182 Heview. 



*' Since I have employed purgatives in Chorea, I have 

 been disappointed in effecting a cure in one case only. 



" About three years ago, I visited a young girl, who 

 had been the victim of Chorea for many weeks. The 

 purgative medicines which I administered gave full evi- 

 dence of a disordered and loaded state of the intestines. 

 My patient was not under proper management ; my ad- 

 vice was followed in an irregular and desultory manner, 

 and the disease was protracted. After some time, she w^ 

 carried home to a considerable distance, and I understood 

 a quack medicine was given to her with the best effects. 

 To my regret,' however, I saw her about a year ago in 

 the same situation in which she had left me, and I then 

 learned, that she had continued in this situation during 

 the whole of this interval. 



" During the exhibition of purgative medicines in 

 Chorea, practitioners will learn the propriety and neces- 

 sity of inspecting the alvine evacuations. They are, in 

 this important point, generally careless -, the attendants 

 in sick rooms arc, of course, ignorant on the subject, 

 and cannot give the information necessary for our ascer- 

 taining the effect of" purgative medicines, or for directing 

 us respecting their dose, and frequency of repetition. 



" I have said, that Chorea consists of two stages, a 

 circumstance which should induce those who have the 

 snperintendance of children to attend most carefully, at 

 all times, to the state of their bowels. For the timely 

 interposition of purgative medicines will be the best 

 means of averting the accession ot Chorea, which is so 



