generally confidered only as an effecT: refulting 

 from intermittent fever. The practice, faid to 

 be fuccefsful in removing it, feems alfo to be 

 founded upon this view of it. Regard being 

 had to the fever as the original affe&ion, the 

 elephantiafis is confidered only as a fequel, and 

 the curative means are dire&ed folely to the 

 removal of the febrile fymptoms : which being 

 effected, by antimony and the bark, the patient 

 is fent for a time to fome other ifland, by way 

 of change of climate, in order to prevent a re- 

 lapfe. No particular attention is paid to the 

 tumor, which, on the fever being removed, is 

 expeded gradually to fubfide. But fometimes, 

 inftead of receding, it remains ftationary, or 

 is increafed ; or if it did fubfide, is renewed on 

 any future recurrence of the fever. 



Often a return to Barbadoes brings a re- 

 turn of the intermittent, and a confequent 

 addition to the enlargement of the already 

 thickened extremity ; and from the attacks of 

 the difeafe recurring in frequent repetition^ 

 there remains no way of preventing it from 

 being eftablifhed into an unfeemly deformity, 

 but by feeking the remedy of a more tempe- 

 rate climate. Frequently the diforder feems 



