180 Review. 



fulness of temper, increasing aptitude for firmer motions^ 

 the restoration of articulation, and of the power of deglu- 

 tition, a renovation of flesh and strength succeed each 

 other, and, being more and more confirmed, are, ere 

 long, followed up by complete recovery. 



" For some time after these salutary changes take place, 

 the state of the bowels must continue an object of atten- 

 tion. An occasional stimulus from purgatives will be re- 

 quisite to support their regular action, and to restore their 

 healthy tone, the only security against the recurring ac- 

 cumulation of feces, and of a consequent relapse. 



" About this time, also, remedies possessed of tonic 

 and stimulant powers, may be used with propriety and 

 effect ; they restore energy to the torpid bowels, aid the 

 purgative medicines in obviating costiveness, and thus 

 confirm a recovery already advanced. Vegetable bitters, 

 or the preparations of steel, may, perhaps, be the most 

 useful for acconsplishing these ends. I have not felt the 

 necessity of liaving recourse to medicines of this kind : 

 imder a proper regimen of light and nourishing food, and 

 of exercise in the open air, my patients in general quickly 

 recover their strength. But many practitioners set a 

 value upon tonic medicines ; and the usual routine of 

 practice demands them. 



" This exhibition of purgative medicines in Chorea 

 is, I apprehend, countenanced by the practice of Syden- 

 ham and De Haen. It is, however, probable, that the 

 purgative medicine was the only useful one which Sy- 

 denham employed ; and that his protracted cures may 



