78 MEDICAL ACCOUNT of 



M. JussiEU ufed this bark for fifteen years in obftinate 

 dyfenteries with great fuccefs ; and continued its exhibition, 

 although the catamenia in women, or haemorrhage from piles in 

 men, occurred during the cure. 



Modern phyficians have found from experience, that this 

 medicine is only fuccefsful in the third ftage of dyfentery, where 

 there is no fever, where too the flomach is no way hurt, and 

 where the gripes and teneftnus are only continued by a weak- 

 nefs of the bowels. In fuch cafes, Dr D. Monro gave two or 

 three ounces of the decoiflion every five or fix hours, with four 

 or five drops of laudanum ; and found it a very ufeful remedy. 



The late Sir John Pringle, Dr Hucic Saunders, and ma- 

 ny others, prefcribed the cortex fimaruba in old and obftinate 

 dyfenteries and diarrhoeas, efpecially thofe brought from warm 

 climates. Fluxes of this fort, which were brought home from 

 the fieges of Martinico and the Havannah, were completely and 

 fpeedily cured by this bark. The urine which, in thofe cafes, 

 had been high coloured and fcanty, was now voided in great 

 abundance, and perfpiration reftored. Dr James Lind at 

 Haflar Hofpital, fays. That the fimaruba produced thefe effedls 

 fooner, and more certainly, when given in fuch quantity as to 

 naufeate the ftomach. Dr HucK Saunders remarks, That if 

 the fimaruba did not give relief in three days, he expefted little 

 benefit from its farther ufe ; but others have found it efficaci- 

 ous in fluxes, after a continued ufe for feveral weeks. Authors 

 have cautioned us againft the ufe of this bark where the in- 

 teftines are ulcerated and difpofed to cancer after fluxes. 



In diarrhoeas, from abforption of pus, the fimaruba has given 

 relief; the former difcharge from fuch ulcers was reftored, and 

 the pus meliorated. 



LiENTERiA itfelf, and even hepatic fluxes, have been cured 

 by the fimaruba, after other medicines were tried without fuc- 

 •cefs. Vide Adl. Natur. curiof. torn. ii. p. 80, — 82. 



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