of a partial Obstruction of the Circulation, 489 



Case V. — Kumurudeen, a ryut, aged 20, called to-day 12th 

 Sept.,, on account of a venereal disease he had contracted : 

 having been cured of a quotidian fever by two applications of 

 the tourniquet. When he first applied for assistance at the 

 hospital he had an enlarged spleen, which was cured by 

 obstructing the circulation. I afterwards carefully examined 

 this person, but I could not feel any traces of it remaining. 



In the state of fever in which the intermission is less 

 marked, the employment of the obstruction of the circulation 

 is not always of such advantage as in the more simple form. 

 Still it is of very considerable use when employed during the 

 remission ; by weakening its power, and modifying, and at 

 length removing the disease, and may be adopted as an auxi- 

 liary to the ordinary methods of treatment for curing the 

 disease. 



Attacks of ague sometimes alternate with attacks of dy- 

 sentery. In such cases physicians must vary the treatment 

 according to the urgency of the symptoms, and the patient 

 should remove from the locality in which the disease was 

 contracted. In many cases of this complex form of disease 

 mercury will be found of use in removing it. 



The following is the result of a case of remittent fever, 

 which, after being treated for some days, assumed the inter- 

 mittent form. I then had the tourniquet applied, and the 

 following is the result in the patient's own words : " On the 

 23rd instant (August), whilst in the cold stage, I sent for one 

 of your assistants, who immediately came and bandaged my 

 left arm and right thigh. A change was soon felt, inas- 

 much as a certain degree of warmth was generated, which 

 subsided gradually on the bandage being removed, carrying 

 off the fever along with it. I have not had a return since, 

 and now attend to my duties at the College." 



The above patient should have stated, that he returned to his 

 duties as teacher in the College the day after the tourniquet 

 was applied, and had no return of fever. 



3 s 



