INFLAMMATIONS. (ft 



considered as a morbid symptom than as a resolution ; and how- 

 ever early an expectoration appears, if it does not, at the same 

 time, take off the difficulty of breathing and pain which attend, 

 and produce a slower pulse, it is not to be regarded, and the 

 disease still requires copious bleeding. 



" When, on the other hand, copious venesection has already 

 been employed for the first two or three days of the disease, so 

 that it becomes a question whether or not it ought to be carried 

 further ; then the presence of a free expectoration, with relief 

 of the symptoms, will very properly remove our doubts, and 

 induce us to relinquish bleeding, not for fear of diminishing 

 the expectoration, but for fear of hurting the system in other 

 respects. 



" The sum of my opinion on the subject is : Wherever the 

 symptoms are not relieved, where the principal pain recurs with 

 violence, with difficulty of perspiration and considerable anxiety, 

 under such circumstances no expectoration will supersede vene- 

 section, unless that has been pushed to its height. And, in 

 general, I have had occasion to observe in practice, that absti- 

 nence from venesection, in hopes of expectoration taking place, 

 has done harm in fifty cases, where bleeding has done harm in 

 one." 



CCCLXVIII. While the bleedings we have mentioned shall 

 be employed, it will be necessary to employ also every part of 

 the antiphlogistic regimen (CXXX. CXXXIL), and parti- 

 cularly to prevent the irritation which might arise from any in- 

 crease of heat. For this purpose, it will be proper to keep the 

 patient out of bed, while he can bear it easily ; and, when he 

 mnot, to cover him very lightly while he lies in bed. The 

 temperature of his chamber ought not to exceed 50 of Fahren- 

 heit's thermometer ; and whether it may be at any time colder, 

 I am uncertain. 



CCCLXIX. Mild and diluent drinks, moderately tepid, at 

 least never cold, given by small portions at a time, ought to be 

 linistered plentifully. These drinks may be impregnated 

 r ith vegetable acids. They may be properly accompanied also 

 with nitre, or some other neutrals ; but these salts should be 

 given separately from the drink. 



It has been alleged, that both acids and nitre are ready to 



