574 PHILOSOPHICAL TRANSACTIONS. [aNNO 173'2. 



of the limb could not save him, but that in all probability he must die in 24 

 hours, his S)m|)toms being worse than ever; that is, his fever was very high, 

 his tongue dry enough to grate a nutmeg, his visage wild, he had a a-reat 

 drought, was very restless, the mortification spread as far as the tendo Achillis, 

 and the patient complained of a pain and hardness in the side of his belly. 



In this deplorable condition the Jesuit's bark was proposed by Serjeant 

 Dickins, and agreed to by the other surgeons present, and -i-dr. was ordered to 

 be given that evening, and repeated every 4 hours. 



Maj 1, this morning he found a very surprising alteration for the better, 

 with regard to the fever, and the other symptoms complained of the day before; 

 the patient had a good night's rest, and the mortification had made no further 

 progress. 



May 2, there was a small discharge from the sore. 



May 3, he found two large abscesses on each side of the ancle. The vio- 

 lence of the fever being taken off by the use of the bark, nature was enabled 

 to form these abscesses, and from that he concluded, that the progress of the 

 mortification was effectually stopped. He observed, that on giving the bark but 

 once in 6 hours, a small return of the fever, with a worse digestion, which 

 obliged him to give it every 4 hours as before, and continued in that dose for 

 28 days in all ; and then every 6 hours for 5 or 6 days longer, though the fever 

 had quite left him all that time. 



The whole quantity of the bark given to this gentleman amounted to 10 oz. 



May 5, his pulse was regular, and the digestion plentiful and laudable. The 

 muscles and tendons on the sole of the foot being all mortified, before the 

 bark was given, separated in process of time, and fell off very kindly, leaving 

 the bones of the toes, metatarsus and tarsus bare and carious, which he after- 

 wards cut off one after another, as he found occasion, and could be done with 

 safety. About the middle of November following, the ends of the tibia and 

 fibula were almost covered with a firm cicatrix; the patient at this time was 

 well in all other respects, and was able to walk about by the help of a wooden 

 leg, and from that time has continued in perfect health. 



On the Use of the Peruvian Bark in Mortifications. By John Shipton, Surgeon 

 in London. N" 426, p. 4 34. ^n Abstract from the Latin. 



In the first part of this paper Mr. Shipton gives an account of the successful 

 exhibition of the Peruvian bark in a case of mortification of the foot, from an 

 internal cause, by Mr. Rushworth, surgeon at Northampton, in the month of 

 October, 1731. Mr. Rushworth sent an account of the success which had 



