CLASS II. 1. 3. 1. OF SENSATIOX. 187 



ture of sensorial power in unnecessary motions. Many weak 

 patients have been thus stimulated to death. See Sect. XII. 7. 

 8. The Peruvian bark should be given also in repeated doses, 

 in such quantity only as may strengthen digestion, not impede 

 it. For these purposes two ounces of wine, or of ale, or cyder, 

 should be given every six hours; and two ounces of decoction 

 of bark, with two drachms of the tincture of bark, and six drops 

 of tincture of opium, should be given also every six hours alter- 

 nately; that is, each of them four times in twenty-four hours. 

 As much rhubarb as may induce a daily evacuation, should be 

 given to remove the colluvies of indigested materials from the 

 bowels; which might otherwise increase the distress of the pa- 

 tient by the air it gives out in putrefaction, or by producing 

 a diarrhoea by its acrimony; the putridity of the evacuations is 

 owing to the total inability of the digestive powers; and their 

 delay in the intestines, to the inactivity of that canal in respect 

 to its peristaltic motions. 



The quantities of wine or beer and opium, and bark, above 

 mentioned may be increased by degrees, if the patient seems 

 refreshed by them; and if the pulse becomes slower on their 

 exhibition; but this with caution, as I have seen irrecoverable 

 mischief done by greater quantities both of opium, wine, and 

 bark, in this kind of fever; in which their use is to strengthen 

 the digestion of the weak patient, rather than to stop the pa- 

 roxysms of fever; but when they are administered in intermit- 

 tents, much larger quantities are necessary. 



The stimulus of small blisters applied in succession, one every 

 three or four days, when the patient becomes weak, is of great 

 service by strengthening digestion, and by preventing the cold- 

 ness of the extremities, owing to the sympathy of the skin with 

 the stomach, and of one part of the skin with another. 



In respect to nutriment, the patient should be supplied with 

 wine and water, with toasted bread, and sugar or spice in it; or 

 with sago with wine; fresh broth with turnips, celery, parsley, 

 fruit; new milk. Tea with cream and sugar; bread pudding, 

 with lemon-juice and sugar; chicken, fish, or whatever is grate- 

 ful to the palate of the sick person, in small quantity repeated fre- 

 quently; with small beer, cyder and water, or wine and water, 

 for drink, which may be acidulated with acid of vitriol in small 

 quantities. 



3. All unnecessary motions are to be checked, or prevented. 

 Hence horizontal posture, obscure room, silence, cool air. All 

 the parts of the skin, which feel too hot to the hand, should be 

 exposed to a current of cool air, or bathed with cold water, 

 whether there are eruptions on it or not. Wash the patient 



