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APPENDIX. 



We append the following on the treatment of Typhoid Fever ; 

 though out of place, its importance, we think, will warrant our 

 placing it here, 



TREATMENT OF TYPHOID FEVER. 



Of the diaphoretics, the neutral mixture, with tartarized antimony, 

 or sweet spirits of nitre, may be given in the early stages of the 

 disease, and the spiritus mindereri with nitre, in the latter stages. 

 Cold sponging, if it do not chill the patient, is an important remedy, 

 and the internal use of ice is often very grateful. If the patient be 

 very feeble, spirits and water may be substituted for pure water. 



Cold applications to the head, by means of ice in a bladder, are 

 very serviceable in relieving the pain and delirium. The hair 

 should also be taken oif; and if the head be cold, while delirium is 

 present, Chomel recommends the application of warm poultices. 

 Should there be much abdominal tenderness, a few ounces of blood 

 should be taken by leeches, followed by the application of warm 

 fomentations. If the diarrhoea should be profuse, it should be 

 checked by opium, either alone or in combination with ipecac, or 

 some astringent. Nervous symptoms may be combated by the use 

 of Hoffman's anodyne, camphor water, or opium, if not contra- 

 indicated. 



In the advanced stage of the disease, when the tongue is dry, the 

 urine scanty, and the skin parched, and there is delirium, or in- 

 creased stupor, with an abatement of the vital actions, no remedy is 

 so effectual as mercury, given so as slightly to affect the gums. 

 Either blue mass or calomel may be used. 



Should the disease not yield, especially if the tongue remain dry, 

 and the abdominal distension undiminished. Dr. Wood strongly re- 

 commends the oil of turpentine, particularly in that stage of the 

 disease when the tongue, instead of cleaning gradually from the 

 edges and tip, parts rapidly with its' fur, first from the middle or 

 back part of its surface, which is loft smooth and glossy, as if de- 

 prived of its papillae. It should be given in doses of from five to 

 twenty drops every hour or two. 



