of the State of New-York. 81 



day, from the 1st of July to the 20th of October. This 

 estimate, I am persuaded, is too low. *- * * * 



Query 14. " When they recover, is the bark much 

 employed, and with what success?" 



Answer. I make but little use of the bark in our fe- 

 vers. I prefer letting them recover without the use of 

 this medicine. When they are convalescent from the 

 fever, and when the intermissions are obvious, I do not 

 use the bark. I find it to increase all the febrile symp- 

 toms ; that the next paroxysm after the use of this me- 

 dicine returns with redoubled force, and that the remis- 

 sions are less obvious, and the complaint soon vero-es 

 to the last stage, putrid and nervous. I have, therefore, 

 with great caution abstained from the use of the bark, 

 and the usual tonics, in our fevers generally. 



In periodical head-achs, and in one case of an inflam- 

 mation of the eyes, I have used opium and bark, 

 with evident advantage. In no other cases, this season, 

 so far as I recollect, have I found much benefit from the 

 use of the bark in fevers, except in the following: viz., 

 when the fever becomes nervous and putrid (the very 

 stage which is produced by the injudicious exhibition 

 of the bark, and other tonics, given prematurely), in such 

 cases my chief dependance is upon the bark. I then 

 give bark, valerian, seipcntariu Virgin, cortex aurant. 

 flor. chamemel. in decoction. In such cases, I also use 

 epispastics, wine sangarce, clix. vitriol., and in some 

 cases ardent spirits. I have often derived much benefit 

 from the use of unguent, coeral., rubbed upon the glan- 



VOL. II. PART ir. L 



