69 [ DIA. 
smartly assailed by bleeding and other depletion. 
In gout they are of dubious efficacy, except under 
circumstances of great constriction of the skin, 
when [ have known them, if of the lenient kind, 
productive of decided benefit. In the phlegmasiz, 
they are dangerous often, and always hurtful, 
if early resorted to, and before a previous system 
of requisite depletion: aggravating the sufferings 
of the patient and causing tedious convalescence, 
if they do not indace worse consequences. Judi- 
ciously interposed in reference to time and pre- 
vious treatment, they are beneficial. In remittent 
and continued fevers, diaphoretics always, and 
rarely sudorifics, afford important curative aid. 
Many have reported favourably of their efficacy 
in yellow fever. My experience with that disease 
in a climate to which it is endemical, as well as in 
some cases in our own, does not enable me to sus- 
tain these records. Neither can I, from the views 
of the pathology of the disease which I entertain, 
think, that they can be fairly estimated as very 
important remedies in this disease. Iam aware, 
however, that critical sweats have happily termi- 
nated its course ; and I am also disposed to be- 
lieve that cases do occur, in which, contrary to 
the usual issue, they may be particularly required. 
But, the stomach, the chief seat of this disease, 
is too vehemently attacked, to be generally ac- 
cessible by the circuitous rout, or sympathet- 
ic accordance even, of the remote cuticular 
surface. Notso in typhus fever ; I would say ship 
or jail fever. Much experience with this disease, 
in the navy and army service, early convinced me 
of the necessity of vigilantly looking to the skin, 
and regarding its irregular and perverted actions, 
with great attention. Here there is no cure, until 
its softness and function is restored. [1 cannot, 
