GANGRENE, 
mitting that bark has the — virtue of directly im- 
ng ft nc ution, how inconfiftent 
aia Se is over, we agree t 
preceded b 
the peculiar virtue of increafing the owers, and leflening 
the ation in the part. Whatman of experience, however, 
who is not a bigot to theory, can ae that bark will 
actually diminifh the action in. a part ae with the 
higheft degree of inflammation? If it poffe $ mira- 
quality, Me 2 it not regularly preferibed 4 in all 
of inflam not put at the head of the 
lit of atiploitie ee. cae ractice, we could never 
a oof of the dileget property of bark in 
leffening ad n. e belie ieve that the reafon of this medi- 
cine being indiferiminately iven in every ftage and fpecies 
of mortification, is referable to caufes which were abl 
Ly 
n Mr. Samuel 
inflammator 
a typhoid nature ; an 
mS sa ae pen oe with a dif- 
the ae ae if 
ammatory fever takes dice when the mortifi- 
cation is the confequence of acute inflammation, which has 
been produced by fome external i injury in a guest! confti- 
tution. Here, fays Richter, bark is in general nf 
The fecond ee laa we have juft Ges certainly 
demands ae exhibition 
The third, howev ae or that which i is dependent on dif. 
proc ure free evacuations from se ftoma a an wels. See 
Richter’s Anfangsgriinde der Wundarzney fae Baud I. 
hief with, in the pet ta remarks, ig to convince 
while a 
be of the anti- 
Inco nfiftent, however. as the practice of giving barks i in 
this inflammator of mortification appears to us, we 
are far from faying any thing againft the exhibition of the 
medicine the moment, the ftrong actions of the inflammator 
m 
ftrength {upported by every means in our power. The 
moft rational mode of oe ead her undoubtedly con- 
fifts in giving fuch food as is at moft nourifhing and 
mott eafy of digeftion, fach as natn and good foups. 
Bark may now be advan antageoufly employed, if only given 
in moderation, fo as to eat ve the tone, inftead of op- 
prefling the fin@iens of the digeftive oo With bark, 
the practitioner may join the le acid, m, aro- 
matic confeétion, or ether, as his difcretion may diredt. 
The patient fhould alfo be allowed a moderate quantity of 
Tadeira, or ine, and either ale, porter, cyder, 
$s may agr 
brandy may be given with great benefit, and the ufe of opium 
fhould ever be remembered. 
Whenever -bark is indicated i in cafes of mortification, 
from it is to prefcribe moderate quantities of the medicine, 
Pp q : 
perhaps out two ounces of the & little of 
et 
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probate the ai of amine the ftomach with the decoction, 
tin@ure, and powder, all made into a thick mixture. We 
have feen fome hof ital furgeons in this city eagerly {eize 
ever 
degree of benefit would certainly be ina ratio to the quan 
tity of the medicine cramme wn the dae throat. 
ractitioners muit furely entertain ilrange notions, 
virtues of bark, and of the nature of the human 
alimentary canal. They muft fuppofe that a certain portion 
of ftrength will be extra€ted from every grain of folid bark, 
which can juft be got down the revolting ofophagus into 
the flomach. When the medicine is in the latter eae they 
feem to fancy that a degree of vigour, proportioned to. 
the weight a quantity of the remedy oe will 
tricated from the miraculous mixture by the 
They alfo 
muit be as in- 
ers, into which any 
et) 
fo) 
ba) 
La} 
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foe 
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much of the 
Mes not fuch a method be more o 
he digeftive organs ? - not the sbieace 
te difplayed every da Do we not fee ne patients 
mfelves remonftrati noe Do they not frequently make 
neu that the bark fickens, os and fo diforders 
them, that they can keep no nourifhment within them, and 
that inftead of being le ay the Pah ral are almoft 
killed by it? Let ba y be given in the way which. 
we have oe and Cae fe it is capable of doing 
will ia 0 
nite es ak will produce purging» though adminif- 
Pe with mode eration, in which circumitance a few drops 
Fre- 
very fubtile powder, or the infulion, or the tinéture, may 
be exhibite 
hus. we fe ee, that in cafes of gangrene bark is fome- 
times pr: oper, ener inefficacious, and fometimes abfo- 
lutely pernicious, and that it can only be confidere ed as a 
ufeful medicine ae prefcribed by peabtiiones s of difcri- 
mination, 
