[ 4o6 ] 



fore they alter their tendency from an inflammatory 

 to one that is putrid. If the inflammatory fymp- 

 toms are violent, it is fafer to ufe fome previous 

 evacuations by bleeding, and a clyfterj after which 

 from five to twenty grains may be given, accord- 

 ing to the ftrength of the patient and urgency of 

 the fymptoms. It is given with mod advantage 

 in cafes wherein the patient is able to bear confi- 

 derable difcharge by (tool; but it is remarkable 

 that thefe feemingly diftrefiing operations are foon 

 recovered, and the patient appears in many cafes 

 the ftronger on their account. The ficknefs alfo 

 caufed by this medicine, however uneafy to bear 

 whilft it lafts, generally leaves the ftomach in a 

 ftate fit for the receiving of nourifhment; an incli- 

 nation for which is, in many inflances, one of the 

 firft marks of benefit received from the ufe of 

 this remedy. 



It fometimes happens, that this medicine, though 

 given to its full quantity, produces no fenfible effect 

 of any kind. Whether this be owing to any defect 

 in the preparation, or to any infenfibility in the 

 nerves of the ftomach at fuch times, I cannot de- 

 termine. It is however in fuch circumftances ne- 

 ceffary to forward its effects, fince if it remain 

 inactive in refpect of producing fome evacuation or 



other^ 



