PRACTICE OF PHYSIC. 



the recurrence of paroxysms may be prevented, by supporting 

 the tone of the vessels, and thereby preventing the atony, and 

 the consequent spasm. 



CCXXX. For the purpose mentioned in CC XXIX. 1., the 

 action of the heart and arteries may be increased, 



1 . By various stimulant remedies, internally given or exter- 

 nally applied, and that without exciting sweat. 



2. By the same remedies, or others so managed as to excite 

 sweating, and to support that sweating till the period of acces- 

 sion be for some time past. 



3. By nauseating doses of emetics, given about an hour be- 

 fore the time of accession, thereby supporting and increasing the 

 tone and action of the extreme vessels. 



" Ipecacuanha has been particularly recommended in the 

 cure of intermittent fevers ; and I knew a practitioner who 

 cured these by giving, an hour before the accession that was 

 expected, five grains, or so much as would occasion a strong 

 degree of nausea and sickness, without vomiting ; and by one 

 or two such practices he was frequently successful. It is true 

 that this may be executed by tartar emetic, and I recommend- 

 ed the trial of this to the practitioner I speak of ; but he as- 

 sured me, that in several trials he could not easily adjust the 

 dose of this so as to produce the proper degree of sickness 

 without vomiting, so well as he could do by the other." 



CCXXXI. The tone of the extreme vessels may be sup- 

 ported without increasing the action of the heart and arteries 

 (CCXXIX.), by various tonic medicines ; as, 



1. Astringents alone. 



2. Bitters alone. 



3. Astringents and bitters conjoined. 



4. Astringents and aromatics conjoined. 



5. Certain metallic tonics. 



6. Opiates. 



Lastly, an impression of horror. 



A good deal of exercise, and as full a diet as the condition of 

 the patient's appetite and digestion may allow of, will be proper 

 during the time of intermission, and may be considered as be- 

 longing to this head. 



CCXXXII. Of all the tonic remedies mentioned (CCXXXI.) 



2 



