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366 ORD. XIV. Contorte. CINCHONA OFFICINALIS. 
teracted by remedies particularly appropriated to them. Thus, 
vomiting, is often restrained by exhibiting it in wine; looseness, 
by combining it with opium; and oppression at the stomach, by the 
addition of an aromatic. But unless for obviating particular oc- 
currences, it is more successful when exhibited in its —— state 
than with any addition. 
It may be given from the very commencement of the disease 
without any previous evacuations, “though it commonly answers 
better after emptying the alimentary canal, particularly the sto- 
mach; and it is to be continued not only till the paroxysms cease, 
but till the-natural appetite, strength, and complection return, 
In remittent fevers, especially during the times of remission, the 
bark may also be employed with great success; for as ‘both these 
‘and intermittents arise from the same cause, prevail at the same 
seasons, and assume mutually the form of each other, they show a 
strict affinity, and found a presumption which is confirmed by ex- 
perience, that they may be cured by the same remedy. In ‘con- 
tinued fevers, or typhus of the nervous and putrid kind, the bark 
js very generally used, as well suited to counteract the debility or 
-_putrescency which marks the progress of the disorder. “There ‘is, 
however, one state not unfrequently present in these epidemic 
fevers, in which the bark is found to be hurtful ; 7. e. symptoms of 
conjestion, cr topical inflammation of the head, manifested by 
headach, redness of the eyes, and phrenitic delirium. And when- 
ever delirium is accompanied with much subsultus tendinum, or 
frequent convulsive twitchings of the limbs, Dr. Cullen thinks 
opium in large doses is the only remedy to which we can trust. 
Of late the bark has been much employed in acute rheumatism, 
particularly after the violence of the disease has been in some mea- 
tire moderated by the antiphlogistic treatment, or when evident 
‘emisdions take place. Many, however, have recourse to this medi- 
: cine in the first stage of the disease, and we have witnessed its suc- 
cess in some of the London Hospitals, even while the ‘inflammatory 
symptoms prevailed to a very considerable degree. This seems 
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