IPECACUANHA SPURGE. 417 
the stomach and bowels, without a too long con- 
tinuance of the vomiting. 
Case VI. A man of forty years of age was 
seized with symptoms of fever. Four grains of 
sulphate of copper and twelve of common ipecac 
were given. This dose produced no emetic 
operation, but occasioned violent purging. Forty 
eight hours after, I gave him twenty grains of 
Euphorbia ipecacuanha, in powder, which pro- 
duced very effectual evacuations from the stomach, 
vomiting him eight-or nine times; after which 
he had one or two alvine discharges. 
Case VII. In one instance, for experiment, I 
gave four grains of this plant; but it neither 
affected the stomach nor bowels, nor the feelings 
of the patient, nor his pulse.” 53 
From what is now known réspecting the 
‘Euphorbia ipecacuanha, we are justified in con- 
sidering it an active emetic, and, if prudently 
administered, more safe than a majority of the 
species of its genus. It wants, however, the 
peculiar mildness of the officinal Ipecacuanha, 
which, in cases of slow operation, permits the 
dose to be accumulated by repetition, until its 
due effect takes place, without danger of excessive 
violence in the length and degree of evacuation, 
and without an injurious impression on the 
