152 APPENDIX. 



If the debility increase, the patient's strength should be supported 

 by cordials and stimulants. Beef tea, or beef essence, wine whey, 

 milk punch, together with the use of quinine, opium, serpentaria, 

 &.C., as the exigencies of the case may demand. Sloughing must 

 be prevented by obviating pressure. Profuse epistaxis by plugging 

 the nostrils. And in case of perforation of the intestine recourse 

 must be had to large doses of opium. 



Some practitioners use quinine throughout the disease. Others 

 rely upon bleeding, " cowp sur coup''' (Bouillaud). Others upon 

 purging throughout (Delarocque). Professor Mitchell has great con- 

 fidence in the internal use of nitrate of silver, beginning in doses 

 from J to I of a grain, and increasing it till a metallic film appears 

 upon the foecal evacuations. He speaks confidently of its controlling 

 influence upon the diarrhoea and the nervous symptoms. By some 

 it is supposed to act by coming in contact with the ulcerated plates 

 of Peyer, upon which it exercises its specific astringent and sedative 

 influence. Alum has been recommended for the same purpose. 



The diet should be mild and unirritating in the early periods of 

 the disease, gradually becoming more nutritious as the disease ad- 

 vances, and the debility increases. 



