Colonial North America: Countway Library of Medicine

174

Materia Medica

Tonics

intermissions of the paroxysms, while the state of the system is as near that of nature as possible, another question presents itself may the bark be given during the hot stage. From the high authority of Dr Cullen I am led we should be led to believe the bark may be given in any stage, my own experience has never extended beyond a single case, and from the ill effects of this case, I should not be tempted to give it again, many writers says that there is some kinds of intermittants where the bark may be used with efficacy during any stage. Belfour who practiced in Bengall was of opinion that it might be given during every stage of the fever. I believe if there is any it is such as occurs in Topical Climates, that the bark may be used with advantage during the hot stage, and not then without there is a moist skin, there is less objection to giving the bark in paroxysm of continued fever. We are sometimes able to procure remission by it, the bark is verry efficacious in that species of intermittants termed by some authors Appoplectic Tertians, but I think venesection should proceed its use.

Remitting fevers. It has been disputed whether Intermittant and remittant fevers are distinct or the same disease, the latter I think is pretty certain, they both arise from the same