GANGRENE. 
anination. ‘We fee, alfo, that in certain inflances of mortic’ 
fication, although bark is at firft improper, it is afterwards 
{pecies of gangrenous diforder is wssoanar 
that-which occurs vibe 
enerally, whenever = debi wach is decidedly 
pre refent. ‘The anthr rax, or we kno a difeafe 
always attended hie more. oF * ets “floughing, as eal as with 
a depraved conftitution, and a remarkable proftration of 
‘firength. Bark is founds in this anaes to: be followed 
by the mot beneficial effedts. 
It is alfo a highly valuable medicine in almoft all m 
eations which are the gene es of Ses i rife 
mation. Let it ever be recollected, however, that, 
art ought bark to be eae in tle ee dofes, nor eles 
it difagree s with the ftomach and bow 
al caufe, which has ceed furgeons to order 
without the leaft diitinc- 
7 in which this medicine has been puffed 
off asa /pecific for gangrenous diforders, which it has been 
alleged to ftop by fome iar virtues, which no other 
article of the materia medica. p 
underftanding have not fuffe 
led aftray by the vague ee of the multitude. 
fuch exalted. pa See 
Guy’s Hofpital, merits A confpicuus 
Ranting he lived in times when bar . the 
flies, and aly oa in almoft every publication of the 
day, as curing fome melancholy {pecimen of mortification, 
he never ages himfelf to be blinded by any paper affer- 
nor his eyes ta b ed away from the — whith 
practic “h 
e turn 
ur attention. © 
elude, ne [ mean t ; 
thefe few years, ae been tie xalted for its virtues ‘in oar 
ping a. gangrene, t the aie itfelf vas not more 
efteemed amon / Gea: ancients, ree is this medicine by fome 
of. the moderns. 
ortex eg i wh 
hall 
‘may 
on, ae 1s 
eS, as canno 
a ze) ot att 
* Mortifications, arifin 
ceive an Wary. Tver. 
ay = 
a cold goalie or ftriciure, ge enerafly cealé wu upon 
moying thecaufe, and.are, therefore, féldom pr6pér’ éafes 
for proving thé payer of barks However, there are two 
Vor. XV. 
‘kinds ae gangrene: where internals have a fairer trial; thefe 
are a ‘{prea 
und fracture ev 
their eee with folate certainty ; for 
fc fication i om Rie caufes 
critical diforder. ‘There f © be a cer an portion of 
the body deftined to perifh, rs no more. Of this we have 
an infinity of examples brought into cur hofpitals, where 
gangrene fops at a ae point, without ie leaft affitt. 
cance fre hing happens in the other {pecies 
of Sain e from lee cies tee the injury appears 
to be ares toacertain di tance, and no farther ; 
though, by the wa 
gan from the 
een Ro page fight of bandage} 
are as often fatal, as ee re ioe 
have here ftated t a we fee how difficult it 
is fo afcertain’ the réal eflicne acy of this medicine's bat had 
bark, in any degree, thofe wonderful ¢ffects in gangrenes 
= it has in periodical complaints, its pre-eminence would 
n th 
quent opportunities of fe the. iffue of this diforder, 
under the ufe of cordials, &c. and fome o 
prejudiced with the common fup ontion, ev 
lous to the barl <, when the pees has a fuc- 
(See ‘Critical Enquiry, &e. chap. on Agipu- 
1 now agrees the fubje& ‘of bark in cales of 
mortification. We have not allowed 
me of a fpecific in ve fated 
pret of gangrene mi ie hacelus. = 
a8 
either attended with inflammatory fever vit othér 
fever depending on diforder of the chylopoietie organs. In 
this laft inftance, the firft indication is to. e prime 
vie, and, — bark may be given, if circumftances 
require it. lowed, that moderate dofes of bark 
ma es ig beatin with ‘advantage i in almoft srery caer of 
ee approach, fo that: the mediciné wil often | be. prope 
after a certain time, though it may tot be indicated 4 in the, 
eee rhe afe 
imdrtification is {pteading in a very old, enfee. 
a9 patient, bark may be prefcribed with eae i 
aromatic medicines; but we again repeat our ow 
fentinent, Rea whenever the indication is to fupport the, 
rength, it is much more rational.to endeavour to effec 
this chee by eligible kinds of nourifhment, than. by over-. 
loa oe he ftomach ‘with any kind of medicine what- 
"There is a particular fpecies of mortification, sarees 
in the ‘toes, and - extending gradually to the foot and leg, - 
and deferving particular notice, as being an. saad = 
gL 
