824 
APPENDIX. 
or 4 hours : should the patient continue to vomit, dissolve 10 grs. 
Saline Draught, of salt of hartshorn (No. 1.), or 20 grs. of salt of tartar, in a little 
water, to this add 5 drops of laudanum, and then add to this \ oz. 
of lemon-juice, and let it be swallowed whilst in a state of effervescence: if it conti¬ 
nues, lay a blister on the pit of the stomach. The strength of the patient is to be 
supported by light diet, wine, and bark, towards the close of the disease. 
The first giving of wine and bark, must be carefully watched and if it increases the 
fever, it must be stopped or given in still smaller doses. Bark, 10 grs. or upwards, 
with a little of some aromatic, (powdered ginger,) if it brings on a purging give a 
few drops of laudanum with each dose; after the fever is somewhat abated and there 
is no sleep, give an anodyne (No. 22.) draught at night; which in general must be 
repeated every night (when once begun) till the disease is at an end. 
Typhus, or Nervous Fever. 
In this disorder, as the weakness is generally great from the beginning, after the 
first few days, commence cautiously with cordials, bark, wine, and nourishing diet, 
when the heat of the skin is great, use the cold affusion, or spunge the body "well 
with •water and vinegar. 
Intermittent Fever, or Ague. 
The bowels to be cleared first by one or two purgatives, and then the bark to be 
given: it is most effectual when given in as large doses as the stomach will bear, 
not less than two drachms; some aromatic joined with it makes it still lighter on the 
stomach. It should be begun immediately after the termination of a fit, and con¬ 
tinued during the intermission, but not taken during the fit: frequently a strong 
stimulant, taken just when the first approaches of the fit are perceived, will cut it 
short; as salt of hartshorn 5, or even 10 grs., water 1 oz., laudanum 20 drops, or a 
glass of strong spirits, plain or with pepper, &c. The place of bark may be supplied 
by any of the bitters, viz. willow bark, the rind of the horse-chesnut, or of the pome¬ 
granate. When intermittent is obstinate, small doses of calomel from 1 to 2 grs. 
must be taken every day ; also 2 or 3 doses daily of strong bitters. If the calomel 
affects the mouth, it must be given up for a few days. An emetic given when the fit 
is just coming on frequently stops it; and this maybe repeated several times; — 
white vitriol a good emetic. (No. 13.) 
I 
Dysentery. 
In dysentery there is fever, frequent stools of mucous stuff, or blood, with great 
straining: an emetic of ipecacuanha, after the lapse of 10 or 12 hours a small dose 
of rhubarb, which must be repeated whenever there is much straining or evacuation 
of mucus or blood. Between these are to be interposed Dover’s powders 5 or 
10 grs. 3 or 4 times a day, with a larger dose at night, bathing also the feet, or in- 
i 
