(seq. 189)

180

Materia Medica

Tonics

must be injurious in all inflamitory diseases, gout and
Rheumatism have been thought to be the same disease, they are however
essentially different, though there may be some similarity in
their symptoms, Sydenham thought the bark usefull in some
cases of the gout, he used it himself morning and evening.
Haller calls it a grand remidy, I think it can only be used in the
regular gout with debility. But hardly ever when there is a
translation of the affection to the hed or stomach, indeed it should
never be used when the vital organs are affected, if the gout
assumes the intermittant form the bark may be usefull.

Typhus fever. This is supposed to arise solely from
human effluvia. But I have seen it arise from marsh miasm,
and although we call the typhus a continued fever, yet I
consider the intermittant remittant and typhus all of the same
species it is in the first stage an inflamitory fever which lasts
longer than any other fever, of course the bark must be at first
improper, I would not recommend it while the pulse remains
full the eyes inflamed &c. In its course it becomes a disease
of debility and then the bark is proper.

Plague. Is a
true Synochus or a fever in the first stage inflamitory and ending