the vainer Pleasures of Life, in order to stoop to this Part of domestic Care? It is true that there may sometimes be important Reasons which may make their doing so improper; but it is greatly to be fear’d that those Reasons are oftener affected than real; and as this is a Duty not so easily dispensed with as People are apt to imagine, it is incumbent on Parents of the highest While I am enforcing to Mothers the Duty of suckling their Children, I must endeavour to omit no material Circumstance, either that will contribute to the Ease of the one, or the Advantage of the other. The first that naturally occurs, is, the Time These Inconveniences induced the Physicians of that Hospital to alter the Method, which for some Time past has been as follows. The Child is put to the Breast commonly within twenty-four Hours after Delivery: and tho’ at first it sucks little, and that only a thin Serum, (which however is of singular Service to the Infant by discharging the Meconium that fills the large Intestines) yet the Advantage to the Mother is, that by this means the Milk comes gradually and kindly; and before the usual Time of the Breasts hardening in the other Method, the Difficulty is conquered in this; the Milk flows freely, the Breasts are soft and easy, and the Heat of the Body continues temperate: insomuch that Dr. Hunter farther assures me, that there has been much less of Inflammations of the Breasts and Milk fevers, and but one Milk Sore among upwards of fourteen hundred Women that have been deliver’d there since this Method has been pursued. Here, tho’ it is a Digression from my But to return to the Matter in hand. This Method of putting Children to the Breast much sooner than usual, corresponds with the Opinion of Dr. Cadogan, who in a small Pamphlet on the Management of Children, has said a great many sensible useful Things; and among the rest, he proposes, The precise Time of a Child’s sucking is a Point much controverted, particularly among Ladies, but nothing ascertain’d. The present Fashion ’tis true, is to let Children suck only three or four Months; but surely this is too important an affair for Fashion to take place of Reason. From my Acquaintance with the Learned on this Head, I gather, that generally speaking a Child should not suck less than six Months, nor more than twelve; but that the Medium, that is, nine Months, is for the most part the best. Still there may be Reasons for varying these stated Times; if so, Reason in that as well as in other things should be our Guide. And farther, there may be Circumstances which impede the Mother’s suckling her Child at all; the want of Health is a principal one; but then it should be a real want of Health, not an imaginary one. Where then a Doubt arises, I advise Parents not rashly and hastily to resolve for themselves, but to consult proper Judges, and always, where it is in their Power, be determined by their Physician. But here, as an Encouragement to Mothers to suckle their Children, I must observe, that it is the Opinion of Physicians that many Women would mend their Health by it; and very few, if any, hurt a good Hunger, Fatigue, and Fretting, are the three most obvious things that impair a Mother’s Health in Nursing. I say nothing of gross Intemperance, violent Passions, and the like, for they are always to be banish’d; nay we are not once to suppose they exist in the Sex. Hunger is carefully to be avoided: while the Mother gives suck, she should never let the Keenness of her Appetite go off by waiting long for her Meals; for that often repeated will sink the Spirits, fill her with Wind, impair her Strength, and consequently not only hurt herself, but prejudice her Milk also. I confess it is my Opinion that a very nice regard to a Nurse’s Diet is not so generally necessary as is imagined. Temperance is universally to be held as a Rule; but under the appearance of avoiding one Error, they run into a greater; they often eat of very rich Dishes, and shun the use of Vegetables: whereas to People who are young and healthy, nothing is more wholsome than Vegetables blended with Meat: and the only Caution that is material to be given, is, By Fatigue I mean so much Exercise as manifestly impairs the Strength, or brings on various Pains, so as to render a Mother incapable of executing what she has begun; or at least makes the Office extremely slavish to her. Exercise is good, but Fatigue is bad. There are so many different Conditions in this great Family of the World, and so many different Circumstances in each Station, that it is impossible to lay down Rules for every Individual, or prescribe an universal one for all; in general I recommend on this occasion the joint Attention of both Father and Mother. If a Man reflects But there are several ways a Woman may be fatigued with Nursing without the least necessity. The first thing a Mother has to do, is, to use her Child to such Positions in suckling as she likes best, and is most convenient to herself. When up, the Mother should by all means sit upright, and the Child be rais’d to the Breast: the Child should yield to the Mother, and not the Mother to the Child. That distorted Posture so commonly seen in suckling gives great Pain to the Back, and cramps all the Limbs; and this without any other effect on the Child than indulging a manifest Wilfulness. When in Bed, the Child should take the Breast as it lyes; and not incommode the Difficult as I acknowledge it is to lay down an universal Rule, I will here attempt To suffer by Hunger or Fatigue does great injury to the Mother principally, but Fretting has always a double Consequence; it hurts the Child too. A fretful Temper turns even Pleasure into Pain; well then may it make a necessary Care a Fatigue. One Distinction however I would make that I think deserves Attention; whether the Fretfulness be in Nature, be fixt and incurable; or whether it be owing to external There is a Class of Women who are lifeless and sluggish, an insipid Race that do neither good nor harm; these should by all means suckle their Children, for by so doing they would be enliven’d, and animated with a Desire to become useful. If too they reflect, that the Intention of Nature is, that they should rear their Children as well as bear them, they will soon be ashamed of doing their Work by halves: and thus become much happier in themselves, and of much more Consequence to Society. By the Observance of these few Rules, Mothers in general may suckle their Children, not only without Pain or Injury, but even with Pleasure and Profit. They may sometimes improve their Health; often lessen their Cares, and mend their Temper and Dispositions; and will always have a pleasing Consciousness that they have obey’d the Laws of Nature, by having done all that was incumbent on them. If after all that has been said it is not thought expedient that a Child should suck it’s Mother; a Breast is certainly the best Substitute: but great Care should here be taken, in the Choice of a Nurse. She should be young, healthy, good-humour’d, sprightly, and temperate. The newer her Milk the better; it is best not to be above three Months old; and should never exceed six Months, when the Child is first put to her Breast; if beyond that, either the Child must be wean’d too soon, or suck a staler Milk than perhaps it ought. Some are of Opinion, that Breast-milk begins to lose of it’s nutritious Quality after the Expiration of a Year; but let us here observe the Operations of Nature. The younger Breast-Milk is, the thinner and lighter it is; fitted by Nature for the tender Stomachs of new-born But supposing a Child to have no Breast (as Arguments whether good or bad will often be brought against it) the want of it must be supply’d by coming as near to Nature as we can. In order thereto, it is the Opinion of a Physician When a Child sucks it is usual to feed it with nothing but Water Pap, that is, Bread and Water boil’d together, without the Addition of Milk; from a Notion that it should not have two sorts of Milk; but this Treatment is surely erroneous. Nay, there are some who improve upon this Error, and give their Children (at least for the first Month) Water Pap only, even tho’ they have no Breast. It is both natural and commendable in Parents to inform themselves what Distempers Children are subject to, and usually dye of; and if we farther refer them to the Bills of Mortality, they will constantly find, that Gripes, Looseness, and Convulsions make a great Part of the Account. Now besides the latent Causes of these Diseases, they have a very obvious one, viz. improper Food. For my own part I am convinc’d, even to Demonstration, that many Infants owe their Death to the Mistakes committed in this Point; and often to the false Practice of giving them Bread and Water only, and omitting that most salutary part the Milk. Milk (again I repeat it) is the Food Tho’ these first Rules here laid down should meet with general Approbation, and Parents from seeing how natural and reasonable this Doctrine is, be induced to follow it; they have still many things both to do and avoid, that are greatly conducive to their Childrens Health; and therefore demand their Attention and Regard. As we have urg’d that Milk is the Food of Nature, so we may with equal Propriety call Bread the Staff of Life. Breast-milk my Readers will observe, is preferred to every other; but where that cannot be obtain’d, then Cows-milk, made thinner and lighter by the Addition of Water, is to supply its place; and, between whiles, the Child is to be fed with Milk-victuals; from which, as it is thicken’d with Bread, it will receive great Nourishment. But here great care must be taken to keep up its Appetite for this Food at first setting out; as it is of all others the most proper; and not spoil its Relish for it by the Admixture or Intervention of any thing else while in Health, ’till a more advanc’d Age. The first Error usually run into, is, the immoderate use of Spice and Sugar; which Physicians who have consider’d these matters positively condemn: and if a Child is well, putting either of these in it’s Victuals, answers not the least good End. Spice and Sugar are certainly fine natural Productions, and of vast Use to Mankind; but the Food of Infants should be as simple as possible; and if it is made otherwise by the early use of these, the Effects will always be very troublesome, and oftentimes mischievous. What is more common than to give young Children Lumps of Sugar to eat; yet what more erroneous? Every Day’s Experience shews us how wrong the Practice is: it vitiates their Taste; creates in them an unconquerable Fondness for it, even to a Degree of Vulgarness; and manifestly clogs their Stomachs. The Error next in rank to these, or rather a part of the same, as Sugar is greatly concern’d in it, is, the Custom Parents have of giving Children Tea. Tea, to a young Child, if we omit the Milk, has not a single Ingredient to recommend it: the Sugar in it has already been treated of; the Water, (as Tea is usually drank too hot,) serves to scald it’s Mouth and Throat, or at That this Herb of which our Tea is made has had many Tongues to speak it’s Praise, I am convinc’d; or it would not have obtain’d that universal use we now see made of it: and some likewise have taken up their Pen, and with great Labour describ’d its Virtues and Utility to Mankind: but all this is too weak to stand against that infallible Guide, Experience. To insist that Tea has no good Qualities would be offering an Affront to the Judgment and Experience of many wise People, and is very far from being my Design; on the contrary, I am convinc’d it has. Bohea Tea is esteem’d balsamic, and Green is allow’d to be an astringent Stomachic. Still these or any other particular Qualities, do not justify it’s general use; for while the same Experience proves that for one who receives Benefit by drinking it, ten receive Harm, it must upon the Whole be condemned. Tea may be consider’d like some certain Drugs, which in skilful hands are safe and useful, but in ignorant ones, poisonous. Before I take my leave of this Article, let me recommend to Parents some Observations for their farther guidance herein. Those Children who have weak Nerves should not by any means drink Tea at all. Tea should never Many are the Errors which Parents fall into in the Management of Children, especially at first setting out. I have often seen Children wash’d away with the watry Gripes, when upon inquiry it appear’d they had no other Food but Water Pap: others reject this, and fall into the Error of giving Children Broth; which alone, is in it’s Nature too laxative for Infants. But Water Pap must be condemn’d as far the most improper; for it is manifest that Bread, of which it is made, besides the Fermentation it undergoes in the Hands of the Baker, has, according to the Juices it meets with, a farther Power of fermenting in the Stomach: therefore, should Nature by chance be thwarted, should universal Observation be for once contradicted, by shewing a Child whom Milk is unfit for; But farther; I am clearly of Opinion, that the first Change in Childrens Diet should be from Milk to Broth, and not from Milk to Meat: their tender Stomachs ought not to be put too early upon the Office of digesting the fleshy Fibres of Meat; but they may, as they approach to a Year old, by way of Introduction to eating Flesh, and by way of changing Diet, sometimes have Broth; but by no means for constant use, to the neglect of Milk. It is universally confess’d, that in England we eat too much Flesh; and were I to urge all that might be said on that Head, it would be dwelling too long on a single Point. But since this Error of our Country is acknowledg’d by many of the wisest Men in it, To enforce this Precept, and prove the Reasonableness of not giving Children Meat so soon as is usual, I will here observe, that Physicians say the first Digestion should be in the Mouth, the second in the Stomach; whence it appears that Children have no Business with Meat ’till they have Teeth to chew it; nay, not ’till they have their Mouths almost full of Teeth; for they have not the Power of grinding down their Meat sufficiently ’till they have got some of their strongest Teeth, and those every one is sensible do not come first. Hence we are furnished with an admirable Hint, which not to endeavour to reduce to Practice, would be injuring our Children, and baffling the Labours of learned Men, who make the Good of Mankind the Study of their Lives. Parents by the same Lesson are instructed likewise, to make their Children accustom themselves to chew their Meat well their whole Lives; for it is certain they would thereby Having thus, as near to Nature as I am able, led Parents into the first Steps of the Management of their Childrens Health, I shall now touch on Art; a little of which may, and will be necessary. It is plain that Children are born full of Foulness, full of Excrement; and Nature to remedy this, gives a purgative Quality to the Mother’s first Milk; which Quality, as the Child cleanses, goes off. But if this first Milk be drawn away by another, as is frequent, in order to ease the Breasts; or the Child does not suck it’s Mother, but an older Milk; in that Case it should most certainly be purged three or four times in the Month. For my own Part I have gone farther, and tho’ my Children had the first Milk, I always began by giving them a little Syrup of Rhubarb and Oil of Almonds; which has constantly had a good Effect, not only on them, but on many others under my Care: the Rhubarb scours and cleanses them, and the Oil in some measure blunts its griping Quality, and prevents its leaving a Costiveness so common to that Drug. But tho’ I have frequently given this, yet Rhubarb in Substance, corrected with a small Portion of In a Treatise of this Kind nothing must pass unobserved that is important; and nothing is more so, than the destructive Practice of drinking spirituous Liquors. For a Woman to have a Habit of Dram-drinking is always detestable; but for one who gives Suck, it is horrible beyond Expression: it is fraught with double Mischief, Destruction to herself, and Destruction to the Child. One would imagine, that so odious a Vice wanted not to be inveigh’d against; or at most that the Caution could no where be useful, but amongst Basket-women and Billingsgates. ’Tis true indeed, that the Illiterate and Vulgar are the most addicted to it; but melancholy Experience shews us, that Women every way happy in Life, Women of the best Understanding, and the It is not my Design in general to write on the Foibles or Vices of Parents, but of Children; yet it must be owned, that where the Actions of the one have an Influence on the other, where the Connection is so close that the Health or Morals of Children are affected by the Conduct of Parents, it is perfectly consistent with the Plan I have laid down; and consequently is within my Province. Thus then I observe, that there are many Women who never tasted spirituous Liquors ’till they gave Suck. A Child is kept lugging at the Breast ’till the Mother is ready to sink, and a Friend recommends a Dram: the innocent Woman starts at the Proposition; but it being strenuously urg’d that it will do her good and the Child too, she follows the Counsel and drinks it. How reluctantly and with how much dislike may be known by her shaking her Head at the very Smell of it, making Faces when it is down, and declaring it is nasty Stuff. Now for a while let me talk like an Apothecary. The Nerves give Sensation to our whole Frame whether of Pain or Pleasure. This Dram acts immediately on the Nerves of the Stomach, and instantly communicates itself The Human Frame, that Master-Piece of infinite Wisdom, is compos’d of a great variety of Parts, of different Make, Texture and Quality; each of which has it’s Use, and proper Office assign’d it. But that I may not confound any of my Readers by nice or obscure Physical Divisions, I will say it is compos’d of Solids and Fluids: the Fluids, that is, the Blood and other Juices, are allotted to nourish and preserve the Solids; and the Solids, that is, the Flesh and Hence every Eye may see how destructive I have observ’d that many are innocently led into this grievous Habit: and they are the more liable to it, as the Goodness of their Constitution preserves some longer than others, from being sensible of it’s ill Effects. But they must beware of Illusions, and convince themselves of one Truth at least; that instead of that Nutrition which proper Food yields, the Blood and other Juices are by this means vitiated; and with them that most salutary Fluid the Milk. It is true indeed that all Drams are not alike pernicious; nor do they, as I have just hinted, act alike on all Constitutions. Yet thus much is certain; that they all contain fiery Particles, But besides this dreadful Habit in the Mother or Nurse, there is a Practice among the Vulgar still more shocking; and which must make every reasonable Creature shrink with Horror; that of giving Drams to the Children themselves, even while Infants. Nothing is more strongly urg’d by all moral Writers than the Force of Example; and when they mean to paint a bad Parent, they describe a Child imitating those Vices his Father acts before him. But here Description is too weak; no Language has Force enough to express the Horror of this Vice! These unhappy wretched Parents forestall Imitation; they stay not ’till the Child has Power to follow their Example; but pour the deadly Poison down the poor Babe’s Throat, even before it can speak! What, I say again, what Language can describe the Horror of this Vice? Surely none. All wise Men agree, that Virtues flow, Before I quit this Head, I must take Notice of an inferior Degree of the same Error; less a Vice indeed, because there is an Intention of Good in it, tho’ generally a mistaken one; I mean that of putting Brandy The next Degree of Error to this, is the early Custom Parents have of giving their Children Wine. Grown People, even among the Temperate, often drink much more of it than is either needful or beneficial; but Children want it not at all. To give Wine to Infants is a gross Error; and even to those who have pass’d that Stage, the Practice is very wrong. Wine, tho’ a general Term for the Juice produced from Grapes, is undoubtedly a very different Liquor, not only in Colour and Flavour, but in Quality, according to the Country it grows in; as is manifest by the different Effects of it on the Human Body. One Sort is found to constringe too much; another is loaded with Tartar; a third abounds with a large Portion of inflammable Spirit; and so on. But not to enter into a physical Analysis of Wine, we I will not take upon me to fix precise Rules on this Head, both because it is very difficult, and in general they would not be adher’d to: but thus much I seriously recommend, that Children in the first Septenary taste no Wine at all; in the second be vastly sparing; and in the third fix a Temperance built on solid Principles of Reason and Virtue; such as will best secure to them Health and Happiness for their whole Lives. I am here naturally led to speak of Malt Liquor, the native Produce of our Country: but on this, as well as the two foregoing Heads, we must keep Temperance Nothing is more talk’d of for the Good of Children, and yet nothing more unsettled, than the necessary Degree of Warmth; and while some Parents are sanguine in maintaining the Necessity of much Cloathing, there are others as obstinately prone to freeze their tender Babes: even skilful and ingenious Physicians disagree in this Particular. It is a Maxim in Philosophy, that Heat is a Principle of Life: and indeed, without the Assistance of the Schools, every one knows the Truth of it. All know, that Nature then, I think, points out to us, that new-born Children want more Cloaths in Proportion than others. When we consider how warm a Bed they have long been wrapp’d in before their Birth; when we consider too how tender all their Fibres must be; and see them shivering, trembling and cold as soon as the external Air surrounds them; we cannot but conclude that they are greatly cherished and comforted by the Addition of Cloaths. It is true that the same Philosophy which teaches us that Heat is a Principle of Life, teaches also, that Action is the Cause of Heat: but new-born Infants being incapable of Action to any Degree, it appears to me, that for the Reasons already given, they stand in need of an additional, or rather, an Should any one urge that thin Cloathing of Children is the rational Way to make them hardy, and inure them to Cold, I am ready to grant it; but I cannot help being of Opinion, that it ought not to be begun with. In most other Things relating to Children we succeed best by beginning at once; but here I think we should proceed by Degrees. Let Parents then at the Birth give Children all the Comfort Cloaths can afford them; and when some Months Time has hardened their Fibres, and thereby strengthened their Solids, let them be thinned gradually. One sensible Distinction may be made that should be universally regarded: that is, the Difference of Climate and Seasons. A Child born in the midst of Summer, or where the Air is incapable of affecting it very sensibly, need not to have so much cloathing as one born in the Depth of Winter, or in a colder Climate. It is easy for my Readers to see that I am an Advocate for Warmth; and that I do not only recommend it as yielding great Comfort to Infants, but esteem it highly necessary In this View of Nature we shall find the Birds not only provide Nests for their young, but cover them with their Wings, to guard them from the chilly Air, ’till Time has encreased their Feathers. The Beasts with amazing Tenderness, cherish their young, ’till Nature has lengthened the Hair, the Wool, or whatever covers them; or Time has given them the Power of Action. Farther we shall find, that Insects, and all the vegetable Creation, shoot out into Life, and receive Vigor, Comfort, and Support, from that glorious Body the Sun: so indispensably necessary is Warmth; and so essential to the raising and preserving of All. Such of my Readers as agree with me on this Head, must still be cautious not to over-act their Part. This Preceps suits so well the tender Nature of Mothers, that if heedless, they will easily slide into Error; and I should be wanting in the Duty of a faithful Guide, or an honest Adviser, if I did not endeavour to prevent it. Dr. James Douglas, deservedly eminent in his Profession, once (within my own Knowledge) gave it as his Opinion of a Child he attended, that it perished with Cold. The Doctor had laid a Woman of Rank of her first, nay her only Child, a Son too, and Heir to a large Estate. The Season was cold; the Child was dry-nurs’d; and a small four-post Bed was, by the Advice of some ignorant People, made on purpose for it to lye in alone. In this neglected starving Way the Child was kept ’till ready to expire, and when too late to help it, they sought Advice. All Means were try’d in vain, the poor Babe sunk into the Grave: and, as I have already observ’d, the Doctor, upon examining every Circumstance, pronounc’d it starv’d to Death. Here we have an Instance of one Extreme of Error; and I have introduc’d it as a Hint to Parents that all Extremes are to be avoided; and that while they shrink at the one, they must be careful not to plunge into the other. It has already been agreed, that Children at the Birth should have all the Comfort Cloaths can give them. I will now observe, that it is every Way advantageous, that for the first Year at least, they lye in a Cradle, or in a small Crib by the Bed-side of the Parents, By what has already been advanc’d, it appears, that tho’ due Care is recommended, yet it is not design’d to cherish that false Delicacy which Parents, especially Mothers, are but too apt to keep up in their Children, whether Boys or Girls; on the contrary I have advis’d, that their Cloathing be thinn’d by Degrees. Let them too be wash’d every Day with cold Water, the Head and Limbs at least, if not all over; and be carried out as much as can be into the open Air. To breathe in a free, open, pure Air, is undoubtedly of great Use; by giving that Spring to the Solids so conducive to the establishing and preserving Health. Children therefore, especially if born in London, stand in need of this Assistance; they should often have the Freedom of tasting a sweeter Air, than that which usually surrounds their Habitation. Here I am aware, that this Advice, instead of being properly relish’d, will be swallow’d greedily; instead of its serving to rouse the Care of Parents, it will endanger the banishing the Child, which under the Pretext that Air is good, will be sent to a Place, where perhaps every thing Where real Necessity pleads, no Arguments can be brought against it: otherwise I would universally recommend, that Children be brought up under the Eye of the Parents. Let the Methods propos’d have a fair Tryal; if those are ineffectual, and the Child does not thrive, by all means remove it into the Country; but still, if practicable, Besides the Food, Warmth and Air, necessary for preserving the Health of Children, there is another Mean of great Importance, but much neglected, to the Detriment of many; viz. Exercise. When some Months Time, as I observed before, has strengthened their Solids, they are then fitted for Action; without which there is but little chance for Health: the Laws of Nature demand it; and it is almost incredible, the Mischief that attends the want of it. Exercise affords the most natural and the most comfortable Warmth to our whole Frame that can be. Exercise makes the Blood and other Juices circulate with Freedom; prevents the Mischief too often arising from Stagnation, and throws off the redundant Matter through the Pores of the Skin by insensible Perspiration. And Exercise too, greatly contributes to that Flow of Spirits, that lively pleasing Air and chearful Countenance so essential to our Happiness. The first half Year of a Child’s Life is far the least troublesome to a Mother or Nurse; for after that time Children begin to take Notice, shew they love Action, and Rickets is a Distemper extremely common in London; but if the Rules already laid down be observed, I dare affirm, it will very rarely be seen. It is not indeed the Design of this Treatise to cure Diseases, but to prevent them; yet as thousands of Children fall into the Rickets in a manner insensibly, often without it’s being once apprehended; Let us then observe, that many Children have all the appearance imaginable of Health, Strength, and Vigor, till about nine Months old; after that Age they begin to dwindle, grow listless, heavy and inactive, which to account for, Parents find a thousand Causes, perhaps all wide of the real. One ascribes it to cutting the Teeth, another to a Fever, a third to loss of Appetite, and so on; when after a Time it proves the Rickets: the Cause whereof is, generally speaking, bad Nursing. But whether this, or any other Weakness produces the Distemper, I earnestly recommend, that it be not suffered to pass unregarded, since much depends upon our early Care. The great and noble Remedy for this Disorder is a Cold Bath; and tho’ the Tenderness of Mothers may make them shrink at the Proposal, yet neither their own Weakness, nor the Child’s Reluctance, must in this Case prevail, especially when I assure them that a very short Time will make the use of it not only easy but pleasant. If a Child along with this Disorder has a Fever, a full quick Pulse and short Breath (as is very common) Parents should certainly ask proper Advice before they begin to use the Bath. But as some may be careless in this Matter, or at least unwilling to submit; and as many ill Consequences may follow from setting out wrong, I will in that Case recommend, that two or three Ounces of Blood be taken away at the Arm or Neck; next Day purge it with Rhubarb, and repeat it to three or four times, at a Day or two’s distance between each Dose: and even where there is no Fever, and the Lungs play freely, it should still be purged as above directed. The more Water and the colder the Bath the better. At first use it only two or three times a Week, afterwards every Day; and continue it (unless other Accidents intervene) ’till every appearance of Weakness be vanished, even though it should last long, or come on in the coldest Season. To obviate as much as possible all groundless Fears, I will on this Head add, that as Cold Baths act very powerfully on the whole Frame, they are frequently observed to give Cold at first using; and sometimes affect the Limbs and other Parts very sensibly; all which goes off on repeating it. And indeed, The proper Cloathing of Children is a Consideration of great Importance; and indeed the Opinions of different Men in the Learned World, and of different Women in the Conversable World, are so very many, as to render it next to impossible to fix a Standard for Dress with regard to Health only, that would in any manner square with the various Notions subsisting. Arguing on Principles of Philosophy, from Reasons founded on the Knowledge of Anatomy, and the Animal Oeconomy, will not go down with the Croud. Nor will Examples produced from Practice, prevail on the Learned to think the general Practice right. It is not enough to say, that different Nations act with more or less Propriety on this Head; for even our own Country is herein much divided in itself. What I have before observed on cloathing Children, relates only to the keeping up a due Degree of Warmth, ’till Time strengthens their Solids; but the grand Controversy is, Nothing is more certain than that Nature in general is our best, our surest Guide, for the Conduct of Life; yet if we make the Law universal, we shall undoubtedly sometimes err. Two things all Mankind inherit in consequence of our first Parents Disobedience, viz. the Turbulence of our Passions, and our bodily Defects and Infirmities: all are sensible of this; all see and feel them, more or less. How small is the number of those, whose Passions are by Nature so happily calm, as to keep them free from Irregularities! How few are those, to whom Nature has given a perfect Form: whose Stature, Limbs, and Features, bear exact Proportion and Symmetry, free from Blemishes and Defects; such as constitutes a finish’d Beauty: or whose Constitution is so happily temper’d as to have no Bias, no weak Side, no redundant Humours to disturb Life and Health. This I say is evidently the Lot of very few. Still Providence, ever kind, has furnished us with Means to turn all things to our Advantage. To regulate our Passions we Dress, in the common Acceptation of the Word, is not my Province; those People whose Business it is to promote it, know that the World is fickle and inconstant; they know that Men will change, even though it be for the worse, purely from a Love of Novelty: therefore is it that at one Time a Man has his Hips almost up to his Arm-pits, another Time he must stoop to get his Hand into his Coat Pocket; therefore is it that one Year a Woman is (at the Will of the Stay-maker) to be short-waisted, another Year long-waisted; with many more Absurdities, that ought at least to be laughed at. But where Dress is capable of affecting our It is the Opinion of many, that every kind of Bandage is an Error in Practice; even Garters, Wrist-bands, and Collars; that they impede the Circulation of the Blood, or at least render it unequal and irregular, and prevent the proper Growth of the Solids; nay more, that they are a frequent though latent Cause of Apoplexies, and other dreadful Diseases. It is farther their Opinion, that whatever compresses the Frame, (particularly the tender one of a Child) is dangerous; as Rollers, stiff Stays, and the like: that as the Trunk of the Body contains, what Physicians call the Viscera, in which are the chief Functions of Life, whatever external Methods are used to bind or cramp them up, is prejudicial to Health. That the Lungs particularly are to have free room to play; and that if the Chest be externally press’d, whether by Rollers, Stays, Waistcoats, or any thing else, it lays the Foundation of many future Evils. To these general Opinions, let me add that of an eminent Writer. Mr. Locke, in his Treatise of Education, says, “Narrow Now let us examine the general Practice, and the Motives which influence it; that no Injustice may be done in a Treatise that aims at the general Good of Mankind. Mothers and Nurses observe, that a new-born Child has no Support of itself; the Head leans on one side or the other; and the Body sinks as it were into a Heap: to remedy which, and to prop up the helpless Babe, they put what is call’d a Stay to its Neck, they roll a Flannel many times round its Body, and at the Expiration of a Month it is usually coated: that is, it continues when undress’d with the Roller; and in the Day Time when dress’d, it wears a Stay about the Waist. The Stay to the Neck is left off in some Months, and the Roller in about a Year; some sooner, some later: but the same Method is used both to Boys and Girls. The first, second and third Stays are usually very soft and plyable; but after that, when a Child approaches to two Years old, they are then made stronger, that is, stiffer to the Feel; and these Sort are worn by Boys ’till they are breech’d, and by Girls their whole Lives. Nurses urge, that Children are helpless, cannot sit upright, nor be toss’d about without them. And I remember But as I have just observed, it is not in Infancy only that Stays are used; but in one Sex, ’till four, five, or six, Years old; and in the other for Life. The Solicitude of Parents about Shape, is chiefly confin’d to the Girls; Boys, when breech’d, like Eels, twist themselves into a thousand Forms, and prove strait at last; while the Girls, with less Freedom and more Anxiety, seldom come off so well. Still Mothers contend for the Necessity of Stays; and maintain from Experience, that the Shape, instead of being hurt with them, is spoil’d without them. Here then is the grand Point, whether Nature requires these Props or not; the Learned say they don’t; general Practice says they do: the Learned recommend that Nature be left to Fashion the Parts herself; but general Practice contradicts this: and who will take upon them to decide so important a Matter? for me, I confess it is too much. When I read or hear the Opinion of skilful Men, and weigh their Reasoning, I heartily As I am speaking of Health and Beauty, it will not be improper to observe, that with regard to the outward Form, what is most agreeable to see, is often most conducive to Health and Strength. Thus the Dancing-master has Power to confer many Advantages on his Scholars. That Command and free But while this Part of Education is justly commended as conducive to Health, and pleasing to behold, what shall we say of those, who under the Appearance of increasing their Beauty destroy it; and who, while aiming at Health, often deprive themselves of Life. I have shewn that bodily Defects are more or less the Lot of all Mankind; but where Judgment free from Error can rectify them, we have Power to do it. If we can find a Cure for Diseases born with us, we certainly may and ought; if we can increase our Strength, and add Graces to Nature, we undoubtedly should; we may curl our Hair, increase its Growth, or cut it off; we may and ought to comb or shave our Head, pare our Nails, There is a Practice, particularly among the Great, shocking to Nature and to Reflection; that of using Paint. Paint is to the Face, what Affectation is to the Mind: as the one is a ridiculous Mimic of amiable Qualities we are Strangers to, so the other is a ridiculous Affectation of Beauty we cannot reach. But while Paint disappoints those who are attach’d to it, by conferring false Beauty, it is attended with the Mischief of impairing real; and many who by Nature alone would be comely in the Decline of Life, are, by this odious Practice, hagged even in Youth. Temperance, Exercise, good Hours, and a chearful Lord Hallifax, in his Advice to a Daughter, goes so far as to dissuade her even from the Use of Sweets. “Those Ladies (says he) who perfume themselves, will be strongly suspected of doing it to conceal some other Stink.” Cleanliness is to be preferred to every foreign Aid; for tho’ it is certain, that Nature throws off some offensive Matter, whether perceptible or not, by the several Organs given for those Purposes, yet daily washing the Mouth, combing the Head, and using every other Means of Cleanliness, bids much fairer for rendering us inoffensive to others, than the general and immoderate Use But there is another Pretext for using Sweets, which must not pass unobserved; that of keeping us from being sensible of the various Smells around us. It is true that those are sometimes so grossly offensive, as to justify, and even demand, our shutting them out: but in general, there is too much false Delicacy, too strong a Tincture of Pride, and too little Sense of our own Infirmities in this Practice. On these last Heads then I must beg Leave to admonish Parents, even of the highest Rank (should this little Work ever fall into their Hands) to be greatly circumspect with regard to their Children; that they be careful to give them a due Sense of the Blessings Nature has bestowed on them; that they point out to them the most rational Way of correcting natural Defects; and above all, to imprint on them a just Detestation It may be urged, that Children are not subject to the Use of these things, at least while Children: I grant it. But my Readers must observe, that when I enter on a Topic, I am naturally led thro’ it; and as we never stand still in Life, so Parents must bring their Ideas forward, and consider their Children as always advancing. Nay I may without Impropriety say farther, that Vanity is one of the first things that Children learn; and it demands the early Attention of Parents to keep it under, by discountenancing the Practice of every thing which tends to support or cherish it. Parents are naturally anxious to have this first Entrance on the Stage of Life got thro’ with Success; and I flatter myself, that the Rules already laid down will conquer, or at least lessen the Difficulty attending it. How eager are all good Parents to see their Children weaned; to have them firm on their Feet; to find their Mouths full of Teeth; It is a Point much disputed, whether a young Child is better or worse for wearing Shoes and Stockings; for my own Part, I think they are both: but, as this may seem a Paradox, I will explain myself. The Disuse of Shoes and Stockings is to make Children hardy; but my Readers will remember, that unless Regard be had to Time and Season, they may cramp their tender Limbs, and do them great Harm. Stockings therefore cannot with Prudence be totally neglected, lest it prove a Neglect to the Child; and Shoes, when they are put on it’s Feet, are, besides being not so disagreeable to see, much safer to walk about in; as nobody can answer that Pins, Splinters, Stones, and various other things will not sometimes fall in their Way, even on the smoothest Floor, or a Carpet. Thus much in their Favour: but what I have to say against them is not less significant. According to the usual Method of managing Children, they wear no Cloth But a little Judgment and Attention would obviate this Inconvenience; for as even Infants are not without various Ways of shewing their Wants, an Attention to these, and a Method of putting them regularly into their Chair, would be very convenient both to Mother and Child: and if notwithstanding this, it should by chance wet itself, having dry Shoes and Stockings always ready to put on, would prevent any ill Effect. I am of Opinion, that Parents are often too eager to have their Children walk; by which, they take such Means as serve to retard it. Two things much in use manifestly keep Children back, viz. much sitting, especially with their Cloaths up, and much standing. They should never sit long in their Chair, nor be left to support the Weight of their Bodies, while their Joints But we will now suppose that these first Difficulties are all surmounted. Parents have still many things to do, which require indeed Attention, but neither need, nor ought to be accompanied with any considerable Degree of Difficulty or Pain. Notwithstanding a Child is advancing, I still recommend, that Milk and Water with Bread, or Milk-porridge, or Rice-milk, be it’s constant Breakfast. Parents may sometimes alter their Course, may easily contrive little Changes in a Child’s Diet, that will be very pleasing, without either seeming to humour it, or varying it so sensibly, as to hurt the Quality. For Example, in Summer, pour warm Water on Milk to take off its Rawness, and let the Child with a Piece of Bread bite and sup: in Winter let it have Milk-porridge, or Rice-milk. Milk is accounted to lose of its natural Sweetness by boiling; therefore in general it should be avoided. But there is another Principle Parents are to act by, viz. a Child’s Habit of Body. Nothing is more certain than that our Food may be made our Physic; and if our Judgment went Hand in Hand with Nature, we should happily escape many bodily Infirmities, many grievous Evils: for it would then be easy to see when she is regular, when not; whether she wants a Curb or a Spur; whether she is robust or delicate; or, in fine, whether she has any Bias, and where. To familiarize this, let me observe, that where a Child is hot, dry, and costive, Parents should sometimes desist from the Use of Milk, and give it Water-gruel, either with or without Currants; or very small Broth, or Milk-porridge, which last is rendered opening by the Oat-meal. So likewise, where the Bowels are weak, and there is an habitual purging, the Child should be kept more closely to Milk; have Rice-milk, Rice-gruel, or Broth thickened with Rice; or thick Milk, or hasty Pudding made with Milk and Flour. Of one or other of these things, as Occasion serves, a Child may properly breakfast as long as the Guidance of Parents will be necessary: and when it is no longer a Child, but comes to act for itself, it will not be easy to find more wholesome There is nothing Parents should more promote in their Children than the Love of Bread; they should be taught to eat a great deal of it with their Meat; be taught to eat Butter is allowed to yield great Nourishment, but there are Objections which Parents must not disregard. It often rises in the Stomach, is apt to give that Pain which People call the Heart-burn, and is judged to be frequently the Occasion of Childrens breaking out, by obstructing some of the Glands. Butter therefore should be eat much more sparingly than usual, and great Care should be taken that it is never rancid. Cheese is a kind of Food which Children are naturally very fond of; and, if left to themselves, will eat it to an immoderate Degree. I have observed before, that little Changes in a Child’s Diet are at times very right; particularly to prevent any Dislike to certain things, either from Disuse or Affectation; but when Cheese comes in turn to be the Meal, it should be under great Restraint. Suppose, for Example, a Child’s Supper is to be Bread and Cheese, the Bread should most certainly be considered as the Meal; a very small Quantity of Cheese to give it a Flesh Meat has already been touched upon; I will here add, that besides the Parents Care that Children do not begin too soon with it, nor eat it intemperately, they must pay a due Regard not only to the Quality of the Meat they give them, but to the Time and Manner of eating it. Physicians are of Opinion, that Animal-food is not in Perfection ’till full grown; for, like unripe Fruit, their Juices are crude, and always more or less improper to mix with our Blood, ’till they are in a State of Maturity: hence it appears, that Beef and Mutton are more wholesome than Veal and Lamb. Nor should Beef, as the Fibres of it are very strong, be eat too freely by those whose Digestion is weak; and when rendered Fish is a sort of Diet extremely improper for Children. I would recommend to Parents never to let a Child so much as taste it for the first seven Years at least. If it were nothing more than the Danger of Bones Children should not be debarred Fruit; but the Use of it requires some Attention; 1st, It should always be good in its Kind, and ripe. 2dly, Regard is to be had what Sort agrees, and what disagrees. 3dly, Some Limitation as to Quantity. It is a disputed Point whether we may eat Fruit in a Morning; other Nations do frequently, we seldom. In France, Germany, Switzerland, and many other Places, the People always eat Bread with their Fruit; and it appears so rational that I believe it were better that we did too. Fruit gives some a Pain at the Stomach, others not; Apples, Currants, and those Kinds, which, tho’ ripe, have still a Degree of grateful Acidity in them, usually agree best. Pears and Plumbs, especially the Orleans Plumb, have a Tendency to bring on Purgings, which sometimes terminate in a Bloody Flux and Death; and therefore should be given to Children with great Caution: but, in fine, Experience here, as in many other things, is to be our Guide. One general Rule I would recommend, which Self-gratification on one hand, and Self-interest on the other, have introduced several Trades the World in general might dispense with; two of which demand my Observation, viz. the Confectioner and the Pastry-cook. That these Trades have their Use I do not deny. A Nobleman, according to the Rules of Politeness, cannot make If a Child is sent to visit a Relation or Friend, the grand Compliment is, to apply to the Confectioner or the Pastry-cook; and ’till the little Visitor be crammed with Biskets, or Cakes, or Tarts, or Sweetmeats, or all in their Turn, and that even to a Surfeit, the welcome is not thought compleat. Still there is some Excuse to palliate this Mistake; the Child is considered as a Visitor; and these Excesses are the mistaken Effects of Good-Nature and Respect; both which are apt grievously to err against Judgment. But my Principals here are the Parents; for from them alone must come the Habit of doing right, and by them alone must the Error be prevented or corrected. I have no Objection to a Child’s having a Tart or Bisket by Chance, but I am a profess’d Enemy to the daily Abuses committed But let us go lower into Common Life; and view the various Outlets from London. What Swarms, what Multitudes of Children are there not in the Fields on every fine Sunday! And what is their Entertainment? Why, generally speaking, they are stuffed with a coarse kind of Pastry-ware made coarse on purpose for Children, who of all To reduce to Method what has been here said concerning Diet, I must observe, that next to the proper kind of Food, nothing is more conducive to Health than a Habit of eating Meals regularly. Children accustomed to eat all Day long are seldom healthy; besides, that it makes them disorderly, and often throws a Family into Confusion to gratify all their little Humours. The proper Breakfast has been already pointed out; their Dinner should be made of one Dish, only, unless by great Chance a passing Taste of a second; they should either eat a The Ideas of Parents may perhaps confine these Rules to the first Septenary of a Child’s Life; but I must here observe, that no essential Difference, no very material Changes can be made from this, even in the second and third Stages, without some Degree Mr. Locke proposes, as a great Means of preserving Health, that Boys (for it is for them only that he writes) have Holes made in their Shoes on purpose to let in the Wet; which (says he) being rendered familiar to them, will prevent their catching Cold. It is certain this Gentleman acts here upon a right Principle; but whether the Practice be altogether eligible, is a Doubt. Nothing is so hurtful to the Head, the Eyes, and the Breast, as catching Cold in the Feet; and therefore I cannot but concur with this ingenious Writer, in recommending the Use of To this End, Children’s Feet should be washed in Water a little warm’d; for it is extremely dangerous to make a sudden Derivation of the Blood up to the Lungs or Head, which is the natural Effect of cold Water. And it is for this Reason that People are never suffered to walk into a cold Bath, but are thrown forwards, that the Immersion may be total at the same instant. Nay, Mr. Locke himself was so sensible of this, that tho’ he advises washing the Feet daily in cold Water, he would have it begun with in the Spring, and the Water luke-warm, and made colder and colder by Degrees: “For (says he) it is to be observ’d in this, as in all other Alterations from The next Mean is, that Children have always dry Shoes. There is a great deal of Mischief attends the mistaken Delicacy of Shoes. Those who always tread on Carpets, who never go abroad without a Coach or a Chair, may perhaps wear with Safety the thinnest that can be made; but to see People in inferior Life, or those engaged in real Business, trampling thro’ dirty Streets, and soaking their Paper-soals in continual Puddles, is surely every way absurd: but as this Practice is evidently detrimental to Health, as it frequently occasions Coughs, sore Eyes, Head-ach, Rheumatism, and other Disorders, it is highly incumbent on Parents to keep Children free from these Dangers by using them, in Winter especially, to such Shoes as will keep them dry. On this Head it will not be amiss to give a Caution against Shoes that pinch. Parents must be attentive to this both in Boys and Girls, for many by this Means are made so tender-footed, and have such painful Corns, that they are a kind of Cripples their whole Lives: and are not only very uncomfortable to themselves, but are often thereby greatly I must not here omit, so far as relates to Health, to mention Sleeping, and the Circumstances attending it. “Of all (says Mr. Locke) which looks soft and effeminate, nothing is more to be indulged Children than Sleep. In this alone they are to be permitted to have their full Satisfaction, nothing contributing more to the Growth and Health of Children than Sleep.” I have already with regard to Infants shewn, that they ought not to be disturbed from their Rest; and even past that Age Sleep affords them great Nourishment. Nothing certainly is more injudicious and unnatural than the Custom many Parents have of keeping their Children up late. If they wish them to be healthy, temperate, or wise, they must create in them a Habit of early going to Bed and early rising. As the many Conditions in Life oblige, or at least lead People to act differently, so it is extremely hard to fix precise Rules herein; but in general, ’till Children approach nearly to Men and Women, they would do best not to sit up to see, much less to eat, a Family-supper at nine o’Clock. Lying on soft Beds is undoubtedly wrong; the French have a good Custom of putting a Matrass above the Feather-bed, which prevents their sinking into a Softness very prejudicial to Health. Soft Beds absorb too much of our Juices, cause a greater Waste than we can spare, enfeeble our whole Frame, and have a remarkable Tendency to give a Pain of Weakness in the Small of the Back, by heating the Reins. Mr. Locke, amidst great good Sense, has some Notions a little rigorous, which probably are never followed, nor do they seem altogether needful. He proposes that a Child’s Bed be designedly ill made; that is, sometimes high, sometimes low, sometimes rough, sometimes smooth; for my part, I am desirous to banish every ill-judged Tenderness, every false Fondness; but as I write for the Use of both Sexes, and all Conditions, I cannot confine my Ideas to a Tent or a Cabin. Let Children by all Means lie on Matrasses instead of Beds, for the Reasons already given; let them lie with a Bolster only, and no Pillow, for it is not good for them to have the Head high; let them lie either on one Side or the other, and not on the Back; and let them lie pretty It has been generally said, that we should keep our Heads cool; and many on that Principle, even tho’ their Heads are shaved, lie without a Night-cap. I will not take upon me to determine the Matter, but observe, that the Night-air seems to require some Guard; and many are of Opinion, that lying with the Head warm is most healthful; and particularly good for the Hair, the Eyes, and the Teeth. Another Observation I shall here make, is, the Error of sleeping in small Rooms, and by Choice in the lower Part of a House; it is certainly right that we should have Space for a due Circulation of Air that it may not become thick and foul, which is very common in close Bed-chambers; nor should we lie surrounded with Curtains, for that is confining ourselves to the Air within Notwithstanding the general Rules laid down concerning Exercise, I must here observe, that as Children advance in Life, that is, when they approach to Men and Women, great Regard should be had to the Exercise suitable to their Circumstances and Constitution; but these are too many to admit of enlarging upon here. I will in brief observe, that those who are hale receive the greatest Advantage from walking; the tender, especially the Hectical, and those who have weak Nerves, cannot bear this Exercise to any Degree, but gain Strength and Vigor from riding on Horseback; and indeed it often happens, where walking cannot be borne without great Fatigue, and waste of Strength and Spirits, riding, on the contrary, not only gives Pleasure, but increases both. Where Infirmity is so great, which doubtless will sometimes happen, that neither of these Exercises can be pursued, then a Coach, or some ether Vehicle, should There are yet some farther things relative to Health, which Parents must not disregard. Constitutions are so variously formed, that the same Employment which suits one Child, will not another. If one is closely confined to Study it will impair his Health, and either shorten his Days, or make him miserable: if another is engaged in a laborious Business, his tender Frame, perhaps, sinks under it: if a third is indulged in an easy Occupation, where Action would have suited his Frame, he becomes Having thus with real Pains, and an unfeigned Desire to promote the Welfare of Many of my Readers will still perhaps expect, that something should be said concerning the manner of treating Children in Sickness; but they must remember, that I set out with no farther View than the preserving Health, by avoiding every Irregularity and Excess: and when Diseases happen, which cannot be obviated, nor even foreseen, it is not the reading a single Volume that will qualify Parents to undertake the Cure of them: no; they must apply to those who make it their Study and their Profession; to those whose Judgment, whose Integrity, and whose Diligence they can confide in. To this End I will here endeavour to point out to Parents the most rational Way of proceeding. One would imagine, that nothing was easier to determine than this Matter; for what can be more natural in Sickness, than sending for a Physician? He who from his Youth has laboured to acquire Knowledge, who has devoted his Life to Study, who has searched into Nature, and discovered the most hidden Causes; who has sacrificed many even of the innocent Pleasures of Life, that he might become useful to Mankind; and who, to accomplish this, has spent perhaps a good younger Son’s Portion. Can Every Nation is distinguished for some Peculiarities of it’s own. In France the Physicians have but little Dignity, and their Fees are low; yet nobody in Sickness presumes to act without them; they are always call’d first: in England, the Reputation of Physicians is deservedly great; but their Fees are high, and they are usually call’d in last. As Sickness is in it’s Nature every Way expensive, as the Doctor’s Fee is always Gold, we cannot but be sensible, that there are many People in the Nation, who either from a Desire to contract the Expence, or from a Want of Ability to give the customary Fees, do not, at least ’till Danger threatens, send for a Physician. And it is for these, and other Reasons, that some Medium between the Patient and the Physician seems necessary: which Medium is no where to be found, but in the Apothecary. Let us now enquire a little into the Nature of the Apothecary’s Business, and see of what Use he is to Mankind. Pharmacy, the Apothecary’s Art, is branch’d out of Physic; for as now the Apothecary sometimes prescribes, so originally the Physician was Apothecary too. An Apothecary’s Education is not so deep, nor his Application to Study usually so close, as the Physician’s: yet as Genius is not confined to the Physician, but is by Nature as capable of residing in the Apothecary; some Degree of Learning, an Acquaintance with proper Books, which are equally open to both, and constant Observation on Diseases, will certainly furnish him with a considerable Stock of useful Knowledge. Experience is the Mother of Wisdom. While the Physician is labouring at Theories, the Apothecary is perhaps deeply immers’d in Practice: and as all allow that nice Observation is of vast Use in Physic, while the one is searching into Causes, the other, if he improves as he ought the Opportunities he is furnished with, gains a Knowledge of Effects. Hence it appears, that an Apothecary is capable of being, not merely an useful, but a valuable Man to Society; and perhaps equally so, both to Patient and Physician. Physicians Health is a nice Affair; and Life precious to every Individual. The best Advice then I can give to Parents is, that they do not, where these are at Stake, hazard either one or the other by Indolence, or an ill-tim’d Frugality. Those who are rich, let them at once send for the Physician, especially if it be a Matter of Moment; and surely Prudence points out this to us: so those who cannot reach the best, let them take the next best; that is, where calling in a Physician would too sensibly affect their Circumstances, Prudence demands, that they employ a good Apothecary. And even these, tho’ they consult their Apothecary first, should strain a Point where Danger threatens; and neither attach themselves too closely to the Man who is fond of his own Judgment, nor condemn another’s Tenderness in proposing farther Advice. But I may on this Point say farther, that it is sometimes the greatest Proof of Wisdom in an Apothecary to desire the Advice of a Physician; for tho’ Diligence, Integrity, and many other Qualifications are highly As for the Calumnies, the Sneers, and the Misrepresentations of ignorant or designing People, such as Apothecaries and Physicians being in league together, and playing into one another’s Hands; the Eleven-pence in the Shilling; the cramming People with Physic they do not want; and much more of the like Nature; these are things that scarcely deserve any Notice. I have now been above thirty Years in the Business; have seen and done far from an inconsiderable Share; have attended with Physicians of every Rank, from those who first enter’d into Practice up to those who have reach’d the Summit; yet cannot charge either any single Physician, or myself, with even an Attempt to enter into an Association to the Prejudice of Mankind. On the contrary, I have seen some who have laboured with disinterested Zeal for their Benefit; not merely because they could not have their Fees, but because they would not take them. Here I cannot help observing how much the World is misled by Appearances; because People see an Apothecary with a good Suit of Cloaths on, they conclude he is above Want; and because Two Things with respect to Sickness Parents are to guard against; one is, the Neglect of calling for Help in time; the other, that amazing Attachment to Nurses, and what they call good old Women. I esteem it a Misfortune in a Family, where a Physician or an Apothecary appears as regularly as the Baker; and to prove that I do so, I have said before, that our Food may often be made our Physic; and have pointed out many Ways to prevent Diseases: still it is a Fact, that all Errors are best rectified at the Beginning; and the sooner a Distemper Nurses have a Province of their own, in which they are very valuable, that is, a diligent attentive Care; for in vain do Parents seek Advice, in vain do Physicians prescribe, if Nurses are negligent, unwatchful, or careless. But while I do them the Justice they deserve, while I acknowledge the Merit of their Station, and recommend that it be rewarded, I cannot help repeating to Parents, not to suffer them to baffle superior Knowledge. If any Change happens to the Patient, or a Difficulty arises unforeseen, let them suspend for a Time the Execution of the Orders given them; but let them not frustrate the Physician’s Intention, by throwing Medicines away, giving them by Halves, or giving something of their own added to it, or in it’s stead; and then concealing what they have done: all these things are grievously wrong, and every way unjustifiable, as they frequently disappoint the Patient, or disgrace the Physician. If a Nurse has made any useful Observation on the Patient (which all good Nurses sometimes will) there is not a Doctor in the Kingdom, if a Man of Sense, but will hear her, and turn it to Advantage; but if her Conceit leads her to set aside or overturn what is proposed, however merry it may make herself, every The last Caution I shall give to Parents relative to Health, is, the Danger of Nostrums and Quack-Medicines. I believe there is not a Physician nor an Apothecary in the Kingdom but what has seen the Lives of People, particularly of Children, sacrificed to this Practice. What is it that constitutes the Physician, that proves the Man of Judgment, but the varying his Prescriptions, not only according to different Diseases, but according to the different Circumstances of the same Disease? And yet these Nostrum-Mongers, with unparalell’d Boldness, often attempt to conquer all Diseases with one Arcanum, one pretended Remedy. Who that hears these Boasters, or that reads their printed Accounts, but must discover many Absurdities on the very Face of them. The Man that promises what is repugnant to common Sense, argues himself either a Knave or a Fool; and yet People are often so little attentive, or so regardless of Health, that they do not discover their Error, ’till it is sometimes too late to remedy it. That I may do strict Justice to every one, I am ready to grant, that many Discoveries have been made in Medicine by mere Accident; Opium, Mercury, and all the powerful Drugs, are every Day scattered about the Kingdom, and indiscriminately offered to all, whether they want them or not, whether they are good for them or not; and the specious Terms they are recommended in are apt to mislead, not merely innocent, but very sensible People. Since then Things are so, Parents must be very wary how they touch such dangerous Weapons. ’Tis great Odds but they mistake their Child’s Disorder; ’tis great Odds that the random Medicine they give is not suited to Decorative header
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