(seq. 183)

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