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sequence of this, are attended with the greatest feculent 

 accumulation. * * * * 



*' I have already noticed, that Chorea consists of two 

 stages. In the first, while the intestines yet retain their 

 sensibility, and before the accumulation of feces is great, 

 gentle purgatives, repeated as occasion may require, will 

 readily effect a cure, or rather prevent the full formation 

 of the disease. 



" In the confirmed stage, more sedulous attention is 

 necessary. Powerful purgatives must be given in suc- 

 cessive doses, in such manner that the latter doses may 

 support the effect of the former, till the movement and 

 expulsion of the accumulated matter are effected, when 

 symptoms of returning health appear. Whoever under- 

 takes the cure of Chorea by purgative medicines, must 

 be decided, and firm to his purpose. The confidence 

 which he assumes is necessary to carry home, to the 

 friends of the patient, conviction of ultimate success. 

 Their prejudices will otherwise throw insurmountable 

 obstacles in the wav. Half measures, in instances of 

 this kind, will prove unsuccessful ; and, were it not for 

 perseverance in unloading the alimentary canal, the dis- 

 ease wouid be prolonged, and, recurring, would place 

 the patient in danger, and thus bring into discredit a 

 practice which promises certain safety. 



*' Here, as in all other cases of extreme debility in- 

 duced by disease, the recovery is at first slow and gra- 

 dual. A regular appetite for food, a more intelligent 

 eye, and lightened countenance, cheerfulness, and play- 



