6 On the Fevers of Norfolk. 



bile was remarkably acrid, and constantly produced an 

 irritation of the stomach, with violent vomiting, pain 

 in the back, a sudden prostration of strength, and a 

 chilliness at the first attack. 



Bleeding, emetics, or any severe evacuation gene- 

 rally proved fatal. The mode adopted was to empty 

 the stomach with large draughts of warm water, or 

 chamomile tea, and then administer an opiate ; with 

 aqua menthas, or a saline mixture. As soon as the 

 stomach would admit, a gentle aperient mixture of 

 senna, and manna and cream of tartar was adminis- 

 tered, which generally carried off large quantities of 

 bile, and immediately the antiseptics were thrown in; 

 for keeping up the evacuation added greatly to the de- 

 bility of the patient, and this was a constant attend- 

 ant. During the fever, a strong infusion of serpen- 

 taria with crocus, when cold, was given very freely, 

 and as soon as a remission took place (for there was 

 very seldom a perfect intermission), the bark, with 

 wine and elixir of vitriol, was administered. Many 

 stomachs rejected the bark, and then we had recourse 

 to bark clysters with wine and laudanum, occasion- 

 ally ; avoiding all animal food, soups, &.c. Indeed, 

 I have known several recover, without taking any 

 bark, by the use of the infusion of serpentaria and 

 crocus, occasionally adding laudanum, which I find 

 very effectual in irritable stomachs. In the latter 

 stage, I have trusted to wine chiefly, and a free admis- 

 sion of air, and have given from one to two bottles of 

 genuine madeira wine in the course of twelve hours, 

 with great and good effect; and even after there was 



