676 PRACTICE OF PHYSIC. 



where the inflammatory diathesis is absent, that it proves bene- 

 ficial, and from some of our late trials here, from a good deal of 

 our late hospital practice, we find that opium may be useful in 

 all the different stages of intermittents with more safety than 

 was imagined ; we find that an opiate may be employed in the 

 tune of the hot fit, very soon after it has come on ; and if that 

 is a clear point there is no difficulty of transferring the analogy 

 to continued fevers ; there may be cases of these that admit of 

 the same thing, but I have not experience enough to. allow, me 

 to assign the cases more exactly." .^o vh ' 



We need hardly say here, that almost eveiy practitioner 

 has found it useful to join opium to Peruvian 1 ^jarir, or othr 

 tonics, in the cure of intermittents. Not only in correcting 

 the purgative quality of the bark, or other tonics which some 

 times take place, but even where no such quality is to be ap- 

 prehended, we know that a certain quantity of opium, joined 

 with the bark, makes it sit easier on the stomach than, with 

 some persons, it would otherwise do ; and that a portion of it, 

 joined with two or three doses of the bark, which are given 

 immediately before the time of accession, enables it in less 

 quantity than it would otherwise do, to prevent the return of 

 paroxysms. M.M. 



CC XXXIV. The circumstances which may especially pre- 

 vent the fulfilling of those two indications, and therefore give 

 occasion to our third, are, a phlogistic diathesis prevailing in 

 the system, and congestions fixed in the abdominal viscera. The 

 first must be removed by blood-letting and the antiphlogistic 

 regimen ; the second, by vomiting and purging. 



Where these measures are not immediately effectual, I hold 

 it safer to attempt the cure of the disease by the means pointed 

 out in general in CCXXIX., rather than by those in article 

 second of the same paragraph. 



END OF THE FIRST VOLUME. 



JOHN JOHNSTONE, VIUNTER. 



