83 



paroxysm. During the paroxysm he gives laudanum; in the ini 

 v;i], morphine and quinine; two grains of the latter being as effica- 

 cious as a larger dose, and the combination adapting it to the hot 

 stage. All purgatives, — all stimulants, internal or external — all 

 irritants are injurious. The cold water he i -• i eternally and in- 

 ternally. The cold douche rouses the m in collapse and all 

 anxiety, thirst, internal heat, &c, during the paroxysm. 



63. Professor Ford* of the Medical College of Georgia, describe 

 Lng these fevers, considers the name bilious fever inappropriati . 

 there are often no bilious symptoms present. He prefers the title 

 remittent, recognizing several varieties distinguished by the 

 toms; — cephalic, gastric, enteritic, and bilious. Each of th< 



dnate in the typhoid state; but the most fatal form is the algid 

 or congestive. Post-mortem examinations are too much relied on; 

 they only show tl; adary determinations; real pathological 



distinctive mark is periodicity, [ntermittent and remittent fevers 

 are identical, and the disease is an essential one. — Treatment. Here 

 the great object is, to "jugulate" the disease; for this pnrjn.se he 

 gives from five to ten grains of quinine every hour during the re- 

 ion, till fifteen, twenty, or fifty grains are given, proportioning 

 the dose to the danger. This object, he contends, has not heretofore 

 been understood, quoting liberie, Dunglison, Clymer, Watson, Condie, 

 Dickson, Chapman, Kennedy, and Bell and Stoi ommending 



quinine only as an adjuvant in the treatment. He thuB states his 

 experience. It generally cheeks the first paroxysm, almos* uni- 

 versally the second, in the milder forms of the disease. The ave- 

 rage time of attendance upon such cases is about three or four 

 ■lays. When quinine fails to arresl a coming paroxysm it miti- 

 gates its violence, shortens its duration; and, although, in Bome 

 cases, the nervous symptoms produced by the remedy are distr< jsing 

 to the patient during the paroxysm, these are Boon relieved by the 

 treatment appropriate to this state. He has almost forgotten the 

 features of the typhoid state, bo painfully familiar to him previous 

 to the last twelve years, when using the treatment then generally 

 taught by authority, and sanctioned by the profession. 



64. On the interesting subject of periodicity, Professor Bugas, 

 also of the Georgia ('"liege, and in the journal just quoted, for 



• Southern M ind Surgical Journal, March 1847. 



