214 
Selected Articles. 
kind, this article manifests its best powers. It is the opinion 
of Dr. Tally, that with proper management it will care a- ma- 
jority of cases. It proves most successful in those constitu- 
tions which are not impaired by habits of gluttony and intem- 
perance, at the same time it is much better adapted to broken 
down constitutions, than the colchicum or Veratrum album, 
on account of the exhaustions these articles are liable to pro- 
duce. If used in efficient doses, and perse veringly continued 
several days, there are few cases but will be decidedly bene- 
fitted, if not radically cured. It appears to be as well adapt- 
ed to rheumatism as gout. In the treatment of that disease, 
both in its acute and. chronic form, the article is well worthy 
the attention of the profession. There is no remedy in the 
materia medica within my knowledge, with the exception 
perhaps of the Actcea racemosa, to which acute rheumatism 
more easily yields. In this disease it should also be combined 
with opium, for the purpose of relieving pain, and qualifying 
its efTect upon, the stomach. The amount of opium conjoined 
should be graduated in some measure by the severity of the 
pain. Thus qualified, it should be administered at regular and 
short intervals, generally as often as every three hours, in such 
doses as at first fall short of producing nausea, and gradually 
increased. Thus administered, the system is kept, under its 
steady and. uniform influence. If the doses fall short of pro- 
ducing its specific effects upon the stomach and brain, or if 
administered so irregularly that the effects of one dose pass 
off before another is given, but little will be accomplished. In 
a common case of acute rheumatism, a cathartic of calomel 
should first be premised, unless the bowels are in a relaxed 
condition, or some other circumstance exists to contravene 
this practice. If the stomach is not in an irritable state, it is 
then best to commence with f. 5j. of the tincture, in the com- 
bination recommended in gout, each dose to be increased 5 
or 10 ttl, as the case may require, till some effect is produced. 
All local applications should be avoided, as in no way pro- 
moting the operation of internal means, and only liable to draw 
the disease from one part to another, where perhaps its pre- 
sence is still more to be dreaded. The more acute the disease, 
