MEDICINE. 
this, as well as in most other febrile dis- 
eases, is to clear the primse vl® of their 
ci'ude and acrid contents, by the early ex- 
hibition of an emetic, which, by the con- 
cussion it gives to tlie whole system, dis- 
solves the morbid catenation, and fre- 
quently terminates the disease ; in a few 
hours after that has ceased to operate, a 
cathartic of calomel should be adminis- 
tered, mixed with a small quantity of con- 
serve, honey, or mucilage, and it should be 
allowed to remain for a short time about 
the fauces, before it is swallowed 5 through- 
out the whole course of the disease we must 
procure the regular expulsion of the feces, 
by means of the mildest laxatives, or by the 
injection of clysters every evening ; the skin 
on every part of the body successively should 
be washed with cold water, or vinegar and 
water ; wine and opium should be admini- 
stered in small quantities, and repeated 
every three hours alternately ; the applica- 
tion of small repeated blisters will be of 
considerable service ; the administration of 
oxygen gas will also prove an useful auxi- 
liary. The symptoms which forbid the use 
of bark are a hot and dry skin, and a 
parched tongue ; it must, therefore, be our 
object of practice to remove those symp- 
toms as early as possible, which will in ge- 
neral be accomplished by the administra- 
tion of the saline draughts in a state of ef- 
fervescence, every two, three, or four hours, 
combined with the infusion or tincture of 
snake-root, with from twenty to thirty 
drops of mther in each draught; warm pe- 
diluvia should be ordered in the evenings, 
or the lower extremities should be foment- 
ed ; whenever a general relaxation of the 
skin occurs, the bark, combined with a 
small portion of the confectio opiata, and a 
few drops of the muriatic or sulphuric acid 
in each dose, should be given frequently, 
taking care at the same time not to oppress 
the stomach. A table-spoonful of yeast, 
either diluted or in its pure state, has been 
of late much employed, and with a consi- 
derable degree of success ; it should be gi- 
ven at least three or four times in the course 
of the day. At bed-time it will be proper 
to give an opiate, particularly if the patient 
is restless, and its effects will be promoted 
by combining it with about ten grains of 
the castor or camphor, or from fifteen to 
twenty grains of the compound powder of 
ipecacuanha, or a drachm of Hoffman’s 
aether may be substituted ; the last of which 
medicines, if it does not procure sleep, it 
do not, however, increase the heat or rest- 
lessness : if the hands and feet be at that 
time parched, the effects of the opium or 
other remedies will be promoted by mois- 
tening them with cold or tepid vinegar. If 
the head-ach be very distressing, blisters 
should be applied to the temples : should 
subsultus tendinum supervene, either mther, 
camphor, carbonate of ammonia, castor, or 
the musk, should be administered in large 
doses alternately with bark; the diet should 
be light and nourishing ; bottled porter and 
wine should be allowed liberally, taking 
particular care that not the smallest degree 
of intoxication ensues ; sedative and anti- 
spasmodic remedies may also be employed 
externally by means of friction ; they have 
in many instances produced the most happy 
effects. 
Dr. Currie, in his ingenious and valuable 
work, entitled “ Medical Reports on the 
Effects of Water in Fevers and other Dis- 
eases,” vol. i. p. 17, et seq, observes, when 
speaking of the aspersion or affusion of cold 
water, vinegar and water, or of a saturated 
brine, “ that the safest and most advanta- 
geous time for using either the aspersion or 
affusion (the latter of which he prefers), is 
when the exacerbation is at its height, 
which is marked by increased flushing, 
thirst, and restlessness, or immediately af- 
ter its declination is begun ; and this has led 
me almost always to direct it to be em- 
ployed from six to nine o’clock in the even- 
ing ; but it may be safely used at any time 
of the day, when there is no sense of chilli- 
ness present, when the heat of the surface 
is steadily above what is natural, and when 
there is no general or profuse sensible per- 
spiration. It is at the same time highly 
necessary to attend to the precautions which 
the employment of this valuable remedy 
requires : 1 . If the affusion of cold water on 
the surface of the body be used during the 
cold stage of the paroxysm of fever, the 
respiration is nearly suspended, the pulse 
becomes fluttering, feeble, and of an incal- 
culable frequency ; the surface and extre- 
mities become doubly cold and shrivelled, 
and the patient seems to struggle with the 
pangs of instant dissolution. I have no 
doubt, from what I have observed, that in 
such circumstances the repeated affusion of 
a few buckets of cold water would extin- 
guish life. This remedy should, therefore, 
never be used when any considerable sense 
of chilliness is present, even though the 
thermometer, applied to the trunk of the 
body, should indicate a degree of heat 
greater than usual, g. Neither ought it to 
